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Get DE W-3 9801 2009

Ress X AUTHORIZED SIGNATURE If desired, provide an E-mail address where we may contact you regarding this return. TAX PAID I declare under penalties of perjury that this is a true, correct and complete return. TELEPHONE NUMBER TAX WITHHELD DATE TAX PAID Jan. July Feb. Aug. Mar. Sept. Apr. Oct. May Nov. June Dec. TOTAL TAX PAID FOR THIS YEAR (Enter amount on Line 4) $ TOTAL TAX WITHHELD (Should agree with Line 3) TAX WITHHELD $.

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