Get IRS W-3PR 2016
S and Tips 12b c N mero de identificaci n patronal (EIN) Employer identification number (EIN) 4 Propinas Tips d Nombre del patrono Employer s name 5 Total 1 + 2 + 3 + 4 13 Contrib. Medicare Retenida Medicare Tax Withheld 6 Gastos Reemb. y Benef. Margin. Reimb. Expenses and Fringe Benefits 7 Contribuci n Retenida Tax Withheld Otro n mero de identificaci n patronal usado este a o Other EIN used this year Persona de contacto Contact person 15 Contribuci n del Seguro Soci.
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