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Get AZ DoR JT-1/UC-001 2009

* F. Phone Number * ( ) ( ) ( ) ( ) If the owner, partners, corporate of cers or combination of partners or corporate of cers, members and/or managing members own more than 50% of or control another business in Arizona, attach a list of the businesses, percentages owned and unemployment insurance account numbers. THIS BOX FOR AGENCY USE ONLY New Change Revise Reopen ADOR 74-4002 (8/09) Acct. No. LIAB DLN Start LIAB Est. TPT S/E Date WH JT-1/UC-001 (8/09) Page 2 Section.

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