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Get NJ DoT LF-5 2014

DERAL EMPLOYER I.D.NUMBER 2. LESS DEDUCTIONS (see instruction 5) 3. BALANCE SUBJECT TO FEE (line 1 - line 2) BUSINESS NAME 4. FEE RATE (see instruction 5) .000225 .0003 5. AMOUNT OF FEE DUE (line 3 x line 4) 6. ADD: PENALTY AND INTEREST MAILING ADDRESS (see instruction 5) 7. AMOUNT DUE (line 5 plus line 6) CITY STATE ZIP CODE 8. TOTAL AMOUNT DUE (line 7A plus line 7B) MAKE CHECK PAYABLE TO STATE OF NJ - LITTER CONTROL FEE DETACH AT PER.

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