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ONLY THE UI PORTION IS CERTIFIABLE FOR FUTA PURPOSES AND FOR USE IN FUTURE TAX RATE CALCULATIONS. OUR RECORDS SHOW YOUR FEDERAL TAX NUMBER AS NUMBER HERE ADDRESS COMPLETE FORM NCUI 101-A. EMPLOYEE NAME 12. SEASONAL 13. WAGES PAID RETURN THIS FORM 14. PAGE TOTAL THE INFORMATION CONTAINED IN THIS REPORT IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. SIGNATURE NCUI 101 TITLE TELEPHONE NUMBER THIS REPORT MUST BE...
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