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Form NYS-45:12/15:Quarterly Combined …

NYS-45 (12/15) quarterly Combined Withholding, Wage Reporting, And Unemployment Insurance return 41519417. Reference these numbers in all correspondence: Mark an X in only one box to indicate the quarter (a separate return must be completed for each quarter) and enter the year. UI Employer registration number 1 2 3 4 Y Y For office use only Jan 1 - Apr 1 - July 1 - Oct 1 - Postmark Mar 31 Jun 30 Sep 30 Dec 31 Year Withholding identification number Are dependent health insurance benefits Employer legal name: available to any employee?

41519417 Reference these numbers in all correspondence: NYS-45 (12/15) Quarterly Combined Withholding, Wage Reporting, And Unemployment Insurance Return …

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