Transcription of Revenue Form 2000 - state.nj.us
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Revenue Form 2000 - state.nj.us
REPORTING FORMAI:'; (Please choose only 1 qfthefollowing 4 reporting methods) Lists or Printouts: This method can be used fbr reporting several newly hired employees at once. Maillists to our New Hire Operations Center or fax lists to 800-304-4901. using the following format:PAPERLIST or PRINTOUTS Federal Employer Identification Number (FEIN): 000112222 Employer Payroll 0\ddress: SSN First Ml Last Name Name xxx-xx-xxxx ROBERT C CLARKE xxx-xx-xxxx ANGELA R SMITH xxx-xx-xxxx DAVID J CARBO Address 34 PERKINS DR Ill MAIN ST 12 GREEN ST City Wigit International. Inc. 75 Curbside Lane Somewhere, NJ 08601 State Zip Date of Hire (Opt) NEWBURN 08652 10/23/97 TRENTON NJ08603 10/06/97 READING NJ08127 10/03/97 Date of Birth Gender (If Available) (Optional) 08/06/59 M 12/03/57 F 04/26/66 M 2. New Hire Reporting Form: The attached form can be used to report individual employees and can be pho tocopied. Refer to it for instructions for completing the required information.
Under penalties of perjury, I declare that I have examined this election, including accompanying schedules and statements, and to the best of my knowledge and belief, it is
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