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efta-efta01219701DOJ Data Set 9Other

Ca Along tut Dented Line

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Unknown
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DOJ Data Set 9
Reference
efta-efta01219701
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1
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Ca Along tut Dented Line Massachusetts Department of Revenue M-94 I • Employer's Return of Income Taxes Withheld. File this return online at mass.govimasstaxconneet. Account II>tomb« Number& employee. from whom wet Lute attack, Tan Ming petiod 1 An:0ga withheld 2 Previous payments made Buainem name S. Credit carry asand from previous period. 4 Total may mems ad credits Add Imes 2 and 3. Rumness san.. S. Total tax due. Bultram Line 4 :tom line I C it, fro* n State Zip 6 Penalties Phone number Embed address 7 Interest S Total amount due. Add lines S through 7. K Check if amended moan (see "Amended Return" in IMIIIKI10111) K Choi k if final mum and you with In e Sae >mar withlwang um account 9 Antos* overpaid m be credited [oust period. See inemu eons for Oie dales Mad an tdassachnuas BOR. PO Box 419255. Renton. MA 02241.9255. 1 declare under the penalties of perjury that tes renan I includins an> am ~puny ins une duks and statements> has been esanameal by me ial to the best of my knowledge and belief ti a true. carom and con:Mete return. 10 Amount overpead to be refunded Agnarme Tide Date EFTA01219701

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