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III III ILII I II III II II IIID I II IIII II III IIFlorida Department of Revenue Employees Quarterly Report ucs <br /> 11 1 Employers are required to file quarterly lax/wage reports regardless of employmentiactivity or whether any taxes are due. Mimi <br />R . 01 /08 <br /> QUARTER ENDING EMPLOYER ' S NAME UT ACCOUNT NUMBER <br /> o ❑ � ❑ o opo ❑ � _,_-__________ _ _=_ _-___ _ _❑__ ❑ ❑ ❑ ❑ <br /> 9. EMPLOYEE ' S SOCIAL SECURITY NUMBER 11 . EMPLOYEE' SNAME (oiaasevrirniasineiecharraersntw:rnainaanarusreioh 11 . EMPLOYEE'$ GROSS WAGES <br /> PAID THIS QUARTER <br /> I 1 characWrs of hrsl remo in how) <br /> J_i ❑ j L J LJ --J ❑ ❑ ❑ Name ❑ ❑ ❑ ❑ ❑ ❑ ❑_ ❑ ❑ ❑ ❑ ❑ U .S. Dollars --� Cents <br /> Name ❑ ❑ ❑ ❑ ❑ ❑ ` ....J ❑1 tirst liaie E ❑ ❑ ❑ , ❑ ❑ 11 , 11 ❑ ❑ . L_I ❑ <br /> D!arne 11 11 ❑ ❑ i! 11 11 1] Initiale ❑ ❑ ❑ El 011 ❑ , 111111 . ❑ I_J <br /> --' � J' - ❑ — i❑ !❑ ❑ ❑ Nhsne ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> Name i� JJ �❑ F 110 ❑ ❑I Anii <br /> dde L.J � ❑ ❑ � U �� ❑ � ❑ 111A ■ E <br /> -- — — <br /> � i I ` , f <br /> ast I <br /> I I <br /> Him ❑ ❑ E ❑ ❑ ❑ ❑ ❑ Inliiiale <br /> Name ❑ ❑ ❑ 1[ y ❑ ❑ ❑ , ❑ ❑ ❑ . E 1 <br /> IJ ❑ I — LJ ❑ ❑ ❑ Last ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> d Nan ) <br /> flame ❑ ❑ ❑ ❑ ❑_ ❑ ❑ ❑ Mldala J� i _ J �__� � �J ❑ 1� � ❑ ❑ 0 L�� �l <br /> � I Last � ' <br /> JD Nam <br /> 111f 14r <br /> Name - .-_I - .� i ._ _1 L._. _I i_ ._� - ❑J _I initial , L__J ❑ ii ' l.J C J I❑ ❑ 1111 . ❑' Ell <br /> t <br /> 1 - 1 <br /> i <br /> Las <br /> _ <br /> — I � <br /> L c <br /> . N � enc � i �� <br /> u Middle <br /> Name L_—] L ❑ 9 JJ ❑ ❑ ❑ ❑ ❑ . ❑ ❑ <br /> l --- I N'sra L : r L 'D ❑ ❑ I <br /> l ii,,il <br /> r - t <br /> firs ! I I nitia ❑ � 7 ❑ ❑ ❑ � ❑ ❑ ❑ �❑ <br /> Name _� L--- ---1 f ❑ ❑ 21 ❑ L�� i ,__ I— � . 7 I <br /> JI - jut11 <br /> -� <br /> t I- l - _ . ; I�� E� L Na��; I ll� f[ ._�llL u f lr�l _jL.� -' - <br /> Nr <br /> ame . .._I Ll [ 1� , � lJ L_—_l ! - IJ T' L ❑ _ j y ❑ L ❑ 1 , 1 ❑ ❑ . ❑ <br /> Nasne <br /> Fusi Middle <br /> I( <br /> Na nr L _ l ... I r_._.�i <br /> In � _-. J L_.-._i ❑ I❑ l -- — — . Ej __l <br /> I 7 7 <br /> 112 Total Gross Wages This Page (include in Line 2 on Pagel ) <br /> DO NOT - i -J I- -� [ � i I j I ' ❑ n C ❑ =- i <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ - - - - - - J LL - <br />- <br /> DETACH Mail Reply To : <br /> FLORIDA Unemployment Tax <br /> Hate paperwork? We can help ! Florida Department of Revenue <br /> File and pay your Florida unemployment tax online . 5050 W Tennessee St <br /> It 's fast , easy, accurate and secure . Tallahassee FL 32399 - 0180 <br /> Internet Address: www. myflorida.com/dor/eservices <br /> 40" <br /> Services Call 8004824293 for assistance. <br />