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<br />Florida Department of Revenue Employer's Quarterly Report
<br />Employers an required to file quart y tax/wage reports regasdfass of orrylaynrnt aoth3y or whether any tams are due.
<br />Use Black Ink to Complete This Form
<br />BLPLOYER'$ NAME
<br />111 EMPLOY'S SOCIAL SECURITY NUMBER
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<br />DETACH
<br />Mail Reply To:
<br />Renployment Tax
<br />Honda Department of Revenue
<br />5060 W Tennessee St Bldg L
<br />Tallahassee FL 32399-M80
<br />S0
<br />Social security numbers (SSNs) are used by the Honda Department of Revenue as unique
<br />identifiers for the administration of Florida's taxes. SSNs obtained nor tax administra:ron
<br />purposes are confidential under sections 213.053 and 119.071 Ltcrlda Statutes, ano not
<br />subject to disclosure as public records. Collection of your SSN Is authorized under state
<br />and federal law. Visit our tntemet site at www myflarida.comldor and select "Privacy
<br />Notice for more information regarding the slate and federal lav governing the collection,
<br />use or release of SSNs, including authorized exceptions.
<br />Please save your instructions!
<br />Duare:1y Report insfctions (RT-611/FITS-3) are only mailed
<br />AA1ih new accounts or when there are changes. If you rrliplace
<br />your instructions, you can download them from
<br />www.myflorida.com/dor
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