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III II IIIII I II III II II IIIII I II IIII II III II L Florida Departmentof <br />pe�m�hror te �Rprt <br />Employersare required <br />quartery <br />Avage a awhether awduej a <br />:Black Ink: >TW <br />IWMTS ENDKO <br />d�Y�i'8QtAdfIE <br />. .;; � NUMBiCFt <br />11•+M�Af3�iNrddrrwsaitMtllironia►it�i t?a. 1i1Md tMISClkdltlNTfA <br />F. LOYSES$tjCfALSfzCU11111TY IA41M9ER � � . ►�tl�f! 18i. EIo1F?L9YEE't'�A�•WI►iI�F.A�JJ'tNs1�JAFC� <br />jj .. j�}[ �j�"�'jJ ..-.�..�}'�J j{�� ... J�-!F] <br />y] �1''r.µ.'7r 1�f4jY►Mid;rM$f�Mi111V�'NfRAs�}.-1!�ltbiellWl <br />1-1: <br />fLI .E_1 � t � � � ��: - (.'_^.J� j1''.��' L J IF] <br />F] �12a. <br />FiIsT I J1 II it f�n1. <br />Please save your instructions! <br />Quarterly Report instructions (RT-6WRTS-3) are only mailed <br />with new accounts or when there are changes. If you misplace <br />your instructions, you can download them from <br />www.myiiorida.com/dor <br />195 <br />Tow <br />Iiti�udilh�t�dMl�d"fpoin�ddfewri <br />'.. .. <br />ini�-far" 't <br />_ Tali T+ouir[ir1+t LL�ur • �1 1� 4� . <br />+xppma&i5anlpl"inl.,i�s�aa�irgari, <br />_ <br />DO NOT <br />-------------- -- o"Am ------... <br />................. .........,:............. --...---------- .. <br />Mail Reply To: <br />Social wourilly numbers (SSNs)are used by the Florida Department of Revenue as unique <br />Reemployment Tax <br />identifiers for the administration of Florida's taxes. SSNs obtained for tax administration <br />Department of Revenue <br />purposes are confidential under sections 213.053 and 1144, Florida Statutes, and not <br />5050 W Tennessee St Bldg L <br />subject to disclosure as public records. Collection ofyour'SSN is authorized under state <br />Tallahassee FL 32399-0180 <br />and federal law. Visit our website at www.myflorida.com/dor and select "Privacy Notice" <br />for more information regarding the state and federal law governing the collection, use, or <br />release of SSNs, including authorized exceptions. <br />Please save your instructions! <br />Quarterly Report instructions (RT-6WRTS-3) are only mailed <br />with new accounts or when there are changes. If you misplace <br />your instructions, you can download them from <br />www.myiiorida.com/dor <br />195 <br />