Form 60-0103 - Employer'S Payroll Continuation Sheet - 2000

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Employer's Payroll Continuation Sheet 60-0103 (2000)
Iowa Workforce Development
Page ___________ of _________
1000 East Grand Avenue - Des Moines, Iowa 50319-0209
Telephone (515) 281-5339
Employer Name & Address
Iowa Account Number
Quarter & Year
Taxable Wages Paid
Social Security Number
Last Name
First Name
MI
Total Wages Paid
Totals For This Page
USE THIS FORM AS A MASTER TO MAKE ADDITIONAL COPIES OF BLANK CONTINUATION SHEETS. SEND
PREPARED ORIGINAL TO IOWA WORKFORCE DEVELOPMENT. KEEP A PHOTOCOPY FOR YOUR FILES.

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