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ployers Watodal ID number Contact person Jeanne Brennan • t, Check the °pawed/de box Typo k W-2es W
erm W-3SS Transmittal of Wage and Tax Statements 2003 Send this entire page with the entire Copy A page of Forms W-2AS, W-2GU, W-2CM, or W-21/I to the Social Security Administration (SSA). Photocopies are not acceptable, Do not send any remittance (oash, checks, money orders, etc) with Forms W-2AS, W-2GU, W-2CM, W2VI, and W-358.
tilowl of Me Treenney--Imanitl finiteare Service For PM•ticy Act and Pw.rwork Redootlen Act .(otier and ;rattructlors. Ma Form vi.ass. . Use nn BRENNAN Stiff U.S. Virgin Islands Wage and Tax Statement Copy 1 -For vl Bureau of 'Memel Revenue or Copy D-Fot Empleger 0 Sacred Nally Moosoc 4 &ell se
14 Cute se dic /Os Someway dre Taste Pent ammo am* end this entire page with the entire Copy A page of Forms W-2AS, W-2131.1, W-2CM, or W-2VI ) the Social Security Administration (SSA). Photocoplos are not acceptable. o not send any remittance (cash, checks, Way ceders, etc.) with Forms W-2e4S, W-2GU, W-20M, W-2V1, and W-3S5
ZIP node 14 income tax witted by payer of third-pany dm pay h Other EW used thie year 1r I Employer's torr atelet C maw Conrad person J'EANNE BRENNAN For Oredel Use Only Small address . Under penettes of perjury. I dam that have ox they ore true, correct, c compute. Signature s. a men rre
V1 0 urn W- SS 'fransmittal of Wage and Tax. Statements 20014 end this entire page with the °nth* Copy A page of Forms W-2A8, W-2CM, or W-2VI ) the Social Security Administration (SSA). Photocopies are not acceptable. o not send any remittance (oash, oheoks, way orders, eta.) with Forms W-2AS, W-2GU, W-20M, W-2VI, and W-$S5,
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