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are etsted due to your late le anal ears open «den Tax mishhtylditp en ~on born UK financial Services IRAs Ft: at al Lac Mr rtauraS IJESS modla Sonia, to withheld income tar from no« male tRA Mailmen% tul you may der oat lo has hansom «e ab or instead you may Nett to haw ler ~Mc I. arte s et a l
artes ter sewn earposes rill be hold'« one you ban th• statement dale or «Smarty Woo:flat Contra« aid ae not wafted • Aetna hold lry WS financial Unitas Conan MSS ae not NMbytePm awl not wan be FM'S possession or anal Them assets re deptesd on your ValMited for inlommenal ~son>, Roams ad am prowl
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MB No. 1646-0008 LMB 0001 b r IdentliketIon number (EIN) 1 Wham lips, other compersidon 60000.00 2 Federal Income lex withheld 6834.27 o Erni:Sonia name, address, end ZIP code EPSTEIN INTERESTS 9 Sadel smithy wag es 60000.00 4 Social tamolly tax Milthdd 3720.00 - 6 Medan wages end tips 60
the request or within 30 days of the teat wage payment, whichever Is later. II an employe° loses a torn, wrhe "REISSUED STATEMENT' on the now copy (Unitas It was fumishod. olootronbally), but do not send Copy A of the reissued statement to the SSA. Employer' are not prohibited (by the internal Revenuer
Entities connected to both Sonia and Unitas

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