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3. Completing day, and ending the, TITLE, YEAR, MONTH, that during the payroll period, YEAR, MONTH, NAME OF SIGNATORY PARTY, CONTRACTOR SUBCONTRACTOR OR SURETY, day of all persons employed on, CONTRACTOR SUBCONTRACTOR OR SURETY, Date I do hereby state That I pay, CERTIFIED STATEMENT, and In addition to completing sections is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!
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4. This next section requires some additional information. Ensure you complete all the necessary fields - Date I do hereby state That I pay, NAME AND TITLE, SIGNATURE AND DATE, NOTE TO CONTRACTORS YOU MUST, INSTRUCTIONS AND ADDITIONAL FORMS, FILE THIS FORM WITH THE PUBLIC, WH Rev, c EXCEPTIONS, REMARKS, NAME AND TITLE, SIGNATURE, and THE WILLFUL FALSIFICATION OF ANY - to proceed further in your process!
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