Form Rt-89 - Reemployment Tax Excess Audit Worksheet

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Reemployment Tax* Excess Audit Worksheet
RT-89
R. 01/13
Page 3
NAME : _________________________________________________
ACCOUNT # : ___________________________________________
YEAR : _________________________________________________
FIRST
SECOND
THIRD
FOURTH
EMPLOYEE
QUARTER
EXCESS
QUARTER
EXCESS
QUARTER
EXCESS
QUARTER
EXCESS
WAGES
WAGES
WAGES
WAGES
* Formerly Unemployment Tax

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