Form Fr-900a - Employer Withholding Tax - Annual Return - 2005 Page 2

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Attach forms W-2 and mail to:
Form W-2T
Offi ce of Tax and Revenue
Government of the
Transmittal for Forms W-2
District of Columbia
941 North Capitol St NE FL 6
Washington DC 20002-4265
Fill in
if FEIN
Taxpayer Identifi cation Number
Period ending (MM/DD/YYYY)
Account Number (provided by OTR)
Fill in
if SSN
Business name
Telephone number of person to contact
Mailing address line 1
Mailing address line 2
Remarks
State
Zip Code
City

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Parent category: Financial
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