Form K-Cns 100 - Quarterly Wage Report & Unemployment Tax Return - 2017 Page 2

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KANSAS DEPARTMENT OF LABOR
Continuation sheet _____ of ____
Mail:
Kansas Dept. of Labor
CONTINUATION SHEET – QUARTERLY WAGE REPORT & UNEMPLOYMENT TAX RETURN
P.O. Box 400
Topeka, KS 66601-0400
K-CNS 101 Web (Rev. 1-14)
Quarterly Wage Report & Unemployment Tax Return, K-CNS 100, must accompany this continuation sheet.
M
M
D
D
Y
Y
Y
Y
Q
Y
Y
Y
Y
1. Business
2. Employer
3. Quarter
Serial Number
Ending
Name
5. Employee Last Name
First Name
MI
6. Total Wages Paid This Quarter
7. Excess Wages Paid This Quarter
4. Social Security Number
Dollars
Cents
Dollars
Cents
8. Total Wages for THIS page

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