PDF document
- 1 -
FORM W1 1172 EMPLOYER'S WITHHOLDING - MONTHLY
1. Number of Taxable Employees. . . . . . . . . . . . . . . . . . . . . . . . .                         1
2. Total Salaries, Wages, Commissions and other                                                                  Tax Year 2018
Compensation paid all employees. . . . . . . . . . . . . . . . . . . . . . . . .                          I hereby certify that the information and statements contained here 
                                                                                                        2 in and in any schedules or exhibits attached are true and correct.
3. Courtesy withholding for resident. . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Signed
4. Taxable Earnings (line 2 minus 3). . . . . . . . . . . . . . . . . . . . . . .                       4 Title                          Date
5. Actual Tax Withheld at 1.500 %. . . . . . . . . . . . . . . . . . . . . . . . .                      5 Phone #
6. Adjustments of Tax for Prior Period. . . . . . . . . . . . . . . . . . . . . .                       6       THIS RETURN MUST BE FILED ON
7. 0.50 per month. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .            7       OR BEFORE FEBRUARY  20, 2018
8. 50%. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
                                                                                                                MAKE CHECK OR MONEY ORDER TO:
9. Total (Include Interest and Penalty if Due). . . . . . . . . . . . . . . . .                         9
                                                                                                                CITY OF HUBBARD TAX DEPARTMENT
                                                                                                                 P O BOX 307
Name                                                                                                             HUBBARD  OH   44425-0307

And                                                                                                             Voice  330-534-6299  Ext Fax  330-534-6282

Address                                                                                                   Period Ending JANUARY
                                                                                                          TAX ID
                                                                                                          NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY CHANGE IN OWNERSHIP OR NAME AND ADDRESS.

FORM W1 1172 EMPLOYER'S WITHHOLDING - MONTHLY
1. Number of Taxable Employees. . . . . . . . . . . . . . . . . . . . . . . . .                         1
2. Total Salaries, Wages, Commissions and other                                                                  Tax Year 2018
Compensation paid all employees. . . . . . . . . . . . . . . . . . . . . . . . .                          I hereby certify that the information and statements contained here 
                                                                                                        2 in and in any schedules or exhibits attached are true and correct.
3. Courtesy withholding for resident. . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Signed
4. Taxable Earnings (line 2 minus 3). . . . . . . . . . . . . . . . . . . . . . .                       4 Title                          Date
5. Actual Tax Withheld at 1.500 %. . . . . . . . . . . . . . . . . . . . . . . . .                      5 Phone #
6. Adjustments of Tax for Prior Period. . . . . . . . . . . . . . . . . . . . . .                       6       THIS RETURN MUST BE FILED ON
7. 0.50 per month. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .            7       OR BEFORE MARCH  20, 2018
8. 50%. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
                                                                                                                MAKE CHECK OR MONEY ORDER TO:
9. Total (Include Interest and Penalty if Due). . . . . . . . . . . . . . . . .                         9
                                                                                                                CITY OF HUBBARD TAX DEPARTMENT
                                                                                                                 P O BOX 307
Name                                                                                                             HUBBARD  OH   44425-0307

And                                                                                                             Voice  330-534-6299  Ext Fax  330-534-6282

Address                                                                                                   Period Ending FEBRUARY
                                                                                                          TAX ID
                                                                                                          NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY CHANGE IN OWNERSHIP OR NAME AND ADDRESS.



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FORM W1 1172 EMPLOYER'S WITHHOLDING - MONTHLY
1. Number of Taxable Employees. . . . . . . . . . . . . . . . . . . . . . . . .                         1
2. Total Salaries, Wages, Commissions and other                                                                  Tax Year 2018
Compensation paid all employees. . . . . . . . . . . . . . . . . . . . . . . . .                          I hereby certify that the information and statements contained here 
                                                                                                        2 in and in any schedules or exhibits attached are true and correct.
3. Courtesy withholding for resident. . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Signed
4. Taxable Earnings (line 2 minus 3). . . . . . . . . . . . . . . . . . . . . . .                       4 Title                          Date
5. Actual Tax Withheld at 1.500 %. . . . . . . . . . . . . . . . . . . . . . . . .                      5 Phone #
6. Adjustments of Tax for Prior Period. . . . . . . . . . . . . . . . . . . . . .                       6       THIS RETURN MUST BE FILED ON
7. 0.50 per month. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .            7       OR BEFORE APRIL  20, 2018
8. 50%. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
                                                                                                                MAKE CHECK OR MONEY ORDER TO:
9. Total (Include Interest and Penalty if Due). . . . . . . . . . . . . . . . .                         9
                                                                                                                CITY OF HUBBARD TAX DEPARTMENT
                                                                                                                 P O BOX 307
Name                                                                                                             HUBBARD  OH   44425-0307

And                                                                                                             Voice  330-534-6299  Ext Fax  330-534-6282

Address                                                                                                   Period Ending MARCH
                                                                                                          TAX ID
                                                                                                          NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY CHANGE IN OWNERSHIP OR NAME AND ADDRESS.

FORM W1 1172 EMPLOYER'S WITHHOLDING - MONTHLY
1. Number of Taxable Employees. . . . . . . . . . . . . . . . . . . . . . . . .                         1
2. Total Salaries, Wages, Commissions and other                                                                  Tax Year 2018
Compensation paid all employees. . . . . . . . . . . . . . . . . . . . . . . . .                          I hereby certify that the information and statements contained here 
                                                                                                        2 in and in any schedules or exhibits attached are true and correct.
3. Courtesy withholding for resident. . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Signed
4. Taxable Earnings (line 2 minus 3). . . . . . . . . . . . . . . . . . . . . . .                       4 Title                          Date
5. Actual Tax Withheld at 1.500 %. . . . . . . . . . . . . . . . . . . . . . . . .                      5 Phone #
6. Adjustments of Tax for Prior Period. . . . . . . . . . . . . . . . . . . . . .                       6       THIS RETURN MUST BE FILED ON
7. 0.50 per month. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .            7       OR BEFORE MAY  20, 2018
8. 50%. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
                                                                                                                MAKE CHECK OR MONEY ORDER TO:
9. Total (Include Interest and Penalty if Due). . . . . . . . . . . . . . . . .                         9
                                                                                                                CITY OF HUBBARD TAX DEPARTMENT
                                                                                                                 P O BOX 307
Name                                                                                                             HUBBARD  OH   44425-0307

And                                                                                                             Voice  330-534-6299  Ext Fax  330-534-6282

Address                                                                                                   Period Ending APRIL
                                                                                                          TAX ID
                                                                                                          NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY CHANGE IN OWNERSHIP OR NAME AND ADDRESS.



- 3 -
FORM W1 1172 EMPLOYER'S WITHHOLDING - MONTHLY
1. Number of Taxable Employees. . . . . . . . . . . . . . . . . . . . . . . . .                         1
2. Total Salaries, Wages, Commissions and other                                                                  Tax Year 2018
Compensation paid all employees. . . . . . . . . . . . . . . . . . . . . . . . .                          I hereby certify that the information and statements contained here 
                                                                                                        2 in and in any schedules or exhibits attached are true and correct.
3. Courtesy withholding for resident. . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Signed
4. Taxable Earnings (line 2 minus 3). . . . . . . . . . . . . . . . . . . . . . .                       4 Title                          Date
5. Actual Tax Withheld at 1.500 %. . . . . . . . . . . . . . . . . . . . . . . . .                      5 Phone #
6. Adjustments of Tax for Prior Period. . . . . . . . . . . . . . . . . . . . . .                       6       THIS RETURN MUST BE FILED ON
7. 0.50 per month. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .            7       OR BEFORE JUNE  20, 2018
8. 50%. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
                                                                                                                MAKE CHECK OR MONEY ORDER TO:
9. Total (Include Interest and Penalty if Due). . . . . . . . . . . . . . . . .                         9
                                                                                                                CITY OF HUBBARD TAX DEPARTMENT
                                                                                                                           P O BOX 307
Name                                                                                                             HUBBARD  OH   44425-0307

And                                                                                                             Voice  330-534-6299  Ext Fax  330-534-6282

Address                                                                                                   Period Ending MAY
                                                                                                          TAX ID
                                                                                                          NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY CHANGE IN OWNERSHIP OR NAME AND ADDRESS.

FORM W1 1172 EMPLOYER'S WITHHOLDING - MONTHLY
1. Number of Taxable Employees. . . . . . . . . . . . . . . . . . . . . . . . .                         1
2. Total Salaries, Wages, Commissions and other                                                                  Tax Year 2018
Compensation paid all employees. . . . . . . . . . . . . . . . . . . . . . . . .                          I hereby certify that the information and statements contained here 
                                                                                                        2 in and in any schedules or exhibits attached are true and correct.
3. Courtesy withholding for resident. . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Signed
4. Taxable Earnings (line 2 minus 3). . . . . . . . . . . . . . . . . . . . . . .                       4 Title                          Date
5. Actual Tax Withheld at 1.500 %. . . . . . . . . . . . . . . . . . . . . . . . .                      5 Phone #
6. Adjustments of Tax for Prior Period. . . . . . . . . . . . . . . . . . . . . .                       6       THIS RETURN MUST BE FILED ON
7. 0.50 per month. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .            7       OR BEFORE JULY  20, 2018
8. 50%. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
                                                                                                                MAKE CHECK OR MONEY ORDER TO:
9. Total (Include Interest and Penalty if Due). . . . . . . . . . . . . . . . .                         9
                                                                                                                CITY OF HUBBARD TAX DEPARTMENT
                                                                                                                           P O BOX 307
Name                                                                                                             HUBBARD  OH   44425-0307

And                                                                                                             Voice  330-534-6299  Ext Fax  330-534-6282

Address                                                                                                   Period Ending JUNE
                                                                                                          TAX ID
                                                                                                          NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY CHANGE IN OWNERSHIP OR NAME AND ADDRESS.



- 4 -
FORM W1 1172 EMPLOYER'S WITHHOLDING - MONTHLY
1. Number of Taxable Employees. . . . . . . . . . . . . . . . . . . . . . . . .                         1
2. Total Salaries, Wages, Commissions and other                                                                  Tax Year 2018
Compensation paid all employees. . . . . . . . . . . . . . . . . . . . . . . . .                          I hereby certify that the information and statements contained here 
                                                                                                        2 in and in any schedules or exhibits attached are true and correct.
3. Courtesy withholding for resident. . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Signed
4. Taxable Earnings (line 2 minus 3). . . . . . . . . . . . . . . . . . . . . . .                       4 Title                          Date
5. Actual Tax Withheld at 1.500 %. . . . . . . . . . . . . . . . . . . . . . . . .                      5 Phone #
6. Adjustments of Tax for Prior Period. . . . . . . . . . . . . . . . . . . . . .                       6       THIS RETURN MUST BE FILED ON
7. 0.50 per month. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .            7       OR BEFORE AUGUST  20, 2018
8. 50%. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
                                                                                                                MAKE CHECK OR MONEY ORDER TO:
9. Total (Include Interest and Penalty if Due). . . . . . . . . . . . . . . . .                         9
                                                                                                                CITY OF HUBBARD TAX DEPARTMENT
                                                                                                                 P O BOX 307
Name                                                                                                             HUBBARD  OH   44425-0307

And                                                                                                             Voice  330-534-6299  Ext Fax  330-534-6282

Address                                                                                                   Period Ending JULY
                                                                                                          TAX ID
                                                                                                          NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY CHANGE IN OWNERSHIP OR NAME AND ADDRESS.

FORM W1 1172 EMPLOYER'S WITHHOLDING - MONTHLY
1. Number of Taxable Employees. . . . . . . . . . . . . . . . . . . . . . . . .                         1
2. Total Salaries, Wages, Commissions and other                                                                  Tax Year 2018
Compensation paid all employees. . . . . . . . . . . . . . . . . . . . . . . . .                          I hereby certify that the information and statements contained here 
                                                                                                        2 in and in any schedules or exhibits attached are true and correct.
3. Courtesy withholding for resident. . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Signed
4. Taxable Earnings (line 2 minus 3). . . . . . . . . . . . . . . . . . . . . . .                       4 Title                          Date
5. Actual Tax Withheld at 1.500 %. . . . . . . . . . . . . . . . . . . . . . . . .                      5 Phone #
6. Adjustments of Tax for Prior Period. . . . . . . . . . . . . . . . . . . . . .                       6       THIS RETURN MUST BE FILED ON
7. 0.50 per month. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .            7       OR BEFORE SEPTEMBER  20, 2018
8. 50%. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
                                                                                                                MAKE CHECK OR MONEY ORDER TO:
9. Total (Include Interest and Penalty if Due). . . . . . . . . . . . . . . . .                         9
                                                                                                                CITY OF HUBBARD TAX DEPARTMENT
                                                                                                                 P O BOX 307
Name                                                                                                             HUBBARD  OH   44425-0307

And                                                                                                             Voice  330-534-6299  Ext Fax  330-534-6282

Address                                                                                                   Period Ending AUGUST
                                                                                                          TAX ID
                                                                                                          NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY CHANGE IN OWNERSHIP OR NAME AND ADDRESS.



- 5 -
FORM W1 1172 EMPLOYER'S WITHHOLDING - MONTHLY
1. Number of Taxable Employees. . . . . . . . . . . . . . . . . . . . . . . . .                         1
2. Total Salaries, Wages, Commissions and other                                                                  Tax Year 2018
Compensation paid all employees. . . . . . . . . . . . . . . . . . . . . . . . .                          I hereby certify that the information and statements contained here 
                                                                                                        2 in and in any schedules or exhibits attached are true and correct.
3. Courtesy withholding for resident. . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Signed
4. Taxable Earnings (line 2 minus 3). . . . . . . . . . . . . . . . . . . . . . .                       4 Title                          Date
5. Actual Tax Withheld at 1.500 %. . . . . . . . . . . . . . . . . . . . . . . . .                      5 Phone #
6. Adjustments of Tax for Prior Period. . . . . . . . . . . . . . . . . . . . . .                       6       THIS RETURN MUST BE FILED ON
7. 0.50 per month. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .            7       OR BEFORE OCTOBER  20, 2018
8. 50%. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
                                                                                                                MAKE CHECK OR MONEY ORDER TO:
9. Total (Include Interest and Penalty if Due). . . . . . . . . . . . . . . . .                         9
                                                                                                                CITY OF HUBBARD TAX DEPARTMENT
                                                                                                                 P O BOX 307
Name                                                                                                             HUBBARD  OH   44425-0307

And                                                                                                             Voice  330-534-6299  Ext Fax  330-534-6282

Address                                                                                                   Period Ending SEPTEMBER
                                                                                                          TAX ID
                                                                                                          NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY CHANGE IN OWNERSHIP OR NAME AND ADDRESS.

FORM W1 1172 EMPLOYER'S WITHHOLDING - MONTHLY
1. Number of Taxable Employees. . . . . . . . . . . . . . . . . . . . . . . . .                         1
2. Total Salaries, Wages, Commissions and other                                                                  Tax Year 2018
Compensation paid all employees. . . . . . . . . . . . . . . . . . . . . . . . .                          I hereby certify that the information and statements contained here 
                                                                                                        2 in and in any schedules or exhibits attached are true and correct.
3. Courtesy withholding for resident. . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Signed
4. Taxable Earnings (line 2 minus 3). . . . . . . . . . . . . . . . . . . . . . .                       4 Title                          Date
5. Actual Tax Withheld at 1.500 %. . . . . . . . . . . . . . . . . . . . . . . . .                      5 Phone #
6. Adjustments of Tax for Prior Period. . . . . . . . . . . . . . . . . . . . . .                       6       THIS RETURN MUST BE FILED ON
7. 0.50 per month. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .            7       OR BEFORE NOVEMBER  20, 2018
8. 50%. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
                                                                                                                MAKE CHECK OR MONEY ORDER TO:
9. Total (Include Interest and Penalty if Due). . . . . . . . . . . . . . . . .                         9
                                                                                                                CITY OF HUBBARD TAX DEPARTMENT
                                                                                                                 P O BOX 307
Name                                                                                                             HUBBARD  OH   44425-0307

And                                                                                                             Voice  330-534-6299  Ext Fax  330-534-6282

Address                                                                                                   Period Ending OCTOBER
                                                                                                          TAX ID
                                                                                                          NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY CHANGE IN OWNERSHIP OR NAME AND ADDRESS.



- 6 -
FORM W1 1172 EMPLOYER'S WITHHOLDING - MONTHLY
1. Number of Taxable Employees. . . . . . . . . . . . . . . . . . . . . . . . .                         1
2. Total Salaries, Wages, Commissions and other                                                                  Tax Year 2018
Compensation paid all employees. . . . . . . . . . . . . . . . . . . . . . . . .                          I hereby certify that the information and statements contained here 
                                                                                                        2 in and in any schedules or exhibits attached are true and correct.
3. Courtesy withholding for resident. . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Signed
4. Taxable Earnings (line 2 minus 3). . . . . . . . . . . . . . . . . . . . . . .                       4 Title                          Date
5. Actual Tax Withheld at 1.500 %. . . . . . . . . . . . . . . . . . . . . . . . .                      5 Phone #
6. Adjustments of Tax for Prior Period. . . . . . . . . . . . . . . . . . . . . .                       6       THIS RETURN MUST BE FILED ON
7. 0.50 per month. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .            7       OR BEFORE DECEMBER  20, 2018
8. 50%. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
                                                                                                                MAKE CHECK OR MONEY ORDER TO:
9. Total (Include Interest and Penalty if Due). . . . . . . . . . . . . . . . .                         9
                                                                                                                CITY OF HUBBARD TAX DEPARTMENT
                                                                                                                 P O BOX 307
Name                                                                                                             HUBBARD  OH   44425-0307

And                                                                                                             Voice  330-534-6299  Ext Fax  330-534-6282

Address                                                                                                   Period Ending NOVEMBER
                                                                                                          TAX ID
                                                                                                          NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY CHANGE IN OWNERSHIP OR NAME AND ADDRESS.

FORM W1 1172 EMPLOYER'S WITHHOLDING - MONTHLY
1. Number of Taxable Employees. . . . . . . . . . . . . . . . . . . . . . . . .                         1
2. Total Salaries, Wages, Commissions and other                                                                  Tax Year 2018
Compensation paid all employees. . . . . . . . . . . . . . . . . . . . . . . . .                          I hereby certify that the information and statements contained here 
                                                                                                        2 in and in any schedules or exhibits attached are true and correct.
3. Courtesy withholding for resident. . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Signed
4. Taxable Earnings (line 2 minus 3). . . . . . . . . . . . . . . . . . . . . . .                       4 Title                          Date
5. Actual Tax Withheld at 1.500 %. . . . . . . . . . . . . . . . . . . . . . . . .                      5 Phone #
6. Adjustments of Tax for Prior Period. . . . . . . . . . . . . . . . . . . . . .                       6       THIS RETURN MUST BE FILED ON
7. 0.50 per month. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .            7       OR BEFORE JANUARY  15, 2019
8. 50%. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
                                                                                                                MAKE CHECK OR MONEY ORDER TO:
9. Total (Include Interest and Penalty if Due). . . . . . . . . . . . . . . . .                         9
                                                                                                                CITY OF HUBBARD TAX DEPARTMENT
                                                                                                                 P O BOX 307
Name                                                                                                             HUBBARD  OH   44425-0307

And                                                                                                             Voice  330-534-6299  Ext Fax  330-534-6282

Address                                                                                                   Period Ending DECEMBER
                                                                                                          TAX ID
                                                                                                          NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY CHANGE IN OWNERSHIP OR NAME AND ADDRESS.






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