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Fillable Form 941 (Rev. January 2012) - irs

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Form (Rev. January 2012) 941 for 2012: Employer's QUARTERLY Federal Tax Return Department of the Treasury -- Internal Revenue Service -- (Check one.) 950112 OMB No. 1545-0029 Employer identification number (EIN) Name (not your trade name) Trade name (if any) Report for this Quarter of 2012 1: January, February, March 2: April, May, June 3: July, August, September Address Number Street Suite or room number 4: October, November, December Prior-year forms are available at www.irs.gov/form941

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