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Employer Certification Work Opportunity Tax Credit (OPTIONAL FORMAT) 1. NAME/ADDRESS OF CERTIFYINGAGENCY AND TELEPHONE NO.2. CONTROL NO. (For Agency Use Only)3. DATE COMPLETED:4. INITIATING AGENCY
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Optional format refers to a format or template that may be used at the discretion of the filer.
Filers who choose to use the optional format for reporting.
Optional format can be filled out according to the instructions provided by the reporting authority.
The purpose of optional format is to provide flexibility and customization for the filer.
The information required to be reported on optional format may vary based on the reporting requirements.
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