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SEC Form 3UNITED STATES SECURITIES AND EXCHANGE COMMISSIONER 3Washington, D.C. 20549OMB APPROVAL
OMB Number:32350104Estimated average burdenINITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF
SECURITIES
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The purpose of Dere Willard H is to report wages paid to employees and taxes withheld from their paychecks.
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Information such as employee's name, address, Social Security Number, total wages, and federal tax withheld must be reported on Dere Willard H.
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