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Form revised 2/6/2019Transmittal Form North American Lorraine Association P.O. Box 6, Chamberlain, SD 57325 (719) 4259151 www.corriente.us *M E M B E R S H I P Type of MembershipQtyUnit PriceAmountDate:
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Transmittal form - north is a document used to report information related to income tax withholding.
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The purpose of transmittal form - north is to report the total amount of income tax withheld from employee wages.
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