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EFFECTIVE DATE COMPANY CODE P.O. Box 45530 Salt Lake City, Utah 84145 Telephone 1-801-578-5600 Toll Free 1-800-777-3622 Fax Number 1-801-578-5933 Website: www.dmba.com COBRA MEDICAL/DENTAL INSURANCE
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e-12 503 copy is a tax form used for reporting certain information to the IRS.
Employers are required to file e-12 503 copy for each employee.
e-12 503 copy can be filled out electronically or by hand, following the instructions provided by the IRS.
The purpose of e-12 503 copy is to report income, taxes withheld, and other relevant information for tax purposes.
Information such as employee's name, social security number, wages, taxes withheld, and other applicable details must be reported on e-12 503 copy.
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