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| 5733 S. Dale Mabry Hwy Tampa, Florida 33611 |
| Ph: 813-835-0158 Fx: 813-835-0848 Email Us! |
| Free Organizer Available EITC Increased Raised Standard Deduction Education Credits Expanded More New Credits |

| Every employer must have each employee fill out this form. The information given is used when calculating payroll. |
| Every employer must have subcontractor workers fill out this form. The information given is used for calculating payroll and in processing 1099s at the end of the year. |

| This form is used when applying for a Federal Employer Identification Number, most times at the start of a business. |
| Only corporate officers of a limited liability company or corporation engaged in the construction industry may elect to be exempt from worker's compensation. |
| If you believe there should be another form available on this page, please email us and tell us about it. We greatly value feedback. |