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Begin by entering the Lessor Employing Unit Name and Contact Person details in the designated fields. Ensure accuracy for effective communication.
Fill in the Lessor Employing Unit Account Number and Telephone Number. This information is crucial for identification and follow-up.
Indicate whether you financially guarantee payment by selecting 'Yes' or 'No'.
Complete the Quarterly Client List section by providing each client’s Federal ID Number, Legal Name, Mailing Address, Nature of Business, and Physical Worksite Address.
For each client listed, specify Agreement Dates (Effective and Ceased) and confirm if they are still in business by selecting 'Yes' or 'No'.
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