Read NCUI 101b text version

EMPLOYMENT SECURITY COMMISSION OF NORTH CAROLINA P. 0. BOX 26504 RALEIGH, NC 27611-6504

CONTINUATION SHEET FOR REPORT OF EMPLOYEES WAGES

ACCOUNT NUMBER

EMPLOYER NAME

Page Number

SOCIAL SECURITY NUMBER

INITIAL

EMPLOYEE NAME INITIAL

LAST NAME

SEASONAL

WAGES PAID THIS QUARTER

QUARTER - YEAR

TYPE EMPLOYER NAME, ACCOUNT NUMBER, AND QUARTERYEAR AS SHOWN ON FORM NCUI 101.

RETURN THIS PAGE IF NEEDED TO COMPLETE REPORT

14. PAGE TOTAL

NCUI 101-B

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NCUI 101b

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