State D Form UC$-2$ REV $07-21,$ Employer's Report for Unemployment Compensation Lemonica Company

What are the employer taxable wages for lines $4-8?$

the quarter. For Lemonica Company, the number of employees is eight in October, seven in November, and eight in December. All employees earned $13$ credit weeks during the last quarter

except for Rooks $(8)$ and Tyler $(9).$

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Bertram A$.$ Gompers

Employer name and address

Make any corrections on Form UC$-2$B

EMPLOYEE

CONTRIBUTIONS

TAXABLE WAGES FOR

EMPLOYER

CONTRIBUTIONS

EMPLOYER

CONTRIBUTIONS DUE

$($RATE X ITEM $4)$

TOTAL

CONTRIBUTIONS DUE

$($ITEMS $3+5)$

INTEREST DUE

SEE INSTRUCTIONS

PENALTY DUE

SEE INSTRUCTIONS

TOTAL REMITTANCE

$($ITEMS $6+7+8)$

X

$

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