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P.O. Box 681
Tarrytown , NY 10591
(800) 544-3427
Fax: (800) 261-1499

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No. 5204:  Employer State/City Copy 1 and File Copy D or Information Return

Item type: Tax Forms
Description: This form may be used as a State or City Copy or as an Employer File Copy D. If you are using this form as an Employer Copy and as a State Copy order double the quantity of this form No.5204. In a state with both a State and City/local tax and you are using this as an Employer File Copy order triple the quantity of this form. 50 sheets/pkg. 1 sheet equals 2 forms.
Size: 8 ½” x 11” overall, 8 1/2" x 5 1/2" detached
Companion Envelope(s): 6666-1
6666-2
  Click thumbnail to see a larger image.

Pricing:  (per package)

Qty.Price
1-5 $12.17
6-10 $11.58
11-20 $10.83
21-40 $10.07

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Prices subject to change without notice.