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K CNS 010 Rev 12 00 K CNS 010 Rev 12 00 Form

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When did you first pay wages IN KANSAS MM-DD-YYYY Your nine digit FEDERAL Employer s Identification Number FEIN TIN To help us assign a more accurate unemployment tax rate and NAICS classification describe with some detail your MAJOR KANSAS business activity product or service that generates the most revenue. 18. Are you subject to the federal unemployment tax act FUTA 19. Are you continuing to pay wages IN KANSAS 20. Social Security No. K-CNS 010 Rev. 9-04 First Name - Middle Initial Last Name...

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