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NY C-105.2 2007-2023 free printable template
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STATE OF NEW YORK WORKERS COMPENSATION BOARD CERTIFICATE OF NYS WORKERS COMPENSATION INSURANCE COVERAGE 1a. Legal Name & Address of Insured (Use street address only) 1b. Business Telephone Number
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How to fill out c105 2:
01
Start by providing your personal information, including your name, address, contact information, and any other required details.
02
Next, fill in the relevant sections related to your employment, such as your job title, the name of your employer, and your work address.
03
Ensure that you accurately complete all sections pertaining to your income, including details on your salary, wages, and any other sources of income.
04
If applicable, provide information about any deductions or allowances that may apply to you, such as pension contributions or tax credits.
05
Double-check all the information you have provided to ensure accuracy and completeness.
Who needs c105 2:
01
Individuals who are employed and need to report their income and employment details to tax authorities.
02
Anyone who is required to complete a self-assessment tax return and needs to provide the necessary information to calculate their tax liability.
03
Employees who have multiple jobs or sources of income and need to report all their earnings accurately.
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