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3–14B.
| |941 for 20--: | | | |
|Form | |Employer’s QUARTERLY Federal Tax Return | | |
|(Rev. January 20) | Department of the Treasury — Internal Revenue Service |OMB No. 1545-0029 | |
| | | | |
| | | Dawn Smedley | |
| |Name (not your trade name) | | |
| | | | |
| | | Beechtree Inn | |
| |Trade name (if any)| | |
| | | | |
| | | 404 Union Ave. | |
| |Address | | |
| | | Number | Street | | Suite or room number | |
| | | Memphis | |TN | |38112 | |
| | |City | |State | |ZIP code | |

| | | | | | |
| | Report for this Quarter of 20-- | |
| |(Check one.) | |
| | | | | | |
| | | | | |
| | |1:|January, February, March | |
| | | | | |
| | | |
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