00001 *************************************************************** 10/04/99 00002 * SECOND COPY BOOK FOR DTSBR434 FOR HOLDING MIXED CASE DTSIZ43A 00003 *************************************************************** LV022 00004 05 WS-WORD-GROUP0 PIC X(40) DTSIZ43A 00005 VALUE 'Business Tax Bureau '. DTSIZ43A 00006 05 WS-WORD-GROUP1 PIC X(40) DTSIZ43A 00007 VALUE ' I, '. CL*17 00008 05 WS-WORD-GROUP2 PIC X(40) DTSIZ43A 00009 VALUE ', representing the above named business '. CL*22 00010 05 WS-WORD-GROUP3 PIC X(40) DTSIZ43A 00011 VALUE 'do hereby acknowledge its indebtedness '. CL*10 00012 05 WS-WORD-GROUP3a PIC X(40) CL*22 00013 VALUE ', do hereby acknowledge my indebtedness '. CL*22 00014 05 WS-WORD-GROUP4 PIC X(40) DTSIZ43A 00015 VALUE 'to the Department of Employment '. CL*17 00016 05 WS-WORD-GROUP5 PIC X(40) DTSIZ43A 00017 VALUE 'Services, Office of Unemployment '. CL*17 00018 05 WS-WORD-GROUP6 PIC X(40) CL*17 00019 VALUE 'Compensation, in the amount of '. CL*19 00020 05 WS-WORD-GROUP7 PIC X(46) CL**9 00021 VALUE 'which represents unpaid contribution(s),'. CL*10 00022 05 WS-WORD-GROUP8 PIC X(40) CL**4 00023 VALUE 'interest and penalties for the quarter(s'. CL*15 00024 05 WS-WORD-GROUP9 PIC X(40) CL*10 00025 VALUE ') ending: '. CL*15 00026 05 WS-WORD-GROUP10 PIC X(40) CL*18 00027 VALUE ' The aforesaid business agrees to '. CL*17 00028 05 WS-WORD-GROUP10a PIC X(40) CL*19 00029 VALUE ' I agree to '. CL*19 00030 05 WS-WORD-GROUP11 PIC X(40) CL*18 00031 VALUE 'pay '. CL*17 00032 05 WS-WORD-GROUP12 PIC X(40) CL*18 00033 VALUE 'beginning '. CL*17 00034 05 WS-WORD-GROUP13 PIC X(40) CL*18 00035 VALUE 'and a like amount '. CL*11 00036 05 WS-WORD-GROUP14 PIC X(40) CL*18 00037 VALUE 'thereafter until the total indebtness '. CL*10 00038 05 WS-WORD-GROUP15 PIC X(40) CL*18 00039 VALUE 'is liquidated. '. CL*10 00040 05 WS-WORD-GROUP16 PIC X(40) CL*21 00041 VALUE ' In further consideration of this '. CL*21 00042 05 WS-WORD-GROUP17 PIC X(40) CL*21 00043 VALUE 'agreement, '. CL*21 00044 05 WS-WORD-GROUP18 PIC X(40) CL*21 00045 VALUE 'as an agent for the business, '. CL*21 00046 05 WS-WORD-GROUP19 PIC X(40) CL*21 00047 VALUE 'I agree to file and to pay all '. CL*21 00048 05 WS-WORD-GROUP20 PIC X(40) CL*21 00049 VALUE 'subsequent quarterly reports by the '. CL*21 00050 05 WS-WORD-GROUP21 PIC X(40) CL*21 00051 VALUE 'respective allotted due dates. '. CL*21