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Pa ‘ e ° e . i, oP sel ee oe , ~ ' . om . ‘ i] ‘ ' 5 . *s +. . & . . . , :' ots * . be t i ~ . 7, ~ ‘be ce ; a: woe . fF} r . 7 ° ; © 4 . . vA s *» « L *e * ° .@ * . * ~ 4 . ‘ . dene . - - we i . . ~ . . . i 7 " . ; , ’ oe “ . * , . ‘ ’ ‘ ° - i . » “ ‘ ‘ k . : ’ .' ‘ f . a ‘* " : a Sf you expect to owe tnore tax than will bo «. ittheld, you may either claim ot - . : fewer? of rere exemptions or ask for additional withholding on tine &. . | SO Z A if 1 Parsonai azemptiog for yourself, Writs “1” 2 dalmed eee ese eos ea we wes em e “ec © © ©» @ © @ 2 ere 6 et : “hs 2 Mf manled, persone] exemption fos your alle (or hust ind) U mot separetcly claimed by her (or hie). Write “ it coined . . ‘¢ t ee Lampton fr eget ene oe eaiutiog 2) Wile IW dslaed 6 «ois «oo oh : Poo: @ Exemptions for age and blindness (epplicable only to you and your alfe bt act to dependsats): : en : : (a) ee RR 4 Le I a . alder, and you claim both of these exemptions, eslte*2" 2 2 kk eee eee see a it re @) E you or your wile are blind aud you claica this exemption, write “1, if both asp ae i) Onl exet mE v & Exemptions for dependents, (Oo ot claim an exemp'loa for a dependent enless you arg Fae eae ana ‘ ; _ © Additious) withholding alowances for itemized deductl.aa. See tale oa reverse . eee HH. eS as . : an, , . ee: B Additional witi-holdi:.9 per pay partod under erreement with em loyef. . ws swe ow wt tt e+ 6 2 $ ! Cot be - Kader Oe ponationn o perjury, | cartily that the aun.Ler af wihholding . . ee re -- er ~e ° 4 h “f .¢ ° ° "3 . ‘ « » ' . H ; : ; - » n ~ a 7 ‘ a8 . ; . pea! ™ . cc eo ad ry nee ue rr baie TKS Ce Ee