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HEARNAP — Part 42
Page 132
132 / 705
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Your social
2s status
(ings QO Married
legaity
F227
ertificate
ge it.)
eecurkty number
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FO nm Te a ee eee
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(husband) fs a
ow
withholding pu
until you chan
ngte diock.>
lowances claimed of: this certificate does
g Allowance C
thholdin
me tax
Wi
(This certificate is for ineo
ty; 3 will remain in effect
the number of withhotding ali
on
ie
Employee’s
Jon U
State and ZIP code
my knowledge and batie?,
St of
Type of peint your full name
entitied.
to the ba
7 to which ¢ a
Treamery
Service
1972)
(Rav. Aug.
Dapartment of the
interns! Revenue
ra
ae
t Certify thet
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i
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