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Get Rev 420 Pa Nj Form

REV-420 AS 10-99 I COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF BUSINESS TRUST FUND TAXES DEPT. 280904 HARRISBURG PA 17128-0904 EMPLOYEE S STATEMENT OF NONRESIDENCE IN PENNSYLVANIA AND AUTHORIZATION TO WITHHOLD OTHER STATE S INCOME TAX PLEASE PRINT OR TYPE Employer Instructions You must keep a copy of this form on file for each employee who claims exemption from withholding of Pennsylvania Personal Income Tax on compensation recei.

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