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Get Dced Clgs 06

DENCY CERTIFICATION FORM TO E M P L O Y E R S / TA X PAY E R S : This form is to be used by employers and/or taxpayers to report essential information for the collection and distribution of Local Earned Income Taxes. This form must be utilized by employers when a new employee is hired or when a current employee notifies employer of a name and/or address change. EMPLOYEE INFORMATION - RESIDENCE LOCATION NAME (Last, FIrst, Middle Initial) SOCIAL SECURITY NUMBER FIRST LINE OF ADDRESS (.

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