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Security No. Telephone No. Email Address: ALL W-2 FORMS MUST ACCOMPANY THIS RETURN. EMPLOYER MUST COMPLETE VERIFICATION SECTION ON REVERSE SIDE. IF YOU ARE REQUESTING A REFUND FROM TWO OR MORE EMPLOYERS, EACH EMPLOYER IS REQUIRED TO COMPLETE A SEPARATE VERIFICATION FORM ON REVERSE SIDE. 1 Salaries, Wages, etc. from Box 1 on Form(s) W-2. See Instructions on Back. Use Form E-1 if you owe City Earnings Tax. A $ B $ C $ D $ 2 GROSS SALARIES, WAGES, etc. (Total of Lines A, B,.

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