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Get Form 4 Employees 1982-2024

Ss (City, State and ZIP+4 Code) Finance No. Pay Location Regular Place of Employment Local Tax Code Tax Type Complete Applicable Items Only City Tax Indicate Tax Applicable to This Request Name of Taxing Authority Occupational Tax County Tax Out of State Residents. If you are not a resident of the state in which you are employed, you may either (a) so indicate by entering 000 on line 2 below and city-county taxes will not be withheld or (b) consent to withholding by refraining from en.

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