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Get North Carolina Tax Exemption 2012-2024

To the questions below is YES , please furnish the following information. Last Date Employed by State Wages Paid by State Subject to Soc. Sec. Withholding If a new employee, have you been employed by the state of North Carolina during the current calendar year? YES NO Form W-4 Department of the Treasury Internal Revenue Service 1 Unit: Social Security Tax withheld: Name of Previous Agency OMB No. 1545-0010 Employee s Withholding Allowance Certificate 2012 For Privacy.

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