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Get Ky Form 211 22 2016-2024

____________________________________________________________________________________________________________________ Form 211-22 (Rev. 12-2016) 2016 REFUND INSTRUCTIONS ♦♦♦♦ ♦ The Employee and Employer must provide a signature for the refund application to be processed. The person signing this form for the Employer must be in a position of authority and must certify that the information provided on this statement is true and correct. The applicant may not certify their own informat.

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