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Te Zip Single Married Joint Married Separate Head of Household 5. Name Qualifying Widow(er) 3. If you have chosen to use the chart from instruction A, enter the appropriate letter here . . . . . . . . . . . 3. 4. Total number of allowances you are claiming (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. 5. Additional amount you want deducted from each pay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. $ 6. I claim exemption fr.

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