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Get Form W 4na Nebraska

Al Route and Box Number) City, Town, or Post Office State Nebraska Identification Number Zip Code Last Name City, Town, or Post Office State Zip Code Social Security Number 21 Lines 1 and 2, and 6 through 10 must be completed by the PAYER. 1 Dates services performed in Nebraska .................................................................................................. 1 2 Total payments for personal services performed in Nebraska .........

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