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Get How Do I Complete The Utah Substitute W 4p Form

LDING CERTIFICATE FOR PENSION OR ANNUITY PAYMENTS (Retirement Benefits) 1. Please type or print clearly in black ink. 2. Read the information on the reverse side before completing this form. 3. Sign and return completed form to the Retirement Office. WITHHOLDING CERTIFICATE FOR PENSION OR ANNUITY PAYMENTS Name (First, Middle, Last) Social Security Number Mailing Address E-Mail Address City State Retirement Date (mm/dd/yyyy) Zip Daytime Phone Number - - Full Name of Employer Federal.

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