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Get , Suite 210, Charlestown, MA 02129 N 617-679-6877 N Fax 617-679-1661

MAIN OFFICE 500 Rutherford Ave., Suite 210, Charlestown, MA 02129 n 6176796877 n Fax 6176791661Substitute Form W4P Withholding certificate for pension or annuity payments PART 1BENEFIT RECIPIENT DATAa).

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