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Get Substitute Form In Lieu Of IRS Form W-4 2005-2024

O be taken from my pay for any federal and/or state social insurance (trust) or other government social welfare programs. 6. I am NOT a recipient of government benefits, nor am I a taxpayer as that term is defined in the Internal Revenue Code. I declare to the best of my knowledge, understanding and belief the above facts are true and correct. All rights reserved. UCC 1-207 Signature Date Worker File this certificate with the employer if you are an individual not Please Print or T.

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