Get IRS 12854 2005-2022
Overnment, complete the following: NAME: Name in Former Employment (if different) Date of Birth: Social Security Number: LOCATION NAME OF AGENCY DATES: FROM TO SUPERVISOR (if known) IMPORTANT NOTE TO FEDERAL RETIREES: If you are receiving an annuity, you may continue to receive payments while employed at the Internal Revenue Service. However, your salary will be reduced by the amount of the annuity. FEDERAL ANNUITANTS SIGN AND DATE WHERE INDICATED I have read the above statement and un.
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