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Get IRS 433-F 2012

You do not need to complete this section.) Your current Employer (name and address) How often are you paid? (Check one) Weekly Biweekly Semi-monthly Spouse s current Employer (name and address) How often are you paid? (Check one) Weekly Biweekly Semi-monthly Monthly Gross per pay period Taxes per pay period (Fed) How long at current employer (State) Gross per pay period Taxes per pay period (Fed) How long at current employer (Local) (State) Monthly (Local) G. NON-WAGE HOUSEHOLD INCO.

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