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Get IRS 8850 2016-2021

Applicants Must Sign Under penalties of perjury, I declare that I gave the above information to the employer on or before the day I was offered a job, and it is, to the best of my knowledge, true, correct, and complete. Date Job applicant s signature For Privacy Act and Paperwork Reduction Act Notice, see page 2. Cat. No. 22851L Form 8850 (Rev. 3-2016) Page 2 Form 8850 (Rev. 3-2016) For Employer s Use Only Employer s name Telephone no. EIN Street address City or town,.

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