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Get PA DCED CLGS-32-2 2019-2023

F the specific detail for each employee withholding adjustment. With each adjustment, include the employee s name, SSN, resident street address (no PO Boxes), resident PSD Code and amount remitted with reconciliation. USE ONLY BLACK OR BLUE INK TO COMPLETE THIS FORM. USE ORIGINAL FORM - DO NOT PHOTOCOPY. FILE ONLINE AT https://Business.KeystoneCollects.com.

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