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Get IA DoR W-4 2017

59-5881 or mail to Centralized Employee Registry, PO Box 10322, Des Moines IA 50306-0322. EMPLOYER INFORMATION - FEIN Required - Employer Phone Number ( ) FEIN plus last 3-digit suffix used when filing Iowa withholding tax. Name Address City State - ZIP Questions: For A through D below, please see instructions on back for definitions and clarification. A. Is dependent health care coverage available? ................................................................................ Yes.

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