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Get NC DoR NC-4 2012

ERS FOR YOUR NAME AND ADDRESS) M.I. Married or Qualifying Widow(er) Last Name County (Enter irst ive letters) Address City State Zip Code (5 Digit) Country (If not U.S.) (See Form NC-4 Instructions before completing this form) 1. Total number of allowances you are claiming (From Line F of the Personal Allowances Worksheet on Page 2) .00 , 2. Additional amount, if any, you want withheld from each pay period (Enter whole dollars) 3. I certify that I am not subject to North Carolina w.

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