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Get PA DCED CLGS-32-2 2012

PRIMARY CONTACT INDIVIDUAL First Name Last Name TITLE SIGNATURE OF PRIMARY CONTACT INDIVIDUAL DATE MM/DD/YYYY Instructions for W2-R Annual Reconciliation Form Include municipal location of business in PA assigned account number and Federal ID number. CLGS-32-2 11-12 W2-R ANNUAL RECONCILIATION Earned Income Tax Withheld from Wages As reported on Employer s Quarterly Return Form E-1 with income tax withheld as shown on Withholding Statements W-2 You are entitled to receive a written explanation of.

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