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PDF-Revenue Form K442A804 1113 PDF document

Payroll No Failure to 31le this form with your employer will result in withholding tax deductions from your wages at the Keep this certi31cate with NUMBER OF EXEMPTIONS151Do

year exemptions withholding exemption exemptions year exemption withholding certi spouse claim 151 cate number deductions form member law dependent

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Revenue Form K442A804 1113: Transcript

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