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Employee
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file
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oll
Social
Security
Number
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FEDERAL
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PROCESEING
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ars
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Social
security
Social
tax
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Security
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Medicare
tax
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Medica
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number
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use
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NEW
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Social
security
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Social
security
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Advance
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payment
Dependent
care
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Advance
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payment
Dependeni
care
benefits
Menquailiied
plans
ified
naualied
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Employes
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This
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deferred
NOTE
THESE
ARE
SUBSTITUTE
WAGE
AND
TAX
STATEMENTS
AND
ARE
ACCEPTABLE
FOR
FILING
WITH
YOUR
FEDE
Department
the
Treasury
intemal
Reverie
Service
This
information
being
fumished
the
intemal
Revenue
Service
IMPORTANT
NOTE
order
insure
efficient
processing
attach
this
your
tax
retum
this
following
city
local
instructions
TAX
RETURN
OTHER
FORM
Wea
NOTE
THESE
ARE
SUBSTITUTE
WAGE
AND
TAX
STATEMENTS
AND
ARE
ACCEPTABLE
FOR
FILING
WITH
YOUR
FEDERAL
STATE
AND
LOCAL
CITY
INCOME
TAX
RETURNS
Departrnent
the
Treasury
Internal
Revenue
Service
This
information
being
fumished
the
internal
Revenues
Service
IMPORTANT
NOTE
order
insure
efficient
processing
attach
this
your
tao
return
like
this
following
state
instructions
TAX
RETURN
NOTE
THESE
ARE
SUBSTITUTE
WAGE
AND
TAX
STATEMENTS
AND
ARE
ACCEPTABLE
FOR
FILING
WITH
YOUR
FEDERAL
STATE
AND
LOCAL
CITY
INCOME
TAX
RETURNS
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