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Complete Top portions, read paragraphs A,B,C and sign on Signature of Appointee line. By signing you are agreeing to paragraphs A,B,C. |
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Complete section I whether you are a veteran or not. Complete section II, if you are a veteran. Complete section III for your relatives who are veterans (spouse, child, parent, or sibling). Sign and date in boxes 19 and 20. |
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Complete Part 1 by checking the applicable box in Section A or B. Complete Part II, Sections 1 through 7, with the exception of 2B. HR will provide information for completion of section 2B on your first day. |
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Complete 4 boxes at top of form. Select one of the boxes marked 1, 2, 3. Select the percentage box next to box 1, 2, or 3 box selected. Note - This is a percentage of what is deducted for your Federal Taxes. |
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Complete Section 1 and sign and date. |
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Complete top 3 boxes. Answer Questions 1 and 2 by selecting applicable box(es). |
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Employee's Withholding Allowance Certificate (Federal Tax) |
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Complete sections 1 through 5, and 6 and 7 if applicable. Sign and date. |
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To be completed by Males born after 12/31/59. Select the box which is applicable for you. If you are unsure, visit the website listed. Sign and date. |
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Complete sections 1 through 4. Depending on answer to #4, follow further instructions. Sign and date. |
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Print your full name on line after 'To:' Sign and date at bottom |
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Complete 4 sections at top of form. Enter applicaple code. |
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Complete Section 1 through 3 and sign in section 5. |
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Complete Sections 1 through 7, and 8 if needed. |
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