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Include the requested particulars in the a, Tax, year, Form, corrected b, Employers, name, address, and, ZIP, code DO, NOT, CUT, FOLD, OR, STAPLE For, Official, Use, Only OM, B, No c, Kind, of, Payer, Check, one S, S, Military Third, party sick, pay Hsh, ld, emp Medicare, gov, temp State, local, non, c State, local Federal, and govt segment.

Provide the necessary particulars in the State, wages, tips, etc State, wages, tips, etc State, income, tax State, income, tax Local, wages, tips, etc Local, wages, tips, etc Local, income, tax Local, income, tax Explain, decreases, here Yes, Signature, Employers, contact, person Title, Date, and Employers, telephone, number section.

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