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Get And Sign Philadelphia Wage Tax Petition Form

Line 4, submit a breakdown of those expenses. EMPLOYEE'S NAME SOCIAL SECURITY NUMBER HOME ADDRESS CITY DAYTIME TELEPHONE NUMBER OCCUPATION STATE ZIP CODE IF PARTIAL YEAR, PROVIDE DATES: From EMPLOYER To EMPLOYER IDENTIFICATION NUMBER (EIN) PLACE OF EMPLOYMENT COLUMN A COLUMN B January 1, 2018 to June 30, 2018 July 1, 2018 to December 31, 2018 .00 .00 A. Non-Taxable Stock Options included in Line 1 (Must reflect on W-2) .00 .00 B. Adjusted Gross Compensation (Subtract Line 1A...

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