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Get and Sign Ar Withholding Form 2019-2022
Without
exemptions or
dependents.
Employer:
Keep this certificate
with your records.
See instructions below
Number of Exemptions
Claimed
1. CHECK ONE OF THE FOLLOWING FOR EXEMPTIONS CLAIMED
a.
You claim yourself. (Enter one exemption).......................................................................1a
b.
You claim yourself and your spouse. (Enter two exemptions)..........................................1b
c.
Head of Household, and you claim yourself. (Enter two...
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