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Get and Sign Form Be 10a
Without the proper documentation indicated by reason for claim.
Month
1.
Day
Year
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Age Exemption. Date of Birth:
Attach a copy of your W-2 Form and proof of birthdate (birth
certificate, driver’s license, etc). If you were under 18 for only part of the year, you must either: 1) have your employer sign the
completed Employer Certification on page 2; or 2) attach a copy of your pay stub for the pay period in which your birthday fell.
Exceptions to the 18 years of age or older exemption...
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