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Get and Sign Form Withholding 2020
Applicable)
Address (suite, room, PO Box, or PMB no.)
City
State
ZIP Code
Payee fax number
–
Part III Type of Income Subject to Withholding
Check one type only. I
A m Payment to Independent Contractor
C m Rents or Royalties
B m Trust Distributions D m Distributions to Domestic Nonresident
Corporation Shareholders/Partners/
S
I Date(s) of Service __________________________ Members/Beneficiaries
MM/DD/YYYY - MM/DD/YYYY
(
)
–
E m Estate Distributions
F m Other...
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