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Get and Sign You May File a New W 4 at Any Time If the Number of Your Allowances 2021 Form
Information, which would
reduce the withholding allowances. If you file as exempt from withholding and you incur an income tax liability,
you may be subject to a penalty for underpayment of estimated tax.
Marital Status: Single (or married but legally separated) ☐
Married ☐
Print your full name: _____________________________ Social Security Number: ____________________
Home address: _________________________________________________________________________
City:...
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