Filing Status *
3. I claim exemption from withholding because I do not expect to owe Maryland tax. See instructions above and check boxes that apply.
4. I claim exemption from withholding because I am domiciled in one of the following states. Check state that applies.
Under the penalty of perjury, I further certify that I am entitled to the number of withholding allowances claimed on line 1 above, or if claiming exemption from withholding, that I am entitled to claim the exempt status on whichever line(s) I completed.
Employee's signature *
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