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Withholding Forms and Information


Acknowledgement and Agreement

Under the penalty of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete.  If prepared by a person other than taxpayer, the preparer's declaration is based on all information of which preparer has any knowledge.

Once you have submitted this form you will receive a reference number.  You cannot go back to this page later. 
This is your receipt you will not be notified by email.
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