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Form 433-A (Rev. December 2012)

form 433-A collection information Statement for Wage (Rev. December 2012). Department of the Treasury Earners and Self-Employed Individuals internal revenue Service Wage Earners Complete Sections 1, 2, 3, 4, and 5 including the signature line on page 4. Answer all questions or write N/A if the question is not applicable. Self-Employed Individuals Complete Sections 1, 3, 4, 5, 6 and 7 and the signature line on page 4. Answer all questions or write N/A if the question is not applicable. For Additional information , refer to Publication 1854, "How To Prepare a collection information Statement.". Include attachments if additional space is needed to respond completely to any question.

Form 433-A (Rev. December 2012) Department of the Treasury Internal Revenue Service. Collection Information Statement for Wage Earners and Self-Employed Individuals

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Transcription of Form 433-A (Rev. December 2012)

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