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INSTRUCTIONS FOR COMPLETING FORM G-4

G-4 (Rev. 7/14) INSTRUCTIONS FOR COMPLETING form G-4 Enter your full name, address and social security number in boxes 1a through 3: Write the number of allowances you are claiming in the brackets beside your marital enter 1 if your are claiming Filing Joint, both spouses working enter 1 if you claim Filing Joint, one spouse working enter 1 if your claim yourself or 2 if you claim yourself and your Filing Separate enter 1 if you claim of Household enter 1 if you claim yourselfLine 4: Enter the number of dependent allowances you are entitled to 5: Complete the worksheet on form G-4 if you claim additional allowances.

G-4 (Rev.7/14) INSTRUCTIONS FOR COMPLETING FORM G-4 Enter your full name, address and social security number in boxes 1a through 2b. Line 3: Write the number of allowances you are claiming in the brackets beside your marital status.

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