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CERTIFIED STATEMENT OF INCOME AND TAX FILING STATUS ...

incur taxes on moving expense reimbursements in one state because of residency in that state, and in another state because that particular state taxes income earned within its jurisdiction irrespective of whether the employee is a resident. ... this Certification Form, matches the income tax documentation submitted with the ITA claim. R

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  Form, Income, Residency, Certifications, Certification form, Earned, Income tax, Earned income

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