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Q-py@>P;'ԩ~w~jE#ߦbGq'4'"PpVSr!4ad NOhm:| ֫9"!@bBpX:q9;:rV1db2`%ziYՒ?F[#_|"EII{lۯ8BKJ6 1G,CF "]QU.X"'Y׏ Yge6nvAPNB(_]*ELt,PM!*Y׬JB($$S.Ohֽɯ%U"cCHl0U6vrb0F+`'yǘjt<#$Զk2WЉPD(- w Ah/"Bɫj6&¹ -ti}Dp ǐʚ{&JNH3;"md?@vĄKv p T%۷.!!)eA@j6WIŃo(0Sn T,m#~7FЃzj ǔ-KkN͞?On0W1yӣSېh SyRӄAr]?>yЊ!j19+D!~QƧIENDB`3  @@   ;8=Employee's Withholding Allowance Certificate Federal Form W-4)1. First name, Middle initial, Last name2. Social Security NumberSingleMarried#Public School District of ResidenceSchool District NumberCountyCity, State, and Zip Code2Married, but withholding at the higher single rateJ4. If your name differs from that on your Social Security card check here7If checked, you must call 1-800-772-1213 for a new card/5. Total number of allowances you are claiming06. Additional amount, if any, you want withheld from your paycheck=7. I claim exemption from withholding for the current year, :and I certify that I meet both of the following conditionsfor exemption.-3Last year I had a right to a refund of all Federal 1This year I expect a refund of all Federal income-tax withheld because I have no tax liability.0If you meet both conditions, write "Exempt" here.For instructions on completing the Federal W-4<Ohio Employee's Withholding Exemption Certificate Form IT- 471. Personal Exemption for yourself, enter 1 if claimed3. Exemptions for dependentsG4. Add the exemptions which you have claimed above and enter the total|Under penalties of perjury, I certify that I am entitled to the number of withholdings allowances/exemptions claimed on thisEmployee's signatureDate:$&http://www.irs.gov/pub/irs-pdf/fw4.pdfpFor instructions on filling out the IT- 4 or for school district information please go to the following website:-income tax because I had no tax liability andWhat is your taxing city?-Home address (Students may use local address)(City and School District Tax WithholdingBFill out this portion only if you are a permanent resident of Ohio Please Print\If you are a student this should be the city and school district of your permanent residence(city where you work)q3. Marital status (note: If married but legally separated, or spouse is a nonresident alien, check the single boxTax Withholding Form$Forward completed and signed form toPayroll, 236 Schwartz Centera2. If married, personal exemption for your spouse if not separately claimed (enter 1 if claimed)lhttp://www.kent.edu/about/administration/business/business/payroll/tax/city-income-tax-form-instructions.cfm10/13 or call Payroll at 330-672-8640Vcertificate, or I am entitled to exempt status. This form is not valid unless signed.#Is your address within city limits?YesNoG5. 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