The furnishing of such Form W-4 shall constitute a request for withholding. c A statement that the employee desires withholding of Federal income tax and applicable of qualified State individual income tax see paragraph d 3 I of Sec. 301. Form Voluntary Withholding Agreement W-4T Rev. November 1998 Termination or Withdrawal from W-4 agreement Employer s name and address Employer identification number Submitted for o In lieu of W-4 Employee s Withholding Certificate. 3402 p -1 Voluntary...
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