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DO NOT CUT, FOLD, OR STAPLE THIS FORM For Official Use Only 44444 OMB No. 1545-0008 an Employer s name, address, and ZIP code c Tax year/Form corrected d Employee s correct SSN / W-2 e Corrected SSN
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Tax year shown in refers to the period for which the taxes are being reported.
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The purpose of tax year shown in is to accurately report income, deductions, and credits for the specified period.
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