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PRINTED: 11/03/2006 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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To fill out W-4 Form, follow these steps:
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W-4 Form is needed by all employees in the United States who receive wages or salary from an employer. It is used to determine how much federal income tax should be withheld from their paycheck.
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