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CLGS326 (05/17)RESIDENCY CERTIFICATIONFORM Local Earned Income Tax Withholding TO E M P L O Y E R S / TA X PAY E R S : This form is to be used by employers and taxpayers to report essential information
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How to fill out local-earned-income-tax-residency-certification-form

01
Obtain the local earned income tax residency certification form from the appropriate tax authority.
02
Fill in your personal information, including your name, address, and Social Security number.
03
Indicate the tax year for which you are certifying your residency.
04
Provide information about your employer and the local tax jurisdiction in which you work.
05
Sign and date the form to certify the accuracy of the information provided.

Who needs local-earned-income-tax-residency-certification-form?

01
Individuals who work in a jurisdiction that imposes a local earned income tax may need to fill out a local-earned-income-tax-residency-certification-form.
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The local-earned-income-tax-residency-certification-form is a document used to certify a taxpayer's residency for the purpose of local earned income tax.
Individuals who earn income within a certain locality are required to file the local-earned-income-tax-residency-certification-form.
To fill out the form, taxpayers must provide their personal information, income sources, and residency details as requested on the form.
The purpose of the form is to certify a taxpayer's residency for the calculation and collection of local earned income tax.
Taxpayers must report their personal information, income sources, and residency details on the form.
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