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Directory Results for Withholding Certificate for Pension or Annuity Payments Type or Print Your Full Name Your Social Security Number Home Address (Number and Street or Rural Route) Claim or Identification Number (if any) of Your Pension or Annuity Contract to WITHHOLDING CERTIFICATE FOR PENSION OR ANNUITY PAYMENTS Type or Print Your Full Name Your Social Security Number Home Address (Number and Street or Rural Route) Claim or Identification Number (if any) of Your Pension or Annuity Contract - -

Withholding Certificate for Pension or Annuity Payments Type or Print Your Full Name Your Social Security Number Home Address (Number and Street or Rural Route) Claim or Identification Number (if any) of Your Pension or Annuity Contract
WITHHOLDING CERTIFICATE FOR PENSION OR ANNUITY PAYMENTS Type or Print Your Full Name Your Social Security Number Home Address (Number and Street or Rural Route) Claim or Identification Number (if any) of Your Pension or Annuity Contract - -