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Do you have a power of attorney for tax matters If yes please attach a copy. yes no Marital Status married unmarried single divorced widowed 6. Age and relationship of dependents exclude yourself and spouse living in your household. Employment Information 7. Taxpayer s employer or business name and address 7a* How long employed 7c* Occupation 7b. Number of exemptions 7e. Check appropriate box Wage earner 7d. Paydays Sole proprietor claimed on Form NC-4 8. Spouse s employer or business Partner/M ...

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