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Residency certification form

Clgs 32 6 2026

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The document is a Residency Certification Form for Local Earned Income Tax Withholding, intended for employers and taxpayers to report necessary information for the collection and distribution of local earned income taxes. It requires details about the employee's residence and employer's work location, including personal identification and tax-related information. The form must be completed when hiring new employees or when current employees change their name or address.

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Click ‘Get Form’ to open the clgs 32 6 in the editor.
Begin by filling out the Employee Information section. Enter your full name, Social Security Number, and complete address including city, state, and zip code. Ensure that you provide a daytime phone number and specify your municipality and county.
Next, move to the Employer Information section. Input the employer's business name as per their Federal ID Name, along with their FEIN. Fill in the work location address details accurately, including municipality and county.
In the Certification section, review all entered information for accuracy. Sign and date the form, providing your email address for any follow-up communication.

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