Form 8850 - Pre-Screening Notice And Certification Request For The Work Opportunity Credit - 2016 Page 5

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Phillips, Powder River, Prairie, Richland, Roosevelt,
Pennsylvania. The counties of Venango and Warren.
Rosebud, Sheridan, Valley, and Wibaux.
South Carolina. Marlboro County.
Nebraska. The counties of Antelope, Banner, Boone, Box
South Dakota. The counties of Aurora, Campbell, Clark,
Butte, Boyd, Burt, Cedar, Chase, Deuel, Dundy, Fillmore,
Day, Deuel, Douglas, Faulk, Grant, Gregory, Haakon, Hand,
Franklin, Garden, Garfield, Greeley, Hayes, Hitchcock, Holt,
Harding, Hutchinson, Jones, Kingsbury, Marshall,
Jefferson, Johnson, Logan, Nance, Nemaha, Nuckolls,
McPherson, Miner, Perkins, Potter, Sanborn, Spink, Tripp,
Pawnee, Perkins, Red Willow, Richardson, Rock, Sheridan,
and Walworth.
Sherman, Thayer, Thomas, Valley, Webster, and Wheeler.
Texas. The counties of Andrews, Bailey, Baylor, Borden,
Nevada. The counties of Esmeralda, Lander, and Mineral.
Briscoe, Brooks, Castro, Cochran, Coleman, Collingsworth,
New Hampshire. Coos County.
Cottle, Crane, Culberson, Deaf Smith, Dimmit, Eastland,
Fisher, Floyd, Foard, Gray, Hall, Hardeman, Haskell,
New Mexico. The counties of Harding and Quay.
Hemphill, Hockley, Hutchinson, Kenedy, Kent, Knox, Lamb,
New York. The counties of Clinton and Montgomery.
Martin, McCulloch, Morris, Nolan, Oldham, Reagan, Reeves,
Refugio, Roberts, Scurry, Stonewall, Terrell, Terry, Upton,
North Dakota. The counties of Adams, Barnes, Benson,
Ward, Wheeler, Wilbarger, Winkler, Yoakum, and Zavala.
Billings, Bottineau, Burke, Cavalier, Dickey, Divide, Dunn,
Eddy, Emmons, Foster, Golden Valley, Grant, Griggs,
Virginia. The counties of Buchanan, Dickenson, Highland,
Hettinger, Kidder, LaMoure, Logan, McHenry, McIntosh,
and Lee, and the independent cities of Clifton Forge,
McKenzie, McLean, Mercer, Mountrail, Nelson, Oliver,
Covington, Norton, and Staunton.
Pembina, Pierce, Ramsey, Ransom, Renville, Sargent,
West Virginia. The counties of Calhoun, Gilmer, Logan,
Sheridan, Slope, Stark, Steele, Stutsman, Towner, Traill,
McDowell, Mercer, Mingo, Summers, Tucker, Webster,
Walsh, Wells, and Williams.
Wetzel, and Wyoming.
Ohio. The counties of Crawford, Monroe, Paulding, Seneca,
Wyoming. The counties of Carbon and Niobrara.
and Van Wert.
Oklahoma. The counties of Alfalfa, Beaver, Cimarron,
Custer, Dewey, Ellis, Grant, Greer, Harmon, Harper, Kiowa,
Major, Roger Mills, Seminole, Tillman, and Woodward.
-4-
Instructions for Form 8850 (March 2016)

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