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Instructions For Completing Form 11 - Employer'S Municipal Tax Withholding Statement Page 2

What’s New For 2002!

Dear Taxpayer,

Although the appearance of the tax form has changed, the content has remained the same as in prior years.

Please be assured the new layout will not effect the calculation of your tax.

The form design change was made in an effort to improve the accuracy and efficiency of processing your tax

form and refund/credit requests. Please refer to the following instructions regarding the completion of your tax

form.

1. Please print numbers and characters within the boxes provided. Pay

6. Individual taxpayers should only complete information relative to their

careful attention so that a single character fits inside the box provided.

change of address:

2. Please print letters according to the following method:

a. Name (including spouse, if applicable)

b. SSN (including spouse, if applicable)

A B C D E F G H I J

c. New address information

d. Move date

3. Please print numerals according to the following method:

1 2 3 4 5 6 7 8 9 0

7. Companies should only complete information pertinent to their change

of address:

4. Use an open box to signify a space between items (first name, middle

a. Company name

initial, last name, street address, .... etc.)

b. FEIN

5. Please use two letter postal abbreviation for state.

c. New address information

d. Move date

face

sht. 2

Instructions For Completing Form 11 - Employer'S Municipal Tax Withholding Statement Page 2