Dd Form 2868 - Request For Withholding State Tax Page 2

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FIRST
CLASS
POSTAGE
REQUIRED
DEFENSE FINANCE AND ACCOUNTING SERVICE
U.S. MILITARY RETIRED PAY
8899 E. 56TH STREET
INDIANAPOLIS, IN 46249-1300
FOLD HERE.
MAKE SURE THE DFAS ADDRESS IS SHOWING.
SEAL ALL THREE OPEN SIDES WITH A SMALL PIECE OF CELLOPHANE TAPE.
DD FORM 2868 (BACK), APR 2017

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