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Epstein File EFTA01222595: Withheld (DS9)

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This document is a tax form (Form 1099-G) showing federal income tax withheld and state income tax withheld information, with fields for payer and recipient identification numbers and tax year information.

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offsets Payments $ Form 1099-G PAYER'S federal identification number RECIPIENT'S identification number 3 Box 2 amount is for tax year 4 Federal income tax **withheld**
Excerpt 2
province, country, and ZIP or foreign postal code $ other sanction may be imposed on you if this 10a State 10b State identification no. 11 State income tax **withheld**

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