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Other explain Signature Title Date Catalog No. 23205B Employer s or Payer s Copy Part 1 Form 4598 Rev. 8-2003 If you don t receive the Form W-2 or W-2c Statement of Corrected Income and Tax Amounts by the date your tax return should be filed please file your return with the enclosed Form 4852 showing an estimate of your wages and withholding. Form 4598E Revised August 2003 Department of the Treasury-Internal Revenue Service Form W-2 1098 or 1099 Not Received Incorrect or Lost OMB No*...
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