Annual Reconciliation Of Employee Earnings Tax Form

!"

#

$ %$ &

'

() &

* %

7 *

+

+

+

, '

- . '

/0 1 2

2

1

) +

+

3 +

4

"

1 2

5

1

2

4

+

+++1

1

3 6 3

1

"

>

? $

& 3

?

+++1

1

3 6 3

1

! "!

#

# $$

'# ; (

(

(

4 #

(

0$$<= 1 0 ( > ? # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # '#

# $$

0# ( 1 7 5

(

(

( % & 0+

2# # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # 0#

# $$

2#

7 5

(

( >

'

0? # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # 2#

# $$

.#

4

3

4

# # # # # # # # # # # # # # # # # # # # # # # # # # # # # .#

# $$

<#

7 9

>

.

# $.22'? # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # <#

# $$

@#

4

3

4

8

# # # # # # # # # # # # # # # # # # # # # @#

# $$

A#

7 9

>

@

# $2,'/A? # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # A#

# $$

,# (

7 9

>

<

A? # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # ,#

# $$

/#

* %

3 &

7 3

5*

(*

(

= 1 0 (

# # # # # # # # # # # # # # # # /#

) '

-

9

'

/"

1

# $$

'$#

7 9

>

,

/? # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # '$#

''#

7

* ( + ( * (

(* +

4 (

*

( 0$$<#

# $$

> (

( = 1 0 (

? # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # ''#

'0#

) ) $% '

: *

'$

&

''+

# $$

# # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # '0#

$;

<= % $

) $%&

'$

''+

(

(5 B

# $$

'2 #

#

1# # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # '2 #

$

# $$

'2 #

+

(

7

+ (

0$$@

&

7

# # # # # # # # # # # # # # # # # # # # # # # # # # # # # '2 #

)

7 " 5 8

1

1

(

) * +

(

', %

# # -- ./$01 ./$2

+ 3

4

4 3

(

* &

+

(

5

(

* 6 (3

&

5

+

*

(

#

7 *

&

8888888888888888888888888888888888888888 9

88888888888888888888888% (

:8888888888888888888888888

%

&

888888888888888888888888888888888888888889

88888888888888888888888% (

:8888888888888888888888888

% & '

;

& '$1 $'1 0$$<