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Filing Verification Form

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					FILING VERIFICATION

TO:

Personnel Branch Manager Department of Administrative Services

FROM:

________________________________________ (Supervisor) ____________________________________________________ (Section/Branch/Division) (Station #)

DATE:

________________________________________

SUBJECT:

Candidate's Name________________________________

Social Security No.________________________________

Pursuant to Department of Revenue policy, ______________________________ has
(Section/Branch/Division)

researched the individual income tax filing history of the above referenced individual being considered for permanent or seasonal employment. The following information has been verified:

VERIFY THE FILING STATUS FOR THE LAST FOUR (4) YEARS. ENTER THE YEARS REVIEWED AND PLACE A CHECK MARK BY THE TAX YEARS VERIFIED AS FILED: _______ _________ YEAR _______ _________ YEAR _______ _________ YEAR _______ _________ YEAR

7.Forms - 6.3.1/a


				
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posted:10/2/2009
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Description: Kentucky Finance Cabinet Information