Embed presentation
Download to read offline

The document is a form from the Kansas Department of Revenue for taxpayers to claim a withholding tax credit. It requests the taxpayer provide their name, address, social security number, employer name, dates of employment, total wages and federal and state income tax withheld. The taxpayer must sign declaring the information is true under penalty of perjury if they do not have a copy of their W-2 form to submit with the claim.
