IRS Form W-4 for Mack A. Pasterbrook
Title revised to match the document’s own text.
Original title: IRS Form W-4 for Mack A. Easterbrook/Pasterbrook
Document date 20 November 1973
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Id: Cooper-Part-96:022-022
Subject: Cooper Files: Cooper-Part-96:022-022 Document: IRS Form W-4 for Mack A. Pasterbrook Id: Cooper-Part-96:022-022 Page: https://cooper.theunsolved.net/documents/Cooper-Part-96%3A022-022 What is wrong (title, date, type, which pages belong together, copies)? What does the scan show?
A person reads every report. Corrections are made by hand, to the data — titles, dates, names, which pages belong together — never to the scans, and they can take a while to appear.
FBI 164-81, Vault Part 96 p. 22 (DB Cooper-42920), Form, dated 20 Nov 1973 — cooper.theunsolved.net/documents/Cooper-Part-96%3A022-022
Form W-4 (Rev. Aug. 1972) Department of the Treasury Internal Revenue Service
Employee's Withholding Allowance Certificate (This certificate is for income tax withholding purposes only; it will remain in effect until you change it.)
Type or print your full name: MACK A. PASTERBROOK
Your social security number: 557-46-8529
Home address (Number and street or rural route): [guess: P.O.] Box 950 BEAVERTON
Marital status: ☐ Single ☒ Married (if married but legally separated, or wife (husband) is a nonresident alien, check the single block.)
City or town, State and ZIP code: BEAVERTON OR [guess: 09065]
1 Total number of allowances you are claiming . . . . . . . . . . . . . . . 4
2 Additional amount, if any, you want deducted from each pay (if your employer agrees) $ 0
I certify that to the best of my knowledge and belief, the number of withholding allowances claimed on this certificate does not exceed the number to which I am entitled.
Signature ▶ [guess: Mack] A. [guess: Pasterbrook] Date ▶ 11/20/73
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DB Cooper-42920
Serials: 42920