[guess: Christiansburg]

1 page

This place could not be matched to a single location with confidence, so it is listed as the page wrote it rather than in the Places tree.

FormVirginia Employee's Withholding Exemption Certificate (Form VA-4) with instructionsPart 86 · 2 pages · 1 of 2 pages

p. 34 · page 1 of 2Virginia state tax withholding exemption certificate (Form VA-4, Rev. 1-1-72) filled out with handwritten employee information including name, social security number, and home address. Printed instr…