This government document is issued by Allegany County - One-Stop Job Center for use in Maryland
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https://www.google.com/url?client=internal-element-cse&cx=007821330218074952993:mog-vnwn994&q=https://labor.maryland.gov/personnel/2025_wv_wvit104-withholding-form.pdf&sa=U&ved=2ahUKEwj2sLL3n6eNAxV3UqQEHU-wMt4QFnoECAMQAQ&usg=AOvVaw3m0Undd_zYNv1tJquFFtQl&fexp=72956999,72956998