Form Information
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FORM NUMBER: DD2868

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TITLE: REQUEST FOR WITHHOLDING STATE TAX (STOCKED AND ISSUED BY DFAS)

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EDITION DATE: 20031201 CANCELLATION DATE:

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AVAILABLE FILE FORMATS: PLEASE NOTE:
Fillable Adobe: If no hyperlink appears next to a format, the form is not available electronically. To
Perform Pro: obtain hard copies of current forms not available in electronic format, please contact
Form Flow 2.0: your own Military Service or DoD Component Forms Management Officer.
Form Flow 99: Cancelled forms are not available in electronic formats. Click on link for a list of
Other: Forms Management POCs.

Forms Management POCs

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REMARKS: Stocked and Issued by DFAS
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ISSUANCES: DOD FMR VOL 7B, C26, P260201
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SPONSOR / POC: DFAS SUB-SPONSOR:
NUMBER OF PAGES: 2
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USERS*: DFAS
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PRESCRIBED OR ADOPTED?: P

DISPOSITION:

FUNCTION CODE: 7000

FORM CONTROLLED: N

MANDATORY PRINT SPECIFICATIONS: N

RCS:

IRCN:

OMB:

PRIVACY ACT IMPLICATIONS: Y
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* All revisions and/or cancellations must be coordinated through these USERS.

DISPOSITION: S = Do NOT use previous edition. U = Use previous edition until supply is depleted.