Embed / Share - Illinois Department of Revenue ILWNR Employees Statement of Nonresidence in Illinois To employers You are required to have a copy of this form on le for each employee who is a resident of Iowa Kentuc
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Part 2 Employer information Federal employer identi64257cation number Name Mailing address City State ZIP Must complete this form You must complete Part 1 of this form if you are a resident of Iowa Kentucky Michigan or Wisconsin or your ID: 6095 Download Pdf