Michigan State University - Office of the Controller
USE MICHIGAN STATE UNIVERSITY LETTERHEADDate:_______________City of _______________Income Tax DepartmentRE: Employee Name_______________________Dear Income Tax Representative:The above named employee has indicated to us his/her days worked in and out of the City of _________are as follows:Total Working Days for the Year:___________Sick, Vacation & Holidays for the Year: ___________Days Worked within East Lansing: ____________Total Wages per Box 1 of the 20XX W2: ___________Supervisor’s Signature_________________________ Supervisor’s Name (printed) _________________________ Supervisor’s Phone # _________________________ ................
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