ome lee 3173.41 16 Isoel alms eld. MC. 19 Local Worn* lax 20 Locefq nerd W 0 Wage and Tax Form IN iL Statement Copy D—For Employer. 2005 Department of the Teasley—Warne' Remus Service Fa Privacy Aot end Papeneark Reduction Act Mace, see bock of Copy D. ts Control number Vcid O OMB No. 1646-0008 1 Wages. tips, 2 Federal Incom