1.513mds Form • Wage and Tax Stalern.ent Copy A For Sociol Sontolty Administrnti on - Send this orate page with Copy A of Fgrrn Vihrifc'S to the Social iii.tinialty Administmtloro phoinoeples aro net uyinptablo. (Rev. February 2002) 203 OM Mn. 40977C lib ,1 4414. (A, a rta 8.“ Erg, ?I AIR kVA:Alone C 1