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Default UserForm Help

I need to create a userform from scrach, i know a little bit of VBA
proraming, but have not been able to create this.

I need 2 text boxes Name & Social Security
I need 2 amount boxes Net amount & Tax
I need a combo box (or list box) for it to identified this as income or
deduction.

I think I can work the rest out off this.
 
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