DS, one page both sides, 7.5 x 3.5, Employee’s Withholding Exemption Certificate letterhead, August 9, 1957. Mansfield’s W-4 form, filled out in another hand and nicely signed by Mansfield at the bottom, claiming one exemption. Matted and framed with a beautiful color photo of Mansfield wrapped in furs, to an overall size of 15 x 21.75. In fine condition. R&R COA.