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Ic Act 281 of 1967. Type or print in blue or black ink. Print numbers like this : 0123456789 - NOT like this: 41. Filer s First Name If a Joint Return, Spouse s First Name M.I. M.I. 14 Attachment 05 42. Filer s Social Security Number (Example: 123-45-6789) Last Name Last Name 43. Spouse s Social Security Number (Example: 123-45-6789) Home Address (No., Street, P.O. Box or Rural Route) City or Town State ZIP Code 44. School District Code (5 digits - see p. 49) 45. Check the bo.

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