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For m CT-8379 DEPARTMENT OF REVENUE SERVICES STATE OF CONNECTICUT 25 SIGOURNEY STREET HARTFORD CT 06106-5032 Nonobligated Spouse Claim Place this form on TOP of your completed return. Rev. 12/02 Taxpayer Information as Shown on Joint Connecticut Income Tax Return Your First Name and Middle Initial Last Name Your Social Security Number Spouse s First Name and Middle Initial Spouse s Social Security Number YES Home Address number and street Apar.

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