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Me 2. Home Telephone Number 1. Taxpayers Names and Addresses (including county) 3. Marital Status 4. Social Security number a. Taxpayer: b. Spouse: Section One: Employment Information 5. Taxpayer s Employer or Business Name and Address 6. Business Telephone 7. Occupation 8. Paydays 9. Type Partner Sole Employee 10. Spouse s Employer or Business Name and Address 11. Business Telephone 13. Paydays 12. Occupation 14. Type Partner Sole Employee Section Two: Personal Informat.

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