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E M.I. Last Name If a Joint Return, Spouse s First Name M.I. -2 Last Name 4Filer s Social Security Number Spouse s Social Security Number Home Address (No., Street, P.O. Box or Rural Route) City or Town State ZIP Code PART 1: TAX RETURN INFORMATION The taxpayer should obtain and keep a copy of the return. Form MI-1040, Individual Income Tax Return 1. 2. 3. Total federal adjusted gross income from line 10..........................................................................

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