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Get 2009 Form 4684

Ame(s) shown on tax return Identifying number SECTION A Personal Use Property (Use this section to report casualties and thefts of property not used in a trade or business or for income-producing purposes.) 1 Description of properties (show type, location, and date acquired for each property). Use a separate line for each property lost or damaged from the same casualty or theft. Property A Property B Property C Property D Properties A 2 Cost or other basis of each property . . . . . .

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