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Nstructions below and on back. 87 Tax year decedent was due a refund: Calendar year , or other tax year beginning , 19 Name of decedent , and ending Date of death , 19 Decedent s social security number Name of person claiming refund Please type or print Home address (number and street). If you have a P.O. box, see instructions. Apt. no. City, town or post office, state, and ZIP code. If you have a foreign address, see instructions. Part I Check the box that applies to you. Check.

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