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Get (For Tax Years Beginning After December 31, 1998)

Dle initial Your last name Your Social Security No. If a joint return, spouse s first name and middle initial Spouse s last name Spouse s Social Security No. Daytime Telephone Number Address ( City, town or post office, state and zip code County Enter below name and address shown on original return if different from name and address shown above ) Office Use Only Has your original return for this taxable year been changed or audited? Yes No If No, have you been notified that.

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