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Submit Form 8867 in the manner required and 4. Keep all five of the following records for 3 years from the latest of the dates specified in the instructions under Document Retention a. Form 8867 b. Information about Form 8867 and its separate instructions is at www.irs.gov/form8867. Attachment Sequence No. 177 Taxpayer s social security number Taxpayer name s shown on return DRAFT AS OF June 3 2014 DO NOT FILE For the definitions of Qualifying Ch.

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