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Get 2012 RI 1040C-NE.qxp - Rhode Island Division Of Taxation - Tax Ri

AND ADDRESS Name Name Address 1 Address 1 Address 2 Address 2 City, town or post office Social security number Entity s year end State ZIP code Spouse s social security number City, town or post office State ZIP code Federal employer identification number Calendar Year: January 1, through December 31, Fiscal Year: Beginning , through , Internal Revenue Service Center Where Nonresident Individual s Federal Return is Filed Pu.

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