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L Last Name Your social security number If a joint return spouse s first name and initial Last Name Spouse s social security number Mailing Address City, town, state, and ZIP code PART I . 100% U.S. Income. Check this box if 100 percent of your income shown on the attached Form 1040, Form 1040A or Form 1040EZ is from United States sources and go to Part IV. It is not necessary to complete Parts II and III. If less than 100 percent of your income is from United States sources, com.

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