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Name Spouse s first name and initial. 1 Spouse s Social Security Number 2 Present home address (number and street including apartment number or rural route) State -7 - Your Social Security Number Last name City, town, or post office - 2006 Daytime Telephone Number ZIP Part A Tax Return Information Balance Due , . , , Routing Number The first 2 digits of the routing number must be 01 through 12 or 21 through 32. . 00 Direct Debit Payment , Account Number Type of Ac.

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