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Get SSA-44 2011

0), and your tax filing status. Tax Year Adjusted Gross Income Tax-Exempt Interest 2 0 __ __ $ __ __ __ __ __ __. __ __ $ __ __ __ __ __ __. __ __ Tax Filing Status for this Tax Year (choose ONE ): Single Head of Household Married, Filing Jointly Married, Filing Separately Qualifying Widow(er) with Dependent Child STEP 3: Modified Adjusted Gross Income Will your modified adjusted gross income be lower next year than the year in Step 2? No - Skip to STEP 4 Yes - Complete the blocks bel.

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