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FILING JOINTLY SPOUSE'S LAST NAME, IF DIFFERENT SPOUSE'S SOCIAL SECURITY NUMBER CURRENT MAILING ADDRESS (NUMBER AND STREET, OR P. O. BOX) APT. NO. CITY, STATE AND ZIP CODE SC1040 or SC1040A KIND OF RETURN DAY TIME TELEPHONE SC1040X ( ) TAX YEAR AMOUNT OF REFUND SHOWN ON RETURN: $ DATE RETURN WAS FILED: I DID NOT RECEIVE A TAX REFUND CHECK. I HAVE RECEIVED CORRESPONDENCE ABOUT THIS RETURN. (SEE INSTRUCTIONS BELOW.) I RECEIVED A TAX REFUND CHECK,.

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