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Get KS K-40PT 2022-2024

And Address Claimant s Social Security Number Claimant s Telephone Number First four letters of claimant s last name. Use ALL CAPITAL letters. Your First Name Initial Last Name Mark this box if claimant is deceased (See instructions) ........... Date of Death Mailing Address (Number and Street, including Rural Route) City, Town, or Post Office IMPORTANT: Mark this box if name or address has changed ....... State Zip Code County Abbreviation Mark this.

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