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Get Form M-1310 Statement Of Person Claiming Refund Due A ...

Ar decedent was due a refund: 2 0 2 2 OR Fiscal year ending: M M Y Y 1 Decedent s Name (last, first, middle initial) 2 Date of Death 4 Name of Person Claiming Refund (last, first, middle initial) Daytime Phone (with area code) 94 Apt. No. 6 Home Address of Person Claiming Refund - number and street, rural route 7 City, Town or Post Office State 66 3 Decedent s Social Security Number 5 Claimant s Social Security Number or ITIN REVENUE USE ONLY. DO NOT MARK IN THIS AREA. 88 ZIP.

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