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Get DELAWARE FORM 200-01-X DO NOT WRITE OR STAPLE IN THIS AREA TAX YEAR 2010 RESIDENT AMENDED DELAWARE

Print Form and ending FILING STATUS (MUST CHECK ONE) Spouse s Social Security No. 5. 1. Your Last Name Spouse s Last Name First Name and Middle Initial Jr., Sr., III., etc. Spouse s First Name Single, Divorced, Widow(er) 3. Married & Filing Separate Forms 2. Joint 4. Married & Filing Combined Separate on this form If you were a part-year resident in 2010, give the dates you resided in Delaware. Jr., Sr., III., etc. Present Home Address (Number and Street) Zip Code From.

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