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INCOME TAX RETURN First Name Last Name Second Last Name 0 0 DECEASED DURING THE YEAR: / / Day Month Year Spouse's Social Security Number Initial 5 AMENDED RETURN , AND ENDING ON , Social Security Number 0 Serial Number FOR CALENDAR YEAR 2005 OR TAXABLE YEAR BEGINNING ON G S 2005 COMMONWEALTH OF PUERTO RICO DEPARTMENT OF THE TREASURY Payment Stamp Sex: M F Taxpayer's Date of Birth Postal Address Day Month Year.
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