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Get Complete This Form Only If You, The Student (and, If Married, Your Spouse), Will Not File And Are

Ast Name First Name Must submit in person SIC11 Student ID/SS# Complete this form ONLY if you, the student (and, if married, your spouse), will not file and are not required to file a 2011 income tax return with the IRS. If student/spouse filed or required to file a 2011 income tax return, please see the reverse side of this form for explanation on how to submit the income tax information. Check the box that applies: The student (and, if married, the student s spouse) was not employed and.

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