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Get Homestead Claim Return K-40H_Fillable_(Rev. 7-09) - Ksrevenue

Rs. Claimant's Social Security Number Name and Address 134109 First Name of Claimant Initial - - Claimant's Telephone Number Last Name Mark this box if claimant is deceased (See instructions) . . . . . Date of Death / / Home Address (number and street or rural route) IMPORTANT: Mark this box if name or address has changed . . . State City Zip Code County Abbreviation Mark this box if this is an amended claim . . . . . . . . . . . . . . . YOU MUST HAVE BEEN A RESIDEN.

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