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D Service SS#: State: Based on the information/documentation provided with your Student Aid Form, PSAS is requesting you complete this additional worksheet and provide all appropriate documentation for the year 2010. THIS FORM IS TO BE COMPLETED BY: Name: SS#: State: If you FILED a 2010 tax return, complete the following: q I was required to file a 2010 Federal Income Tax Return form 1040, 1040A, or 1040EZ. I have attached all required tax returns and schedules, etc. and will return them.
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