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Get 2004 Form Tr-1040-x - State Of New Jersey - State Nj

Ocial Security Number Home Address (Number and Street, including apartment number or rural route) County/Municipality Code City, Town, Post Office FILING STATUS Your Social Security Number 1. Single 2. Married, filing joint return 3. Married, filing separate return 4. Head of household 5. Qualifying widow(er) (Joint filers enter first name and initial of each - Enter spouse last name ONLY if different) State Zip Code RESIDENCY STATUS 6. If you were a New Jersey resident for ON.

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