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Get For Office Use Only New York State Department Of Taxation And Finance Claim For Child And Dependent

N the boxes to the right. Your first name and middle initial Your last name (for a joint claim, enter spouse s name on line below) Your social security number Spouse s first name and middle initial Spouse s last name Spouse s social security number Mailing address (number and street or rural route) City, village or post office 1 Apartment number State New York State county of residence ZIP code Have you already filed your 2000 New York State income tax return? .

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