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Rtment Number or Rural Route) Your Social Security Number Spouse s Social Security Number City, Town or Post Office State I (we) authorize the Department of Taxation to discuss my (our) return with my (our) preparer. Date of Birth Your Birthday (mm-dd-yyyy) - - ZIP Code Amended Claim Primary Taxpayer Deceased (Attach Federal Form 1310) STEP I - Exemption Category Review categories 1 - 4 below and enter the category number for which you are claiming an exem.

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