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Get CO DoR 104 2013

Nonresident (or resident, part-year, nonresident combination) Mark if Abroad on due date - see page 25 Last Name For Yourself First Name For Yourself Yes Last Name for Your Spouse (see controlled group definition) First Name For Spouse Date of Birth (MM/DD/YY) Deceased Middle Initial SSN Date of Birth (MM/DD/YY) Deceased *130104 19999* Middle Initial SSN Yes Mailing Address Phone number City State ZIP Code ( ) Foreign Country (if applicable) Ro.

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