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Get PR AS 2781.1 2018-2021

UAL INCOME TAX RETURN PART I - TAXPAYER'S GENERAL INFORMATION (To be completed by the taxpayer) (If the certification is prepared for a deceased taxpayer include the decedent's information and complete the Declaration of Part V) Taxpayer's Name Social Security Number Spouse's Name Spouse's Social Security Number Home Telephone ( ) Work Telephone ( Postal Address (Post Office Box, City, Country, Zip Code) ) Home Address (Town or Urbanization, Number, Street, City, Country, Zip Code) PAR.

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