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Get IRS 1040-SS 2012

Daytime phone number Your signature Date Spouse s signature. If a joint return, both must sign. Print/Type preparer s name Preparer's signature Date Date Check if self-employed Firm s name Firm's EIN Firm's address PTIN Phone no. For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see instructions. Cat. No. 17184B Form 1040-SS (2012) Form 1040-SS (2012) Page 2 Part II Bona Fide Residents of Puerto Rico Claiming Additional Child Tax Credit See.

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