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Get IRS 13614-C 2016

Of support for this person? (yes/no/N/A) Did the taxpayer(s) pay more than half the cost of maintaining a home for this person? (yes/no) Form 13614-C (Rev. 10-2016) Page 2 Check appropriate box for each question in each section Yes No Unsure Part III Income Last Year, Did You (or Your Spouse) Receive 1. (B) Wages or Salary? (Form W-2) If yes, how many jobs did you have last year? 2. (A) Tip Income? 3. (B) Scholarships? (Forms W-2, 1098-T) 4. (B) Interest/Dividends from: checking/sa.

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