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Get IRS 2441 2009

Ttachment Sequence No. 21 Your social security number Name(s) shown on return Part I 2009 1040NR to Form 1040, Form 1040A, or Form 1040NR. See Persons or Organizations Who Provided the Care You must complete this part. (If you have more than two care providers, see the instructions.) (a) Care provider s name (b) Address (number, street, apt. no., city, state, and ZIP code) (c) Identifying number (SSN or EIN) (d) Amount paid (see instructions) Complete only Part II bel.

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