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Get IRS 5074 1992

For calendar year 19 Attach to Form 1040. See instructions on back. , or fiscal year ending , 19 . OMB No. 1545-0803 Expires 10-31-93 Attachment Sequence No. 60 Your first name and initial Last name Your social security number If a joint return, spouse s first name and initial Last name Spouse s social security number Home address (number and street) Apt. no. City, town or post office, state, and ZIP code Part I Income From Guam or the CNMI Reported on Form 1040 Guam.

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