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Get AR DFA AR1000ANR 2000

FOR OFFICE USE ONLY File Date Your Social Security Number Amount Paid First Name and Initial (List both if applicable) Last Name Spouse s Social Security Number Present Address (Number and Street, Apartment Number or Rural Route) Preparer s Identification Number City, Town or Post Office, State and Zip Code Telephone Numbers Home: Nonresidents - List State of residence Work: Part-Year Residents - List period of residency in Arkansas during year From To CHECK ONLY ONE BOX.

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