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Get AZ ADOR Form 200 (10180) 2011

Are an injured spouse if your share of an overpayment shown on your joint return was, or is expected to be, applied against your spouse s past-due state taxes, child support or spousal maintenance, or debts owed to another Arizona state agency, the IRS, or a court. If you are an injured spouse, see the note on page 1 of the instructions. Your First Name and Initial Last Name Current Home Address - number and street, rural route City, Town or Post Office Part I Your Social Security No. Apt.

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