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Get GA Form 500 2013

E 1 EXT YOUR FIRST NAME MI YOUR SOCIAL SECURITY NUMBER 1. Special Program Code LAST NAME SUFFIX SPOUSE S FIRST NAME MI See Tax Booklet on Page 9 SPOUSE S SOCIAL SECURITY NUMBER DEPARTMENT USE ONLY LAST NAME SUFFIX ADDRESS (NUMBER AND STREET or P.O. BOX) (Use 2nd address line for Apt, Suite or Building Number) CHECK IF ADDRESS HAS CHANGED 2. CITY (Please insert a space if the city has multiple names) STATE ZIP CODE 500 UET Exception Attached 3. (COUNTRY IF FOREIGN) Reside.

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