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Get MD 502INJ 2016

As or will be applied to the following debts owed by the other spouse: past due state or federal taxes, past due child support or other state debt that has been referred to the Central Collection Unit. AXPAYER INFORMATION. The spouse s name and Social T Security Number (SSN) shown first on the original tax return must be shown first on the Injured Spouse Claim Form. ALLOCATION BETWEEN SPOUSES. Enter the amounts from your joint return in the first column. Use the second and third colu.

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