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Get MI D-1040(NR) - Detroit 2014-2023

First Name MI Last Name Spouse s First Name MI Spouse s Last Name Home Address (Number and Street or Rural Route) City or Town State A. FILING STATUS Single or Married Filing Separately Married Filing Jointly B. Check if you can be claimed as a dependent on another person s tax return. Attach Check or Money Order Here Attach Copy of Form W-2 Here H. Amended return See instructions Zip Code EXEMPTIONS: REGULAR 65 or OVER BLIND DEAF DISABLED E. Number of Dependent Chi.

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