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Get RI DoT RI-100A 2011

ODE ISLAND - multiply line 1 by line 4 ................................................................................... 5. Under penalties of perjury, I declare that I have examined this return including accompanying schedules and to the best of my knowledge and belief, it is true correct and complete Date Signature of preparer Signature of personal representative Date Name and address of preparer (please print or type) Revised 06/28/2011 Decedent s name Decedent s Social Security N.

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