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Get RI DoT RI-1040 2011

E s social security number Present home address (number and street, including apartment number or rural route) please print or type Daytime telephone number ( City, town or post office State If you want $5.00 ($10.00 if a joint return) to go ELECTORAL to this fund, check here. (See instructions. This CONTRIBUTION will not increase your tax or reduce your refund.) FILING STATUS Check only one box INCOME, TAX AND CREDITS 1 Single 2 Yes Zip code ) City or town of legal residence.

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