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Get VA 763-S 1996

F O R M 763-S VIRGINIA SPECIAL NONRESIDENT CLAIM FOR INDIVIDUAL INCOME TAX WITHHELD PLEASE PRINT OR TYPE For calendar year 1996 or taxable year beginning 1996 and ending 19. First name and initial Last name Your social security number Present home address number and street including apartment number or rural route City town or post office w Spouse s social security number State ZIP Code USE THIS FORM ONLY IF YOU QUALIFY FOR ONE OF THE 3 CATEGORIES IN PART I BELOW COMPLETE BOTH PART I AND PART II.

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