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Get VA DoT 760PY 2010

00 00 00 00 8 9 10 00 00 00 00 00 00 00 00 00 00 00 00 00 00 For Local Use Coding 2601039 Rev. 08/10 v LTD Code 00 10 Staple check or money order here. Spouse - To 4a 5 Combined Social Security for You and Spouse reported as taxable income on Federal Return ........... $ .00 Blind (mm/dd/yyyy) Spouse - From You - To Earned Income Credit Claimed on Federal Return ............................ $ .00 65 or over You Bir.

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