Labels:crt screen | plant | reckoner | road | sky | windowpane OCR: Form 709-A United States Short Form Gift Tax Return OME No. 1545-0021 (Rov. 651 [For aprivacy Act" notico the Form 1040 Instructons} nW*T:I Ravb i Calendar year Expirx Donor's first namB and Initial Donor' last name Danpr toclat socurity numbor Char Lec Marsh 102 48 2016 Address number straet and number Legal residence {domicile} 512 Riv ers side Avenue Apt 14 Greenv 6 City. stato and ZIP code Citizenship Greenvi lle New York 10693 U.S.A Did you tile any gift tax returns far prior periods? Yor N+ fYes, state when and where earigr retums were filed Name consenting spouse 10 Cansenting 5pous0' 3acial sacurity number Diana Marsh 128 32 1583 Note: Do not this form t gifts 0say held stock instead 50 FOmT 709 List of Gifts FI b (d) Conea name ak address descriptlon ot gln Donor baxis af ilt adju ...
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