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B.S85
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1985-09-28
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34 lines
1 4281TPART I. INTEREST INCOME
1 6 40T1a Interest from seller-financed mortage [10]. 1a ==>
1 8 40T1b Name of payer ==>
110 40T2. Other interest income (list) [19]. 2 ==>
111 40T3. Add amounts on lines 1 and 2 [19]. 3 ==>C
113281TPART II. DIVIDEND INCOME
115 40T4. Dividend income (list) [25]. 4 ==>
116 40T6. Capital gain distributions [21]. 6 ==>
117 40T7. Nontaxable distributions [23]. 7 ==>
118 40T8. Exclusions from public utility dividends [07]. 8 ==>
119 40T9. Add amounts on line 6, 7, and 8 [16]. 9 ==>C
120 30T10. Subtract line 9 from total dividends [11]. 10 ==>C
1 6670$N10141a
1 8270AN25
110670$N10142
111670$Y10
115670$N10144
116670$N10146
117670$N10147
118670$N10148
119670$Y10
120670$Y10
2 4221TPART III. FOREIGN ACCOUNTS AND TRUSTS
2 6 30T11. Did you have an interest in or a signature or other
2 7 30T authority over a bank account, securities account,
2 8 30T or other financial account in a foreign country? (Y/N) ==>
210 30T If yes, name the country ==>
212 30T12. Were you the grantor of or transferor to a foreign
213 30T trust which existed during the current tax year whether
214 30T or not you have any beneficial interest in it? (Y/N) ====>
2 8680YN 1
210380AN20
214680YN 1