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Text File  |  1985-12-20  |  344b  |  10 lines
  1. FORM 1040                 OTHER DEPENDENTS
  2. !NAME                                                      SSN: !SSN !
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  4.        NAME..........................  #00
  5.        RELATIONSHIP..................  #01
  6.        MONTHS IN HOME................  #02
  7.        DEPENDENT INCOME UNDER $1000?.  [#03
  8.        PROVIDE OVER HALF SUPPORT? ...  [#04
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