Magnum One/Magnum One (Mid-American Digital) (Disc Manufacturing).iso/d6/amtax88.arc/WS2.P88

Text File | 1988-11-10 | 822b | 2 lines

ⁿ1 · STATEMENT 00-01-6c# ADDITIONAL DEPENDENTS #*M· # >SSN: {
■NAME{D■SSN· #-M· # |(2) Chf|(3) If 5 or |# | (5) No. of· # |if undr|older, dep's|# (4)# |months lived·   (1) Dependent's Name    | age 5 |soc.sec.num.| Relationship  |in your home· #-|#-|#-|#-|#-· # |# |# |# | {

{{${2{F· # |# |# |# | {
{{$    {2
{F· # |# |# |# | {
{{${2{F· # |# |# |# | {
{{${2{F· # |# |# |# | {
{{${2{F· # |# |# |# | {
{ {$!{2"{F#· # |# |# |# | {
%{&{$'{2({F)· # |# |# |# | {
+{,{$-{2.{F/· # |# |# |# | {
1{2{$3{24{F5· # |# |# |# | {
7{8{$9{2:{F;· # |# |# |# | {
={>{$?{2@{FA· # |# |# |# | {
C{D{$E{2F{FG· # |# |# |# | {
I{J{$K{2L{FM· # |# |# |# | {
O{P{$Q{2R{FS· # |# |# |# | {
U{V{$W{2X{FY· # |# |# |# | #*M· AM Software H838 ²