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complete the Dyro STUNTII 2040 TO 2013 Form Department of the Treasury-Internal Revenue Service (99) 1040 U.S. Individual Income Tax Return Filing Status Married

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complete the Dyro STUNTII 2040 TO 2013 Form Department of the Treasury-Internal Revenue Service (99) 1040 U.S. Individual Income Tax Return Filing Status Married filing jointly Your first name and middle initial Bruce M. Byrd Last name Last name If joint return, spouse's first name and middle initial Alice J. Byrd Home address (number and street). If you have a P.O. box, see instructions. 473 Revere Avenue 2019 OMB No. 1545-0074 IRS Use Only Apt. no. City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Lowell, MA 01850 Your social security number 111-11-1113 Spouse's social security number 123-45-6784 Presidential Election Campaign Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund. None Foreign province/state/county Foreign postal code If more than four dependents, see instructions and here a Foreign country name Standard Someone can claim: None Deduction You: None Age/Blindness Spouse: None Dependents (see instructions): (2) Social security number (3) Relationship to you (1) First name Last name (4) if qualifies for (see instructions): Child tax credit Credit for other dependents John Byrd Cynthia Bryd Sam Byrd 123-45-6780 Child 123-45-6788 Child 123-45-6787 Parent D a Yes No Yes

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