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I you checked Ine MIS bex. crier the name of your spouse. If you checked lie HUH o' VS'S Box. enter fie child's name r

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I you checked Ine MIS bex. crier the name of your spouse. If you checked lie HUH o' VS'S Box. enter fie child's name r fc quillvina cuzon Bo hid but not your ccparceT.. Jane King XXXXXboxxx Freekendal Boction Campaign Digital Asgets Standard Someone can claire Youas a dependent I Youreps.es es a cupscent Deduction Ago/Blind035 You: | |Were 95'n beferc _anuery 2, 1953 [ ] Are and Spouse: Was bon sstore January 2. 453 ) 2 ting Dependents pee esrus vis: than four danoncoma ad chack Income 41,000 b Howest old employce weccs not reported on Form :W/ 2 1b Alluch Formix d Madacid asks por tends rot repocaden Tom1 1-2 ( relations 1d Was and Taxso @ dependent care donefris from Form 2441, Ins SC Emelogar provided cdanlion bengila fan Forn 2825, Inc 23 9 12 Qualified decends 4b gundard I Tadine ar cunt sb Dariurthan for Socalyunly tens is. Hyou elect to use the lums cum clockion method, check were isce inoruedenel Capilla par arose. Arech Emoduke C Frag ind. "retrocured. chack rem. Acts Ines Iz, 20.36. dh, 50. 01 7, and&. the is your total income 10 Adjustmente to reems from Garcauc I. Inc 25 10 11 Ruhrand Ine in from load. Thisis your adjusted gross Income 11 Standard dochiction or itemized deductions ;Iam tech 12 13 Qusined business inpao ceausten * am Form 8605 3: Form 8906-A 13 14 Act Inc: 12 and 13. 14 Subtract Ing Id from Ine ! 1. I sers or less. enter O . Theis your taxable Income Son 1040 34:3

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