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Rhonda H1 1 1 3.35 - 67- 8910 If a joint return , spouse's first name and initial Last name Spouse's social security number Home

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Rhonda H1 1 1 3.35 - 67- 8910 If a joint return , spouse's first name and initial Last name Spouse's social security number Home address ( number and street ) . If you have a P.O. box , see instructions . Apt . no. Make sure the SSN/s) above 1234 Blue Ridge Way and on line OC are correct . City , town or post office , state , and ZIP code . If you have a foreign address , also complete spaces below ( see instructions ). Presidential Election Campaign TULSA OK 74101 Check here if you , or your spouse if filing Foreign country name* Foreign province / state/county Foreign postal code* jointly , want $3 to go to this fund . Checking \\a box below will not change your tax or refund . \\[| You\\\\ Spouse Filing Status 1 *

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