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Ar1000rc5  Form

Ar1000rc5 Form

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FUHGLW LV OHG W WKH HQG RI YH HDUV RX PXVW KDYH D QHZ FHUWL FDWH FRPSOHWHG DQG DWWDFKHG WR RXU LQGLYLGXDO LQFRPH WD UHWXUQ 7KH FUHGLW LV LQ DGGLWLRQ WR RXU UHJXODU GHSHQGHQW WD FUHGLW 0XVW H RPSOHWHG E 7D SD HU Developmentally Disabled Dependent s Name Social Security Number Relationship to Taxpayer Taxpayer s Signature Date D OLFHQVHG SK VLFLDQ D OLFHQVHG SV FKRORJLVW RU D OLFHQVHG SV FKRORJLFDO H DPLQHU KHFN WKH ER IRU WKH GLDJQRVLV DO DO NOT NOT ADD ADD ADDITIONAL ADDITIONAL BOXES BOXES...
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