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Get and Sign 481 10 Form 2013
Birth
Day
Month
Sex
M
F
Year
Spouse's Social Security Number
"Place Label here".
Spouse's First Name
Last Name
Sex
Date of Birth
Zip Code
Day
Second Last Name
Month
Year
(
Home Telephone
)
-
(
)
Home Address (Town or Urbanization, Number, Street)
M
F
Work Telephone
-
Zip Code
CHANGE OF ADDRESS:
E-Mail Address
YES
NO
A.
B.
C.
3.
4.
No
E. FILING STATUS AT THE END OF THE TAXABLE YEAR:
Married
1.
Individual taxpayer
2.
United States Citizen?
Resident of Puerto Rico at...
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