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Get and Sign it 40x 2019-2022 Form
Separately.
City
Foreign country 2-character code
State
Place “X” in box
if amendment
due to an NOL.
Are you filing an amended federal return? Yes
No
Zip/Postal code
Enter loss year
For department
use only
If yes, attach a copy of your federal Form 1040X.
Enter the 2-digit county code numbers for the county where you lived and worked on January 1 of the tax year.
County where
County where
County where
County where
you lived
you worked
spouse lived
spouse worked
A
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