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Pa 40 2019
NUMBER(S) ABOVE
Last Name
R Pennsylvania Resident
Suffix
N Nonresident
Your First Name
P Part-Year Resident from
___/___/2019 to ___/___/2019
MI
Spouse’s First Name
MI
Filing Status.
OVERSEAS
MAIL See Foreign
Address Instructions
in PA-40 booklet.
S Single
J Married, Filing Jointly
M Married, Filing Separately
F Final Return. Indicate reason:
Spouse’s Last Name - Only if different from Last Name above
Suffix
D Deceased
First Line of Address
Taxpayer
Date of death...
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