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it 201 X Form 2019
Birth (mmddyyyy)
Mailing address (number and street or PO box)
Apartment number
City, village, or post office
State ZIP code
Country (if not United States)
Taxpayer’s permanent home address (number and street or rural route)
City, village, or post office
State ZIP code
A Filing
status
(mark an
X in one
box):
New York State county of residence
School district name
Apartment number
Decedent
information
NY
School district
code number ................
Taxpayer’s...
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