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Get and Sign 481 10 2014-2022 Form
Initial
Last Name
Day
Month
Second Last Name
M
F
Year
(
)
Home Telephone
-
(
)
Work Telephone
-
Home Address (Town or Urbanization, Number, Street)
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 the end of the year?
Other excluded or tax exempt income? Indicate total $_____________
D. HIGHEST SOURCE OF...
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