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Get and Sign Form M 8379 2020-2022
Name
Social Security number
Nondebtor spouse?
City/Town/Post Office
State
Yes
Yes
Street address (including apartment number)
Address (if present address is different from above)
No
No
Zip
Telephone number
*You must have filed a joint return in order to claim a refund due.
A.
Nondebtor
spouse
Allocation Items
B.
Other
spouse
C.
Joint (as filed)
(A) + (B)
1 Total income (list all sources here)
2 Adjustments to income
3 Deductions
4 Exemptions
5 Credits against tax (do not include...
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