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D 1040nr Form 2010
Person’s tax
return.
H. Amended return?
See instructions
Y
REGULAR
65 or OVER
BLIND
DEAF
F. Number of Other Dependents
D. SPOUSE
G. TOTAL Number of Exemptions
(list names and Social Security
Numbers on separate page)
Add lines C, D, E and F.
I. Is this amended return as a result of a federal audit?
Y
M M D D Y Y Y Y
J. If Yes, enter the federal determination date
INCOME AND ADJUSTMENTS
Dollars
Cents
1
,
,
,
.0 0
2. Other Income (or losses) (from page 2, Schedule J, line...
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