Fillable 2010 Form 1040A. U.S. Individual Income Tax Return
Name, Address, and SSN
See separate instructions.
P R I N T C L E A R L Y
Department of the Treasury--Internal Revenue Service Your first name and initial
U.S. Individual Income Tax Return (99)
IRS Use Only--Do not write or staple in this space. OMB No. 1545-0074 Your social security number
If a joint return, spouse's first name and initial
Last name Apt. no.
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