(Form 1040A or 1040)
Department of the Treasury Internal Revenue Service (99) Name(s) shown on return
Interest and Ordinary Dividends
Attach to Form 1040A or 1040. about Schedule B (Form 1040A or 1040) and its instructions is at www.irs.gov/form1040.
OMB No. 1545-0074
Attachment Sequence No. 08 Your social security number
Part I Interest
Fill & Sign Online, Print, Email, Fax, or Download
Ple ase Print
S econdary phone (___)
Social Security Number ___
Per manent Address
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