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EFSTATUS Name(s) as shown on return EF Transmission Status (Keep for your records) 2011 Your social security number MARY CLARK The following will be transmitted to the IRS. 400-00-3001 X 1040 4868 2350 9465 Form 56 The following state returns will be transmitted: The following returns have been suppressed or are not eligible and will NOT be transmitted. EF Notes EFSTATUS.LD F o r m (99) 1040 Department of the Treasury - Internal Revenue Service Return 2011 U.S. Individual Income Tax Last name OMB No More


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2011 preparer W-2 39a SSN 64a EIC homebuyer 74a 1947 16a 39b EEA EFSTATUS 31a 20a 01-01-2012FLORIST 15a 1-Dec 20b inst 16b 59a withaqualifying distributions 1099-R 1040-V itemizes Nontaxable PTIN


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