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GEORGIA FORM 500 INDIVIDUALINCOME TAX RETURN 2002-Page 1 Fiscal Year Mo. DEPARTMENT USE ONLY Day Year Beginning: Mo. Day DEL. EXT. INITIAL YOUR LAST NAME YOUR SOCIAL SECURITY NUMBER Mark boxes with
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2002 2003 GEORGIA preparer 11c INDIVIDUALINCOME 11a SUBTRACTIONS adj 1040A 21c NONRESIDENTS 1040EZ Regardles UET 21b 21a 11b Line12 FEIN 2S Caregiving LLC LLP NONRESIDENT Distributions 130011b OVERPAYMENTS SUFFIX OVERPAYMENT MISC EXT TAXABLE

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