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T/S Income 1099R Prior Year Information Description Mark if no longer applicable Pension IRA and Annuity Distributions Income K1 K1T Schedules K-1 T/S/J Form Gambling Income Educate 1099Q Qualified Education Plan Distributions INTEREST/DIVIDENDS/CAPITAL GAINS/OTHER INCOME Income B1 Interest Income Interest Payer Name Seller Financed Mortgage Interest T S J Payer s address city state zip code Amount received in 2013 Payer s social security number Dividend Income Ordinary Dividends Income D...

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