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B Interest/Dividends from checking/savings accounts bonds CDs brokerage Forms 1099-INT 1099-DIV 5. B Refund of state/local income taxes Form 1099-G 6. B Alimony or separate maintenance payments If yes do you have the recipient s SSN IRA A 401K B Roth IRA B 2. B Unemployment compensation Form 1099-G 13. B Social Security or Railroad Retirement Benefits Forms SSA-1099 RRB-1099 14. Form 13614-C Department of the Treasury - Internal Revenue Service OMB Number 1545-1964 Intake/Interview Quality...

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