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Tax Year 20___ First Nameless Asocial Insurance Number Telephone NumberMailing Address: Apt. No. Street Name PO Bondage of birther. CityDay/Month/Year __/__/___On December 31, of the tax year:Postal
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Begin by writing your full legal name in line 1.
02
In line 2, fill out your address including street, city, state, and zip code.
03
Proceed to line 3 and write your date of birth in the format MM/DD/YYYY.
04
In line 4, enter your social security number.
05
Line 5 is for your phone number. Write down the best number to reach you at.
06
On line 6, provide an email address for electronic communication.
07
Line 7 is for emergency contact information. Include the name and phone number of someone we can contact if needed.
08
Write down your current occupation on line 8.
09
Finally, sign and date line 9 to certify the accuracy of the information provided.
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