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Schedule A Form IT40PNR State Form 48719 (R14 / 915) Schedule A Section 1: Income or Loss (Complete Proration, Section 2 and Section 3 on back) Name(s) shown on Form IT40PNR 2015 Enclosure Sequence
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2015 Indiana IT-40PNR 21A Proration 21B 21D 21C 19B 37B 1040EZ 1040A Nonresident 22A 0023B 0024B 24A 01A 23A 0022B IT-40PNRA 17A 16A 0015B 0017B 18A 20A 25A 0018B 0020B 27A 0033B

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