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Get Eic Form 2004

: 203 mm (8") 279 mm (11") PERFORATE: (NONE) Date DO NOT PRINT DO NOT PRINT DO NOT PRINT DO NOT PRINT SCHEDULE EIC (Form 1040A or 1040) Revised proofs requested 1040A 1040 OMB No. 1545-0074 .......... Qualifying Child Information Complete and attach to Form 1040A or 1040 only if you have a qualifying child. 2004 EIC Attachment Sequence No. 43 Your social security number Name(s) shown on return Before you begin: Signature Separation 2: PMS-3005 BLUE Earned In.

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