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List the number of the Developmental Disability and the I. Q. score if required in the space provided on front of AR1000RC5. DCN - FOR ELECTRONIC FILING USE ONLY AR1000RC5 STATE OF ARKANSAS Certificate for Developmentally Disabled Individual INDIVIDUAL INCOME TAX RETURN Taxpayer s Name as shown on return Social Security Number This certificate must be completed in its entirety to receive the 500 Developmentally Disabled Individual Credit. I certi.

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