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Se, please print or type. , 20 Filing Status OMB No. 1545-0074 Your social security number Last name Spouse s social security number Home address (number and street). If you have a P.O. box, see page 19. H E R E (See page 19.) Last name If a joint return, spouse s first name and initial L A B E L Presidential Election Campaign Check only one box. IRS Use Only Do not write or staple in this space. Your first name and initial Label (See instructions on page 19.) (99) , 2003.

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