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Get 1 Federal Filing Status (check Only One For Each Return):2 Check If (on Federal Return):

, Last Name Please Do Not Write In This Space If a Joint Return, Spouse s First Name and Initial PRINT FORM 1040XN 2017 Last Name Current Mailing Address (Number and Street or PO Box) City State (1) Farmer/Rancher (2) (3) Zip Code Your Social Security Number Spouse s Social Security Number Deceased Taxpayers (First Names and Dates of Death) Active Military Are you filing this amended return because: a. The Nebraska Department of Revenue h.

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