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Ollector) Social Security # Name Address Block Spouse s/CU Partner s Social Security # Last Name, First Name, and Middle Initial (Follow with first name and initial of spouse/CU partner if filing jointly. Only enter spouse/CU partner s last name if different.) Street City Lot State ZIP Code Qualifier A. Did you own this property with someone who was not your spouse/CU partner? Yes No % B. If yes, indicate the share (percentage) of the pr.

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