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Get Federal Information Worksheet 2012-2024

Ocial Security No.: Social Security No.: Occupation: Occupation: Date of Birth: (mm/dd/yyyy) Date of Birth: (mm/dd/yyyy) Age on 01/01/2013: Age on 01/01/2013: Date of Death: Date of Death: Legally Blind: Yes No Legally Blind: Yes No Email address: Email Address: Work Phone: Ext: Work Phone: Cell Phone: Cell Phone: Home Phone: Home Phone: Best Contact Phone: Fax Number: Circle to print phone number on Form 1040 Home Taxpayer Work Spouse Work Address: Apt City: State: Zip Foreign Province/County: .

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