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Get Ga Rd-1061 2009

Handling your inquiry) Section 1 Taxpayer Information (Taxpayer(s) must sign and date Section 5 of this form) Taxpayer s Name Taxpayer s Identification Number Daytime Telephone Number Spouse s Name (if joint income tax return) Spouse s SSN (if applicable) Daytime Telephone Number Mailing Address Spouse s Mailing Address (if different from above) Section 2 Representative Information (Certain Representative(s) may complete Section 7 of this form) Attach schedule if more than.

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