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Get Pa Pa-1000 2016

Ck your label for accuracy. If incorrect, do not use the label. Complete Part A. Your Social Security Number Spouse s Social Security Number PLEASE WRITE IN YOUR SOCIAL SECURITY NUMBER(S) ABOVE Last Name First Name MI Second Line of Address State Spouse s First Name MI ZIP Code County Code REQUIRED Fill in only one oval in each section. 1. I am filing for a rebate as a: P. Property Owner See instructions R. Renter See instructions B. Owner/Renter See ins.

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