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2012 Form 1040 - Internal Revenue Service

Form1040 Department of the Treasury Internal Revenue Service OMB No. 1545-0074(99)IRS Use Only Do not write or staple in this space. Individual Income Tax Return 2012 For the year Jan. 1 Dec. 31, 2012, or other tax year beginning , 2012, ending , 20 See separate first name and initial Last name Your social security number If a joint return, spouse s first name and initial Last name Spouse s social security number Make sure the SSN(s) above and on line 6c are address (number and street). If you have a box, see instructions. Apt. no. City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).

Form 1040 Department of the Treasury—Internal Revenue Service . OMB No. 1545-0074 (99) U.S. Individual Income Tax Return . 2012. IRS Use Only—Do not write or staple in this space.

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