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Print using blue or black ink only. Check here If injured spouse First name Initial Last name Social Security Number Spouse s first name Street address City or Town State ZIP code Is the address on your joint return different from the address shown above. Yes No Check this box only if you are divorced or separated from the spouse with whom you filed the joint return and you want your refund issued in your name only. Allocation Between Spouses See instructions. ALLOCATION ITEMS JOINT OTHER SPOUS ...
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