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FOR PRIVACY ACT NOTICE, SEE PAGE 7. PRINT IN BLACK INK Ovals must be filled in completely. Example:
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Document Date: 2013-08-31 22:11:30
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City
Boston /
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Country
United States /
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Currency
USD /
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Holiday
Commonwealth Day /
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IndustryTerm
bank interest /
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Organization
U.S. Securities and Exchange Commission /
Organ Transplant Fund /
Department of Revenue /
Clean Elections Fund /
AIDS Fund /
U. S. Olympic Fund /
POST OFFICE /
Medicare /
Dependent /
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Person
Fill /
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Position
Head /
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ProvinceOrState
Massachusetts /
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SocialTag
Government
Personal exemption
Earned income tax credit
Income tax in Australia
Filing Status
Public economics
Political economy
Tax ladder
Alternative Minimum Tax
Taxation in the United States