home *** CD-ROM | disk | FTP | other *** search
/ BBS in a Box 5 / BBS in a Box -Volume V (BBS in a Box) (April 1992).iso / Files / Bus / S / SYNCVT.cpt / SynTax™ Converter.rsrc < prev   
MacOS Resource Fork  |  1989-02-13  |  395.9 KB  |  [APPL/CNVT]
open in: MacOS 8.1     |     Win98     |     DOS

view JSON data     |     view as text

This file was processed as: MacOS Resource Fork (archive/rsrc).

You can browse this item here: SynTax™ Converter.rsrc

ConfidenceProgramDetectionMatch TypeSupport
100% dexvert MacOS Resource Fork (archive/rsrc) magic Supported
100% dexvert MacOS Executable (executable/macOSExecutable) idMeta Supported
10% dexvert Jesper Olsen Module (music/jesperOlsen) magic Supported
1% dexvert BeOS Resource Data (archive/beOSResourceData) ext Unsupported
1% dexvert AppleSingle (archive/appleSingle) fallback Supported
0% dexvert TTComp Archive (archive/ttcomp) fallback Supported
100% file AppleDouble encoded Macintosh file default
99% file data default
66% TrID Mac AppleDouble encoded default
33% TrID TTComp archive compressed (bin-2K) default (weak)
100% siegfried fmt/503 AppleDouble Resource Fork (2) default
100% lsar AppleSingle default


id metadata
keyvalue
macFileType[APPL]
macFileCreator[CNVT]


hex view
+--------+-------------------------+-------------------------+--------+--------+
|00000000| 00 05 16 07 00 02 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000010| 00 00 00 00 00 00 00 00 | 00 02 00 00 00 09 00 00 |........|........|
|00000020| 00 32 00 00 00 20 00 00 | 00 02 00 00 00 52 00 06 |.2... ..|.....R..|
|00000030| 2f 1e 41 50 50 4c 43 4e | 56 54 21 00 00 00 00 00 |/.APPLCN|VT!.....|
|00000040| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000050| 00 00 00 00 01 00 00 06 | 22 f6 00 06 21 f6 00 00 |........|"...!...|
|00000060| 0c 28 7d 83 7b 72 80 73 | 79 81 82 81 84 78 7d 7b |.(}.{r.s|y....x}{|
|00000070| 80 86 7e 80 87 80 80 7c | 82 87 7b 80 89 83 80 80 |..~....||..{.....|
|00000080| 89 8b 11 53 79 6e 54 61 | 78 aa 20 43 6f 6e 76 65 |...SynTa|x. Conve|
|00000090| 72 74 65 72 02 00 00 00 | 41 50 50 4c 43 4e 56 54 |rter....|APPLCNVT|
|000000a0| 20 00 00 00 41 50 50 4c | 43 4e 56 54 20 00 00 5e | ...APPL|CNVT ..^|
|000000b0| 00 2e 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000000c0| 00 00 00 02 9f a9 fb a4 | 00 00 00 00 00 06 2f 1e |........|....../.|
|000000d0| 48 6e ff da 42 67 a9 eb | 48 6c 03 be 48 6e ff da |Hn..Bg..|Hl..Hn..|
|000000e0| 42 67 a9 eb 48 6c 03 e6 | 48 6e ff da 42 67 a9 eb |Bg..Hl..|Hn..Bg..|
|000000f0| 48 6c 03 fa 48 6e ff da | 42 67 a9 eb 48 6c 04 0e |Hl..Hn..|Bg..Hl..|
|00000100| 48 6e ff da 42 67 a9 eb | 48 6c 04 22 48 6e ff da |Hn..Bg..|Hl."Hn..|
|00000110| 42 67 a9 eb 48 6c 04 36 | 48 6e ff da 42 67 a9 eb |Bg..Hl.6|Hn..Bg..|
|00000120| 41 ec 04 40 43 ee ff da | 20 d9 20 d9 30 91 2f 0b |A..@C...| . .0./.|
|00000130| 3f 3c 00 17 1f 3c 00 01 | 4e ba 00 00 2f 0b 3f 3c |?<...<..|N.../.?<|
|00000140| 00 1d 1f 3c 00 01 4e ba | 00 00 2f 0b 3f 3c 00 24 |...<..N.|../.?<.$|
|00000150| 1f 3c 00 00 00 06 a9 ff | 00 00 00 00 00 00 00 40 |.<......|.......@|
|00000160| ff ff 80 01 80 01 80 01 | 80 01 80 01 88 11 90 09 |........|........|
|00000170| bf fd 90 09 88 11 80 01 | 80 01 80 01 80 01 ff ff |........|........|
|00000180| ff ff 80 01 81 01 83 81 | 85 41 81 01 81 01 81 01 |........|.A......|
|00000190| 81 01 81 01 81 01 85 41 | 83 81 81 01 80 01 ff ff |.......A|........|
|000001a0| 00 00 00 36 00 06 06 28 | 45 6d 70 74 79 05 49 63 |...6...(|Empty.Ic|
|000001b0| 6f 6e 73 0a 43 61 6c 63 | 75 6c 61 74 6f 72 06 50 |ons.Calc|ulator.P|
|000001c0| 75 7a 7a 6c 65 08 4e 6f | 74 65 20 50 61 64 0b 41 |uzzle.No|te Pad.A|
|000001d0| 6c 61 72 6d 20 43 6c 6f | 63 6b 00 00 01 00 00 01 |larm Clo|ck......|
|000001e0| 00 00 00 02 80 00 00 04 | 40 00 00 08 20 00 00 10 |........|@... ...|
|000001f0| 10 00 00 20 08 00 00 40 | 04 00 00 80 c2 00 01 01 |... ...@|........|
|00000200| 81 00 02 01 00 80 04 1c | 70 40 08 3e f8 20 10 7f |........|p@.>. ..|
|00000210| fc 10 20 7f f0 08 40 7f | ff 04 80 7f c0 82 40 7f |.. ...@.|......@.|
|00000220| 80 41 20 7f 30 22 10 3f | c8 14 08 3e 7f 8f 04 1e |.A .0".?|...>....|
|00000230| 30 07 02 0f 00 07 01 00 | 80 07 00 80 60 07 00 40 |0.......|....`..@|
|00000240| 1f e7 00 20 02 1f 00 10 | 04 07 00 08 08 00 00 04 |... ....|........|
|00000250| 10 00 00 02 20 00 00 01 | 40 00 00 00 80 00 00 01 |.... ...|@.......|
|00000260| 00 00 00 03 80 00 00 07 | c0 00 00 0f e0 00 00 1f |........|........|
|00000270| f0 00 00 3f f8 00 00 7f | fc 00 00 ff fe 00 01 ff |...?....|........|
|00000280| ff 00 03 ff ff 80 07 ff | ff c0 0f ff ff e0 1f ff |........|........|
|00000290| ff f0 3f ff ff f8 7f ff | ff fc ff ff ff fe 7f ff |..?.....|........|
|000002a0| ff ff 3f ff ff fe 1f ff | ff fc 0f ff ff ff 07 ff |..?.....|........|
|000002b0| ff ff 03 ff ff ff 01 ff | ff ff 00 ff ff ff 00 7f |........|........|
|000002c0| ff ff 00 3f fe 1f 00 1f | fc 07 00 0f f8 00 00 07 |...?....|........|
|000002d0| f0 00 00 03 e0 00 00 01 | c0 00 00 00 80 00 00 00 |........|........|
|000002e0| 01 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000002f0| 00 00 01 ff ff 00 02 00 | 00 80 04 00 00 40 04 7f |........|.....@..|
|00000300| fc 40 04 93 32 40 04 b1 | 52 40 04 92 7a 40 04 93 |.@..2@..|R@..z@..|
|00000310| 12 40 04 7f fc 40 04 00 | 00 40 04 00 00 40 04 ee |.@...@..|.@...@..|
|00000320| ee 40 04 aa aa 40 04 ee | ee 40 04 00 00 40 04 ee |.@...@..|.@...@..|
|00000330| ee 40 04 aa aa 40 04 ee | ee 40 04 00 00 40 04 ee |.@...@..|.@...@..|
|00000340| ee 40 04 aa aa 40 04 ee | ea 40 04 00 0a 40 04 fe |.@...@..|.@...@..|
|00000350| ea 40 04 82 aa 40 04 fe | ee 40 02 00 00 80 01 ff |.@...@..|.@......|
|00000360| ff 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000370| 00 00 01 ff ff 00 03 ff | ff 80 07 ff ff c0 07 ff |........|........|
|00000380| ff c0 07 ff ff c0 07 ff | ff c0 07 ff ff c0 07 ff |........|........|
|00000390| ff c0 07 ff ff c0 07 ff | ff c0 07 ff ff c0 07 ff |........|........|
|000003a0| ff c0 07 ff ff c0 07 ff | ff c0 07 ff ff c0 07 ff |........|........|
|000003b0| ff c0 07 ff ff c0 07 ff | ff c0 07 ff ff c0 07 ff |........|........|
|000003c0| ff c0 07 ff ff c0 07 ff | ff c0 07 ff ff c0 07 ff |........|........|
|000003d0| ff c0 07 ff ff c0 07 ff | ff c0 03 ff ff 80 01 ff |........|........|
|000003e0| ff 00 00 00 01 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000003f0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000400| 00 00 00 00 00 00 00 00 | 00 00 01 ff ff c0 02 00 |........|........|
|00000410| 00 20 04 00 00 10 04 ff | ff 90 04 8d 88 90 04 8a |. ......|........|
|00000420| 88 90 04 8d 88 90 04 ff | ff 90 04 88 88 90 04 88 |........|........|
|00000430| 88 90 04 88 88 90 04 ff | ff 90 04 88 88 90 04 88 |........|........|
|00000440| 88 90 04 88 88 90 04 ff | ff 90 04 88 88 90 04 88 |........|........|
|00000450| 88 90 04 88 88 90 04 ff | ff 90 04 00 00 10 02 00 |........|........|
|00000460| 00 20 01 ff ff c0 00 00 | 00 00 00 00 00 00 00 00 |. ......|........|
|00000470| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000480| 00 00 00 00 00 00 00 00 | 00 00 01 ff ff c0 03 ff |........|........|
|00000490| ff e0 07 ff ff f0 07 ff | ff f0 07 ff ff f0 07 ff |........|........|
|000004a0| ff f0 07 ff ff f0 07 ff | ff f0 07 ff ff f0 07 ff |........|........|
|000004b0| ff f0 07 ff ff f0 07 ff | ff f0 07 ff ff f0 07 ff |........|........|
|000004c0| ff f0 07 ff ff f0 07 ff | ff f0 07 ff ff f0 07 ff |........|........|
|000004d0| ff f0 07 ff ff f0 07 ff | ff f0 07 ff ff f0 03 ff |........|........|
|000004e0| ff e0 01 ff ff c0 00 00 | 01 00 07 ff ff f0 04 00 |........|........|
|000004f0| 00 10 04 00 00 10 04 de | ef 10 04 00 00 10 04 b7 |........|........|
|00000500| bc 10 04 00 00 10 04 ed | a0 10 04 00 00 10 04 de |........|........|
|00000510| b7 10 04 00 00 10 04 f6 | f0 10 04 00 00 10 04 bb |........|........|
|00000520| bb 90 04 00 00 10 04 00 | 00 10 04 00 00 10 04 00 |........|........|
|00000530| 00 10 04 00 00 10 04 00 | 00 10 04 00 00 10 07 f0 |........|........|
|00000540| 00 10 05 10 00 10 04 90 | 00 10 04 50 00 10 04 30 |........|...P...0|
|00000550| 00 10 04 10 00 10 07 ff | ff f0 04 00 00 10 07 ff |........|........|
|00000560| ff f0 04 00 00 10 07 ff | ff f0 07 ff ff f0 07 ff |........|........|
|00000570| ff f0 07 ff ff f0 07 ff | ff f0 07 ff ff f0 07 ff |........|........|
|00000580| ff f0 07 ff ff f0 07 ff | ff f0 07 ff ff f0 07 ff |........|........|
|00000590| ff f0 07 ff ff f0 07 ff | ff f0 07 ff ff f0 07 ff |........|........|
|000005a0| ff f0 07 ff ff f0 07 ff | ff f0 07 ff ff f0 07 ff |........|........|
|000005b0| ff f0 07 ff ff f0 07 ff | ff f0 07 ff ff f0 07 ff |........|........|
|000005c0| ff f0 07 ff ff f0 07 ff | ff f0 07 ff ff f0 07 ff |........|........|
|000005d0| ff f0 07 ff ff f0 07 ff | ff f0 07 ff ff f0 07 ff |........|........|
|000005e0| ff f0 07 ff ff f0 07 ff | ff f0 00 00 01 00 00 00 |........|........|
|000005f0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000600| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000610| 00 00 01 ff ff c0 02 00 | 00 20 04 00 00 10 04 00 |........|. ......|
|00000620| 80 10 04 00 00 10 04 00 | 00 10 04 00 80 10 04 00 |........|........|
|00000630| 80 10 04 00 80 10 04 00 | 80 10 04 00 80 10 04 80 |........|........|
|00000640| 80 90 04 00 40 10 04 00 | 20 10 04 00 10 10 04 00 |....@...| .......|
|00000650| 08 10 04 00 04 10 04 00 | 00 10 04 00 00 10 04 00 |........|........|
|00000660| 80 10 04 00 00 10 02 00 | 00 20 01 ff ff c0 00 00 |........|. ......|
|00000670| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000680| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000690| 00 00 01 ff ff c0 03 ff | ff e0 07 ff ff f0 07 ff |........|........|
|000006a0| ff f0 07 ff ff f0 07 ff | ff f0 07 ff ff f0 07 ff |........|........|
|000006b0| ff f0 07 ff ff f0 07 ff | ff f0 07 ff ff f0 07 ff |........|........|
|000006c0| ff f0 07 ff ff f0 07 ff | ff f0 07 ff ff f0 07 ff |........|........|
|000006d0| ff f0 07 ff ff f0 07 ff | ff f0 07 ff ff f0 07 ff |........|........|
|000006e0| ff f0 07 ff ff f0 03 ff | ff e0 01 ff ff c0 00 00 |........|........|
|000006f0| 01 00 00 00 00 00 00 00 | 00 00 00 1f f8 00 00 10 |........|........|
|00000700| 08 00 07 e0 07 e0 08 80 | 01 10 11 00 00 88 11 ff |........|........|
|00000710| ff 88 10 04 08 08 10 08 | 84 08 10 11 42 08 10 20 |........|....B.. |
|00000720| a1 08 10 44 12 08 10 8a | 04 08 10 85 08 08 10 42 |...D....|.......B|
|00000730| 90 08 10 40 20 08 10 40 | 40 08 10 20 80 08 10 19 |...@ ..@|@.. ....|
|00000740| 00 08 10 06 00 08 10 00 | 00 08 10 00 00 08 10 00 |........|........|
|00000750| 00 08 10 00 00 08 10 00 | 00 08 10 00 00 08 10 00 |........|........|
|00000760| 00 08 10 00 00 08 10 00 | 00 08 08 00 00 10 07 ff |........|........|
|00000770| ff e0 00 00 00 00 00 00 | 00 00 00 1f f8 00 00 1f |........|........|
|00000780| f8 00 07 ff ff e0 0f ff | ff f0 1f ff ff f8 1f ff |........|........|
|00000790| ff f8 1f ff ff f8 1f ff | ff f8 1f ff ff f8 1f ff |........|........|
|000007a0| ff f8 1f ff ff f8 1f ff | ff f8 1f ff ff f8 1f ff |........|........|
|000007b0| ff f8 1f ff ff f8 1f ff | ff f8 1f ff ff f8 1f ff |........|........|
|000007c0| ff f8 1f ff ff f8 1f ff | ff f8 1f ff ff f8 1f ff |........|........|
|000007d0| ff f8 1f ff ff f8 1f ff | ff f8 1f ff ff f8 1f ff |........|........|
|000007e0| ff f8 1f ff ff f8 1f ff | ff f8 0f ff ff f0 07 ff |........|........|
|000007f0| ff e0 00 00 00 0c 00 5f | 00 19 00 c3 01 ea 00 64 |......._|.......d|
|00000800| 55 55 00 00 00 30 00 02 | 00 00 00 00 00 4b 01 74 |UU...0..|.....K.t|
|00000810| 00 5f 01 ba 04 02 4f 4b | 00 00 00 00 00 0a 00 3c |._....OK|.......<|
|00000820| 00 46 01 c4 88 02 5e 30 | 00 00 00 00 00 00 00 00 |.F....^0|........|
|00000830| 00 00 00 00 80 00 00 00 | 00 2b 00 2f 00 1e 01 41 |........|.+./...A|
|00000840| 01 e2 00 00 00 00 00 00 | 00 00 00 00 03 e9 16 43 |........|.......C|
|00000850| 6f 6e 76 65 72 74 20 54 | 61 78 70 61 79 65 72 20 |onvert T|axpayer |
|00000860| 4e 61 6d 65 73 00 00 00 | 0a 78 00 00 08 00 00 00 |Names...|.x......|
|00000870| 08 00 00 00 00 00 0a 78 | 00 00 08 00 00 00 08 00 |.......x|........|
|00000880| 00 00 00 00 15 00 74 00 | 1c 00 d8 01 e4 00 01 00 |......t.|........|
|00000890| 00 00 00 00 00 00 00 01 | 2c 00 00 00 00 15 00 5f |........|,......_|
|000008a0| 00 19 00 c3 01 ea 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|000008b0| 01 2d 00 00 00 00 15 00 | 7c 00 a2 00 dc 01 50 00 |.-......||.....P.|
|000008c0| 01 00 00 00 00 00 00 00 | 00 01 30 00 00 00 00 64 |........|..0....d|
|000008d0| 00 05 00 00 00 00 00 49 | 00 d2 00 59 01 18 04 02 |.......I|...Y....|
|000008e0| 4f 6b 00 00 00 00 00 49 | 01 22 00 59 01 68 04 02 |Ok.....I|.".Y.h..|
|000008f0| 4e 6f 00 00 00 00 00 49 | 01 74 00 59 01 ba 04 06 |No.....I|.t.Y....|
|00000900| 43 61 6e 63 65 6c 00 00 | 00 00 00 0a 00 3c 00 46 |Cancel..|.....<.F|
|00000910| 01 c4 88 02 5e 30 00 00 | 00 00 00 0a 00 14 00 2a |....^0..|.......*|
|00000920| 00 34 20 02 02 9a 00 00 | 00 00 00 00 00 00 00 00 |.4 .....|........|
|00000930| 00 00 80 00 00 00 00 40 | 00 03 00 00 00 00 00 48 |.......@|.......H|
|00000940| 01 74 00 5c 01 ba 04 02 | 4f 4b 00 00 00 00 00 0a |.t.\....|OK......|
|00000950| 00 14 00 2a 00 34 a0 02 | 02 9a 00 00 00 00 00 0a |...*.4..|........|
|00000960| 00 3c 00 46 01 c4 88 02 | 5e 30 00 00 00 00 00 00 |.<.F....|^0......|
|00000970| 00 00 00 00 00 00 80 00 | 00 00 00 7c 00 02 00 00 |........|...|....|
|00000980| 00 00 00 49 00 12 00 59 | 00 a1 04 11 52 65 74 75 |...I...Y|....Retu|
|00000990| 72 6e 20 74 6f 20 50 72 | 6f 67 72 61 6d 00 00 00 |rn to Pr|ogram...|
|000009a0| 00 00 00 31 00 11 00 44 | 00 a1 04 11 54 68 72 6f |...1...D|....Thro|
|000009b0| 77 20 61 77 61 79 20 63 | 6c 69 65 6e 74 00 00 00 |w away c|lient...|
|000009c0| 00 00 00 06 00 0a 00 2d | 00 a5 88 2b 49 46 20 79 |.......-|...+IF y|
|000009d0| 6f 75 20 64 6f 20 74 68 | 69 73 2c 20 74 68 65 20 |ou do th|is, the |
|000009e0| 63 6c 69 65 6e 74 20 69 | 73 20 67 6f 6e 65 20 66 |client i|s gone f|
|000009f0| 6f 72 65 76 65 72 21 00 | 00 00 00 23 00 2f 00 1e |orever!.|...#./..|
|00000a00| 01 41 01 e2 00 00 00 00 | 00 00 00 00 00 00 03 eb |.A......|........|
|00000a10| 0e 44 69 72 65 63 74 20 | 44 65 70 6f 73 69 74 00 |.Direct |Deposit.|
|00000a20| 00 00 18 00 68 02 2f 00 | 75 02 46 00 00 01 00 00 |....h./.|u.F.....|
|00000a30| 01 00 00 00 01 00 00 00 | 01 01 0d 00 00 00 18 00 |........|........|
|00000a40| 79 01 71 00 83 01 81 00 | 00 01 00 00 01 00 00 00 |y.q.....|........|
|00000a50| 02 00 00 00 01 01 0d 00 | 00 00 19 00 01 00 01 00 |........|........|
|00000a60| 32 00 32 00 00 01 00 00 | 01 00 00 00 00 00 00 00 |2.2.....|........|
|00000a70| 01 02 4f 4b 00 00 00 1d | 00 01 00 01 00 32 00 32 |..OK....|.....2.2|
|00000a80| 00 00 01 00 00 01 00 00 | 00 00 00 00 00 01 06 43 |........|.......C|
|00000a90| 61 6e 63 65 6c 00 00 00 | 2e 00 2f 00 1e 01 41 01 |ancel...|../...A.|
|00000aa0| e2 00 00 00 00 00 00 00 | 00 00 00 03 eb 19 44 43 |........|......DC|
|00000ab0| 4e 20 26 20 50 61 70 65 | 72 20 44 6f 63 75 6d 65 |N & Pape|r Docume|
|00000ac0| 6e 74 20 49 6e 64 2e 00 | 00 00 26 00 01 00 00 00 |nt Ind..|..&.....|
|00000ad0| 00 00 fb 00 e9 01 0e 01 | 29 04 02 4f 4b 00 00 00 |........|)..OK...|
|00000ae0| 00 00 fa 00 78 01 0e 00 | c3 04 06 43 61 6e 63 65 |....x...|...Cance|
|00000af0| 6c 00 00 01 62 00 0c 00 | 00 00 00 00 fb 00 e9 01 |l...b...|........|
|00000b00| 0e 01 29 04 02 4f 4b 00 | 00 00 00 00 fa 00 78 01 |..)..OK.|......x.|
|00000b10| 0e 00 c3 04 06 43 61 6e | 63 65 6c 00 00 00 00 00 |.....Can|cel.....|
|00000b20| 08 00 0d 00 1f 01 b4 88 | 41 45 6e 74 65 72 20 74 |........|AEnter t|
|00000b30| 68 65 20 66 6f 6c 6c 6f | 77 69 6e 67 20 62 61 6e |he follo|wing ban|
|00000b40| 6b 20 69 6e 66 6f 72 6d | 61 74 69 6f 6e 20 66 6f |k inform|ation fo|
|00000b50| 72 20 44 69 72 65 63 74 | 20 44 65 70 6f 73 69 74 |r Direct| Deposit|
|00000b60| 20 28 69 66 20 61 6e 79 | 29 2e 6f 00 00 00 00 00 | (if any|).o.....|
|00000b70| 2b 00 0e 00 3b 00 b5 88 | 17 52 6f 75 74 69 6e 67 |+...;...|.Routing|
|00000b80| 20 54 72 61 6e 73 69 74 | 20 4e 75 6d 62 65 72 3a | Transit| Number:|
|00000b90| 2e 00 00 00 00 00 2a 00 | c1 00 3c 01 0c 10 09 30 |......*.|..<....0|
|00000ba0| 30 30 30 30 30 30 30 30 | 4e 00 00 00 00 00 43 00 |00000000|N.....C.|
|00000bb0| 0e 00 55 00 89 88 0f 41 | 63 63 6f 75 6e 74 20 4e |..U....A|ccount N|
|00000bc0| 75 6d 62 65 72 3a 00 00 | 00 00 00 00 45 00 c1 00 |umber:..|....E...|
|00000bd0| 57 01 4c 10 11 30 30 30 | 30 30 30 30 30 30 30 30 |W.L..000|00000000|
|00000be0| 30 30 30 30 30 30 00 00 | 00 00 00 00 6f 00 0f 00 |000000..|....o...|
|00000bf0| 83 00 4b 88 06 4f 77 6e | 65 72 3a 00 00 00 00 00 |..K..Own|er:.....|
|00000c00| 6f 00 51 00 83 00 9d 00 | 00 00 00 00 00 00 6f 00 |o.Q.....|......o.|
|00000c10| a7 00 83 00 e3 88 07 53 | 6f 75 72 63 65 3a 00 00 |.......S|ource:..|
|00000c20| 00 00 00 00 6f 00 e9 00 | 83 01 25 00 00 00 00 00 |....o...|..%.....|
|00000c30| 00 00 6f 01 2e 00 8f 01 | 68 08 0d 41 63 63 6f 75 |..o.....|h..Accou|
|00000c40| 6e 74 0d 54 79 70 65 3a | 8d 00 00 00 00 00 6f 01 |nt.Type:|......o.|
|00000c50| 6d 00 83 01 b1 00 00 00 | 00 03 ec 4e 56 fe d8 48 |m.......|...NV..H|
|00000c60| e7 1f 78 7a 00 0c 6e 00 | 04 00 0c 6f 08 0c 6e 00 |..xz..n.|...o..n.|
|00000c70| 08 00 0c 66 44 48 6e fe | d8 a8 98 a8 9e 41 ee 00 |...fDHn.|.....A..|
|00000c80| 08 26 18 38 18 26 58 3c | 18 3e 06 02 46 00 07 42 |.&.8.&X<|.>..F..B|
|00000c90| 90 20 53 43 e8 00 08 49 | ee fe f4 28 d9 28 91 d8 |. SC...I|...(.(..|
|00000ca0| 44 43 fa 00 28 d2 f1 40 | 00 4e d1 20 53 20 68 00 |DC..(..@|.N. S h.|
|00000cb0| 1c a0 2a 48 6e fe d8 a8 | 99 2d 45 00 14 4c df 1e |..*Hn...|.-E..L..|
|00000cc0| f8 4e 5e 20 5f de fc 00 | 0c 4e d0 00 14 01 f4 02 |.N^ _...|.N......|
|00000cd0| 7c 02 1e 02 68 00 12 00 | 12 00 12 02 9e 60 d4 4a ||...h...|.....`.J|
|00000ce0| 28 00 10 67 ce 20 68 00 | 1c a0 29 28 50 41 ee fe |(..g. h.|..)(PA..|
|00000cf0| f4 26 08 20 55 20 50 2f | 28 00 1c 42 a7 a8 d8 24 |.&. U P/|(..B...$|
|00000d00| 57 a8 7a 2f 03 3f 3c ff | fd 3f 3c ff fd a8 a9 2f |W.z/.?<.|.?<..../|
|00000d10| 03 a8 7b 2f 0a 2f 2f 00 | 04 a8 e4 4a 46 67 18 2f |..{/.//.|...JFg./|
|00000d20| 03 3f 3c 00 03 3f 3c 00 | 03 a8 a9 41 fa 01 66 48 |.?<..?<.|...A..fH|
|00000d30| 7a 00 f2 60 00 01 30 2f | 03 a8 a3 2f 03 3f 3c 00 |z..`..0/|.../.?<.|
|00000d40| 02 3f 3c 00 02 a8 a9 2f | 03 a8 a1 3f 2e fe fa 30 |.?<..../|...?...0|
|00000d50| 2e fe f4 54 40 3f 00 a8 | 93 2f 2e fe f8 a8 91 30 |...T@?..|./.....0|
|00000d60| 2e fe f6 54 40 3f 00 3f | 2e fe f8 a8 91 4a 46 20 |...T@?.?|.....JF |
|00000d70| 2c 00 08 08 00 00 18 67 | 0a 0c 6c 00 01 00 02 67 |,......g|..l....g|
|00000d80| 00 00 a2 2f 03 2f 38 0a | 02 a8 a9 2f 2c 00 0c 3f |..././8.|.../,..?|
|00000d90| 2c 00 02 48 6e fe fc a9 | 46 38 2e fe fa 98 6e fe |,..Hn...|F8....n.|
|00000da0| f6 59 44 42 67 48 6e fe | fc a8 8c 3c 1f b8 46 6c |.YDBgHn.|...<..Fl|
|00000db0| 38 42 47 1e 2e fe fc 2f | 3c 00 c9 00 00 a8 8d 98 |8BG..../|<.......|
|00000dc0| 5f 42 67 42 40 41 ee fe | fc 10 30 70 00 3f 00 a8 |_BgB@A..|..0p.?..|
|00000dd0| 8d 9c 5f 53 47 b8 46 6d | e8 52 47 41 ee fe fc 11 |.._SG.Fm|.RGA....|
|00000de0| bc 00 c9 70 00 1d 47 fe | fc 30 2e fe f6 54 40 3f |...p..G.|.0...T@?|
|00000df0| 00 48 6e fe ec a8 8b 30 | 2e fe f2 32 2e fe ee d2 |.Hn....0|...2....|
|00000e00| 6e fe ec d0 41 32 00 34 | 2e fe ee e3 42 92 42 e2 |n...A2.4|....B.B.|
|00000e10| 41 e2 40 d0 6e fe f4 d2 | 40 3f 01 a8 93 48 6e fe |A.@.n...|@?...Hn.|
|00000e20| fc a8 84 20 53 10 28 00 | 11 67 2e 0c 00 00 fe 64 |... S.(.|.g.....d|
|00000e30| 02 60 26 2f 03 2f 3c ff | ff ff ff a8 a9 52 6e fe |.`&/./<.|.....Rn.|
|00000e40| fa 52 6e fe f8 2f 03 20 | 55 48 68 ff e8 a8 9d 3f |.Rn../. |UHh....?|
|00000e50| 3c 00 0b a8 9c a8 a2 a8 | 9e 2f 0a a8 79 2f 0a a8 |<.......|./..y/..|
|00000e60| d9 60 00 fe 48 43 f8 0a | 0e 22 c8 32 fc 00 02 42 |.`..HC..|.".2...B|
|00000e70| 99 22 bc 00 16 00 10 43 | f8 0a 0e 2f 09 20 55 20 |.".....C|.../. U |
|00000e80| 50 48 68 00 02 48 69 00 | 06 2f 03 42 67 42 a7 a8 |PHh..Hi.|./.BgB..|
|00000e90| ec 4e 75 ff fe 80 02 80 | 03 bf 03 80 03 ff ff c0 |.Nu.....|........|
|00000ea0| 3f ff ff 80 03 bf 83 80 | 03 80 03 bf c3 80 03 80 |?.......|........|
|00000eb0| 03 be 03 80 03 80 03 bf | e3 80 03 ff ff 3f ff 10 |........|.....?..|
|00000ec0| 28 00 11 52 00 67 16 52 | 00 67 16 42 67 2f 03 48 |(..R.g.R|.g.Bg/.H|
|00000ed0| 6e fe f4 a8 ad 4a 1f 67 | 04 3a 3c 00 1e 60 00 fd |n....J.g|.:<..`..|
|00000ee0| d4 3a 3c 00 fe 60 00 fd | cc 22 68 00 24 21 49 00 |.:<..`..|."h.$!I.|
|00000ef0| 1c 70 ff 21 40 00 20 4a | 46 67 00 fd b8 22 51 22 |.p.!@. J|Fg..."Q"|
|00000f00| 29 00 08 08 01 00 07 67 | 08 57 68 00 08 56 68 00 |)......g|.Wh..Vh.|
|00000f10| 0e 30 28 00 08 06 40 00 | 16 31 40 00 0c 30 28 00 |.0(...@.|.1@..0(.|
|00000f20| 0e 52 40 31 40 00 0a 06 | 40 00 10 31 40 00 0e 60 |.R@1@...|@..1@..`|
|00000f30| 00 fd 82 24 68 00 1c 28 | 52 2f 2c 00 0c a9 32 20 |...$h..(|R/,...2 |
|00000f40| 4a a0 23 60 00 fd 6e a8 | 96 a8 da 48 6e fe f4 3f |J.#`..n.|...Hn..?|
|00000f50| 3c ff fd 3f 3c ff fd a8 | a9 48 6e fe f4 a8 a1 2f |<..?<...|.Hn..../|
|00000f60| 03 a8 db a8 97 60 00 fd | 4c 2d 68 00 08 ff fc 20 |.....`..|L-h.... |
|00000f70| 68 00 1c a0 29 28 50 20 | 6c 00 04 20 50 20 68 00 |h...)(P |l.. P h.|
|00000f80| 34 20 50 48 6e ff fc 48 | 68 00 0c 48 68 00 04 a8 |4 PHn..H|h..Hh...|
|00000f90| f9 42 a7 a8 78 48 6e ff | fc a8 70 30 2e ff fe 6c |.B..xHn.|..p0...l|
|00000fa0| 1c 20 78 09 ee 20 50 42 | 67 2f 2e ff fc 48 68 00 |. x.. PB|g/...Hh.|
|00000fb0| 02 a8 ad 4a 1f 66 06 3d | 7c 00 05 ff fe 2f 2c 00 |...J.f.=||..../,.|
|00000fc0| 0c 3f 3c ff ff a9 35 2f | 2c 00 0c a9 48 42 a7 2f |.?<...5/|,...HB./|
|00000fd0| 2c 00 0c 3f 2e ff fc 3f | 2e ff fe 30 2c 00 02 66 |,..?...?|...0,..f|
|00000fe0| 02 70 01 3f 00 a8 0b 2a | 1f 3f 3c 00 80 a9 36 4a |.p.?...*|.?<...6J|
|00000ff0| 85 67 50 ba 6c 00 02 66 | 04 7a 00 60 46 2f 2c 00 |.gP.l..f|.z.`F/,.|
|00001000| 0c 3f 2c 00 02 42 67 a9 | 44 2f 2c 00 0c 3f 05 3f |.?,..Bg.|D/,..?.?|
|00001010| 3c 00 12 a9 44 39 45 00 | 02 4a 46 67 20 2f 2c 00 |<...D9E.|.JFg /,.|
|00001020| 0c 3f 2c 00 02 48 6e fe | fc a9 46 2f 2c 00 04 3f |.?,..Hn.|..F/,..?|
|00001030| 14 48 6e fe fc 20 6c 00 | 10 4e 90 60 06 20 53 60 |.Hn.. l.|.N.`. S`|
|00001040| 00 fc ac 60 00 fc 66 00 | 00 01 9e 60 0a 00 00 43 |...`..f.|...`...C|
|00001050| 44 45 46 00 00 00 01 4e | 56 ff e2 48 e7 1f 78 0c |DEF....N|V..H..x.|
|00001060| 6e 00 04 00 0c 6c 3e 48 | 6e ff ec a8 98 a8 9e 41 |n....l>H|n......A|
|00001070| ee 00 08 26 18 30 18 26 | 58 3c 18 3e 06 02 46 00 |...&.0.&|X<.>..F.|
|00001080| 07 42 90 20 53 43 e8 00 | 08 49 ee ff e2 28 d9 28 |.B. SC..|.I...(.(|
|00001090| 91 59 8c d0 40 43 fa 00 | 1c d2 f1 00 00 4e 91 48 |.Y..@C..|.....N.H|
|000010a0| 6e ff ec a8 99 4c df 1e | f8 4e 5e 20 5f de fc 00 |n....L..|.N^ _...|
|000010b0| 0c 4e d0 00 0a 00 a0 00 | d0 00 ee 4e 75 4a 28 00 |.N......|...NuJ(.|
|000010c0| 10 67 f8 2f 0c a8 a3 20 | 55 20 50 2f 28 00 1c 42 |.g./... |U P/(..B|
|000010d0| a7 a8 d8 2e 17 a8 7a 2f | 0c a8 7b 2f 07 2f 2f 00 |......z/|..{/.//.|
|000010e0| 04 a8 e4 20 53 24 68 00 | 1c 42 41 20 53 3a 28 00 |... S$h.|.BA S:(.|
|000010f0| 12 10 28 00 11 67 08 0c | 00 00 fe 64 26 60 04 e2 |..(..g..|...d&`..|
|00001100| 4d 64 0e 20 52 d0 fc 00 | 80 72 01 61 00 00 ae 72 |Md. R...|.r.a...r|
|00001110| 02 20 52 61 00 00 a6 a8 | 9e 2f 07 a8 79 2f 07 a8 |. Ra....|./..y/..|
|00001120| d9 4e 75 61 1a 20 52 d0 | fc 00 80 72 03 61 00 00 |.Nua. R.|...r.a..|
|00001130| 8c 3f 3c 00 0a a8 9c 2f | 0c a8 a2 72 01 60 d2 2f |.?<..../|...r.`./|
|00001140| 0c 20 55 48 68 ff e0 a8 | 9d 3f 3c 00 08 a8 9c a8 |. UHh...|.?<.....|
|00001150| a2 4e 75 10 28 00 11 52 | 00 67 1e 52 00 67 1c 42 |.Nu.(..R|.g.R.g.B|
|00001160| 67 2f 03 2f 0c a8 ad 4a | 1f 67 0e 3d 7c 00 0a 00 |g/./...J|.g.=|...|
|00001170| 16 4a 46 67 04 52 6e 00 | 16 4e 75 3d 7c 00 fe 00 |.JFg.Rn.|.Nu=|...|
|00001180| 16 4e 75 a8 96 a8 da 2f | 0c a8 a1 2f 03 a8 db a8 |.Nu..../|.../....|
|00001190| 97 20 55 41 e8 ff e8 21 | d8 0a 34 21 d0 0a 38 4e |. UA...!|..4!..8N|
|000011a0| 75 42 a7 2f 3c 49 43 4e | 23 20 53 20 28 00 24 3f |uB./<ICN|# S (.$?|
|000011b0| 00 a9 a0 20 53 21 5f 00 | 1c 4e 75 43 f8 0a 0e 22 |... S!_.|.NuC..."|
|000011c0| c8 32 fc 00 04 42 99 22 | bc 00 20 00 20 43 f8 0a |.2...B."|.. . C..|
|000011d0| 0e 2f 09 20 55 20 50 48 | 68 00 02 48 69 00 06 2f |./. U PH|h..Hi../|
|000011e0| 0c 3f 01 42 a7 a8 ec 4e | 75 00 00 00 f8 00 0b 00 |.?.B...N|u.......|
|000011f0| 00 00 00 00 fb 00 e9 01 | 0e 01 29 04 02 4f 4b 00 |........|..)..OK.|
|00001200| 00 00 00 00 fa 00 78 01 | 0e 00 c3 04 06 43 61 6e |......x.|.....Can|
|00001210| 63 65 6c 00 00 00 00 00 | 0a 00 90 00 1f 01 0e 88 |cel.....|........|
|00001220| 10 50 72 69 6d 61 72 79 | 20 54 61 78 70 61 79 65 |.Primary| Taxpaye|
|00001230| 72 00 00 00 00 00 2a 00 | 0d 00 3d 00 96 90 05 46 |r.....*.|..=....F|
|00001240| 69 72 73 74 b9 00 00 00 | 00 00 2a 00 a2 00 3d 00 |irst....|..*...=.|
|00001250| ba 90 02 4d 49 00 00 00 | 00 00 2a 00 c6 00 3d 01 |...MI...|..*...=.|
|00001260| b9 90 04 4c 61 73 74 00 | 00 00 00 00 47 00 0d 00 |...Last.|....G...|
|00001270| 5c 00 96 90 0c 54 69 74 | 6c 65 20 53 75 66 66 69 |\....Tit|le Suffi|
|00001280| 78 00 00 00 00 00 66 00 | 88 00 7b 01 13 88 12 53 |x.....f.|..{....S|
|00001290| 65 63 6f 6e 64 61 72 79 | 20 54 61 78 70 61 79 65 |econdary| Taxpaye|
|000012a0| 72 00 00 00 00 00 82 00 | 0d 00 95 00 96 90 05 46 |r.......|.......F|
|000012b0| 69 72 73 74 a4 00 00 00 | 00 00 82 00 a2 00 96 00 |irst....|........|
|000012c0| ba 90 02 4d 49 00 00 00 | 00 00 82 00 c6 00 96 01 |...MI...|........|
|000012d0| b9 90 04 4c 61 73 74 00 | 00 00 00 00 a0 00 0d 00 |...Last.|........|
|000012e0| b5 00 95 88 00 00 00 00 | 70 00 01 00 00 00 00 00 |........|p.......|
|000012f0| 03 00 2b 00 32 01 51 88 | 50 46 6f 72 6d 20 38 34 |..+.2.Q.|PForm 84|
|00001300| 35 33 20 69 73 20 62 65 | 69 6e 67 20 73 70 6f 6f |53 is be|ing spoo|
|00001310| 6c 65 64 20 74 6f 20 74 | 68 65 20 70 72 69 6e 74 |led to t|he print|
|00001320| 65 72 20 6e 6f 77 2e 20 | 54 68 65 20 74 61 78 70 |er now. |The taxp|
|00001330| 61 79 65 72 20 4d 55 53 | 54 20 73 69 67 6e 20 74 |ayer MUS|T sign t|
|00001340| 68 69 73 20 66 6f 72 6d | 2e 00 00 00 00 00 0a 00 |his form|........|
|00001350| 06 00 2a 00 26 a0 02 00 | 01 00 00 00 15 00 f0 00 |..*.&...|........|
|00001360| 4a 01 2c 01 a4 00 01 00 | 00 00 00 00 00 00 00 03 |J.,.....|........|
|00001370| ec 00 00 00 00 15 00 32 | 00 0c 00 fa 01 c4 00 01 |.......2|........|
|00001380| 00 00 00 00 00 00 00 00 | 01 00 00 00 00 00 2c 00 |........|......,.|
|00001390| 10 02 31 41 02 31 42 01 | 32 01 33 01 34 01 35 01 |..1A.1B.|2.3.4.5.|
|000013a0| 36 01 37 01 38 01 39 02 | 31 30 03 31 31 44 02 31 |6.7.8.9.|10.11D.1|
|000013b0| 31 02 31 32 03 31 33 44 | 02 31 33 00 00 00 07 06 |1.12.13D|.13.....|
|000013c0| 42 41 4e 4b 20 31 00 00 | 00 0a 09 30 33 31 31 30 |BANK 1..|...03110|
|000013d0| 30 32 35 34 00 00 00 09 | 08 30 38 30 31 32 33 34 |0254....|.0801234|
|000013e0| 36 00 00 00 07 06 42 41 | 4e 4b 20 32 00 00 00 0a |6.....BA|NK 2....|
|000013f0| 09 30 30 30 30 30 30 30 | 30 30 00 00 00 09 08 30 |.0000000|00.....0|
|00001400| 30 30 30 30 30 30 30 00 | 00 00 07 06 42 41 4e 4b |0000000.|....BANK|
|00001410| 20 33 00 00 00 0a 09 30 | 30 30 30 30 30 30 30 30 | 3.....0|00000000|
|00001420| 00 00 00 09 08 30 30 30 | 30 30 30 30 30 00 00 00 |.....000|00000...|
|00001430| 78 00 06 2f 45 6e 74 65 | 72 20 74 68 65 20 66 6f |x../Ente|r the fo|
|00001440| 6c 6c 6f 77 69 6e 67 20 | 44 69 72 65 63 74 20 44 |llowing |Direct D|
|00001450| 65 70 6f 73 69 74 20 49 | 6e 66 6f 72 6d 61 74 69 |eposit I|nformati|
|00001460| 6f 6e 3a 18 52 6f 75 6e | 74 69 6e 67 20 54 72 61 |on:.Roun|ting Tra|
|00001470| 6e 73 69 74 20 4e 75 6d | 62 65 72 3a 0f 41 63 63 |nsit Num|ber:.Acc|
|00001480| 6f 75 6e 74 20 4e 75 6d | 62 65 72 3a 06 4f 77 6e |ount Num|ber:.Own|
|00001490| 65 72 3a 07 53 6f 75 72 | 63 65 3a 0d 41 63 63 6f |er:.Sour|ce:.Acco|
|000014a0| 75 6e 74 20 54 79 70 65 | 3a 00 00 00 1b 00 04 04 |unt Type|:.......|
|000014b0| 53 65 6c 66 07 48 75 73 | 62 61 6e 64 06 53 70 6f |Self.Hus|band.Spo|
|000014c0| 75 73 65 04 42 6f 74 68 | 00 00 00 0e 00 02 05 43 |use.Both|.......C|
|000014d0| 68 65 63 6b 05 4f 74 68 | 65 72 00 00 00 13 00 02 |heck.Oth|er......|
|000014e0| 08 43 68 65 63 6b 69 6e | 67 07 53 61 76 69 6e 67 |.Checkin|g.Saving|
|000014f0| 73 00 00 00 11 10 53 54 | 52 45 45 54 20 41 44 44 |s.....ST|REET ADD|
|00001500| 52 45 53 53 20 32 00 00 | 00 07 06 43 49 54 59 20 |RESS 2..|...CITY |
|00001510| 32 00 00 00 03 02 54 58 | 00 00 00 06 05 37 37 35 |2.....TX|.....775|
|00001520| 37 31 00 00 00 11 10 53 | 54 52 45 45 54 20 41 44 |71.....S|TREET AD|
|00001530| 44 52 45 53 53 20 33 00 | 00 00 07 06 43 49 54 59 |DRESS 3.|....CITY|
|00001540| 20 33 00 00 00 03 02 54 | 58 00 00 00 06 05 30 30 | 3.....T|X.....00|
|00001550| 30 30 30 00 00 00 11 10 | 53 54 52 45 45 54 20 41 |000.....|STREET A|
|00001560| 44 44 52 45 53 53 20 34 | 00 00 00 07 06 43 49 54 |DDRESS 4|.....CIT|
|00001570| 59 20 34 00 00 00 03 02 | 54 58 00 00 00 06 05 30 |Y 4.....|TX.....0|
|00001580| 30 30 30 30 00 00 00 03 | 02 30 30 00 00 00 22 00 |0000....|.00...".|
|00001590| 2f 00 1e 00 e1 01 e2 00 | 00 00 00 00 00 00 00 00 |/.......|........|
|000015a0| 00 01 01 0d 50 72 65 70 | 61 72 65 72 20 49 6e 66 |....Prep|arer Inf|
|000015b0| 6f 00 00 01 0c 00 0f 00 | 00 00 00 00 9b 00 e3 00 |o.......|........|
|000015c0| af 01 27 04 02 4f 4b 00 | 00 00 00 00 9a 00 79 00 |..'..OK.|......y.|
|000015d0| ae 00 c4 04 06 43 61 6e | 63 65 6c 00 00 00 00 00 |.....Can|cel.....|
|000015e0| 0b 00 0f 00 1f 00 4b 88 | 04 4e 61 6d 65 00 00 00 |......K.|.Name...|
|000015f0| 00 00 0b 00 5f 00 1f 01 | b8 90 00 00 00 00 00 00 |...._...|........|
|00001600| 2b 00 0f 00 3f 00 4b 88 | 07 41 64 64 72 65 73 73 |+...?.K.|.Address|
|00001610| 00 00 00 00 00 00 2b 00 | 5f 00 3f 01 b8 90 00 00 |......+.|_.?.....|
|00001620| 00 00 00 00 4f 00 0f 00 | 63 00 4b 88 04 43 69 74 |....O...|c.K..Cit|
|00001630| 79 00 00 00 00 00 4f 00 | 5f 00 63 01 6a 90 00 00 |y.....O.|_.c.j...|
|00001640| 00 00 00 00 4e 01 73 00 | 62 01 9c 88 05 53 74 61 |....N.s.|b....Sta|
|00001650| 74 65 00 00 00 00 00 00 | 4d 01 a3 00 60 01 b8 10 |te......|M...`...|
|00001660| 00 00 00 00 00 00 71 00 | 0f 00 85 00 4b 88 03 5a |......q.|....K..Z|
|00001670| 49 50 b8 00 00 00 00 00 | 71 00 60 00 85 00 b2 10 |IP......|q.`.....|
|00001680| 00 00 00 00 00 00 72 00 | bd 00 85 00 da 88 03 45 |......r.|.......E|
|00001690| 49 4e b2 00 00 00 00 00 | 71 00 e0 00 86 01 33 10 |IN......|q.....3.|
|000016a0| 00 00 00 00 00 00 71 01 | 3c 00 85 01 61 88 04 45 |......q.|<...a..E|
|000016b0| 46 49 4e 00 00 00 00 00 | 71 01 68 00 85 01 98 10 |FIN.....|q.h.....|
|000016c0| 00 00 00 00 15 00 2f 00 | 1e 01 41 01 e2 00 01 00 |....../.|..A.....|
|000016d0| 00 00 00 00 00 00 00 01 | 02 00 00 00 01 f0 00 0e |........|........|
|000016e0| 00 01 00 26 00 47 00 31 | 00 6a 00 00 02 20 11 00 |...&.G.1|.j... ..|
|000016f0| 15 09 00 04 01 20 00 00 | 00 00 00 00 00 00 00 00 |..... ..|........|
|00001700| 03 ea 00 00 01 01 00 25 | 00 ec 00 31 01 6e 00 01 |.......%|...1.n..|
|00001710| 00 a2 06 00 15 09 00 04 | 01 20 00 00 00 00 00 00 |........|. ......|
|00001720| 00 00 00 00 00 00 00 ff | 02 01 00 41 00 a0 00 4e |........|...A...N|
|00001730| 01 8a 00 01 02 a2 06 00 | 15 09 00 04 01 20 00 00 |........|..... ..|
|00001740| 00 00 00 00 00 00 00 00 | 00 00 00 ff 03 01 00 5b |........|.......[|
|00001750| 00 a0 00 67 00 e9 00 01 | 02 a2 06 00 15 09 00 04 |...g....|........|
|00001760| 01 20 00 00 00 00 00 00 | 00 00 00 00 00 00 00 ff |. ......|........|
|00001770| 04 01 00 77 00 a0 00 84 | 01 8b 00 01 02 a2 06 22 |...w....|......."|
|00001780| 15 09 00 04 01 20 00 00 | 00 00 00 00 00 00 00 00 |..... ..|........|
|00001790| 00 00 00 ff 05 01 00 93 | 00 a0 00 a0 00 e6 00 00 |........|........|
|000017a0| 02 a1 00 22 15 09 00 00 | 01 20 00 00 00 00 00 00 |..."....|. ......|
|000017b0| 00 00 00 00 05 0b 00 ae | 00 a0 00 ba 01 04 00 01 |........|........|
|000017c0| 02 a2 06 22 15 09 00 04 | 01 20 00 00 00 00 00 00 |..."....|. ......|
|000017d0| 00 00 00 00 00 00 00 ff | 06 0b 00 c8 00 a0 00 d5 |........|........|
|000017e0| 00 e6 00 00 02 a1 00 22 | 15 09 00 00 01 20 00 00 |......."|..... ..|
|000017f0| 00 00 00 00 00 00 00 00 | 06 15 00 e2 00 a0 00 ef |........|........|
|00001800| 00 e6 00 00 02 a1 00 22 | 15 09 00 00 01 20 00 00 |......."|..... ..|
|00001810| 00 00 00 00 00 00 00 00 | 06 1f 00 fe 00 a0 01 0b |........|........|
|00001820| 00 e6 00 00 02 a1 00 22 | 15 09 00 00 01 20 00 00 |......."|..... ..|
|00001830| 00 00 00 00 00 00 00 00 | 00 00 01 17 00 a4 01 27 |........|.......'|
|00001840| 00 b6 00 00 06 20 0e 22 | 04 09 00 06 01 20 00 00 |..... ."|..... ..|
|00001850| 00 00 00 00 00 00 00 00 | 00 64 00 00 00 00 00 00 |........|.d......|
|00001860| 01 31 00 a4 01 41 00 b6 | 00 00 06 20 0e 22 04 09 |.1...A..|... ."..|
|00001870| 00 06 01 20 00 00 00 00 | 00 00 00 00 00 00 00 64 |... ....|.......d|
|00001880| 00 00 00 00 00 00 01 4c | 00 a4 01 5c 00 b6 00 00 |.......L|...\....|
|00001890| 06 20 0e 22 04 09 00 06 | 01 20 00 00 00 00 00 00 |. ."....|. ......|
|000018a0| 00 00 00 00 00 64 00 00 | 00 00 00 00 00 07 00 07 |.....d..|........|
|000018b0| 01 6a 02 17 00 00 03 20 | 0b 22 15 00 00 04 01 20 |.j..... |."..... |
|000018c0| 00 00 00 00 00 00 00 00 | 00 00 17 7f 00 00 00 00 |........|........|
|000018d0| 03 56 03 56 00 07 00 07 | 01 6a 02 17 11 01 a0 00 |.V.V....|.j......|
|000018e0| 82 a1 00 96 00 06 06 00 | 00 00 02 60 a1 00 9a 00 |........|...`....|
|000018f0| 08 ff fd 00 00 00 76 00 | 00 a0 00 98 01 00 0a 00 |......v.|........|
|00001900| 07 00 07 01 6a 02 17 03 | 00 15 04 01 0d 00 0c 2b |....j...|.......+|
|00001910| 99 14 1c 46 4f 52 4d 20 | 57 2d 32 20 53 55 4d 4d |...FORM |W-2 SUMM|
|00001920| 41 52 59 20 49 4e 46 4f | 52 4d 41 54 49 4f 4e a0 |ARY INFO|RMATION.|
|00001930| 00 99 a0 00 97 a1 00 96 | 00 06 05 00 00 00 02 60 |........|.......`|
|00001940| a1 00 9a 00 08 ff fe 00 | 00 00 23 00 00 a0 00 98 |........|..#.....|
|00001950| 04 00 0d 00 09 28 00 4a | 00 14 0e 45 6d 70 6c 6f |.....(.J|...Emplo|
|00001960| 79 65 72 20 4e 61 6d 65 | 3a a0 00 99 a0 00 97 a1 |yer Name|:.......|
|00001970| 00 96 00 06 05 00 00 00 | 02 60 a1 00 9a 00 08 ff |........|.`......|
|00001980| fe 00 00 00 1f 00 00 a0 | 00 98 2a 1b 0d 45 6d 70 |........|..*..Emp|
|00001990| 6c 6f 79 65 72 20 45 49 | 4e 3a a0 00 99 a0 00 97 |loyer EI|N:......|
|000019a0| a1 00 96 00 06 05 00 00 | 00 02 60 a1 00 9a 00 08 |........|..`.....|
|000019b0| ff fe 00 00 00 24 00 00 | a0 00 98 2a 51 0f 54 61 |.....$..|...*Q.Ta|
|000019c0| 78 70 61 79 65 72 27 73 | 20 53 53 4e 3a a0 00 99 |xpayer's| SSN:...|
|000019d0| a0 00 97 a1 00 96 00 06 | 05 00 00 00 02 60 a1 00 |........|.....`..|
|000019e0| 9a 00 08 ff fe 00 00 00 | 18 00 00 a0 00 98 2a 1b |........|......*.|
|000019f0| 0b 57 69 74 68 6f 6c 64 | 69 6e 67 3a a0 00 99 a0 |.Withold|ing:....|
|00001a00| 00 97 a1 00 96 00 06 05 | 00 00 00 02 60 a1 00 9a |........|....`...|
|00001a10| 00 08 ff fe 00 00 00 3a | 00 00 a0 00 98 2a 1b 18 |.......:|.....*..|
|00001a20| 57 61 67 65 73 2f 50 65 | 6e 73 69 6f 6e 73 2f 57 |Wages/Pe|nsions/W|
|00001a30| 69 6e 6e 69 6e 67 73 3a | a0 00 99 a0 00 97 a1 00 |innings:|........|
|00001a40| 96 00 06 05 00 00 00 02 | 60 a1 00 9a 00 08 ff fe |........|`.......|
|00001a50| 00 00 00 40 00 00 a0 00 | 98 2a 1b 1d 54 61 78 61 |...@....|.*..Taxa|
|00001a60| 62 6c 65 20 41 6d 74 2f | 53 6f 63 20 53 65 63 75 |ble Amt/|Soc Secu|
|00001a70| 72 69 74 79 20 54 61 78 | 3a a0 00 99 a0 00 97 a1 |rity Tax|:.......|
|00001a80| 00 96 00 06 05 00 00 00 | 02 60 a1 00 9a 00 08 ff |........|.`......|
|00001a90| fe 00 00 00 46 00 00 a0 | 00 98 2a 1b 22 46 72 69 |....F...|..*."Fri|
|00001aa0| 6e 67 65 20 42 65 6e 65 | 66 69 74 2f 44 69 73 61 |nge Bene|fit/Disa|
|00001ab0| 62 69 6c 69 74 79 20 49 | 6e 64 69 63 61 74 6f 29 |bility I|ndicato)|
|00001ac0| 83 02 72 3a a0 00 99 a0 | 00 97 a1 00 96 00 06 05 |..r:....|........|
|00001ad0| 00 00 00 02 60 a1 00 9a | 00 08 ff fe 00 00 00 18 |....`...|........|
|00001ae0| 00 00 a0 00 98 28 00 2f | 00 14 0a 46 6f 72 6d 20 |.....(./|...Form |
|00001af0| 54 79 70 65 3a a0 00 99 | a0 00 97 30 00 1a 00 0a |Type:...|...0....|
|00001b00| 01 68 02 15 a1 00 96 00 | 06 05 00 00 00 02 60 a1 |.h......|......`.|
|00001b10| 00 9a 00 08 ff fe 00 00 | 00 22 00 00 a0 00 98 29 |........|.".....)|
|00001b20| 90 0f 43 6f 6e 74 72 6f | 6c 20 4e 75 6d 62 65 72 |..Contro|l Number|
|00001b30| 3a a0 00 99 a0 00 97 a1 | 00 96 00 06 05 00 00 00 |:.......|........|
|00001b40| 02 60 a1 00 9a 00 08 ff | fe 00 00 00 34 00 00 a0 |.`......|....4...|
|00001b50| 00 98 28 00 80 00 14 18 | 45 6d 70 6c 6f 79 65 72 |..(.....|Employer|
|00001b60| 20 43 69 74 79 2f 53 74 | 61 74 65 2f 5a 49 50 3a | City/St|ate/ZIP:|
|00001b70| a0 00 99 a0 00 97 a1 00 | 96 00 06 05 00 00 00 02 |........|........|
|00001b80| 60 a1 00 9a 00 08 ff fe | 00 00 00 31 00 00 a0 00 |`.......|...1....|
|00001b90| 98 2a 1b 14 41 64 76 61 | 6e 63 65 20 45 49 43 20 |.*..Adva|nce EIC |
|00001ba0| 50 61 79 6d 65 6e 74 3a | a0 00 99 a0 00 97 a1 00 |Payment:|........|
|00001bb0| 96 00 06 05 00 00 00 02 | 60 a1 00 9a 00 08 ff fe |........|`.......|
|00001bc0| 00 00 00 31 00 00 a0 00 | 98 2a a2 17 50 65 6e 73 |...1....|.*..Pens|
|00001bd0| 69 6f 6e 20 50 6c 61 6e | 20 49 6e 64 69 63 61 74 |ion Plan| Indicat|
|00001be0| 6f 72 3a a0 00 99 a0 00 | 97 a1 00 96 00 06 05 00 |or:.....|........|
|00001bf0| 00 00 02 60 a1 00 9a 00 | 08 ff fe 00 00 00 32 00 |...`....|......2.|
|00001c00| 00 a0 00 98 2a 1b 17 4e | 6f 6e 20 53 74 61 6e 64 |....*..N|on Stand|
|00001c10| 61 72 64 20 49 6e 64 69 | 63 61 74 6f 72 3a a0 00 |ard Indi|cator:..|
|00001c20| 99 a0 00 97 a0 00 83 ff | 00 00 00 24 00 2f 00 1e |........|...$./..|
|00001c30| 01 41 01 e2 00 00 00 00 | 00 00 00 00 00 00 03 ea |.A......|........|
|00001c40| 0f 45 4c 46 20 49 6e 66 | 6f 72 6d 61 74 69 6f 6e |.ELF Inf|ormation|
|00001c50| 00 00 01 6a 00 0c 00 00 | 00 00 00 fb 00 e9 01 0e |...j....|........|
|00001c60| 01 29 04 02 4f 4b 00 00 | 00 00 00 fa 00 78 01 0e |.)..OK..|.....x..|
|00001c70| 00 c3 04 06 43 61 6e 63 | 65 6c 00 00 00 00 00 07 |....Canc|el......|
|00001c80| 00 15 00 35 01 b0 88 5e | 50 6c 65 61 73 65 20 65 |...5...^|Please e|
|00001c90| 6e 74 65 72 20 74 68 65 | 20 70 72 65 70 61 72 65 |nter the| prepare|
|00001ca0| 72 27 73 20 6e 61 6d 65 | 20 61 6e 64 20 63 68 65 |r's name| and che|
|00001cb0| 63 6b 20 74 68 65 20 61 | 70 70 72 6f 70 72 69 61 |ck the a|ppropria|
|00001cc0| 74 65 20 62 6f 78 65 73 | 20 66 6f 72 20 61 6e 79 |te boxes| for any|
|00001cd0| 20 70 61 70 65 72 20 66 | 6f 72 6d 73 20 69 6e 63 | paper f|orms inc|
|00001ce0| 6c 75 64 65 64 2e 00 00 | 00 00 00 78 00 08 00 8d |luded...|...x....|
|00001cf0| 00 8f 05 03 57 2d 32 30 | 00 00 00 00 00 95 00 08 |....W-20|........|
|00001d00| 00 aa 00 8f 05 04 32 31 | 32 30 00 00 00 00 00 b2 |......21|20......|
|00001d10| 00 08 00 c7 00 8f 05 04 | 38 33 33 32 00 00 00 00 |........|8332....|
|00001d20| 00 78 00 a0 00 8f 01 27 | 05 0a 50 48 59 53 2f 42 |.x.....'|..PHYS/B|
|00001d30| 4c 49 4e 44 00 00 00 00 | 00 95 00 a0 00 a9 01 27 |LIND....|.......'|
|00001d40| 05 0f 50 48 59 53 2f 44 | 49 53 41 42 49 4c 49 54 |..PHYS/D|ISABILIT|
|00001d50| 59 2d 00 00 00 00 00 b2 | 00 a0 00 c7 01 27 05 04 |Y-......|.....'..|
|00001d60| 57 32 2d 50 00 00 00 00 | 00 78 01 35 00 8d 01 bc |W2-P....|.x.5....|
|00001d70| 05 04 57 2d 32 47 00 00 | 00 00 00 95 01 35 00 aa |..W-2G..|.....5..|
|00001d80| 01 bc 05 09 38 32 38 33 | 2c 20 50 2e 32 49 00 00 |....8283|, P.2I..|
|00001d90| 00 00 00 b2 01 35 00 c7 | 01 bc 05 05 4f 54 48 45 |.....5..|....OTHE|
|00001da0| 52 53 00 00 00 00 00 4f | 00 5b 00 65 01 5e 10 0d |RS.....O|.[.e.^..|
|00001db0| 50 72 65 70 61 72 65 72 | 20 4e 61 6d 65 32 00 00 |Preparer| Name2..|
|00001dc0| 23 73 23 73 00 07 00 07 | 02 c6 02 50 11 01 a0 00 |#s#s....|...P....|
|00001dd0| 82 a1 00 96 00 06 05 00 | 00 00 02 28 a1 00 9a 00 |........|...(....|
|00001de0| 08 00 09 00 00 01 13 00 | 00 a0 00 98 01 00 0a 00 |........|........|
|00001df0| 07 00 07 02 c6 02 50 03 | 00 15 0d 00 09 28 02 71 |......P.|.....(.q|
|00001e00| 00 10 22 49 20 64 65 63 | 6c 61 72 65 20 74 68 61 |.."I dec|lare tha|
|00001e10| 74 20 74 68 65 20 61 62 | 6f 76 65 20 74 61 78 70 |t the ab|ove taxp|
|00001e20| 61 79 65 72 27 29 87 22 | 73 20 72 65 74 75 72 6e |ayer')."|s return|
|00001e30| 20 69 73 20 62 61 73 65 | 64 20 6f 6e 20 61 6c 6c | is base|d on all|
|00001e40| 20 69 6e 66 6f 72 6d 61 | 74 69 29 7f 22 6f 6e 20 | informa|ti)."on |
|00001e50| 6f 66 20 77 68 69 63 68 | 20 49 20 68 61 76 65 20 |of which| I have |
|00001e60| 6b 6e 6f 77 6c 65 64 67 | 65 20 61 6e 64 2c 20 29 |knowledg|e and, )|
|00001e70| 8b 22 69 66 20 61 70 70 | 6c 69 63 61 62 6c 65 2c |."if app|licable,|
|00001e80| 20 74 68 61 74 20 49 20 | 68 61 76 65 20 76 65 72 | that I |have ver|
|00001e90| 69 66 69 65 29 7b 07 64 | 20 74 68 61 74 0d a0 00 |ifie){.d| that...|
|00001ea0| 99 a1 00 9a 00 08 ff fe | 00 00 01 13 00 00 a0 00 |........|........|
|00001eb0| 98 28 02 7c 00 10 22 74 | 68 65 20 74 61 78 70 61 |.(.|.."t|he taxpa|
|00001ec0| 79 65 72 27 73 20 6e 61 | 6d 65 20 73 68 6f 77 6e |yer's na|me shown|
|00001ed0| 20 6f 6e 20 74 68 69 73 | 20 29 8d 22 64 65 63 6c | on this| )."decl|
|00001ee0| 61 72 61 74 69 6f 6e 20 | 61 67 72 65 65 73 20 77 |aration |agrees w|
|00001ef0| 69 74 68 20 74 68 65 20 | 6e 61 6d 65 20 74 29 89 |ith the |name t).|
|00001f00| 22 68 61 74 20 61 70 70 | 65 61 72 73 20 6f 6e 20 |"hat app|ears on |
|00001f10| 74 68 65 20 70 72 6f 6f | 66 20 6f 66 20 61 63 63 |the proo|f of acc|
|00001f20| 6f 75 6e 29 8c 1c 74 2e | 20 20 41 20 63 6f 70 79 |oun)..t.|  A copy|
|00001f30| 20 6f 66 20 61 6c 6c 20 | 66 6f 72 6d 73 20 61 6e | of all |forms an|
|00001f40| 64 0d a0 00 99 a1 00 9a | 00 08 ff f3 00 00 01 13 |d.......|........|
|00001f50| 00 00 a0 00 98 28 02 87 | 00 10 22 69 6e 66 6f 72 |.....(..|.."infor|
|00001f60| 6d 61 74 69 6f 6e 20 74 | 6f 20 62 65 20 66 69 6c |mation t|o be fil|
|00001f70| 65 64 20 77 69 74 68 20 | 74 68 65 20 49 29 7c 22 |ed with |the I)|"|
|00001f80| 6e 74 65 72 6e 61 6c 20 | 52 65 76 65 6e 75 65 20 |nternal |Revenue |
|00001f90| 53 65 72 76 69 63 65 20 | 68 61 73 20 62 65 65 6e |Service |has been|
|00001fa0| 20 70 29 91 18 72 6f 76 | 69 64 65 64 20 74 6f 20 | p)..rov|ided to |
|00001fb0| 74 68 65 20 74 61 78 70 | 61 79 65 72 2e a0 00 99 |the taxp|ayer....|
|00001fc0| a0 00 97 a1 00 96 00 06 | 05 00 00 00 02 28 a1 00 |........|.....(..|
|00001fd0| 9a 00 08 ff fe 00 00 00 | 5d 00 00 a0 00 98 28 00 |........|].....(.|
|00001fe0| a6 00 47 22 43 69 74 79 | 2c 20 74 6f 77 6e 2c 20 |..G"City|, town, |
|00001ff0| 6f 72 20 70 6f 73 74 20 | 6f 66 66 69 63 65 2c 20 |or post |office, |
|00002000| 73 74 61 74 65 2c 29 7f | 0d 20 61 6e 64 20 5a 49 |state,).|. and ZI|
|00002010| 50 20 63 6f 64 65 a0 00 | 99 a0 00 97 20 00 b7 00 |P code..|.... ...|
|00002020| 0a 00 b7 02 4a 20 00 9d | 00 46 00 9d 02 4a a1 00 |....J ..|.F...J..|
|00002030| 96 00 06 05 00 00 00 02 | 28 a1 00 9a 00 08 ff fe |........|(.......|
|00002040| 00 00 00 c5 00 00 a0 00 | 98 28 00 8c 00 47 22 50 |........|.(...G"P|
|00002050| 72 65 73 65 6e 74 20 68 | 6f 6d 65 20 61 64 64 72 |resent h|ome addr|
|00002060| 65 73 73 20 28 6e 75 6d | 62 65 72 20 61 6e 64 20 |ess (num|ber and |
|00002070| 73 29 96 22 74 72 65 65 | 74 20 6f 72 20 72 75 72 |s)."tree|t or rur|
|00002080| 61 6c 20 72 6f 75 74 65 | 29 28 69 66 20 79 6f 75 |al route|)(if you|
|00002090| 20 68 61 76 65 20 29 7c | 1d 61 20 50 2e 4f 2e 20 | have )||.a P.O. |
|000020a0| 42 6f 78 2c 20 73 65 65 | 20 69 6e 73 74 72 75 63 |Box, see| instruc|
|000020b0| 74 69 6f 6e 73 29 a0 00 | 99 a0 00 97 22 00 6c 01 |tions)..|....".l.|
|000020c0| d2 00 4b 20 00 83 00 46 | 00 83 02 4a a1 00 96 00 |..K ...F|...J....|
|000020d0| 06 05 00 00 00 02 28 a1 | 00 9a 00 08 ff fe 00 00 |......(.|........|
|000020e0| 00 3a 00 00 a0 00 98 28 | 00 74 01 d4 1b 59 6f 75 |.:.....(|.t...You|
|000020f0| 72 20 53 6f 63 69 61 6c | 20 73 65 63 75 72 69 74 |r Social| securit|
|00002100| 79 20 6e 75 6d 62 65 72 | a0 00 99 a0 00 97 a1 00 |y number|........|
|00002110| 96 00 06 05 00 00 00 02 | 28 a1 00 9a 00 08 ff fe |........|(.......|
|00002120| 00 00 00 b8 00 00 a0 00 | 98 28 00 74 00 47 22 59 |........|.(.t.G"Y|
|00002130| 6f 75 72 20 66 69 72 73 | 74 20 6e 61 6d 65 20 61 |our firs|t name a|
|00002140| 6e 64 20 69 6e 69 74 69 | 61 6c 20 28 69 66 20 6a |nd initi|al (if j|
|00002150| 6f 29 78 22 69 6e 74 20 | 72 65 74 75 72 6e 2c 20 |o)x"int |return, |
|00002160| 61 6c 73 6f 20 67 69 76 | 65 20 73 70 6f 75 73 65 |also giv|e spouse|
|00002170| 27 73 20 6e 61 6d 29 87 | 21 65 20 61 6e 64 20 69 |'s nam).|!e and i|
|00002180| 6e 69 74 69 61 6c 29 20 | 20 20 20 20 20 20 20 20 |nitial) |        |
|00002190| 20 4c 61 73 74 20 6e 61 | 6d 65 a0 00 99 a0 00 97 | Last na|me......|
|000021a0| a1 00 96 00 06 05 00 00 | 00 02 28 a1 00 9a 00 08 |........|..(.....|
|000021b0| ff f9 00 00 00 20 00 00 | a0 00 98 04 01 0d 00 18 |..... ..|........|
|000021c0| 28 00 56 00 2c 04 38 34 | 35 33 a0 00 99 a0 00 97 |(.V.,.84|53......|
|000021d0| a1 00 96 00 06 05 00 00 | 00 02 28 a1 00 9a 00 08 |........|..(.....|
|000021e0| ff fe 00 00 00 0c 00 00 | a0 00 98 04 00 0d 00 09 |........|........|
|000021f0| 28 00 56 00 11 04 46 6f | 72 6d a0 00 99 a0 00 97 |(.V...Fo|rm......|
|00002200| a1 00 96 00 06 05 00 00 | 00 02 28 a1 00 9a 00 08 |........|..(.....|
|00002210| ff f9 00 00 00 20 00 00 | a0 00 98 04 01 0d 00 18 |..... ..|........|
|00002220| 28 00 5f 01 fe 04 31 39 | 38 38 a0 00 99 a0 00 97 |(._...19|88......|
|00002230| a1 00 96 00 06 05 00 00 | 00 02 28 a1 00 9a 00 08 |........|..(.....|
|00002240| ff fe 00 00 00 2a 00 00 | a0 00 98 04 00 0d 00 09 |.....*..|........|
|00002250| 28 00 42 01 f3 11 4f 4d | 42 20 4e 6f 2e 20 31 35 |(.B...OM|B No. 15|
|00002260| 34 35 2d 30 39 33 36 a0 | 00 99 a0 00 97 22 00 44 |45-0936.|.....".D|
|00002270| 01 eb 5d 00 a1 00 96 00 | 06 06 00 00 00 02 28 a1 |..].....|......(.|
|00002280| 00 9a 00 08 ff fe 00 00 | 00 56 00 00 a0 00 98 28 |........|.V.....(|
|00002290| 00 66 00 ec 22 46 6f 72 | 20 74 68 65 20 79 65 61 |.f.."For| the yea|
|000022a0| 72 20 4a 61 6e 75 61 72 | 79 20 31 20 2d 20 44 65 |r Januar|y 1 - De|
|000022b0| 63 65 6d 62 65 72 20 29 | 8c 07 33 31 2c 31 39 38 |cember )|..31,198|
|000022c0| 38 a0 00 99 a0 00 97 a1 | 00 96 00 06 06 00 00 00 |8.......|........|
|000022d0| 02 28 a1 00 9a 00 08 00 | 04 00 00 00 8b 00 00 a0 |.(......|........|
|000022e0| 00 98 04 01 0d 00 0e 28 | 00 40 00 b1 22 55 2e 53 |.......(|.@.."U.S|
|000022f0| 2e 20 49 6e 64 69 76 69 | 64 75 61 6c 20 49 6e 63 |. Indivi|dual Inc|
|00002300| 6f 6d 65 20 54 61 78 20 | 44 65 63 6c 61 72 61 29 |ome Tax |Declara)|
|00002310| fb 05 74 69 6f 6e 0d a0 | 00 99 a1 00 9a 00 08 ff |..tion..|........|
|00002320| f5 00 00 00 46 00 00 a0 | 00 98 28 00 4f 00 f6 15 |....F...|..(.O...|
|00002330| 66 6f 72 20 45 6c 65 63 | 74 72 6f 6e 69 63 20 46 |for Elec|tronic F|
|00002340| 69 6c 69 6e 67 a0 00 99 | a0 00 97 a1 00 96 00 06 |iling...|........|
|00002350| 05 00 00 00 02 28 a1 00 | 9a 00 08 ff fe 00 00 00 |.....(..|........|
|00002360| 35 00 00 a0 00 98 04 00 | 0d 00 09 28 00 68 00 10 |5.......|...(.h..|
|00002370| 18 49 6e 74 65 72 6e 61 | 6c 20 52 65 76 65 6e 75 |.Interna|l Revenu|
|00002380| 65 20 53 65 72 76 69 63 | 65 a0 00 99 a0 00 97 a1 |e Servic|e.......|
|00002390| 00 96 00 06 05 00 00 00 | 02 28 a1 00 9a 00 08 ff |........|.(......|
|000023a0| fe 00 00 00 39 00 00 a0 | 00 98 28 00 5f 00 10 1a |....9...|..(._...|
|000023b0| 44 65 70 61 72 74 6d 65 | 6e 74 20 6f 66 20 74 68 |Departme|nt of th|
|000023c0| 65 20 54 72 65 61 73 75 | 72 79 a0 00 99 a0 00 97 |e Treasu|ry......|
|000023d0| 07 00 02 00 02 22 00 2b | 01 e9 00 3f 22 00 6a 00 |.....".+|...?".j.|
|000023e0| 8d 00 c1 20 00 6a 00 09 | 00 6a 02 49 07 00 01 00 |... .j..|.j.I....|
|000023f0| 01 22 00 6a 00 45 00 4c | a1 00 96 00 06 05 00 00 |.".j.E.L|........|
|00002400| 00 02 28 a1 00 9a 00 08 | 00 19 00 00 00 1d 00 00 |..(.....|........|
|00002410| a0 00 98 04 01 28 00 7a | 00 0d 08 55 73 65 20 49 |.....(.z|...Use I|
|00002420| 52 53 0d a0 00 99 a1 00 | 9a 00 08 00 0e 00 00 00 |RS......|........|
|00002430| 1d 00 00 a0 00 98 2a 0b | 07 6c 61 62 65 6c 2e 0d |......*.|.label..|
|00002440| a0 00 99 a1 00 9a 00 08 | 00 03 00 00 00 1d 00 00 |........|........|
|00002450| a0 00 98 2a 0b 0b 4f 74 | 68 65 72 77 69 73 65 2c |...*..Ot|herwise,|
|00002460| 0d a0 00 99 a1 00 9a 00 | 08 ff f8 00 00 00 1d 00 |........|........|
|00002470| 00 a0 00 98 2a 0b 07 70 | 6c 65 61 73 65 0d a0 00 |....*..p|lease...|
|00002480| 99 a1 00 9a 00 08 ff ed | 00 00 00 1d 00 00 a0 00 |........|........|
|00002490| 98 2a 0b 09 70 72 69 6e | 74 20 6f 72 0d a0 00 99 |.*..prin|t or....|
|000024a0| a1 00 9a 00 08 ff e2 00 | 00 00 1d 00 00 a0 00 98 |........|........|
|000024b0| 2a 0b 05 74 79 70 65 2e | a0 00 99 a0 00 97 a1 00 |*..type.|........|
|000024c0| 96 00 06 05 00 00 00 02 | 28 a1 00 9a 00 08 ff fe |........|(.......|
|000024d0| 00 00 00 26 00 00 a0 00 | 98 04 00 28 00 8c 01 d4 |...&....|...(....|
|000024e0| 10 53 70 6f 75 73 65 27 | 73 20 53 2e 53 2e 4e 6f |.Spouse'|s S.S.No|
|000024f0| 2e a0 00 99 a0 00 97 a1 | 00 96 00 06 05 00 00 00 |........|........|
|00002500| 02 28 a1 00 9a 00 08 ff | fe 00 00 00 3b 00 00 a0 |.(......|....;...|
|00002510| 00 98 2a 1a 1b 54 65 6c | 65 70 68 6f 6e 65 20 6e |..*..Tel|ephone n|
|00002520| 75 6d 62 65 72 20 28 6f | 70 74 69 6f 6e 61 6c 29 |umber (o|ptional)|
|00002530| a0 00 99 a0 00 97 a1 00 | 96 00 06 05 00 00 00 02 |........|........|
|00002540| 28 a1 00 9a 00 08 00 09 | 00 00 01 18 00 00 a0 00 |(.......|........|
|00002550| 98 28 00 c0 00 0e 22 49 | 66 20 74 68 65 20 74 61 |.(...."I|f the ta|
|00002560| 78 70 61 79 65 72 27 73 | 20 6e 61 6d 65 20 63 68 |xpayer's| name ch|
|00002570| 61 6e 67 65 64 20 64 75 | 72 29 8e 22 69 6e 67 20 |anged du|r)."ing |
|00002580| 74 68 65 20 70 61 73 74 | 20 33 20 79 65 61 72 73 |the past| 3 years|
|00002590| 20 64 75 65 20 74 6f 20 | 6d 61 72 72 69 61 29 85 | due to |marria).|
|000025a0| 22 67 65 2c 20 64 69 76 | 6f 72 63 65 2c 20 65 74 |"ge, div|orce, et|
|000025b0| 63 2e 2c 20 61 6e 64 20 | 68 65 20 6f 72 20 73 68 |c., and |he or sh|
|000025c0| 65 20 66 29 82 22 69 6c | 65 64 20 61 20 46 65 64 |e f)."il|ed a Fed|
|000025d0| 65 72 61 6c 20 69 6e 63 | 6f 6d 65 20 74 61 78 20 |eral inc|ome tax |
|000025e0| 72 65 74 75 72 6e 20 75 | 29 84 06 73 69 6e 67 20 |return u|)..sing |
|000025f0| 0d a0 00 99 a1 00 9a 00 | 08 ff fe 00 00 01 18 00 |........|........|
|00002600| 00 a0 00 98 28 00 cb 00 | 0e 22 74 68 65 20 66 6f |....(...|."the fo|
|00002610| 72 6d 65 72 20 6e 61 6d | 65 2c 20 70 72 69 6e 74 |rmer nam|e, print|
|00002620| 20 74 68 65 20 66 6f 72 | 6d 65 72 20 29 85 22 6e | the for|mer )."n|
|00002630| 61 6d 65 28 73 29 20 69 | 6e 20 74 68 65 20 73 70 |ame(s) i|n the sp|
|00002640| 61 63 65 20 70 72 6f 76 | 69 64 65 64 20 62 65 6c |ace prov|ided bel|
|00002650| 6f 29 8c 03 77 2e 0d a0 | 00 99 a1 00 9a 00 08 ff |o)..w...|........|
|00002660| f3 00 00 01 18 00 00 a0 | 00 98 28 00 d6 00 0e 22 |........|..(...."|
|00002670| 46 69 72 73 74 20 6e 61 | 6d 65 20 61 6e 64 20 69 |First na|me and i|
|00002680| 6e 69 74 69 61 6c 20 20 | 20 20 20 20 20 20 20 20 |nitial  |        |
|00002690| 20 20 29 6a 22 20 20 20 | 20 20 20 20 20 20 20 20 |  )j"   |        |
|000026a0| 20 20 20 20 20 20 20 20 | 20 20 20 20 20 20 20 20 |        |        |
|000026b0| 20 20 20 20 20 20 20 29 | 44 22 20 20 20 20 20 20 |       )|D"      |
|000026c0| 20 20 20 20 20 20 20 20 | 20 20 20 20 20 20 20 20 |        |        |
|000026d0| 20 20 20 20 20 20 20 20 | 20 20 20 20 29 44 1b 20 |        |    )D. |
|000026e0| 20 20 20 20 20 20 20 20 | 20 20 20 20 20 20 20 20 |        |        |
|000026f0| 20 4c 61 73 74 20 6e 61 | 6d 65 a0 00 99 a0 00 97 | Last na|me......|
|00002700| 20 00 cd 00 0a 00 cd 02 | 4a 20 00 ef 00 0a 00 ef | .......|J ......|
|00002710| 02 4a a1 00 96 00 06 05 | 00 00 00 02 28 02 ff ff |.J......|....(...|
|00002720| ff ff ff ff ff ff 32 00 | f3 00 0c 01 00 00 2d a1 |......2.|......-.|
|00002730| 00 9a 00 08 ff fe 00 00 | 00 10 00 00 a0 00 98 04 |........|........|
|00002740| 09 28 00 fc 00 0d 06 50 | 61 72 74 20 49 a0 00 99 |.(.....P|art I...|
|00002750| a0 00 97 a1 00 96 00 06 | 05 00 00 00 02 28 a1 00 |........|.....(..|
|00002760| 9a 00 08 ff fe 00 00 00 | 6e 00 00 a0 00 98 04 01 |........|n.......|
|00002770| 29 2e 22 54 61 78 20 52 | 65 74 75 72 6e 20 49 6e |)."Tax R|eturn In|
|00002780| 66 6f 72 6d 61 74 69 6f | 6e 20 28 57 68 6f 6c 65 |formatio|n (Whole|
|00002790| 20 64 6f 6c 6c 29 ac 09 | 61 72 73 20 6f 6e 6c 79 | doll)..|ars only|
|000027a0| 29 a0 00 99 a0 00 97 20 | 01 02 00 0a 01 02 02 4a |)...... |.......J|
|000027b0| a1 00 96 00 06 05 00 00 | 00 02 28 a1 00 9a 00 08 |........|..(.....|
|000027c0| 00 14 00 00 00 07 00 00 | a0 00 98 28 01 0b 00 0f |........|...(....|
|000027d0| 02 31 0d a0 00 99 a1 00 | 9a 00 08 00 09 00 00 00 |.1......|........|
|000027e0| 07 00 00 a0 00 98 2a 0b | 02 32 0d a0 00 99 a1 00 |......*.|.2......|
|000027f0| 9a 00 08 ff fe 00 00 00 | 07 00 00 a0 00 98 2a 0b |........|......*.|
|00002800| 02 33 0d a0 00 99 a1 00 | 9a 00 08 ff f3 00 00 00 |.3......|........|
|00002810| 07 00 00 a0 00 98 2a 0b | 02 34 0d a0 00 99 a0 00 |......*.|.4......|
|00002820| 97 a1 00 96 00 06 05 00 | 00 00 02 28 a1 00 9a 00 |........|...(....|
|00002830| 08 00 0e 00 00 00 98 00 | 00 a0 00 98 04 00 28 01 |........|......(.|
|00002840| 0b 00 26 22 54 6f 74 61 | 6c 20 69 6e 63 6f 6d 65 |..&"Tota|l income|
|00002850| 20 28 46 6f 72 6d 20 31 | 30 34 30 2c 20 6c 69 6e | (Form 1|040, lin|
|00002860| 65 20 32 33 3b 20 29 86 | 22 46 6f 72 6d 20 31 30 |e 23; ).|"Form 10|
|00002870| 34 30 41 2c 20 6c 69 6e | 65 20 31 31 3b 20 46 6f |40A, lin|e 11; Fo|
|00002880| 72 6d 20 31 30 34 30 45 | 5a 2c 20 29 8e 08 6c 69 |rm 1040E|Z, )..li|
|00002890| 6e 65 20 33 29 0d a0 00 | 99 a1 00 9a 00 08 00 03 |ne 3)...|........|
|000028a0| 00 00 00 98 00 00 a0 00 | 98 28 01 16 00 26 22 54 |........|.(...&"T|
|000028b0| 6f 74 61 6c 20 74 61 78 | 20 28 46 6f 72 6d 20 31 |otal tax| (Form 1|
|000028c0| 30 34 30 2c 20 6c 69 6e | 65 20 35 33 3b 20 46 6f |040, lin|e 53; Fo|
|000028d0| 72 29 83 22 6d 20 31 30 | 34 30 41 2c 20 6c 69 6e |r)."m 10|40A, lin|
|000028e0| 65 20 32 32 3b 20 46 6f | 72 6d 20 31 30 34 30 45 |e 22; Fo|rm 1040E|
|000028f0| 5a 2c 20 6c 69 6e 29 8a | 05 65 20 39 29 0d a0 00 |Z, lin).|.e 9)...|
|00002900| 99 a1 00 9a 00 08 ff f8 | 00 00 00 98 00 00 a0 00 |........|........|
|00002910| 98 28 01 21 00 26 22 20 | 46 65 64 65 72 61 6c 20 |.(.!.&" |Federal |
|00002920| 69 6e 63 6f 6d 65 20 74 | 61 78 20 77 69 74 68 68 |income t|ax withh|
|00002930| 65 6c 64 20 28 66 72 6f | 6d 29 88 21 20 46 6f 72 |eld (fro|m).! For|
|00002940| 6d 73 20 57 2d 32 2c 20 | 57 2d 32 47 2c 20 61 6e |ms W-2, |W-2G, an|
|00002950| 64 20 57 2d 32 50 20 6f | 6e 6c 79 29 0d a0 00 99 |d W-2P o|nly)....|
|00002960| a1 00 9a 00 08 ff ed 00 | 00 00 98 00 00 a0 00 98 |........|........|
|00002970| 28 01 2c 00 26 22 20 52 | 65 66 75 6e 64 20 28 46 |(.,.&" R|efund (F|
|00002980| 6f 72 6d 20 31 30 34 30 | 2c 20 6c 69 6e 65 20 36 |orm 1040|, line 6|
|00002990| 33 3b 20 46 6f 72 6d 20 | 29 88 22 31 30 34 30 41 |3; Form |)."1040A|
|000029a0| 2c 20 6c 69 6e 65 20 32 | 35 3b 20 46 6f 72 6d 20 |, line 2|5; Form |
|000029b0| 31 30 34 30 45 5a 2c 20 | 6c 69 6e 65 20 29 88 03 |1040EZ, |line )..|
|000029c0| 31 30 29 a0 00 99 a0 00 | 97 22 01 03 01 d2 00 2a |10).....|.".....*|
|000029d0| 20 01 2e 00 0a 01 2e 02 | 48 a1 00 96 00 06 05 00 | .......|H.......|
|000029e0| 00 00 02 28 a1 00 9a 00 | 08 00 0e 00 00 00 07 00 |...(....|........|
|000029f0| 00 a0 00 98 04 01 28 01 | 0b 01 d8 02 31 0d a0 00 |......(.|....1...|
|00002a00| 99 a1 00 9a 00 08 00 03 | 00 00 00 07 00 00 a0 00 |........|........|
|00002a10| 98 2a 0b 02 32 0d a0 00 | 99 a1 00 9a 00 08 ff f8 |.*..2...|........|
|00002a20| 00 00 00 07 00 00 a0 00 | 98 2a 0b 02 33 0d a0 00 |........|.*..3...|
|00002a30| 99 a1 00 9a 00 08 ff ed | 00 00 00 07 00 00 a0 00 |........|........|
|00002a40| 98 2a 0b 01 34 a0 00 99 | a0 00 97 22 01 02 01 e1 |.*..4...|..."....|
|00002a50| 00 2b 22 01 0d 01 d2 78 | 00 22 01 18 01 d2 78 00 |.+"....x|."....x.|
|00002a60| 22 01 23 01 d2 78 00 09 | 88 88 88 88 88 88 88 88 |".#..x..|........|
|00002a70| 22 01 0a 01 53 7c 00 20 | 01 15 01 43 01 15 01 cf |"...S|. |...C....|
|00002a80| 20 01 20 01 34 01 20 01 | cf 20 01 2b 01 42 01 2b | . .4. .|. .+.B.+|
|00002a90| 01 cf a1 00 96 00 06 05 | 00 00 00 02 28 32 01 31 |........|....(2.1|
|00002aa0| 00 0b 01 3e 00 30 a1 00 | 9a 00 08 ff fe 00 00 00 |...>.0..|........|
|00002ab0| 12 00 00 a0 00 98 04 09 | 28 01 3a 00 0c 07 50 61 |........|(.:...Pa|
|00002ac0| 72 74 20 49 49 a0 00 99 | a0 00 97 a1 00 96 00 06 |rt II...|........|
|00002ad0| 05 00 00 00 02 28 a1 00 | 9a 00 08 ff fe 00 00 00 |.....(..|........|
|00002ae0| 40 00 00 a0 00 98 04 01 | 2b 2f 01 19 44 69 72 65 |@.......|+/..Dire|
|00002af0| 63 74 20 44 65 70 6f 73 | 69 74 20 6f 66 20 52 65 |ct Depos|it of Re|
|00002b00| 66 75 6e 64 20 a0 00 99 | a0 00 97 09 ff ff ff ff |fund ...|........|
|00002b10| ff ff ff ff 20 01 40 00 | 0a 01 40 02 4a a1 00 96 |.... .@.|..@.J...|
|00002b20| 00 06 06 00 01 0e 02 28 | a1 00 9a 00 08 00 03 00 |.......(|........|
|00002b30| 00 00 40 00 00 a0 00 98 | 01 00 0a 00 00 00 00 00 |..@.....|........|
|00002b40| 00 00 00 04 00 28 01 80 | ff d7 0d 41 74 74 61 63 |.....(..|...Attac|
|00002b50| 68 20 43 6f 70 79 20 6f | 01 00 0a 00 07 00 07 02 |h Copy o|........|
|00002b60| c6 02 50 90 00 02 01 8a | 00 0c 01 c3 00 1c 01 8a |..P.....|........|
|00002b70| 00 0c 01 c3 00 16 01 8a | 00 0c 01 c3 00 16 00 01 |........|........|
|00002b80| 00 00 0e 00 11 00 11 00 | 0e 00 00 00 00 00 18 00 |........|........|
|00002b90| 06 00 01 80 06 40 18 00 | 00 00 0e 00 11 00 11 00 |.....@..|........|
|00002ba0| 1f c0 00 00 0e 00 11 00 | 11 00 0e 00 00 00 22 00 |........|......".|
|00002bb0| 41 00 41 00 22 00 1c 00 | 00 00 00 00 00 00 0f 00 |A.A."...|........|
|00002bc0| 10 00 10 00 7f 00 00 00 | 0a 00 11 00 11 00 0e 00 |........|........|
|00002bd0| 01 00 0e 00 15 00 15 00 | 0a 00 00 00 11 00 3e 00 |........|......>.|
|00002be0| 00 00 11 00 3e 00 00 00 | 03 00 0c 00 74 00 0c 00 |....>...|....t...|
|00002bf0| 03 00 01 00 0a 00 00 00 | 00 00 00 00 00 29 39 0d |........|.....)9.|
|00002c00| 66 20 79 6f 75 72 20 46 | 6f 72 6d 73 20 01 00 0a |f your F|orms ...|
|00002c10| 00 07 00 07 02 c6 02 50 | 90 00 02 01 56 00 0c 01 |.......P|....V...|
|00002c20| 8a 00 1c 01 56 00 0c 01 | 8a 00 16 01 56 00 0c 01 |....V...|....V...|
|00002c30| 8a 00 16 00 01 00 00 00 | 00 00 00 12 00 15 00 15 |........|........|
|00002c40| 00 09 00 00 00 0f 00 10 | 00 10 00 0f 00 10 00 1f |........|........|
|00002c50| 00 10 00 08 00 1f 00 00 | 00 0e 00 11 00 11 00 0e |........|........|
|00002c60| 00 00 00 48 00 48 00 48 | 00 7f 00 00 00 00 00 10 |...H.H.H|........|
|00002c70| 00 08 00 1f 00 00 00 1f | 00 02 00 01 00 1e 00 00 |........|........|
|00002c80| 00 0e 00 11 00 11 00 0e | 00 18 00 06 00 01 80 06 |........|........|
|00002c90| 40 18 00 00 00 00 00 00 | 00 50 00 3f 00 01 00 0a |@.......|.P.?....|
|00002ca0| 00 00 00 00 00 00 00 00 | 29 34 05 57 2d 32 2c 0d |........|)4.W-2,.|
|00002cb0| 01 00 0a 00 07 00 07 02 | c6 02 50 90 00 02 01 43 |........|..P....C|
|00002cc0| 00 0c 01 56 00 1c 01 43 | 00 0c 01 56 00 16 01 43 |...V...C|...V...C|
|00002cd0| 00 0c 01 56 00 16 00 01 | 00 00 01 80 00 40 00 00 |...V....|.....@..|
|00002ce0| 31 00 49 00 45 00 23 00 | 04 00 04 00 04 00 00 00 |1.I.E.#.|........|
|00002cf0| 78 00 07 00 18 00 60 00 | 18 00 07 00 78 00 a0 00 |x.....`.|....x...|
|00002d00| 99 a1 00 9a 00 08 ff f8 | 00 00 00 2c 00 00 a0 00 |........|...,....|
|00002d10| 98 01 00 0a 00 00 00 00 | 00 00 00 00 28 01 8b ff |........|....(...|
|00002d20| eb 0d 57 2d 32 67 2c 20 | 61 6e 64 20 57 2d 32 01 |..W-2g, |and W-2.|
|00002d30| 00 0a 00 07 00 07 02 c6 | 02 50 90 00 02 01 74 00 |........|.P....t.|
|00002d40| 17 01 af 00 27 01 74 00 | 17 01 af 00 21 01 74 00 |....'.t.|....!.t.|
|00002d50| 17 01 af 00 21 00 01 00 | 00 31 00 49 00 45 00 23 |....!...|.1.I.E.#|
|00002d60| 00 04 00 04 00 04 00 00 | 00 78 00 07 00 18 00 60 |........|.x.....`|
|00002d70| 00 18 00 07 00 78 00 00 | 00 00 00 00 00 7f 00 11 |.....x..|........|
|00002d80| 00 11 00 0e 00 00 00 0f | 00 10 00 08 00 1f 00 01 |........|........|
|00002d90| 00 0e 00 15 00 15 00 0a | 00 00 00 00 00 00 00 01 |........|........|
|00002da0| 80 00 40 00 00 1f 80 11 | 40 11 40 0e 80 00 00 31 |..@.....|@.@....1|
|00002db0| 00 49 00 45 00 23 00 04 | 00 04 00 04 00 00 00 78 |.I.E.#..|.......x|
|00002dc0| 00 07 00 18 00 60 00 18 | 00 07 00 78 00 01 00 0a |.....`..|...x....|
|00002dd0| 00 00 00 00 00 00 00 00 | 29 3b 07 50 20 68 65 72 |........|);.P her|
|00002de0| 65 2e 01 00 0a 00 07 00 | 07 02 c6 02 50 90 00 02 |e.......|....P...|
|00002df0| 01 57 00 17 01 74 00 27 | 01 57 00 17 01 74 00 21 |.W...t.'|.W...t.!|
|00002e00| 01 57 00 17 01 74 00 21 | 00 01 00 00 01 00 00 00 |.W...t.!|........|
|00002e10| 00 00 0d 00 15 00 15 00 | 0e 00 10 00 08 00 1f 00 |........|........|
|00002e20| 00 00 0d 00 15 00 15 00 | 0e 00 00 00 0f 00 10 00 |........|........|
|00002e30| 10 00 7f 00 00 00 00 00 | 00 00 30 00 48 00 48 00 |........|..0.H.H.|
|00002e40| 7f 00 00 00 a0 00 99 a0 | 00 97 20 01 41 00 22 01 |........|.. .A.".|
|00002e50| c7 00 22 a1 00 96 00 06 | 05 00 00 00 02 28 a1 00 |..".....|.....(..|
|00002e60| 9a 00 08 00 35 00 00 00 | 08 00 00 a0 00 98 04 01 |....5...|........|
|00002e70| 28 01 52 00 2a 02 35 0d | a0 00 99 a1 00 9a 00 08 |(.R.*.5.|........|
|00002e80| 00 2a 00 00 00 08 00 00 | a0 00 98 2a 0b 01 0d a0 |.*......|...*....|
|00002e90| 00 99 a1 00 9a 00 08 00 | 1f 00 00 00 08 00 00 a0 |........|........|
|00002ea0| 00 98 2a 0b 02 36 0d a0 | 00 99 a1 00 9a 00 08 00 |..*..6..|........|
|00002eb0| 14 00 00 00 08 00 00 a0 | 00 98 2a 0b 01 0d a0 00 |........|..*.....|
|00002ec0| 99 a1 00 9a 00 08 00 09 | 00 00 00 08 00 00 a0 00 |........|........|
|00002ed0| 98 2a 0b 02 37 0d a0 00 | 99 a1 00 9a 00 08 ff fe |.*..7...|........|
|00002ee0| 00 00 00 08 00 00 a0 00 | 98 2a 0b 01 0d a0 00 99 |........|.*......|
|00002ef0| a1 00 9a 00 08 ff f3 00 | 00 00 08 00 00 a0 00 98 |........|........|
|00002f00| 2a 0b 02 38 0d a0 00 99 | a1 00 9a 00 08 ff e8 00 |*..8....|........|
|00002f10| 00 00 08 00 00 a0 00 98 | 2a 0b 01 0d a0 00 99 a1 |........|*.......|
|00002f20| 00 9a 00 08 ff dd 00 00 | 00 08 00 00 a0 00 98 2a |........|.......*|
|00002f30| 0b 02 39 0d a0 00 99 a1 | 00 9a 00 08 ff d2 00 00 |..9.....|........|
|00002f40| 00 08 00 00 a0 00 98 2a | 0b 01 0d a0 00 99 a1 00 |.......*|........|
|00002f50| 9a 00 08 ff c7 00 00 00 | 08 00 00 a0 00 98 2a 0b |........|......*.|
|00002f60| 02 31 30 a0 00 99 a0 00 | 97 20 01 c8 00 0b 01 c8 |.10.....|. ......|
|00002f70| 02 4a a1 00 96 00 06 05 | 00 00 00 02 28 a1 00 9a |.J......|....(...|
|00002f80| 00 08 00 35 00 00 00 f6 | 00 00 a0 00 98 04 00 28 |...5....|.......(|
|00002f90| 01 52 00 41 22 4e 61 6d | 65 20 6f 66 20 66 69 6e |.R.A"Nam|e of fin|
|00002fa0| 61 6e 63 69 61 6c 20 69 | 6e 73 74 69 74 75 74 69 |ancial i|nstituti|
|00002fb0| 6f 6e 20 61 6e 64 2c 29 | 83 17 20 69 66 20 61 70 |on and,)|.. if ap|
|00002fc0| 70 6c 69 63 61 62 6c 65 | 2c 20 62 72 61 6e 63 68 |plicable|, branch|
|00002fd0| 0d a0 00 99 a1 00 9a 00 | 08 00 2a 00 00 00 f6 00 |........|..*.....|
|00002fe0| 00 a0 00 98 28 01 5d 00 | 41 01 0d a0 00 99 a1 00 |....(.].|A.......|
|00002ff0| 9a 00 08 00 1f 00 00 00 | f6 00 00 a0 00 98 2a 0b |........|......*.|
|00003000| 1d 52 6f 75 74 69 6e 67 | 20 74 72 61 6e 73 69 74 |.Routing| transit|
|00003010| 20 6e 75 6d 62 65 72 20 | 28 52 54 4e 29 0d a0 00 | number |(RTN)...|
|00003020| 99 a1 00 9a 00 08 00 14 | 00 00 00 f6 00 00 a0 00 |........|........|
|00003030| 98 2a 0b 01 0d a0 00 99 | a1 00 9a 00 08 00 09 00 |.*......|........|
|00003040| 00 00 f6 00 00 a0 00 98 | 2a 0b 19 44 65 70 6f 73 |........|*..Depos|
|00003050| 69 74 6f 72 20 61 63 63 | 6f 75 6e 74 20 6e 75 6d |itor acc|ount num|
|00003060| 62 65 72 0d a0 00 99 a1 | 00 9a 00 08 ff fe 00 00 |ber.....|........|
|00003070| 00 f6 00 00 a0 00 98 2a | 0b 01 0d a0 00 99 a1 00 |.......*|........|
|00003080| 9a 00 08 ff f3 00 00 00 | f6 00 00 a0 00 98 2a 0b |........|......*.|
|00003090| 22 54 79 70 65 20 6f 66 | 20 64 65 70 6f 73 69 74 |"Type of| deposit|
|000030a0| 6f 72 20 61 63 63 6f 75 | 6e 74 3a 20 20 20 20 20 |or accou|nt:     |
|000030b0| 20 20 20 29 7c 22 20 20 | 20 20 20 20 20 20 20 53 |   )|"  |       S|
|000030c0| 61 76 69 6e 67 73 20 20 | 20 20 4f 52 20 20 20 20 |avings  |  OR    |
|000030d0| 20 20 20 20 20 20 20 20 | 29 60 0e 20 20 20 20 20 |        |)`.     |
|000030e0| 43 68 65 63 6b 69 6e 67 | 0d a0 00 99 a1 00 9a 00 |Checking|........|
|000030f0| 08 ff e8 00 00 00 f6 00 | 00 a0 00 98 28 01 9f 00 |........|....(...|
|00003100| 41 01 0d a0 00 99 a1 00 | 9a 00 08 ff dd 00 00 00 |A.......|........|
|00003110| f6 00 00 a0 00 98 2a 0b | 22 53 6f 75 72 63 65 20 |......*.|"Source |
|00003120| 63 6f 64 65 3a 20 20 20 | 20 20 20 20 20 20 20 20 |code:   |        |
|00003130| 20 20 20 20 20 42 6c 61 | 6e 6b 20 29 6f 22 63 68 |     Bla|nk )o"ch|
|00003140| 65 63 6b 20 20 20 20 20 | 20 4f 52 20 20 20 20 20 |eck     | OR     |
|00003150| 20 20 20 20 20 20 20 20 | 20 20 20 20 20 46 6f 72 |        |     For|
|00003160| 29 63 13 6d 20 31 30 39 | 39 2d 49 4e 54 20 2f 20 |)c.m 109|9-INT / |
|00003170| 4f 74 68 65 72 0d a0 00 | 99 a1 00 9a 00 08 ff d2 |Other...|........|
|00003180| 00 00 00 f6 00 00 a0 00 | 98 28 01 b5 00 41 01 0d |........|.(...A..|
|00003190| a0 00 99 a1 00 9a 00 08 | ff c7 00 00 00 f6 00 00 |........|........|
|000031a0| a0 00 98 2a 0b 22 49 6e | 64 69 63 61 74 65 20 6f |...*."In|dicate o|
|000031b0| 77 6e 65 72 20 6f 66 20 | 64 65 70 6f 73 69 74 6f |wner of |deposito|
|000031c0| 72 20 61 63 63 6f 75 6e | 29 8d 22 74 20 28 63 68 |r accoun|)."t (ch|
|000031d0| 65 63 6b 20 6f 6e 65 29 | 3a 20 20 20 20 20 20 20 |eck one)|:       |
|000031e0| 20 20 20 20 20 20 53 65 | 6c 66 20 20 20 29 68 22 |      Se|lf   )h"|
|000031f0| 20 20 20 20 20 20 20 20 | 20 20 20 20 20 48 75 73 |        |     Hus|
|00003200| 62 61 6e 64 20 20 20 20 | 20 20 20 20 20 20 20 20 |band    |        |
|00003210| 20 20 29 5a 22 20 20 57 | 69 66 65 20 20 20 20 20 |  )Z"  W|ife     |
|00003220| 20 20 20 20 20 4f 52 20 | 20 20 20 20 20 20 20 20 |     OR |        |
|00003230| 20 20 20 20 48 75 73 29 | 61 0d 62 61 6e 64 20 61 |    Hus)|a.band a|
|00003240| 6e 64 20 57 69 66 65 a0 | 00 99 a0 00 97 a1 00 96 |nd Wife.|........|
|00003250| 00 06 05 00 00 00 02 28 | 32 01 cb 00 0a 01 d8 00 |.......(|2.......|
|00003260| 33 a1 00 9a 00 08 ff fe | 00 00 00 14 00 00 a0 00 |3.......|........|
|00003270| 98 04 09 28 01 d4 00 0b | 08 50 61 72 74 20 49 49 |...(....|.Part II|
|00003280| 49 a0 00 99 a0 00 97 a1 | 00 96 00 06 05 00 00 00 |I.......|........|
|00003290| 02 28 a1 00 9a 00 08 ff | fe 00 00 00 3d 00 00 a0 |.(......|....=...|
|000032a0| 00 98 04 01 2b 30 01 17 | 44 65 63 6c 61 72 61 74 |....+0..|Declarat|
|000032b0| 69 6f 6e 20 6f 66 20 54 | 61 78 70 61 79 65 72 a0 |ion of T|axpayer.|
|000032c0| 00 99 a0 00 97 20 01 da | 00 0a 01 da 02 4a a1 00 |..... ..|.....J..|
|000032d0| 96 00 06 05 00 00 00 02 | 28 a1 00 9a 00 08 00 24 |........|(......$|
|000032e0| 00 00 01 17 00 00 a0 00 | 98 04 00 28 01 e4 00 10 |........|...(....|
|000032f0| 22 55 6e 64 65 72 20 70 | 65 6e 61 6c 74 69 65 73 |"Under p|enalties|
|00003300| 20 6f 66 20 70 65 72 6a | 75 72 79 2c 20 49 20 64 | of perj|ury, I d|
|00003310| 65 63 6c 29 82 22 61 72 | 65 20 74 68 61 74 20 74 |ecl)."ar|e that t|
|00003320| 68 65 20 61 6d 6f 75 6e | 74 73 20 64 65 73 63 72 |he amoun|ts descr|
|00003330| 69 62 65 64 20 69 6e 20 | 29 88 22 50 61 72 74 20 |ibed in |)."Part |
|00003340| 49 20 61 62 6f 76 65 20 | 61 67 72 65 65 20 77 69 |I above |agree wi|
|00003350| 74 68 20 74 68 65 20 61 | 6d 6f 75 6e 74 29 8b 22 |th the a|mount)."|
|00003360| 73 20 73 68 6f 77 6e 20 | 6f 6e 20 74 68 65 20 63 |s shown |on the c|
|00003370| 6f 72 72 65 73 70 6f 6e | 64 69 6e 67 20 6c 69 6e |orrespon|ding lin|
|00003380| 65 73 29 8d 01 0d a0 00 | 99 a1 00 9a 00 08 00 19 |es).....|........|
|00003390| 00 00 01 17 00 00 a0 00 | 98 28 01 ef 00 10 22 6f |........|.(...."o|
|000033a0| 66 20 6d 79 20 31 39 38 | 38 20 46 65 64 65 72 61 |f my 198|8 Federa|
|000033b0| 6c 20 69 6e 63 6f 6d 65 | 20 74 61 78 20 72 65 74 |l income| tax ret|
|000033c0| 75 29 8c 22 72 6e 20 67 | 69 76 65 6e 20 74 6f 20 |u)."rn g|iven to |
|000033d0| 6d 65 20 62 79 20 6d 79 | 20 74 61 78 20 72 65 74 |me by my| tax ret|
|000033e0| 75 72 6e 20 70 72 29 85 | 22 65 70 61 72 65 72 20 |urn pr).|"eparer |
|000033f0| 2f 20 74 72 61 6e 73 6d | 69 74 74 65 72 2c 20 61 |/ transm|itter, a|
|00003400| 6e 64 20 74 68 61 74 20 | 49 20 68 29 7f 22 61 76 |nd that |I h)."av|
|00003410| 65 20 61 6c 73 6f 20 63 | 6f 6d 70 61 72 65 64 20 |e also c|ompared |
|00003420| 74 68 65 20 69 6e 66 6f | 72 6d 61 74 69 6f 6e 0d |the info|rmation.|
|00003430| a0 00 99 a1 00 9a 00 08 | 00 0e 00 00 01 17 00 00 |........|........|
|00003440| a0 00 98 28 01 fa 00 10 | 22 63 6f 6e 74 61 69 6e |...(....|"contain|
|00003450| 65 64 20 6f 6e 20 6d 79 | 20 72 65 74 75 72 6e 20 |ed on my| return |
|00003460| 77 69 74 68 20 74 68 65 | 20 69 6e 29 86 22 66 6f |with the| in)."fo|
|00003470| 72 6d 61 74 69 6f 6e 20 | 49 20 70 72 6f 76 69 64 |rmation |I provid|
|00003480| 65 64 20 74 6f 20 6d 79 | 20 70 72 65 70 61 72 65 |ed to my| prepare|
|00003490| 29 89 22 72 20 2f 20 74 | 72 61 6e 73 6d 69 74 74 |)."r / t|ransmitt|
|000034a0| 65 72 2e 20 20 54 6f 20 | 74 68 65 20 62 65 73 74 |er.  To |the best|
|000034b0| 20 6f 66 20 6d 29 7d 22 | 79 20 6b 6e 6f 77 6c 65 | of m)}"|y knowle|
|000034c0| 64 67 65 20 61 6e 64 20 | 62 65 6c 69 65 66 2c 20 |dge and |belief, |
|000034d0| 6d 79 20 72 65 74 75 72 | 6e 20 29 88 05 61 6e 64 |my retur|n )..and|
|000034e0| 2c 0d a0 00 99 a1 00 9a | 00 08 00 03 00 00 01 17 |,.......|........|
|000034f0| 00 00 a0 00 98 28 02 05 | 00 10 22 69 66 20 61 70 |.....(..|.."if ap|
|00003500| 70 6c 69 63 61 62 6c 65 | 2c 20 74 68 65 20 61 63 |plicable|, the ac|
|00003510| 63 6f 75 6e 74 20 69 6e | 66 6f 72 6d 61 29 85 22 |count in|forma)."|
|00003520| 74 69 6f 6e 20 73 68 6f | 77 6e 20 6f 6e 20 6c 69 |tion sho|wn on li|
|00003530| 6e 65 73 20 35 20 74 68 | 72 6f 75 67 68 20 31 30 |nes 5 th|rough 10|
|00003540| 20 69 29 84 22 6e 20 50 | 61 72 74 20 49 49 20 61 | i)."n P|art II a|
|00003550| 62 6f 76 65 20 61 72 65 | 20 74 72 75 65 2c 20 63 |bove are| true, c|
|00003560| 6f 72 72 65 63 74 2c 29 | 81 22 20 61 6e 64 20 63 |orrect,)|." and c|
|00003570| 6f 6d 70 6c 65 74 65 2e | 20 20 49 20 63 6f 6e 73 |omplete.|  I cons|
|00003580| 65 6e 74 20 74 68 61 74 | 20 6d 79 0d a0 00 99 a1 |ent that| my.....|
|00003590| 00 9a 00 08 ff f8 00 00 | 01 17 00 00 a0 00 98 28 |........|.......(|
|000035a0| 02 10 00 10 22 72 65 74 | 75 72 6e 2c 20 69 6e 63 |...."ret|urn, inc|
|000035b0| 6c 75 64 69 6e 67 20 74 | 68 69 73 20 64 65 63 6c |luding t|his decl|
|000035c0| 61 72 61 74 69 6f 6e 29 | 81 22 20 61 6e 64 20 61 |aration)|." and a|
|000035d0| 63 63 6f 6d 70 61 6e 79 | 69 6e 67 20 73 63 68 65 |ccompany|ing sche|
|000035e0| 64 75 6c 65 73 20 61 6e | 64 20 73 74 29 95 22 61 |dules an|d st)."a|
|000035f0| 74 65 6d 65 6e 74 73 2c | 20 62 65 20 73 65 6e 74 |tements,| be sent|
|00003600| 20 74 6f 20 74 68 65 20 | 49 6e 74 65 72 6e 61 6c | to the |Internal|
|00003610| 20 29 85 21 52 65 76 65 | 6e 75 65 20 53 65 72 76 | ).!Reve|nue Serv|
|00003620| 69 63 65 20 62 79 20 6d | 79 20 74 61 78 20 72 65 |ice by m|y tax re|
|00003630| 74 75 72 6e 0d a0 00 99 | a1 00 9a 00 08 ff ed 00 |turn....|........|
|00003640| 00 01 17 00 00 a0 00 98 | 28 02 1b 00 10 22 74 72 |........|(...."tr|
|00003650| 61 6e 73 6d 69 74 74 65 | 72 2e 20 20 49 66 20 61 |ansmitte|r.  If a|
|00003660| 70 70 6c 69 63 61 62 6c | 65 2c 20 49 20 63 6f 6e |pplicabl|e, I con|
|00003670| 29 7d 22 73 65 6e 74 20 | 74 68 61 74 20 6d 79 20 |)}"sent |that my |
|00003680| 72 65 66 75 6e 64 20 62 | 65 20 64 69 72 65 63 74 |refund b|e direct|
|00003690| 6c 79 20 64 65 29 86 22 | 70 6f 73 69 74 65 64 20 |ly de)."|posited |
|000036a0| 61 73 20 64 65 73 69 67 | 6e 61 74 65 64 20 69 6e |as desig|nated in|
|000036b0| 20 50 61 72 74 20 49 49 | 20 61 29 84 22 62 6f 76 | Part II| a)."bov|
|000036c0| 65 20 61 6e 64 20 61 75 | 74 68 6f 72 69 7a 65 20 |e and au|thorize |
|000036d0| 74 68 65 20 49 6e 74 65 | 72 6e 61 6c 20 52 65 29 |the Inte|rnal Re)|
|000036e0| 8a 06 76 65 6e 75 65 0d | a0 00 99 a1 00 9a 00 08 |..venue.|........|
|000036f0| ff e2 00 00 01 17 00 00 | a0 00 98 28 02 26 00 10 |........|...(.&..|
|00003700| 22 53 65 72 76 69 63 65 | 20 74 6f 20 69 6e 66 6f |"Service| to info|
|00003710| 72 6d 20 6d 79 20 70 72 | 65 70 61 72 65 72 20 2f |rm my pr|eparer /|
|00003720| 20 74 72 29 83 22 61 6e | 73 6d 69 74 74 65 72 20 | tr)."an|smitter |
|00003730| 77 68 65 74 68 65 72 20 | 6d 79 20 72 65 71 75 65 |whether |my reque|
|00003740| 73 74 20 66 6f 72 20 44 | 29 8c 22 69 72 65 63 74 |st for D|)."irect|
|00003750| 20 44 65 70 6f 73 69 74 | 20 77 69 6c 6c 20 62 65 | Deposit| will be|
|00003760| 20 68 6f 6e 6f 72 65 64 | 2e 20 20 49 66 29 7d 22 | honored|.  If)}"|
|00003770| 20 6a 6f 69 6e 74 20 72 | 65 74 75 72 6e 20 61 6e | joint r|eturn an|
|00003780| 64 20 74 68 65 20 72 65 | 66 75 6e 64 20 69 73 20 |d the re|fund is |
|00003790| 74 6f 29 7c 05 20 62 65 | 20 0d a0 00 99 a1 00 9a |to)|. be| .......|
|000037a0| 00 08 ff d7 00 00 01 17 | 00 00 a0 00 98 28 02 31 |........|.....(.1|
|000037b0| 00 10 22 64 69 72 65 63 | 74 6c 79 20 64 65 70 6f |.."direc|tly depo|
|000037c0| 73 69 74 65 64 2c 20 74 | 68 69 73 20 69 73 20 61 |sited, t|his is a|
|000037d0| 6e 20 69 72 72 29 7b 22 | 65 76 6f 63 61 62 6c 65 |n irr){"|evocable|
|000037e0| 20 61 70 70 6f 69 6e 74 | 6d 65 6e 74 20 6f 66 20 | appoint|ment of |
|000037f0| 74 68 65 20 6f 74 68 65 | 72 20 29 8b 22 73 70 6f |the othe|r )."spo|
|00003800| 75 73 65 20 61 73 20 61 | 6e 20 61 67 65 6e 74 20 |use as a|n agent |
|00003810| 74 6f 20 72 65 63 65 69 | 76 65 20 74 68 65 20 29 |to recei|ve the )|
|00003820| 8a 07 72 65 66 75 6e 64 | 2e a0 00 99 a0 00 97 a1 |..refund|........|
|00003830| 00 96 00 06 05 00 00 00 | 02 28 a1 00 9a 00 08 00 |........|.(......|
|00003840| 09 00 00 00 13 00 00 a0 | 00 98 04 01 28 02 3d 00 |........|....(.=.|
|00003850| 10 07 50 6c 65 61 73 65 | 0d a0 00 99 a1 00 9a 00 |..Please|........|
|00003860| 08 ff fe 00 00 00 13 00 | 00 a0 00 98 2a 0b 06 53 |........|....*..S|
|00003870| 69 67 6e 20 0d a0 00 99 | a1 00 9a 00 08 ff f3 00 |ign ....|........|
|00003880| 00 00 13 00 00 a0 00 98 | 2a 0b 04 48 65 72 65 a0 |........|*..Here.|
|00003890| 00 99 a0 00 97 a1 00 96 | 00 06 05 00 00 00 02 28 |........|.......(|
|000038a0| a1 00 9a 00 08 ff fe 00 | 00 00 1f 00 00 a0 00 98 |........|........|
|000038b0| 04 00 28 02 4f 00 42 0e | 59 6f 75 72 20 73 69 67 |..(.O.B.|Your sig|
|000038c0| 6e 61 74 75 72 65 a0 00 | 99 a0 00 97 a1 00 96 00 |nature..|........|
|000038d0| 06 05 00 00 00 02 28 a1 | 00 9a 00 08 ff fe 00 00 |......(.|........|
|000038e0| 00 0b 00 00 a0 00 98 29 | de 04 44 61 74 65 a0 00 |.......)|..Date..|
|000038f0| 99 a0 00 97 20 02 44 00 | 41 02 44 01 65 a0 00 a0 |.... .D.|A.D.e...|
|00003900| a0 00 a5 84 00 9c 02 3b | 00 35 02 4d 00 3e 02 3b |.......;|.5.M.>.;|
|00003910| 00 35 00 36 7f ff 02 3c | 00 36 00 37 7f ff 02 3d |.5.6...<|.6.7...=|
|00003920| 00 37 00 38 7f ff 02 3e | 00 38 00 39 7f ff 02 3f |.7.8...>|.8.9...?|
|00003930| 00 39 00 3a 7f ff 02 40 | 00 3a 00 3b 7f ff 02 41 |.9.:...@|.:.;...A|
|00003940| 00 3b 00 3c 7f ff 02 42 | 00 3c 00 3d 7f ff 02 43 |.;.<...B|.<.=...C|
|00003950| 00 3d 00 3e 7f ff 02 45 | 00 3d 00 3e 7f ff 02 46 |.=.>...E|.=.>...F|
|00003960| 00 3c 00 3d 7f ff 02 47 | 00 3b 00 3c 7f ff 02 48 |.<.=...G|.;.<...H|
|00003970| 00 3a 00 3b 7f ff 02 49 | 00 39 00 3a 7f ff 02 4a |.:.;...I|.9.:...J|
|00003980| 00 38 00 39 7f ff 02 4b | 00 37 00 38 7f ff 02 4c |.8.9...K|.7.8...L|
|00003990| 00 36 00 37 7f ff 02 4d | 00 35 00 36 7f ff 7f ff |.6.7...M|.5.6....|
|000039a0| 22 02 3b 00 35 00 12 23 | 09 f7 23 f7 f7 a0 00 a1 |".;.5..#|..#.....|
|000039b0| 20 02 55 00 0a 02 55 02 | 4a 22 02 38 01 1f 00 0c | .U...U.|J".8....|
|000039c0| a0 00 a0 a0 00 a5 84 00 | 9c 02 3b 01 6a 02 4d 01 |........|..;.j.M.|
|000039d0| 73 02 3b 01 6a 01 6b 7f | ff 02 3c 01 6b 01 6c 7f |s.;.j.k.|..<.k.l.|
|000039e0| ff 02 3d 01 6c 01 6d 7f | ff 02 3e 01 6d 01 6e 7f |..=.l.m.|..>.m.n.|
|000039f0| ff 02 3f 01 6e 01 6f 7f | ff 02 40 01 6f 01 70 7f |..?.n.o.|..@.o.p.|
|00003a00| ff 02 41 01 70 01 71 7f | ff 02 42 01 71 01 72 7f |..A.p.q.|..B.q.r.|
|00003a10| ff 02 43 01 72 01 73 7f | ff 02 45 01 72 01 73 7f |..C.r.s.|..E.r.s.|
|00003a20| ff 02 46 01 71 01 72 7f | ff 02 47 01 70 01 71 7f |..F.q.r.|..G.p.q.|
|00003a30| ff 02 48 01 6f 01 70 7f | ff 02 49 01 6e 01 6f 7f |..H.o.p.|..I.n.o.|
|00003a40| ff 02 4a 01 6d 01 6e 7f | ff 02 4b 01 6c 01 6d 7f |..J.m.n.|..K.l.m.|
|00003a50| ff 02 4c 01 6b 01 6c 7f | ff 02 4d 01 6a 01 6b 7f |..L.k.l.|..M.j.k.|
|00003a60| ff 7f ff 22 02 3b 01 6a | 00 12 23 09 f7 23 f7 f7 |...".;.j|..#..#..|
|00003a70| a0 00 a1 20 02 44 01 76 | 02 44 02 48 a1 00 96 00 |... .D.v|.D.H....|
|00003a80| 06 05 00 00 00 02 28 a1 | 00 9a 00 08 ff fe 00 00 |......(.|........|
|00003a90| 00 69 00 00 a0 00 98 29 | 58 22 53 70 6f 75 73 65 |.i.....)|X"Spouse|
|00003aa0| 27 73 20 73 69 67 6e 61 | 74 75 72 65 20 28 69 66 |'s signa|ture (if|
|00003ab0| 20 6a 6f 69 6e 74 20 72 | 65 74 75 72 29 80 12 6e | joint r|etur)..n|
|00003ac0| 2c 20 42 4f 54 48 20 6d | 75 73 74 20 73 69 67 6e |, BOTH m|ust sign|
|00003ad0| 29 a0 00 99 a0 00 97 a1 | 00 96 00 06 05 00 00 00 |).......|........|
|00003ae0| 02 28 32 02 58 00 0a 02 | 65 00 32 a1 00 9a 00 08 |.(2.X...|e.2.....|
|00003af0| ff fe 00 00 00 13 00 00 | a0 00 98 04 09 28 02 61 |........|.....(.a|
|00003b00| 00 0b 07 50 61 72 74 20 | 49 56 a0 00 99 a0 00 97 |...Part |IV......|
|00003b10| a1 00 96 00 06 05 00 00 | 00 02 28 a1 00 9a 00 08 |........|..(.....|
|00003b20| ff fe 00 00 01 05 00 00 | a0 00 98 04 01 2b 38 01 |........|.....+8.|
|00003b30| 22 44 65 63 6c 61 72 61 | 74 69 6f 6e 20 6f 66 20 |"Declara|tion of |
|00003b40| 50 72 65 70 61 72 65 72 | 20 2f 20 54 72 61 6e 73 |Preparer| / Trans|
|00003b50| 6d 69 74 29 a9 22 74 65 | 72 20 28 49 66 20 74 68 |mit)."te|r (If th|
|00003b60| 65 20 74 72 61 6e 73 6d | 69 74 74 65 72 20 64 69 |e transm|itter di|
|00003b70| 64 20 6e 6f 74 20 70 72 | 29 9c 22 65 70 61 72 65 |d not pr|)."epare|
|00003b80| 20 74 68 65 20 74 61 78 | 20 72 65 74 75 72 6e 2c | the tax| return,|
|00003b90| 20 63 68 65 63 6b 20 68 | 65 72 65 2e 20 29 a8 08 | check h|ere. )..|
|00003ba0| 20 20 20 20 20 20 20 29 | a0 00 99 a0 00 97 20 02 |       )|...... .|
|00003bb0| 67 00 0a 02 67 02 4a a0 | 00 a0 a0 00 a5 84 00 4c |g...g.J.|.......L|
|00003bc0| 02 59 02 2e 02 62 02 32 | 02 59 02 2e 02 2f 7f ff |.Y...b.2|.Y.../..|
|00003bd0| 02 5a 02 2f 02 30 7f ff | 02 5b 02 30 02 31 7f ff |.Z./.0..|.[.0.1..|
|00003be0| 02 5c 02 31 02 32 7f ff | 02 5f 02 31 02 32 7f ff |.\.1.2..|._.1.2..|
|00003bf0| 02 60 02 30 02 31 7f ff | 02 61 02 2f 02 30 7f ff |.`.0.1..|.a./.0..|
|00003c00| 02 62 02 2e 02 2f 7f ff | 7f ff 22 02 59 02 2e 00 |.b.../..|..".Y...|
|00003c10| 09 23 04 fc 23 fc fb a0 | 00 a1 a1 00 96 00 06 05 |.#..#...|........|
|00003c20| 00 00 00 02 28 a1 00 9a | 00 08 00 0e 00 00 00 23 |....(...|.......#|
|00003c30| 00 00 a0 00 98 28 02 96 | 00 10 05 50 61 69 64 0d |.....(..|...Paid.|
|00003c40| a0 00 99 a1 00 9a 00 08 | 00 03 00 00 00 23 00 00 |........|.....#..|
|00003c50| a0 00 98 2a 0b 0d 50 72 | 65 70 61 72 65 72 27 73 |...*..Pr|eparer's|
|00003c60| 20 2f 0d a0 00 99 a1 00 | 9a 00 08 ff f8 00 00 00 | /......|........|
|00003c70| 23 00 00 a0 00 98 2a 0b | 0e 54 72 61 6e 73 6d 69 |#.....*.|.Transmi|
|00003c80| 74 74 65 72 27 73 0d a0 | 00 99 a1 00 9a 00 08 ff |tter's..|........|
|00003c90| ed 00 00 00 23 00 00 a0 | 00 98 2a 0b 08 55 73 65 |....#...|..*..Use|
|00003ca0| 20 4f 6e 6c 79 a0 00 99 | a0 00 97 a1 00 96 00 06 | Only...|........|
|00003cb0| 05 00 00 00 02 28 a1 00 | 9a 00 08 00 14 00 00 00 |.....(..|........|
|00003cc0| 30 00 00 a0 00 98 04 00 | 28 02 94 00 56 05 59 6f |0.......|(...V.Yo|
|00003cd0| 75 72 0d a0 00 99 a1 00 | 9a 00 08 00 09 00 00 00 |ur......|........|
|00003ce0| 30 00 00 a0 00 98 2a 0b | 0a 73 69 67 6e 61 74 75 |0.....*.|.signatu|
|00003cf0| 72 65 0d a0 00 99 a1 00 | 9a 00 08 ff fe 00 00 00 |re......|........|
|00003d00| 30 00 00 a0 00 98 2a 0b | 10 46 69 72 6d 27 73 20 |0.....*.|.Firm's |
|00003d10| 6e 61 6d 65 20 28 6f 72 | 0d a0 00 99 a1 00 9a 00 |name (or|........|
|00003d20| 08 ff f3 00 00 00 30 00 | 00 a0 00 98 2a 0b 18 79 |......0.|....*..y|
|00003d30| 6f 75 72 73 20 69 66 20 | 73 65 6c 66 2d 65 6d 70 |ours if |self-emp|
|00003d40| 6c 6f 79 65 64 29 0d a0 | 00 99 a1 00 9a 00 08 ff |loyed)..|........|
|00003d50| e8 00 00 00 30 00 00 a0 | 00 98 2a 0b 0b 61 6e 64 |....0...|..*..and|
|00003d60| 20 61 64 64 72 65 73 73 | a0 00 99 a0 00 97 07 00 | address|........|
|00003d70| 02 00 02 20 02 c2 00 09 | 02 c2 02 49 a0 00 a0 a0 |... ....|...I....|
|00003d80| 00 a5 84 00 9c 02 8c 00 | 7d 02 9e 00 86 02 8c 00 |........|}.......|
|00003d90| 7d 00 7e 7f ff 02 8d 00 | 7e 00 7f 7f ff 02 8e 00 |}.~.....|~.......|
|00003da0| 7f 00 80 7f ff 02 8f 00 | 80 00 81 7f ff 02 90 00 |........|........|
|00003db0| 81 00 82 7f ff 02 91 00 | 82 00 83 7f ff 02 92 00 |........|........|
|00003dc0| 83 00 84 7f ff 02 93 00 | 84 00 85 7f ff 02 94 00 |........|........|
|00003dd0| 85 00 86 7f ff 02 96 00 | 85 00 86 7f ff 02 97 00 |........|........|
|00003de0| 84 00 85 7f ff 02 98 00 | 83 00 84 7f ff 02 99 00 |........|........|
|00003df0| 82 00 83 7f ff 02 9a 00 | 81 00 82 7f ff 02 9b 00 |........|........|
|00003e00| 80 00 81 7f ff 02 9c 00 | 7f 00 80 7f ff 02 9d 00 |........|........|
|00003e10| 7e 00 7f 7f ff 02 9e 00 | 7d 00 7e 7f ff 7f ff 07 |~.......|}.~.....|
|00003e20| 00 01 00 01 22 02 8c 00 | 7d 00 12 23 09 f7 23 f7 |...."...|}..#..#.|
|00003e30| f7 a0 00 a1 a0 00 a0 a0 | 00 a5 84 00 9c 02 a9 00 |........|........|
|00003e40| b4 02 bb 00 bd 02 a9 00 | b4 00 b5 7f ff 02 aa 00 |........|........|
|00003e50| b5 00 b6 7f ff 02 ab 00 | b6 00 b7 7f ff 02 ac 00 |........|........|
|00003e60| b7 00 b8 7f ff 02 ad 00 | b8 00 b9 7f ff 02 ae 00 |........|........|
|00003e70| b9 00 ba 7f ff 02 af 00 | ba 00 bb 7f ff 02 b0 00 |........|........|
|00003e80| bb 00 bc 7f ff 02 b1 00 | bc 00 bd 7f ff 02 b3 00 |........|........|
|00003e90| bc 00 bd 7f ff 02 b4 00 | bb 00 bc 7f ff 02 b5 00 |........|........|
|00003ea0| ba 00 bb 7f ff 02 b6 00 | b9 00 ba 7f ff 02 b7 00 |........|........|
|00003eb0| b8 00 b9 7f ff 02 b8 00 | b7 00 b8 7f ff 02 b9 00 |........|........|
|00003ec0| b6 00 b7 7f ff 02 ba 00 | b5 00 b6 7f ff 02 bb 00 |........|........|
|00003ed0| b4 00 b5 7f ff 7f ff 22 | 02 a9 00 b4 00 12 23 09 |......."|......#.|
|00003ee0| f7 23 f7 f7 a0 00 a1 20 | 02 a1 00 56 02 a1 02 4a |.#..... |...V...J|
|00003ef0| 20 02 b2 00 c0 02 b2 02 | 49 a1 00 96 00 06 05 00 | .......|I.......|
|00003f00| 00 00 02 28 a1 00 9a 00 | 08 ff fe 00 00 00 0b 00 |...(....|........|
|00003f10| 00 a0 00 98 28 02 90 01 | 49 04 44 61 74 65 a0 00 |....(...|I.Date..|
|00003f20| 99 a0 00 97 a1 00 96 00 | 06 05 00 00 00 02 28 a1 |........|......(.|
|00003f30| 00 9a 00 08 ff fe 00 00 | 00 31 00 00 a0 00 98 28 |........|.1.....(|
|00003f40| 02 8e 01 dc 18 59 6f 75 | 72 20 73 6f 63 69 61 6c |.....You|r social|
|00003f50| 20 73 65 63 75 72 69 74 | 79 20 6e 6f 2e a0 00 99 | securit|y no....|
|00003f60| a0 00 97 a1 00 96 00 06 | 05 00 00 00 02 28 a1 00 |........|.....(..|
|00003f70| 9a 00 08 00 03 00 00 00 | 1e 00 00 a0 00 98 28 02 |........|......(.|
|00003f80| 8e 01 8a 0a 43 68 65 63 | 6b 20 69 66 20 0d a0 00 |....Chec|k if ...|
|00003f90| 99 a1 00 9a 00 08 ff f8 | 00 00 00 1e 00 00 a0 00 |........|........|
|00003fa0| 98 2a 0b 0d 73 65 6c 66 | 2d 65 6d 70 6c 6f 79 65 |.*..self|-employe|
|00003fb0| 64 a0 00 99 a0 00 97 22 | 02 89 01 46 00 18 22 02 |d......"|...F..".|
|00003fc0| 88 01 88 00 19 22 02 87 | 01 d9 00 19 22 02 a1 01 |....."..|...."...|
|00003fd0| a7 00 22 a1 00 96 00 06 | 05 00 00 00 02 28 a1 00 |..".....|.....(..|
|00003fe0| 9a 00 08 ff fe 00 00 00 | 11 00 00 a0 00 98 2b 20 |........|......+ |
|00003ff0| 14 08 45 2e 49 2e 20 4e | 6f 2e a0 00 99 a0 00 97 |..E.I. N|o.......|
|00004000| a1 00 96 00 06 05 00 00 | 00 02 28 a1 00 9a 00 08 |........|..(.....|
|00004010| 00 03 00 00 00 14 00 00 | a0 00 98 2a 06 01 0d a0 |........|...*....|
|00004020| 00 99 a1 00 9a 00 08 ff | f8 00 00 00 14 00 00 a0 |........|........|
|00004030| 00 98 2a 0b 08 5a 49 50 | 20 63 6f 64 65 a0 00 99 |..*..ZIP| code...|
|00004040| a0 00 97 20 01 4f 01 1c | 01 4f 02 45 30 01 5e 00 |... .O..|.O.E0.^.|
|00004050| bd 01 6b 01 5c 30 01 74 | 00 bd 01 81 01 ae a1 00 |..k.\0.t|........|
|00004060| 96 00 06 05 00 00 00 02 | 28 a1 00 9a 00 08 ff fe |........|(.......|
|00004070| 00 00 00 46 00 00 a0 00 | 98 28 00 12 01 53 20 44 |...F....|.(...S D|
|00004080| 65 63 6c 61 72 61 74 69 | 6f 6e 20 43 6f 6e 74 72 |eclarati|on Contr|
|00004090| 6f 6c 20 4e 75 6d 62 65 | 72 20 28 44 43 4e 29 a0 |ol Numbe|r (DCN).|
|000040a0| 00 99 a0 00 97 30 00 17 | 01 53 00 25 01 e1 a1 00 |.....0..|.S.%....|
|000040b0| 96 00 06 05 00 00 00 02 | 28 a1 00 9a 00 08 ff fd |........|(.......|
|000040c0| 00 00 00 0e 00 00 a0 00 | 98 0d 00 0c 2b 07 10 05 |........|....+...|
|000040d0| 30 30 20 2d 20 a0 00 99 | a0 00 97 a1 00 96 00 06 |00 - ...|........|
|000040e0| 05 00 00 00 02 28 a1 00 | 9a 00 08 ff fd 00 00 00 |.....(..|........|
|000040f0| 07 00 00 a0 00 98 0d 00 | 0a 28 00 21 01 9a 01 2d |........|.(.!...-|
|00004100| a0 00 99 a0 00 97 a1 00 | 96 00 06 05 00 00 00 02 |........|........|
|00004110| 28 a1 00 9a 00 08 ff fd | 00 00 00 09 00 00 a0 00 |(.......|........|
|00004120| 98 0d 00 0c 2b 33 01 03 | 2d 20 39 a0 00 99 a0 00 |....+3..|- 9.....|
|00004130| 97 a0 00 83 ff 00 00 00 | 0e 0d 56 65 72 73 69 6f |........|..Versio|
|00004140| 6e 20 32 2e 37 42 32 00 | 00 01 10 00 06 00 00 00 |n 2.7B2.|........|
|00004150| 00 00 fa 01 63 01 0e 01 | ae 04 02 4f 4b 00 00 00 |....c...|...OK...|
|00004160| 00 00 fa 01 09 01 0e 01 | 54 04 06 43 61 6e 63 65 |........|T..Cance|
|00004170| 6c 00 00 00 00 00 0a 01 | 09 00 78 01 c4 88 8e 53 |l.......|..x....S|
|00004180| 65 6c 65 63 74 20 72 65 | 74 75 72 6e 20 74 79 70 |elect re|turn typ|
|00004190| 65 20 62 65 6c 6f 77 20 | 61 6e 64 20 74 68 65 20 |e below |and the |
|000041a0| 64 65 73 69 72 65 64 20 | 66 6f 72 6d 20 74 6f 20 |desired |form to |
|000041b0| 74 68 65 20 6c 65 66 74 | 2e 20 20 4e 6f 74 65 3a |the left|.  Note:|
|000041c0| 20 79 6f 75 20 6d 61 79 | 20 6e 6f 74 20 63 68 61 | you may| not cha|
|000041d0| 6e 67 65 20 74 68 65 20 | 72 65 74 75 72 6e 20 74 |nge the |return t|
|000041e0| 79 70 65 20 61 66 74 65 | 72 20 74 68 65 20 69 6e |ype afte|r the in|
|000041f0| 69 74 69 61 6c 20 66 6f | 72 6d 20 68 61 73 20 62 |itial fo|rm has b|
|00004200| 65 65 6e 20 73 65 6c 65 | 63 74 65 64 2e 00 00 00 |een sele|cted....|
|00004210| 00 00 7d 01 09 00 91 01 | a4 06 04 31 30 34 30 00 |..}.....|...1040.|
|00004220| 00 00 00 00 96 01 09 00 | aa 01 a4 06 05 31 30 34 |........|.....104|
|00004230| 30 41 09 00 00 00 00 00 | af 01 09 00 c3 01 a4 06 |0A......|........|
|00004240| 06 31 30 34 30 45 5a 00 | 00 00 00 00 c8 01 09 00 |.1040EZ.|........|
|00004250| dc 01 a4 06 06 31 30 34 | 30 4e 52 00 00 05 16 00 |.....104|0NR.....|
|00004260| 24 00 01 00 17 01 6f 00 | 23 01 99 00 01 03 23 06 |$.....o.|#.....#.|
|00004270| 22 15 0c 00 04 01 20 00 | 00 00 00 00 00 00 00 00 |"..... .|........|
|00004280| 00 00 00 00 ff 01 01 00 | 17 01 9e 00 23 01 bd 00 |........|....#...|
|00004290| 01 02 21 06 22 15 0c 00 | 04 01 20 00 00 00 00 00 |..!."...|.. .....|
|000042a0| 00 00 00 00 00 00 00 00 | ff 02 01 00 17 01 be 00 |........|........|
|000042b0| 23 01 cd 00 01 02 22 06 | 22 15 0c 00 04 01 20 00 |#.....".|"..... .|
|000042c0| 00 00 00 00 00 00 00 00 | 00 00 00 00 ff 03 01 00 |........|........|
|000042d0| 71 00 49 00 7d 01 67 00 | 01 03 22 06 22 15 09 00 |q.I.}.g.|.."."...|
|000042e0| 04 01 20 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |.. .....|........|
|000042f0| ff 04 01 00 71 01 68 00 | 7d 01 d1 00 01 03 22 06 |....q.h.|}.....".|
|00004300| 22 15 09 00 04 01 20 00 | 00 00 00 00 00 00 00 00 |"..... .|........|
|00004310| 00 00 00 00 ff 05 01 00 | 71 01 d6 00 7d 02 49 00 |........|q...}.I.|
|00004320| 01 03 22 06 22 15 09 00 | 04 01 20 00 00 00 00 00 |.."."...|.. .....|
|00004330| 00 00 00 00 00 00 00 00 | ff 06 01 00 88 00 49 00 |........|......I.|
|00004340| 96 01 d1 00 01 03 22 06 | 22 15 09 00 04 01 20 00 |......".|"..... .|
|00004350| 00 00 00 00 00 00 00 00 | 00 00 00 00 ff 07 01 00 |........|........|
|00004360| 88 01 d6 00 96 02 48 00 | 01 03 22 06 22 15 09 00 |......H.|.."."...|
|00004370| 04 01 20 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |.. .....|........|
|00004380| ff 08 01 00 a0 00 49 00 | ae 01 64 00 01 03 22 06 |......I.|..d...".|
|00004390| 22 15 09 00 04 01 20 00 | 00 00 00 00 00 00 00 00 |"..... .|........|
|000043a0| 00 00 00 00 ff 09 01 00 | a0 01 65 00 ae 01 76 00 |........|..e...v.|
|000043b0| 01 03 22 06 22 15 09 00 | 04 01 20 00 00 00 00 00 |.."."...|.. .....|
|000043c0| 00 00 00 00 00 00 00 00 | ff 0a 01 00 a0 01 78 00 |........|......x.|
|000043d0| ae 01 d1 00 01 03 22 06 | 22 15 09 00 04 01 20 00 |......".|"..... .|
|000043e0| 00 00 00 00 00 00 00 00 | 00 00 00 00 ff 0b 01 00 |........|........|
|000043f0| a0 01 d6 00 ae 02 47 00 | 01 02 22 06 22 15 09 00 |......G.|.."."...|
|00004400| 04 01 20 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |.. .....|........|
|00004410| ff 0c 01 00 d6 00 0c 00 | e4 02 47 00 01 02 22 06 |........|..G...".|
|00004420| 22 15 09 00 04 01 20 00 | 00 00 00 00 00 00 00 00 |"..... .|........|
|00004430| 00 00 00 00 ff 0d 01 00 | f7 01 e2 01 00 02 4a 00 |........|......J.|
|00004440| 00 03 21 00 00 15 09 00 | 00 01 20 00 00 00 00 00 |..!.....|.. .....|
|00004450| 00 00 00 00 00 0d 0b 01 | 01 01 e2 01 0b 02 4a 00 |........|......J.|
|00004460| 00 03 21 00 00 15 09 00 | 00 01 20 00 00 00 00 00 |..!.....|.. .....|
|00004470| 00 00 00 00 00 0d 15 01 | 0c 01 e2 01 15 02 4a 00 |........|......J.|
|00004480| 00 03 21 00 00 15 09 00 | 00 01 20 00 00 00 00 00 |..!.....|.. .....|
|00004490| 00 00 00 00 00 0d 1f 01 | 16 01 e2 01 20 02 4a 00 |........|.... .J.|
|000044a0| 00 03 21 00 00 15 09 00 | 00 01 20 00 00 00 00 00 |..!.....|.. .....|
|000044b0| 00 00 00 00 00 0d 29 01 | 33 01 1e 01 3f 02 47 00 |......).|3...?.G.|
|000044c0| 01 02 22 06 22 15 09 00 | 04 01 20 00 00 00 00 00 |.."."...|.. .....|
|000044d0| 00 00 00 00 00 00 00 00 | ff 0e 29 01 4e 00 bf 01 |........|..).N...|
|000044e0| 59 01 57 00 01 02 22 06 | 22 15 09 00 04 01 20 00 |Y.W...".|"..... .|
|000044f0| 00 00 00 00 00 00 00 00 | 00 00 00 00 ff 0f 29 01 |........|......).|
|00004500| 63 00 bf 01 6e 01 ac 00 | 01 02 22 06 22 15 09 00 |c...n...|.."."...|
|00004510| 04 01 20 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |.. .....|........|
|00004520| ff 10 29 02 74 01 dd 02 | 7f 02 47 00 01 02 22 06 |..).t...|..G...".|
|00004530| 22 15 09 00 04 01 20 00 | 00 00 00 00 00 00 00 00 |"..... .|........|
|00004540| 00 00 00 00 ff 11 29 02 | 84 00 c2 02 90 01 a5 00 |......).|........|
|00004550| 01 02 22 06 22 15 09 00 | 04 01 20 00 00 00 00 00 |.."."...|.. .....|
|00004560| 00 00 00 00 00 00 00 00 | ff 12 29 02 95 00 c2 02 |........|..).....|
|00004570| a0 01 a6 00 01 02 22 06 | 22 15 09 00 04 01 20 00 |......".|"..... .|
|00004580| 00 00 00 00 00 00 00 00 | 00 00 00 00 ff 13 29 02 |........|......).|
|00004590| 85 01 d0 02 90 02 46 00 | 01 02 22 06 22 15 09 00 |......F.|.."."...|
|000045a0| 04 01 20 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |.. .....|........|
|000045b0| ff 14 29 02 95 01 d0 02 | a0 02 47 00 01 02 22 06 |..).....|..G...".|
|000045c0| 22 15 09 00 04 01 20 00 | 00 00 00 00 00 00 00 00 |"..... .|........|
|000045d0| 00 00 00 00 ff 00 00 01 | 75 00 bc 01 85 00 cb 00 |........|u.......|
|000045e0| 00 06 20 0f 22 00 0c 00 | 06 01 20 00 00 00 00 00 |.. ."...|.. .....|
|000045f0| 00 00 00 00 00 00 65 00 | 01 00 00 00 00 01 76 01 |......e.|......v.|
|00004600| 15 01 86 01 24 00 00 06 | 20 0f 22 00 0c 00 06 01 |....$...| .".....|
|00004610| 20 00 00 00 00 00 00 00 | 00 00 00 00 65 00 01 00 | .......|....e...|
|00004620| 00 00 00 01 8a 00 84 01 | 9a 00 93 00 00 06 20 0f |........|...... .|
|00004630| 22 00 0c 00 06 01 20 00 | 00 00 00 00 00 00 00 00 |"..... .|........|
|00004640| 00 00 65 00 02 00 00 00 | 00 01 8a 00 f3 01 9a 01 |..e.....|........|
|00004650| 02 00 00 06 20 0f 22 00 | 0c 00 06 01 20 00 00 00 |.... .".|.... ...|
|00004660| 00 00 00 00 00 00 00 00 | 65 00 02 00 00 00 00 01 |........|e.......|
|00004670| 9f 01 07 01 af 01 16 00 | 00 06 20 0f 22 00 0c 00 |........|.. ."...|
|00004680| 06 01 20 00 00 00 00 00 | 00 00 00 00 00 00 65 00 |.. .....|......e.|
|00004690| 03 00 00 00 00 01 9f 01 | 37 01 af 01 46 00 00 06 |........|7...F...|
|000046a0| 20 0f 22 00 0c 00 06 01 | 20 00 00 00 00 00 00 00 | .".....| .......|
|000046b0| 00 00 00 00 65 00 03 00 | 00 00 00 01 9f 01 7b 01 |....e...|......{.|
|000046c0| af 01 8a 00 00 06 20 0f | 22 00 0c 00 06 01 20 00 |...... .|"..... .|
|000046d0| 00 00 00 00 00 00 00 00 | 00 00 65 00 03 00 00 00 |........|..e.....|
|000046e0| 00 01 9f 01 cd 01 af 01 | dc 00 00 06 20 0f 22 00 |........|.... .".|
|000046f0| 0c 00 06 01 20 00 00 00 | 00 00 00 00 00 00 00 00 |.... ...|........|
|00004700| 65 00 03 00 00 00 00 02 | 38 02 34 02 49 02 45 00 |e.......|8.4.I.E.|
|00004710| 00 06 20 0e 22 00 0c 00 | 06 01 20 00 00 00 00 00 |.. ."...|.. .....|
|00004720| 00 00 00 00 00 00 64 00 | 00 00 00 00 00 02 69 01 |......d.|......i.|
|00004730| c7 02 7b 01 d6 00 00 06 | 20 0e 22 00 0c 00 06 01 |..{.....| .".....|
|00004740| 20 00 00 00 00 00 00 00 | 00 00 00 00 64 00 00 00 | .......|....d...|
|00004750| 00 00 00 00 07 00 07 02 | a4 02 50 00 00 03 20 0b |........|..P... .|
|00004760| 22 15 00 00 04 01 20 00 | 00 00 00 00 00 00 00 00 |"..... .|........|
|00004770| 00 17 c0 00 00 00 00 01 | 00 e0 00 e0 2f 40 1c e8 |........|..../@..|
|00004780| b8 b6 1d 59 a9 f7 8d af | a4 77 fc 0f a1 57 fc 4f |...Y....|.w...W.O|
|00004790| a0 57 ec 07 a2 57 f6 07 | a1 53 fb 07 a0 5b fd c3 |.W...W..|.S...[..|
|000047a0| a2 47 fe e3 60 4f ff 1e | 08 40 3f fe 02 40 0f 80 |.G..`O..|.@?..@..|
|000047b0| 00 40 06 3f 00 40 01 ff | 20 40 03 fd 88 40 07 ff |.@.?.@..| @...@..|
|000047c0| 80 40 07 fe c2 40 07 ff | a0 40 03 d6 e4 40 0d bf |.@...@..|.@...@..|
|000047d0| f0 40 1b db d8 40 05 ff | f8 40 6d fe dc 42 5b ee |.@...@..|.@m..B[.|
|000047e0| be 44 f3 75 fe 45 fc fd | 7f 48 f4 b6 f7 7d ff ff |.D.u.E..|.H...}..|
|000047f0| ff 5b be ef ef fe 63 ad | bb e0 00 e0 2f 40 1c e8 |.[....c.|..../@..|
|00004800| b8 b6 1d 59 a9 f7 8d af | a4 77 fc 0f a1 57 fc 4f |...Y....|.w...W.O|
|00004810| a0 57 ec 07 a2 57 f6 07 | a1 53 fb 07 a0 5b fd c3 |.W...W..|.S...[..|
|00004820| a2 47 fe e3 60 4f ff 1e | 08 40 3f fe 02 40 0f 80 |.G..`O..|.@?..@..|
|00004830| 00 40 06 3f 00 40 01 ff | 20 40 03 fd 88 40 07 ff |.@.?.@..| @...@..|
|00004840| 80 40 07 fe c2 40 07 ff | a0 40 03 d6 e4 40 0d bf |.@...@..|.@...@..|
|00004850| f0 40 1b db d8 40 05 ff | f8 40 6d fe dc 42 5b ee |.@...@..|.@m..B[.|
|00004860| be 44 f3 75 fe 45 fc fd | 7f 48 f4 b6 f7 7d ff ff |.D.u.E..|.H...}..|
|00004870| ff 5b be ef ef fe 63 ad | bb 00 00 00 30 01 00 80 |.[....c.|....0...|
|00004880| 00 00 00 03 31 2e 30 25 | 31 2e 30 2c 20 a9 31 39 |....1.0%|1.0, .19|
|00004890| 38 39 20 41 66 74 65 72 | 4d 61 74 68 20 43 75 73 |89 After|Math Cus|
|000048a0| 74 6f 6d 73 6f 66 74 2c | 20 49 6e 63 2e 00 00 00 |tomsoft,| Inc....|
|000048b0| 0c 00 05 00 64 00 c8 01 | 2c 01 90 01 f4 00 00 00 |....d...|,.......|
|000048c0| 34 00 64 00 00 00 00 00 | 00 00 00 ff ff ff fb 01 |4.d.....|........|
|000048d0| 14 18 41 62 6f 75 74 20 | 53 79 6e 54 61 78 aa 20 |..About |SynTax. |
|000048e0| 43 6f 6e 76 65 72 74 65 | 72 c9 00 00 00 00 01 2d |Converte|r......-|
|000048f0| 00 00 00 00 00 00 00 00 | 4c 00 c8 00 00 00 00 00 |........|L.......|
|00004900| 00 00 00 ff ff ff ff 04 | 46 69 6c 65 05 4f 70 65 |........|File.Ope|
|00004910| 6e c9 00 4f 00 00 05 43 | 6c 6f 73 65 00 00 00 00 |n..O...C|lose....|
|00004920| 01 2d 00 00 00 00 0a 50 | 61 67 65 20 53 65 74 75 |.-.....P|age Setu|
|00004930| 70 00 00 00 00 01 2d 00 | 00 00 00 04 51 75 69 74 |p.....-.|....Quit|
|00004940| 00 51 00 00 00 00 00 00 | 48 01 2c 00 00 00 00 00 |.Q......|H.,.....|
|00004950| 00 00 00 ff ff ff ff 04 | 45 64 69 74 04 55 6e 64 |........|Edit.Und|
|00004960| 6f 00 5a 00 00 01 2d 00 | 00 00 00 03 43 75 74 00 |o.Z...-.|....Cut.|
|00004970| 58 00 00 04 43 6f 70 79 | 00 43 00 00 05 50 61 73 |X...Copy|.C...Pas|
|00004980| 74 65 00 56 00 00 05 43 | 6c 65 61 72 00 00 00 00 |te.V...C|lear....|
|00004990| 00 00 00 00 35 01 90 00 | 00 00 00 00 00 00 00 ff |....5...|........|
|000049a0| ff ff ff 04 46 6f 72 6d | 03 4e 65 77 00 4e 00 00 |....Form|.New.N..|
|000049b0| 03 4f 6c 64 00 4f 00 00 | 01 2d 00 00 00 00 06 44 |.Old.O..|.-.....D|
|000049c0| 65 6c 65 74 65 00 44 00 | 00 00 00 00 00 42 01 f4 |elete.D.|.....B..|
|000049d0| 00 00 00 00 00 00 00 00 | ff ff ff ff 07 53 70 65 |........|.....Spe|
|000049e0| 63 69 61 6c 11 53 65 74 | 20 50 72 65 70 61 72 65 |cial.Set| Prepare|
|000049f0| 72 20 49 6e 66 6f 00 50 | 00 00 01 2d 00 00 00 00 |r Info.P|...-....|
|00004a00| 0a 43 72 65 61 74 65 20 | 45 4c 46 00 45 00 00 00 |.Create |ELF.E...|
|00004a10| 00 00 00 1d 1c 53 79 6e | 54 61 78 aa 20 43 6f 6e |.....Syn|Tax. Con|
|00004a20| 76 65 72 74 65 72 20 31 | 2e 30 20 a9 20 31 39 38 |verter 1|.0 . 198|
|00004a30| 39 00 00 00 1c 43 4e 56 | 54 00 00 00 01 49 43 4e |9....CNV|T....ICN|
|00004a40| 23 00 00 00 00 00 80 46 | 52 45 46 00 00 00 00 00 |#......F|REF.....|
|00004a50| 80 00 00 00 07 41 50 50 | 4c 00 00 00 00 00 00 1b |.....APP|L.......|
|00004a60| 00 2d 00 05 01 13 01 d1 | 00 08 00 00 01 00 00 00 |.-......|........|
|00004a70| 00 08 08 55 6e 74 69 74 | 6c 65 64 00 00 00 05 04 |...Untit|led.....|
|00004a80| 4f 70 65 6e 00 00 00 14 | 00 04 00 00 00 80 00 00 |Open....|........|
|00004a90| 00 81 00 00 00 82 00 00 | 00 83 00 00 00 00 00 44 |........|.......D|
|00004aa0| 07 c0 18 30 20 08 70 1c | 78 3c fc 7e fe fe ff fe |...0 .p.|x<.~....|
|00004ab0| fe fe fc 7e 78 3c 70 1c | 20 08 18 30 07 c0 00 00 |...~x<p.| ..0....|
|00004ac0| 07 c0 1f f0 3f f8 7f fc | 7f fc ff fe ff fe ff fe |....?...|........|
|00004ad0| ff fe ff fe 7f fc 7f fc | 3f f8 1f f0 07 c0 00 00 |........|?.......|
|00004ae0| 00 07 00 07 00 00 00 44 | 07 c0 19 f0 21 f8 41 fc |.......D|....!.A.|
|00004af0| 41 fc 81 fe 81 fe ff fe | ff 02 ff 02 7f 04 7f 04 |A.......|........|
|00004b00| 3f 08 1f 30 07 c0 00 00 | 07 c0 1f f0 3f f8 7f fc |?..0....|....?...|
|00004b10| 7f fc ff fe ff fe ff fe | ff fe ff fe 7f fc 7f fc |........|........|
|00004b20| 3f f8 1f f0 07 c0 00 00 | 00 07 00 07 00 00 00 44 |?.......|.......D|
|00004b30| 07 c0 1f f0 3f f8 5f f4 | 4f e4 87 c2 83 82 81 02 |....?._.|O.......|
|00004b40| 83 82 87 c2 4f e4 5f f4 | 3f f8 1f f0 07 c0 00 00 |....O._.|?.......|
|00004b50| 07 c0 1f f0 3f f8 7f fc | 7f fc ff fe ff fe ff fe |....?...|........|
|00004b60| ff fe ff fe 7f fc 7f fc | 3f f8 1f f0 07 c0 00 00 |........|?.......|
|00004b70| 00 07 00 07 00 00 00 44 | 07 c0 1f 30 3f 08 7f 04 |.......D|...0?...|
|00004b80| 7f 04 ff 02 ff 02 ff fe | 81 fe 81 fe 41 fc 41 fc |........|....A.A.|
|00004b90| 21 f8 19 f0 07 c0 00 00 | 07 c0 1f f0 3f f8 7f fc |!.......|....?...|
|00004ba0| 7f fc ff fe ff fe ff fe | ff fe ff fe 7f fc 7f fc |........|........|
|00004bb0| 3f f8 1f f0 07 c0 00 00 | 00 07 00 07 00 00 00 01 |?.......|........|
|00004bc0| 00 00 00 00 01 00 00 00 | 00 01 00 00 00 00 01 00 |........|........|
|00004bd0| 00 00 00 01 00 00 00 00 | 01 00 00 00 00 01 00 00 |........|........|
|00004be0| 00 00 19 18 41 46 54 45 | 52 4d 41 54 48 20 43 55 |....AFTE|RMATH CU|
|00004bf0| 53 54 4f 4d 53 4f 46 54 | 20 49 4e 43 00 00 00 0a |STOMSOFT| INC....|
|00004c00| 09 37 36 30 30 39 38 37 | 33 37 00 00 00 17 16 39 |.7600987|37.....9|
|00004c10| 38 39 36 20 42 49 53 53 | 4f 4e 4e 45 54 20 53 54 |896 BISS|ONNET ST|
|00004c20| 45 20 34 35 35 00 00 00 | 11 10 48 4f 55 53 54 4f |E 455...|..HOUSTO|
|00004c30| 4e 20 54 58 20 37 37 30 | 33 36 00 00 00 0b 0a 37 |N TX 770|36.....7|
|00004c40| 31 33 39 39 35 36 32 34 | 39 00 00 00 11 10 50 52 |13995624|9.....PR|
|00004c50| 45 50 41 52 45 52 27 53 | 20 41 47 45 4e 54 00 00 |EPARER'S| AGENT..|
|00004c60| 00 02 01 42 00 00 00 06 | 05 37 36 32 30 30 00 00 |...B....|.76200..|
|00004c70| 00 02 01 41 00 00 00 02 | 01 56 00 00 00 03 02 31 |...A....|.V.....1|
|00004c80| 31 00 00 09 3d 00 31 1e | 44 6f 20 79 6f 75 20 77 |1...=.1.|Do you w|
|00004c90| 61 6e 74 20 74 6f 20 73 | 61 76 65 20 74 68 69 73 |ant to s|ave this|
|00004ca0| 20 66 6f 72 6d 3f 1f 54 | 68 69 73 20 66 6f 72 6d | form?.T|his form|
|00004cb0| 20 69 73 20 6e 6f 74 20 | 69 6e 73 74 61 6c 6c 65 | is not |installe|
|00004cc0| 64 20 79 65 74 2e 20 59 | 6f 75 20 68 61 76 65 20 |d yet. Y|ou have |
|00004cd0| 74 6f 6f 20 6d 61 6e 79 | 20 66 6f 72 6d 73 20 61 |too many| forms a|
|00004ce0| 6c 72 65 61 64 79 21 20 | 44 6f 20 79 6f 75 20 77 |lready! |Do you w|
|00004cf0| 61 6e 74 20 74 6f 20 73 | 61 76 65 20 74 68 69 73 |ant to s|ave this|
|00004d00| 20 63 6c 69 65 6e 74 3f | 3c 54 68 65 72 65 20 61 | client?|<There a|
|00004d10| 6c 72 65 61 64 79 20 65 | 78 69 73 74 73 20 61 20 |lready e|xists a |
|00004d20| 66 69 6c 65 20 66 6f 72 | 20 74 68 69 73 20 63 6c |file for| this cl|
|00004d30| 69 65 6e 74 2e 20 55 73 | 65 20 4f 6c 64 20 43 6c |ient. Us|e Old Cl|
|00004d40| 69 65 6e 74 2e 26 44 6f | 20 79 6f 75 20 77 61 6e |ient.&Do| you wan|
|00004d50| 74 20 74 6f 20 74 68 72 | 6f 77 20 74 68 69 73 20 |t to thr|ow this |
|00004d60| 63 6c 69 65 6e 74 20 61 | 77 61 79 3f 20 44 6f 20 |client a|way? Do |
|00004d70| 79 6f 75 20 77 61 6e 74 | 20 74 6f 20 73 61 76 65 |you want| to save|
|00004d80| 20 74 68 69 73 20 63 6c | 69 65 6e 74 3f 38 59 6f | this cl|ient?8Yo|
|00004d90| 75 20 63 61 6e 6e 6f 74 | 20 73 65 6c 65 63 74 20 |u cannot| select |
|00004da0| 74 68 69 73 20 72 65 74 | 75 72 6e 20 64 75 65 20 |this ret|urn due |
|00004db0| 74 6f 20 79 6f 75 72 20 | 66 69 6c 69 6e 67 20 73 |to your |filing s|
|00004dc0| 74 61 74 75 73 2e 27 59 | 6f 75 20 6d 75 73 74 20 |tatus.'Y|ou must |
|00004dd0| 6f 70 65 6e 20 61 20 63 | 6c 69 65 6e 74 20 62 65 |open a c|lient be|
|00004de0| 66 6f 72 65 20 70 72 69 | 6e 74 69 6e 67 2e 2d 59 |fore pri|nting.-Y|
|00004df0| 6f 75 20 63 61 6e 20 6f | 6e 6c 79 20 6f 70 65 6e |ou can o|nly open|
|00004e00| 20 6f 6e 65 20 63 6c 69 | 65 6e 74 20 66 72 6f 6d | one cli|ent from|
|00004e10| 20 74 68 65 20 46 69 6e | 64 65 72 2e 3b 59 6f 75 | the Fin|der.;You|
|00004e20| 20 68 61 76 65 20 6f 70 | 65 6e 65 64 20 74 68 65 | have op|ened the|
|00004e30| 20 77 72 6f 6e 67 20 74 | 79 70 65 20 6f 66 20 66 | wrong t|ype of f|
|00004e40| 69 6c 65 2e 20 51 75 69 | 74 20 61 6e 64 20 74 72 |ile. Qui|t and tr|
|00004e50| 79 20 61 67 61 69 6e 2e | 43 59 6f 75 20 6d 75 73 |y again.|CYou mus|
|00004e60| 74 20 64 6f 20 61 20 31 | 30 34 30 41 20 70 31 20 |t do a 1|040A p1 |
|00004e70| 66 69 72 73 74 20 74 6f | 20 63 6f 6d 70 6c 65 74 |first to| complet|
|00004e80| 65 20 63 68 69 6c 64 20 | 63 61 72 65 20 63 72 65 |e child |care cre|
|00004e90| 64 69 74 20 65 78 70 65 | 6e 73 65 2e 05 62 68 6c |dit expe|nse..bhl|
|00004ea0| 61 68 69 59 6f 75 20 61 | 72 65 20 75 6e 61 62 6c |ahiYou a|re unabl|
|00004eb0| 65 20 74 6f 20 66 69 6c | 65 20 31 30 34 30 41 20 |e to fil|e 1040A |
|00004ec0| 64 75 65 20 74 6f 20 70 | 61 79 69 6e 67 20 6c 65 |due to p|aying le|
|00004ed0| 73 73 20 74 68 61 6e 20 | 38 30 25 20 6f 66 20 79 |ss than |80% of y|
|00004ee0| 6f 75 20 74 61 78 20 6c | 69 61 62 69 6c 69 74 79 |ou tax l|iability|
|00004ef0| 2e 59 6f 75 20 6d 75 73 | 74 20 66 69 6c 65 20 32 |.You mus|t file 2|
|00004f00| 32 31 30 20 77 2f 20 31 | 30 34 30 2e 32 53 6f 6d |210 w/ 1|040.2Som|
|00004f10| 65 6f 6e 65 20 69 73 20 | 75 73 69 6e 67 20 74 68 |eone is |using th|
|00004f20| 69 73 20 66 69 6c 65 20 | 6e 6f 77 2e 20 55 6e 61 |is file |now. Una|
|00004f30| 62 6c 65 20 74 6f 20 72 | 65 70 6c 61 63 65 2e 29 |ble to r|eplace.)|
|00004f40| 42 65 20 73 75 72 65 20 | 74 6f 20 63 6f 6d 70 6c |Be sure |to compl|
|00004f50| 65 74 65 20 70 68 79 73 | 69 63 69 61 6e 73 20 73 |ete phys|icians s|
|00004f60| 74 61 74 65 6d 65 6e 74 | 2e 32 59 6f 75 20 68 61 |tatement|.2You ha|
|00004f70| 76 65 20 74 61 78 61 62 | 6c 65 20 69 6e 63 6f 6d |ve taxab|le incom|
|00004f80| 65 20 6f 76 65 72 20 24 | 35 30 2c 30 30 30 2e 20 |e over $|50,000. |
|00004f90| 46 69 6c 65 20 61 20 31 | 30 34 30 2e 3e 59 6f 75 |File a 1|040.>You|
|00004fa0| 20 6d 75 73 74 20 63 6f | 6d 70 6c 65 74 65 20 61 | must co|mplete a|
|00004fb0| 20 73 63 68 65 64 75 6c | 65 20 42 2e 20 54 68 69 | schedul|e B. Thi|
|00004fc0| 73 72 65 74 75 72 6e 20 | 68 61 73 20 61 20 74 68 |sreturn |has a th|
|00004fd0| 65 6f 72 79 20 65 72 72 | 6f 72 2e 46 59 6f 75 20 |eory err|or.FYou |
|00004fe0| 6d 75 73 74 20 73 74 61 | 72 74 20 74 68 65 20 63 |must sta|rt the c|
|00004ff0| 6c 69 65 6e 74 20 61 67 | 61 69 6e 20 74 6f 20 63 |lient ag|ain to c|
|00005000| 68 61 6e 67 65 20 66 72 | 6f 6d 20 61 20 31 30 34 |hange fr|om a 104|
|00005010| 30 41 20 74 6f 20 31 30 | 34 30 20 72 65 74 75 72 |0A to 10|40 retur|
|00005020| 6e 2e 46 59 6f 75 20 6d | 75 73 74 20 73 74 61 72 |n.FYou m|ust star|
|00005030| 74 20 74 68 65 20 63 6c | 69 65 6e 74 20 61 67 61 |t the cl|ient aga|
|00005040| 69 6e 20 74 6f 20 63 68 | 61 6e 67 65 20 66 72 6f |in to ch|ange fro|
|00005050| 6d 20 61 20 31 30 34 30 | 20 74 6f 20 31 30 34 30 |m a 1040| to 1040|
|00005060| 41 20 72 65 74 75 72 6e | 2e 47 59 6f 75 20 63 61 |A return|.GYou ca|
|00005070| 6e 6e 6f 74 20 70 72 69 | 6e 74 20 74 68 65 20 63 |nnot pri|nt the c|
|00005080| 6c 69 65 6e 74 20 6c 65 | 74 74 65 72 20 75 6e 74 |lient le|tter unt|
|00005090| 69 6c 20 79 6f 75 20 64 | 6f 20 61 20 31 30 34 30 |il you d|o a 1040|
|000050a0| 20 6f 72 20 31 30 34 30 | 41 20 70 61 67 65 20 32 | or 1040|A page 2|
|000050b0| 2e 93 49 73 20 74 68 65 | 20 63 6c 69 65 6e 74 20 |..Is the| client |
|000050c0| 6d 61 72 72 69 65 64 2c | 20 66 69 6c 69 6e 67 20 |married,| filing |
|000050d0| 61 20 73 65 70 61 72 61 | 74 65 20 72 65 74 75 72 |a separa|te retur|
|000050e0| 6e 2c 20 61 6e 64 20 61 | 74 20 74 68 65 20 65 6e |n, and a|t the en|
|000050f0| 64 20 6f 66 20 74 68 65 | 20 74 61 78 20 79 65 61 |d of the| tax yea|
|00005100| 72 2c 20 79 6f 75 20 6c | 69 76 65 64 20 77 69 74 |r, you l|ived wit|
|00005110| 68 20 61 20 73 70 6f 75 | 73 65 20 77 68 6f 20 61 |h a spou|se who a|
|00005120| 6c 73 6f 20 73 74 61 72 | 74 65 64 20 77 6f 72 6b |lso star|ted work|
|00005130| 20 64 75 72 69 6e 67 20 | 74 68 65 20 74 61 78 20 | during |the tax |
|00005140| 79 65 61 72 3f 5f 59 6f | 75 20 61 72 65 20 6f 70 |year?_Yo|u are op|
|00005150| 65 6e 69 6e 67 20 61 20 | 63 6c 69 65 6e 74 20 77 |ening a |client w|
|00005160| 69 74 68 20 61 6e 20 69 | 6e 63 6f 72 72 65 63 74 |ith an i|ncorrect|
|00005170| 20 76 65 72 73 69 6f 6e | 20 6f 66 20 4d 75 6c 74 | version| of Mult|
|00005180| 69 54 61 78 2e 20 50 6c | 65 61 73 65 20 75 73 65 |iTax. Pl|ease use|
|00005190| 20 74 68 65 20 63 6f 72 | 72 65 63 74 20 76 65 72 | the cor|rect ver|
|000051a0| 73 69 6f 6e 2e 24 54 68 | 69 73 20 66 6f 72 6d 20 |sion.$Th|is form |
|000051b0| 68 61 73 20 61 20 6d 61 | 74 68 20 6f 72 20 69 6e |has a ma|th or in|
|000051c0| 70 75 74 20 65 72 72 6f | 72 2e 1f 54 68 69 73 20 |put erro|r..This |
|000051d0| 72 65 74 75 72 6e 20 68 | 61 73 20 61 20 74 68 65 |return h|as a the|
|000051e0| 6f 72 79 20 65 72 72 6f | 72 2e 12 4f 43 52 20 70 |ory erro|r..OCR p|
|000051f0| 72 69 6e 74 20 66 61 69 | 6c 75 72 65 2e 17 50 6c |rint fai|lure..Pl|
|00005200| 65 61 73 65 20 63 6f 6d | 70 6c 65 74 65 20 61 20 |ease com|plete a |
|00005210| 31 30 34 30 2e 13 45 72 | 72 6f 72 20 69 6e 69 74 |1040..Er|ror init|
|00005220| 69 6e 67 20 50 65 72 66 | 2e 0b 49 6e 76 61 6c 69 |ing Perf|..Invali|
|00005230| 64 20 52 54 4e 12 4d 65 | 6d 6f 72 79 20 66 75 6c |d RTN.Me|mory ful|
|00005240| 6c 20 65 72 72 6f 72 2e | 1c 45 72 72 6f 72 20 77 |l error.|.Error w|
|00005250| 72 69 74 69 6e 67 20 74 | 6f 20 4f 43 52 20 62 75 |riting t|o OCR bu|
|00005260| 66 66 65 72 2e 40 54 68 | 69 73 20 72 65 74 75 72 |ffer.@Th|is retur|
|00005270| 6e 20 63 6f 6e 74 61 69 | 6e 73 20 61 20 66 6f 72 |n contai|ns a for|
|00005280| 6d 20 74 68 61 74 20 72 | 65 71 75 69 72 65 73 20 |m that r|equires |
|00005290| 6e 6f 6e 2d 65 6c 65 63 | 74 72 6f 6e 69 63 20 66 |non-elec|tronic f|
|000052a0| 69 6c 69 6e 67 2e 37 59 | 6f 75 20 68 61 76 65 20 |iling.7Y|ou have |
|000052b0| 74 6f 6f 20 6d 61 6e 79 | 20 53 63 68 65 64 75 6c |too many| Schedul|
|000052c0| 65 73 20 43 20 74 6f 20 | 66 69 6c 65 20 61 6e 20 |es C to |file an |
|000052d0| 4f 43 52 2f 45 46 20 72 | 65 74 75 72 6e 2e 37 59 |OCR/EF r|eturn.7Y|
|000052e0| 6f 75 20 68 61 76 65 20 | 74 6f 6f 20 6d 61 6e 79 |ou have |too many|
|000052f0| 20 53 63 68 65 64 75 6c | 65 73 20 45 20 74 6f 20 | Schedul|es E to |
|00005300| 66 69 6c 65 20 61 6e 20 | 4f 43 52 2f 45 46 20 72 |file an |OCR/EF r|
|00005310| 65 74 75 72 6e 2e 38 59 | 6f 75 20 68 61 76 65 20 |eturn.8Y|ou have |
|00005320| 74 6f 6f 20 6d 61 6e 79 | 20 53 63 68 65 64 75 6c |too many| Schedul|
|00005330| 65 73 20 53 45 20 74 6f | 20 66 69 6c 65 20 61 6e |es SE to| file an|
|00005340| 20 4f 43 52 2f 45 46 20 | 72 65 74 75 72 6e 2e 36 | OCR/EF |return.6|
|00005350| 59 6f 75 20 68 61 76 65 | 20 74 6f 6f 20 6d 61 6e |You have| too man|
|00005360| 79 20 46 6f 72 6d 73 20 | 32 31 31 39 20 74 6f 20 |y Forms |2119 to |
|00005370| 66 69 6c 65 20 61 6e 20 | 4f 43 52 2f 45 46 20 72 |file an |OCR/EF r|
|00005380| 65 74 75 72 6e 2e 36 59 | 6f 75 20 68 61 76 65 20 |eturn.6Y|ou have |
|00005390| 74 6f 6f 20 6d 61 6e 79 | 20 46 6f 72 6d 73 20 34 |too many| Forms 4|
|000053a0| 35 36 32 20 74 6f 20 66 | 69 6c 65 20 61 6e 20 4f |562 to f|ile an O|
|000053b0| 43 52 2f 45 46 20 72 65 | 74 75 72 6e 2e 36 59 6f |CR/EF re|turn.6Yo|
|000053c0| 75 20 68 61 76 65 20 74 | 6f 6f 20 6d 61 6e 79 20 |u have t|oo many |
|000053d0| 46 6f 72 6d 73 20 36 32 | 35 32 20 74 6f 20 66 69 |Forms 62|52 to fi|
|000053e0| 6c 65 20 61 6e 20 4f 43 | 52 2f 45 46 20 72 65 74 |le an OC|R/EF ret|
|000053f0| 75 72 6e 2e 36 59 6f 75 | 20 68 61 76 65 20 74 6f |urn.6You| have to|
|00005400| 6f 20 6d 61 6e 79 20 46 | 6f 72 6d 73 20 32 31 30 |o many F|orms 210|
|00005410| 36 20 74 6f 20 66 69 6c | 65 20 61 6e 20 4f 43 52 |6 to fil|e an OCR|
|00005420| 2f 45 46 20 72 65 74 75 | 72 6e 2e 36 59 6f 75 20 |/EF retu|rn.6You |
|00005430| 68 61 76 65 20 74 6f 6f | 20 6d 61 6e 79 20 46 6f |have too| many Fo|
|00005440| 72 6d 73 20 36 31 39 38 | 20 74 6f 20 66 69 6c 65 |rms 6198| to file|
|00005450| 20 61 6e 20 4f 43 52 2f | 45 46 20 72 65 74 75 72 | an OCR/|EF retur|
|00005460| 6e 2e 41 59 6f 75 20 63 | 61 6e 6e 6f 74 20 66 69 |n.AYou c|annot fi|
|00005470| 6c 65 20 61 6e 20 4f 43 | 52 2f 45 46 20 72 65 74 |le an OC|R/EF ret|
|00005480| 75 72 6e 20 77 69 74 68 | 20 79 6f 75 72 20 63 75 |urn with| your cu|
|00005490| 72 72 65 6e 74 20 66 69 | 6c 69 6e 67 20 73 74 61 |rrent fi|ling sta|
|000054a0| 74 75 73 2e 14 45 72 72 | 6f 72 20 69 6e 20 61 67 |tus..Err|or in ag|
|000054b0| 69 20 61 6d 6f 75 6e 74 | 2e 1a 45 72 72 6f 72 20 |i amount|..Error |
|000054c0| 69 6e 20 74 6f 74 61 6c | 20 74 61 78 20 61 6d 6f |in total| tax amo|
|000054d0| 75 6e 74 2e 17 45 72 72 | 6f 72 20 69 6e 20 72 65 |unt..Err|or in re|
|000054e0| 66 75 6e 64 20 61 6d 6f | 75 6e 74 2e 20 45 72 72 |fund amo|unt. Err|
|000054f0| 6f 72 20 69 6e 20 73 6f | 63 69 61 6c 20 73 65 63 |or in so|cial sec|
|00005500| 75 72 69 74 79 20 6e 75 | 6d 62 65 72 2e 23 54 68 |urity nu|mber.#Th|
|00005510| 69 73 20 72 65 74 75 72 | 6e 20 72 65 71 75 69 72 |is retur|n requir|
|00005520| 65 73 20 61 20 53 63 68 | 65 64 75 6c 65 20 53 45 |es a Sch|edule SE|
|00005530| 2e 37 54 68 69 73 20 72 | 65 74 75 72 6e 20 68 61 |.7This r|eturn ha|
|00005540| 73 20 61 20 74 72 61 6e | 73 66 65 72 20 65 72 72 |s a tran|sfer err|
|00005550| 6f 72 20 6f 6e 20 70 61 | 67 65 20 32 20 6f 66 20 |or on pa|ge 2 of |
|00005560| 74 68 65 20 31 30 34 30 | 2e 25 54 68 69 73 20 72 |the 1040|.%This r|
|00005570| 65 74 75 72 6e 20 63 61 | 6e 6e 6f 74 20 62 65 20 |eturn ca|nnot be |
|00005580| 66 69 6c 65 64 20 69 6e | 20 54 65 78 61 73 2e 32 |filed in| Texas.2|
|00005590| 59 6f 75 20 68 61 76 65 | 20 74 6f 6f 20 6d 61 6e |You have| too man|
|000055a0| 79 20 46 6f 72 6d 73 20 | 38 36 30 36 20 74 6f 20 |y Forms |8606 to |
|000055b0| 66 69 6c 65 20 61 6e 20 | 45 46 20 72 65 74 75 72 |file an |EF retur|
|000055c0| 6e 2e 00 00 00 c7 00 2c | 04 31 30 34 30 01 41 01 |n......,|.1040.A.|
|000055d0| 42 01 43 01 44 01 45 01 | 46 01 52 04 53 53 45 79 |B.C.D.E.|F.R.SSEy|
|000055e0| 05 53 53 45 73 70 04 4c | 53 45 79 05 4c 53 45 73 |.SSEsp.L|SEy.LSEs|
|000055f0| 70 02 57 32 03 57 32 47 | 03 57 32 50 05 32 31 30 |p.W2.W2G|.W2P.210|
|00005600| 36 79 06 32 31 30 36 73 | 70 04 32 31 31 39 04 32 |6y.2106s|p.2119.2|
|00005610| 34 34 31 04 33 39 30 33 | 04 34 31 33 36 04 34 32 |441.3903|.4136.42|
|00005620| 35 35 04 34 35 36 32 04 | 34 36 38 34 04 34 37 39 |55.4562.|4684.479|
|00005630| 37 04 34 38 33 35 04 36 | 31 39 38 04 36 32 35 31 |7.4835.6|198.6251|
|00005640| 04 36 32 35 32 04 38 32 | 38 33 04 38 35 38 32 04 |.6252.82|83.8582.|
|00005650| 38 36 30 36 04 49 74 65 | 6d 05 49 74 65 6d 69 04 |8606.Ite|m.Itemi.|
|00005660| 44 65 70 6e 02 4d 41 03 | 44 32 61 03 44 32 63 03 |Depn.MA.|D2a.D2c.|
|00005670| 44 39 61 03 44 39 63 04 | 45 70 73 63 04 45 65 73 |D9a.D9c.|Epsc.Ees|
|00005680| 74 07 45 6c 65 63 74 72 | 6f 03 57 32 73 00 00 02 |t.Electr|o.W2s...|
|00005690| 8e 00 a8 04 4e 4f 4e 45 | 02 46 59 03 46 59 45 04 |....NONE|.FY.FYE.|
|000056a0| 46 59 45 59 02 4e 41 04 | 4e 41 4d 45 03 53 53 4e |FYEY.NA.|NAME.SSN|
|000056b0| 04 41 44 44 52 04 53 53 | 53 4e 04 43 49 54 59 02 |.ADDR.SS|SN.CITY.|
|000056c0| 45 43 03 50 45 43 04 50 | 45 43 59 04 50 45 43 4e |EC.PEC.P|ECY.PECN|
|000056d0| 03 53 45 43 04 53 45 43 | 59 04 53 45 43 4e 02 46 |.SEC.SEC|Y.SECN.F|
|000056e0| 53 03 46 53 31 03 46 53 | 32 03 46 53 33 03 46 53 |S.FS1.FS|2.FS3.FS|
|000056f0| 34 03 46 53 35 04 53 4e | 41 4d 04 43 4e 41 4d 03 |4.FS5.SN|AM.CNAM.|
|00005700| 59 53 44 02 45 58 02 36 | 41 03 36 41 41 02 36 42 |YSD.EX.6|A.6AA.6B|
|00005710| 03 36 42 42 04 4e 36 41 | 42 03 36 43 31 03 36 43 |.6BB.N6A|B.6C1.6C|
|00005720| 32 04 36 43 32 59 03 36 | 43 33 03 36 43 34 03 36 |2.6C2Y.6|C3.6C4.6|
|00005730| 43 35 04 4e 36 43 31 04 | 4e 36 43 32 04 4e 36 43 |C5.N6C1.|N6C2.N6C|
|00005740| 33 02 36 44 03 36 44 59 | 02 36 45 03 4e 36 45 02 |3.6D.6DY|.6E.N6E.|
|00005750| 49 4e 01 37 02 38 41 02 | 38 42 01 39 02 31 30 02 |IN.7.8A.|8B.9.10.|
|00005760| 31 31 02 31 32 02 31 33 | 02 31 34 02 31 35 03 31 |11.12.13|.14.15.1|
|00005770| 36 41 03 31 36 42 03 31 | 37 41 03 31 37 42 02 31 |6A.16B.1|7A.17B.1|
|00005780| 38 02 31 39 02 32 30 03 | 32 31 41 03 32 31 42 03 |8.19.20.|21A.21B.|
|00005790| 32 32 44 02 32 32 02 32 | 33 02 41 49 02 32 34 03 |22D.22.2|3.AI.24.|
|000057a0| 32 35 41 03 32 35 42 02 | 32 36 02 32 37 02 32 38 |25A.25B.|26.27.28|
|000057b0| 04 52 4e 41 4d 04 52 53 | 53 4e 02 32 39 03 33 30 |.RNAM.RS|SN.29.30|
|000057c0| 57 02 33 30 02 33 31 04 | 4e 41 4d 32 04 53 53 4e |W.30.31.|NAM2.SSN|
|000057d0| 32 02 54 43 02 33 32 03 | 33 33 41 04 33 33 41 31 |2.TC.32.|33A.33A1|
|000057e0| 04 33 33 41 32 04 33 33 | 41 33 04 33 33 41 34 04 |.33A2.33|A3.33A4.|
|000057f0| 4e 33 33 41 03 33 33 42 | 04 33 33 42 59 03 33 33 |N33A.33B|.33BY.33|
|00005800| 43 04 33 33 43 59 03 33 | 34 42 04 33 34 42 59 02 |C.33CY.3|4B.34BY.|
|00005810| 33 34 02 33 35 02 33 36 | 02 33 37 03 44 45 50 04 |34.35.36|.37.DEP.|
|00005820| 44 45 50 59 03 33 38 42 | 04 33 38 42 31 04 33 38 |DEPY.38B|.38B1.38|
|00005830| 42 32 04 33 38 42 33 02 | 33 38 03 33 39 42 04 33 |B2.38B3.|38.39B.3|
|00005840| 39 42 31 04 33 39 42 32 | 02 33 39 02 34 30 02 43 |9B1.39B2|.39.40.C|
|00005850| 52 02 34 31 02 34 32 02 | 34 33 03 47 42 43 04 47 |R.41.42.|43.GBC.G|
|00005860| 42 43 31 04 47 42 43 32 | 04 34 34 46 4d 02 34 34 |BC1.GBC2|.44FM.44|
|00005870| 02 34 35 03 34 36 57 02 | 34 36 02 34 37 02 4f 54 |.45.46W.|46.47.OT|
|00005880| 02 34 38 02 34 39 03 35 | 30 42 04 35 30 42 31 04 |.48.49.5|0B.50B1.|
|00005890| 35 30 42 32 02 35 30 02 | 35 31 02 35 32 03 35 33 |50B2.50.|51.52.53|
|000058a0| 57 02 35 33 03 50 41 59 | 03 35 34 42 04 35 34 42 |W.53.PAY|.54B.54B|
|000058b0| 43 02 35 34 02 35 35 02 | 35 36 02 35 37 02 35 38 |C.54.55.|56.57.58|
|000058c0| 02 35 39 02 36 30 03 36 | 31 57 02 36 31 04 52 41 |.59.60.6|1W.61.RA|
|000058d0| 59 4f 02 36 32 02 36 33 | 02 36 34 02 36 35 03 36 |YO.62.63|.64.65.6|
|000058e0| 35 42 04 36 35 42 59 03 | 50 45 4e 03 50 53 48 03 |5B.65BY.|PEN.PSH.|
|000058f0| 4f 43 43 04 53 4f 43 43 | 04 50 50 55 4f 03 50 53 |OCC.SOCC|.PPUO.PS|
|00005900| 45 04 50 53 45 59 04 50 | 53 53 4e 04 50 4e 41 4d |E.PSEY.P|SSN.PNAM|
|00005910| 04 50 41 44 44 04 50 45 | 49 4e 04 50 5a 49 50 00 |.PADD.PE|IN.PZIP.|
|00005920| 00 00 12 00 04 01 20 03 | 57 2d 32 04 57 2d 32 47 |...... .|W-2.W-2G|
|00005930| 04 57 2d 32 50 00 00 00 | 68 00 17 04 4e 4f 4e 45 |.W-2P...|h...NONE|
|00005940| 04 4e 41 4d 45 03 53 53 | 4e 03 46 4f 52 04 46 4f |.NAME.SS|N.FOR.FO|
|00005950| 52 53 03 45 4d 50 04 57 | 41 47 45 03 49 54 57 04 |RS.EMP.W|AGE.ITW.|
|00005960| 53 53 54 57 04 53 53 57 | 47 04 53 49 54 57 03 59 |SSTW.SSW|G.SITW.Y|
|00005970| 57 47 03 59 49 54 03 59 | 53 53 03 59 53 57 04 59 |WG.YIT.Y|SS.YSW.Y|
|00005980| 53 49 54 03 53 57 47 03 | 53 49 54 03 53 53 53 03 |SIT.SWG.|SIT.SSS.|
|00005990| 53 53 57 04 53 53 49 54 | 03 4f 54 48 04 4f 54 48 |SSW.SSIT|.OTH.OTH|
|000059a0| 31 00 00 00 bd 00 36 04 | 4e 4f 4e 45 04 4e 41 4d |1.....6.|NONE.NAM|
|000059b0| 45 03 53 53 4e 03 4d 45 | 44 02 31 41 03 31 42 42 |E.SSN.ME|D.1A.1BB|
|000059c0| 03 31 42 44 03 31 42 58 | 02 31 42 01 32 01 33 01 |.1BD.1BX|.1B.2.3.|
|000059d0| 34 03 54 41 58 01 35 01 | 36 02 37 42 02 37 44 01 |4.TAX.5.|6.7B.7D.|
|000059e0| 37 01 38 03 49 4e 54 02 | 39 41 03 39 42 44 03 39 |7.8.INT.|9A.9BD.9|
|000059f0| 42 58 02 39 42 02 31 30 | 02 31 31 03 31 32 41 03 |BX.9B.10|.11.12A.|
|00005a00| 31 32 42 02 31 33 04 43 | 4f 4e 54 04 31 34 42 42 |12B.13.C|ONT.14BB|
|00005a10| 04 31 34 42 44 02 31 34 | 02 31 35 02 31 36 02 31 |.14BD.14|.15.16.1|
|00005a20| 37 02 31 38 02 31 39 04 | 4d 49 53 43 03 32 30 42 |7.18.19.|MISC.20B|
|00005a30| 02 32 30 03 32 31 44 03 | 32 31 42 03 32 31 58 02 |.20.21D.|21B.21X.|
|00005a40| 32 31 02 32 32 02 32 33 | 02 32 34 04 4f 54 48 52 |21.22.23|.24.OTHR|
|00005a50| 03 32 35 42 03 32 35 44 | 03 32 35 58 02 32 35 02 |.25B.25D|.25X.25.|
|00005a60| 32 36 00 00 00 5c 00 1d | 04 4e 4f 4e 45 04 4e 41 |26...\..|.NONE.NA|
|00005a70| 4d 45 03 53 53 4e 01 49 | 02 31 44 01 31 03 32 58 |ME.SSN.I|.1D.1.2X|
|00005a80| 44 02 32 58 02 32 44 01 | 32 01 33 02 49 49 03 34 |D.2X.2D.|2.3.II.4|
|00005a90| 58 44 02 34 58 02 34 44 | 01 34 01 35 01 36 01 37 |XD.4X.4D|.4.5.6.7|
|00005aa0| 01 38 01 39 03 49 49 49 | 02 31 30 03 31 30 59 03 |.8.9.III|.10.10Y.|
|00005ab0| 31 30 4e 03 31 30 43 02 | 31 31 03 31 31 59 03 31 |10N.10C.|11.11Y.1|
|00005ac0| 31 4e 00 00 01 15 00 55 | 04 4e 4f 4e 45 04 4e 41 |1N.....U|.NONE.NA|
|00005ad0| 4d 45 03 53 53 4e 01 41 | 01 42 01 43 02 43 58 01 |ME.SSN.A|.B.C.CX.|
|00005ae0| 44 01 45 02 45 31 02 45 | 32 02 45 33 01 46 02 46 |D.E.E1.E|2.E3.F.F|
|00005af0| 31 02 46 32 02 46 33 02 | 46 44 01 47 02 47 59 02 |1.F2.F3.|FD.G.GY.|
|00005b00| 47 4e 01 48 02 48 59 02 | 48 4e 01 49 02 49 59 02 |GN.H.HY.|HN.I.IY.|
|00005b10| 49 4e 01 4a 02 4a 59 02 | 50 49 02 31 41 02 31 42 |IN.J.JY.|PI.1A.1B|
|00005b20| 02 31 43 01 32 01 33 01 | 34 01 35 02 49 49 01 36 |.1C.2.3.|4.5.II.6|
|00005b30| 01 37 01 38 01 39 02 31 | 30 02 31 31 02 31 32 02 |.7.8.9.1|0.11.12.|
|00005b40| 31 33 02 31 34 02 31 35 | 02 31 36 03 31 37 41 03 |13.14.15|.16.17A.|
|00005b50| 31 37 42 02 31 38 02 31 | 39 02 32 30 02 32 31 02 |17B.18.1|9.20.21.|
|00005b60| 32 32 02 32 33 02 32 34 | 02 32 35 03 32 36 41 03 |22.23.24|.25.26A.|
|00005b70| 32 36 42 03 32 36 43 03 | 32 36 44 02 32 37 03 32 |26B.26C.|26D.27.2|
|00005b80| 38 41 03 32 38 42 03 32 | 38 43 03 32 39 44 02 32 |8A.28B.2|8C.29D.2|
|00005b90| 39 02 33 30 02 33 31 02 | 33 32 03 33 32 41 03 33 |9.30.31.|32.32A.3|
|00005ba0| 32 42 04 4e 41 4d 32 04 | 53 53 4e 32 03 49 49 49 |2B.NAM2.|SSN2.III|
|00005bb0| 04 49 49 49 31 04 49 49 | 49 32 04 49 49 49 33 04 |.III1.II|I2.III3.|
|00005bc0| 49 49 49 34 04 49 49 49 | 35 04 49 49 49 36 04 49 |III4.III|5.III6.I|
|00005bd0| 49 49 37 04 49 49 49 38 | 02 49 56 00 00 01 29 00 |II7.III8|.IV...).|
|00005be0| 55 04 4e 4f 4e 45 04 4e | 41 4d 45 03 53 53 4e 01 |U.NONE.N|AME.SSN.|
|00005bf0| 31 01 49 03 32 41 41 03 | 32 41 42 03 32 41 43 03 |1.I.2AA.|2AB.2AC.|
|00005c00| 32 41 44 03 32 41 45 03 | 32 41 46 03 32 41 47 02 |2AD.2AE.|2AF.2AG.|
|00005c10| 32 42 03 32 43 41 03 32 | 43 42 03 32 43 43 03 32 |2B.2CA.2|CB.2CC.2|
|00005c20| 43 44 03 32 43 45 03 32 | 43 46 03 32 43 47 01 33 |CD.2CE.2|CF.2CG.3|
|00005c30| 01 34 02 35 46 02 35 47 | 01 36 02 37 46 02 37 47 |.4.5F.5G|.6.7F.7G|
|00005c40| 01 38 02 49 49 03 39 41 | 41 03 39 41 42 03 39 41 |.8.II.9A|A.9AB.9A|
|00005c50| 43 03 39 41 44 03 39 41 | 45 03 39 41 46 03 39 41 |C.9AD.9A|E.9AF.9A|
|00005c60| 47 02 39 42 03 39 43 41 | 03 39 43 42 03 39 43 43 |G.9B.9CA|.9CB.9CC|
|00005c70| 03 39 43 44 03 39 43 45 | 03 39 43 46 03 39 43 47 |.9CD.9CE|.9CF.9CG|
|00005c80| 02 31 30 02 31 31 03 31 | 32 46 03 31 32 47 02 31 |.10.11.1|2F.12G.1|
|00005c90| 33 02 31 34 02 31 35 03 | 31 36 46 03 31 36 47 02 |3.14.15.|16F.16G.|
|00005ca0| 31 37 04 4e 41 4d 32 04 | 53 53 4e 32 03 49 49 49 |17.NAM2.|SSN2.III|
|00005cb0| 02 31 38 02 31 39 02 49 | 56 02 32 30 02 32 31 02 |.18.19.I|V.20.21.|
|00005cc0| 32 32 02 32 33 02 32 34 | 02 32 35 02 32 36 02 32 |22.23.24|.25.26.2|
|00005cd0| 37 02 32 38 02 32 39 01 | 56 03 42 58 31 04 42 58 |7.28.29.|V.BX1.BX|
|00005ce0| 31 58 02 33 31 02 33 32 | 02 56 49 02 33 33 02 33 |1X.31.32|.VI.33.3|
|00005cf0| 34 02 33 35 02 33 36 02 | 33 37 03 33 38 54 03 33 |4.35.36.|37.38T.3|
|00005d00| 38 58 02 33 38 02 33 39 | 00 00 01 50 00 5f 04 4e |8X.38.39|...P._.N|
|00005d10| 4f 4e 45 04 4e 41 4d 45 | 03 53 53 4e 01 31 01 32 |ONE.NAME|.SSN.1.2|
|00005d20| 02 32 59 02 32 4e 01 33 | 02 33 59 02 33 4e 01 34 |.2Y.2N.3|.3Y.3N.4|
|00005d30| 01 35 01 36 01 37 01 38 | 01 39 02 31 30 02 31 31 |.5.6.7.8|.9.10.11|
|00005d40| 02 31 32 02 31 33 02 31 | 34 02 31 35 02 31 36 02 |.12.13.1|4.15.16.|
|00005d50| 31 37 02 31 38 02 34 54 | 02 35 54 03 31 32 54 03 |17.18.4T|.5T.12T.|
|00005d60| 31 39 58 04 31 39 41 58 | 04 31 39 42 58 04 31 39 |19X.19AX|.19BX.19|
|00005d70| 43 58 02 31 39 03 31 39 | 41 03 31 39 42 03 31 39 |CX.19.19|A.19B.19|
|00005d80| 43 02 32 30 02 32 31 02 | 32 32 02 32 33 02 32 34 |C.20.21.|22.23.24|
|00005d90| 03 32 30 54 03 32 31 54 | 02 32 35 02 32 36 02 32 |.20T.21T|.25.26.2|
|00005da0| 37 02 32 38 02 32 39 04 | 4e 41 4d 32 04 53 53 4e |7.28.29.|NAM2.SSN|
|00005db0| 32 03 50 53 41 03 50 53 | 42 03 50 53 43 04 50 53 |2.PSA.PS|B.PSC.PS|
|00005dc0| 43 58 03 50 53 44 03 50 | 53 45 04 50 53 45 45 04 |CX.PSD.P|SE.PSEE.|
|00005dd0| 50 53 45 46 03 50 53 47 | 03 50 53 48 03 50 53 49 |PSEF.PSG|.PSH.PSI|
|00005de0| 03 50 53 4a 03 50 53 4b | 03 33 30 47 03 33 30 4a |.PSJ.PSK|.30G.30J|
|00005df0| 03 33 30 46 03 33 30 48 | 03 33 30 49 02 33 31 02 |.30F.30H|.30I.31.|
|00005e00| 33 32 02 33 33 03 45 54 | 41 03 45 54 42 03 45 54 |32.33.ET|A.ETB.ET|
|00005e10| 43 03 45 54 44 03 45 54 | 45 03 45 54 46 03 33 34 |C.ETD.ET|E.ETF.34|
|00005e20| 43 03 33 34 44 03 33 34 | 45 03 33 34 46 02 33 35 |C.34D.34|E.34F.35|
|00005e30| 02 33 36 02 33 37 03 49 | 56 41 03 49 56 42 03 49 |.36.37.I|VA.IVB.I|
|00005e40| 56 43 03 49 56 44 03 49 | 56 45 02 33 38 02 33 39 |VC.IVD.I|VE.38.39|
|00005e50| 02 34 30 02 34 31 02 34 | 32 02 34 33 00 00 01 2b |.40.41.4|2.43...+|
|00005e60| 00 5e 04 4e 4f 4e 45 04 | 4e 41 4d 45 03 53 53 4e |.^.NONE.|NAME.SSN|
|00005e70| 01 41 01 42 01 43 02 43 | 31 02 43 32 03 45 49 4e |.A.B.C.C|1.C2.EIN|
|00005e80| 01 45 02 45 59 02 45 4e | 01 46 02 46 59 02 46 4e |.E.EY.EN|.F.FY.FN|
|00005e90| 01 47 02 47 44 02 47 59 | 02 47 4e 01 31 01 32 01 |.G.GD.GY|.GN.1.2.|
|00005ea0| 33 01 34 02 35 41 02 35 | 42 01 36 02 37 41 02 37 |3.4.5A.5|B.6.7A.7|
|00005eb0| 42 02 38 41 02 38 42 02 | 38 43 02 39 41 02 39 42 |B.8A.8B.|8C.9A.9B|
|00005ec0| 02 39 43 03 39 43 58 02 | 39 44 02 31 30 02 31 31 |.9C.9CX.|9D.10.11|
|00005ed0| 02 31 32 02 31 33 02 31 | 34 02 31 35 02 31 36 02 |.12.13.1|4.15.16.|
|00005ee0| 31 37 02 31 38 02 31 39 | 02 32 30 02 32 31 02 32 |17.18.19|.20.21.2|
|00005ef0| 32 02 32 33 03 32 34 41 | 03 32 34 42 03 32 35 41 |2.23.24A|.24B.25A|
|00005f00| 03 32 35 42 03 32 35 43 | 02 32 36 02 32 37 02 32 |.25B.25C|.26.27.2|
|00005f10| 38 02 32 39 02 33 30 02 | 33 31 02 33 32 02 33 33 |8.29.30.|31.32.33|
|00005f20| 02 33 34 03 33 35 58 02 | 33 35 02 33 36 02 33 37 |.34.35X.|35.36.37|
|00005f30| 02 33 38 02 33 39 02 34 | 30 03 34 30 41 03 34 30 |.38.39.4|0.40A.40|
|00005f40| 42 04 4e 41 4d 32 04 53 | 53 4e 32 02 34 31 03 34 |B.NAM2.S|SN2.41.4|
|00005f50| 32 41 03 34 32 42 02 34 | 33 03 34 34 41 03 34 34 |2A.42B.4|3.44A.44|
|00005f60| 42 03 34 35 41 03 34 35 | 42 03 34 35 43 02 34 36 |B.45A.45|B.45C.46|
|00005f70| 02 34 37 02 34 38 02 34 | 39 02 35 30 02 35 31 02 |.47.48.4|9.50.51.|
|00005f80| 35 32 02 35 33 02 35 34 | 02 35 35 00 00 00 99 00 |52.53.54|.55.....|
|00005f90| 27 04 4e 4f 4e 45 04 4e | 41 4d 45 03 53 53 4e 02 |'.NONE.N|AME.SSN.|
|00005fa0| 46 53 03 46 53 31 03 46 | 53 32 03 46 53 33 03 46 |FS.FS1.F|S2.FS3.F|
|00005fb0| 53 34 03 46 53 35 03 46 | 53 36 03 46 53 37 03 46 |S4.FS5.F|S6.FS7.F|
|00005fc0| 53 38 03 46 53 39 02 53 | 54 03 53 54 58 02 50 53 |S8.FS9.S|T.STX.PS|
|00005fd0| 03 4e 44 50 04 44 41 54 | 45 03 44 49 53 04 44 49 |.NDP.DAT|E.DIS.DI|
|00005fe0| 53 41 04 44 49 53 42 04 | 50 4e 41 4d 04 41 44 44 |SA.DISB.|PNAM.ADD|
|00005ff0| 52 04 4e 41 4d 32 04 53 | 53 4e 32 02 31 30 02 31 |R.NAM2.S|SN2.10.1|
|00006000| 31 02 31 32 03 31 33 41 | 03 31 33 42 03 31 33 43 |1.12.13A|.13B.13C|
|00006010| 02 31 34 02 31 35 02 31 | 36 02 31 37 02 31 38 02 |.14.15.1|6.17.18.|
|00006020| 31 39 02 32 30 02 32 31 | 00 00 00 1e 00 0a 04 4e |19.20.21|.......N|
|00006030| 4f 4e 45 04 4e 41 4d 45 | 03 53 53 4e 01 31 01 32 |ONE.NAME|.SSN.1.2|
|00006040| 01 33 01 35 01 36 01 37 | 01 38 00 00 00 48 00 16 |.3.5.6.7|.8...H..|
|00006050| 04 4e 4f 4e 45 04 4e 41 | 4d 45 03 53 53 4e 03 42 |.NONE.NA|ME.SSN.B|
|00006060| 4f 58 04 42 4f 58 58 01 | 31 01 32 02 33 41 02 33 |OX.BOXX.|1.2.3A.3|
|00006070| 42 02 33 43 02 35 41 02 | 35 42 02 35 43 02 36 41 |B.3C.5A.|5B.5C.6A|
|00006080| 02 36 42 02 36 43 02 36 | 44 01 37 01 38 02 31 30 |.6B.6C.6|D.7.8.10|
|00006090| 02 31 31 02 31 32 00 00 | 00 ff 00 46 04 4e 4f 4e |.11.12..|...F.NON|
|000060a0| 45 04 4e 41 4d 45 03 53 | 53 4e 03 4f 43 43 01 31 |E.NAME.S|SN.OCC.1|
|000060b0| 01 32 01 33 01 34 01 35 | 02 36 41 02 36 42 02 37 |.2.3.4.5|.6A.6B.7|
|000060c0| 41 02 37 42 02 38 41 02 | 38 42 01 39 03 31 30 41 |A.7B.8A.|8B.9.10A|
|000060d0| 03 31 30 42 03 31 31 41 | 03 31 31 42 03 31 32 41 |.10B.11A|.11B.12A|
|000060e0| 03 31 32 42 02 31 33 03 | 31 34 41 03 31 34 42 02 |.12B.13.|14A.14B.|
|000060f0| 31 35 03 31 36 41 03 31 | 36 42 02 31 37 04 4e 41 |15.16A.1|6B.17.NA|
|00006100| 4d 32 04 53 53 4e 32 02 | 56 31 02 56 32 02 56 33 |M2.SSN2.|V1.V2.V3|
|00006110| 02 56 34 02 56 35 02 56 | 36 02 56 37 02 56 38 03 |.V4.V5.V|6.V7.V8.|
|00006120| 56 38 59 03 56 38 4e 02 | 56 39 03 56 39 59 03 56 |V8Y.V8N.|V9.V9Y.V|
|00006130| 39 4e 03 56 39 58 03 45 | 56 41 04 45 56 41 59 04 |9N.V9X.E|VA.EVAY.|
|00006140| 45 56 41 4e 03 45 56 42 | 04 45 56 42 59 04 45 56 |EVAN.EVB|.EVBY.EV|
|00006150| 42 4e 03 56 31 31 03 56 | 31 32 03 56 31 33 03 56 |BN.V11.V|12.V13.V|
|00006160| 31 34 03 56 31 35 03 56 | 31 36 03 56 31 37 03 56 |14.V15.V|16.V17.V|
|00006170| 31 38 03 56 31 39 03 56 | 32 30 03 56 32 31 03 56 |18.V19.V|20.V21.V|
|00006180| 32 32 02 44 41 02 44 42 | 03 44 43 41 03 44 43 42 |22.DA.DB|.DCA.DCB|
|00006190| 02 44 44 02 44 45 02 44 | 46 00 00 00 85 00 25 04 |.DD.DE.D|F.....%.|
|000061a0| 4e 41 4d 45 03 53 53 4e | 04 41 44 44 52 04 53 53 |NAME.SSN|.ADDR.SS|
|000061b0| 4e 32 04 43 49 54 59 02 | 31 41 02 31 42 03 32 41 |N2.CITY.|1A.1B.2A|
|000061c0| 59 03 32 41 4e 03 32 42 | 59 03 32 42 4e 03 33 41 |Y.2AN.2B|Y.2BN.3A|
|000061d0| 59 03 33 41 4e 03 33 42 | 59 03 33 42 4e 03 33 43 |Y.3AN.3B|Y.3BN.3C|
|000061e0| 59 03 33 43 4e 03 33 44 | 59 03 33 44 4e 03 33 45 |Y.3CN.3D|Y.3DN.3E|
|000061f0| 31 03 33 45 32 03 33 45 | 33 02 33 46 01 34 01 35 |1.3E2.3E|3.3F.4.5|
|00006200| 01 36 01 37 01 38 01 39 | 02 31 30 02 31 31 02 31 |.6.7.8.9|.10.11.1|
|00006210| 32 03 31 33 41 03 31 33 | 42 02 31 34 02 31 35 02 |2.13A.13|B.14.15.|
|00006220| 31 36 00 00 00 27 00 0d | 04 4e 4f 4e 45 04 4e 41 |16...'..|.NONE.NA|
|00006230| 4d 45 03 53 53 4e 01 31 | 01 32 02 33 41 02 33 42 |ME.SSN.1|.2.3A.3B|
|00006240| 02 33 43 01 34 01 35 01 | 36 01 37 01 38 00 00 00 |.3C.4.5.|6.7.8...|
|00006250| 5b 00 1d 04 4e 41 4d 45 | 03 53 53 4e 01 31 01 32 |[...NAME|.SSN.1.2|
|00006260| 01 33 01 34 01 35 01 36 | 01 37 01 38 01 39 02 31 |.3.4.5.6|.7.8.9.1|
|00006270| 30 02 31 31 02 31 32 02 | 31 33 02 31 34 02 31 35 |0.11.12.|13.14.15|
|00006280| 02 31 36 04 42 31 37 41 | 04 42 31 37 42 02 31 37 |.16.B17A|.B17B.17|
|00006290| 04 42 31 38 41 04 42 31 | 38 42 02 31 38 02 31 39 |.B18A.B1|8B.18.19|
|000062a0| 02 32 30 02 32 31 02 32 | 32 02 32 33 00 00 00 37 |.20.21.2|2.23...7|
|000062b0| 00 13 04 4e 41 4d 45 03 | 45 49 4e 04 50 52 50 41 |...NAME.|EIN.PRPA|
|000062c0| 01 31 01 32 01 33 01 34 | 01 35 01 36 01 37 01 38 |.1.2.3.4|.5.6.7.8|
|000062d0| 01 39 02 31 30 02 31 31 | 02 31 32 02 31 33 02 31 |.9.10.11|.12.13.1|
|000062e0| 34 02 31 35 02 31 36 00 | 00 01 93 00 70 04 4e 4f |4.15.16.|....p.NO|
|000062f0| 4e 45 04 4e 41 4d 45 03 | 53 53 4e 03 42 55 53 01 |NE.NAME.|SSN.BUS.|
|00006300| 49 01 41 02 31 41 02 31 | 42 02 31 43 02 31 44 01 |I.A.1A.1|B.1C.1D.|
|00006310| 32 01 33 01 34 01 35 01 | 42 02 36 41 03 36 41 41 |2.3.4.5.|B.6A.6AA|
|00006320| 03 36 41 42 03 36 41 43 | 03 36 41 44 03 36 41 45 |.6AB.6AC|.6AD.6AE|
|00006330| 03 36 41 46 03 36 41 47 | 03 36 41 48 02 36 42 02 |.6AF.6AG|.6AH.6B.|
|00006340| 36 43 02 36 44 02 36 45 | 02 36 46 03 36 42 47 03 |6C.6D.6E|.6F.6BG.|
|00006350| 36 43 47 03 36 44 47 03 | 36 45 47 03 36 46 47 03 |6CG.6DG.|6EG.6FG.|
|00006360| 36 42 48 03 36 43 48 03 | 36 44 48 03 36 45 48 03 |6BH.6CH.|6DH.6EH.|
|00006370| 36 46 48 02 37 42 02 37 | 43 02 37 44 02 37 45 02 |6FH.7B.7|C.7D.7E.|
|00006380| 37 46 01 38 01 39 01 43 | 02 31 30 02 31 31 01 44 |7F.8.9.C|.10.11.D|
|00006390| 02 31 32 02 31 33 02 49 | 49 03 49 49 41 03 49 49 |.12.13.I|I.IIA.II|
|000063a0| 42 03 49 49 43 03 49 49 | 44 03 49 49 45 03 49 49 |B.IIC.II|D.IIE.II|
|000063b0| 46 03 49 49 32 03 49 49 | 33 04 4e 41 4d 32 04 53 |F.II2.II|3.NAM2.S|
|000063c0| 53 4e 32 03 49 49 49 04 | 49 49 49 41 02 45 56 03 |SN2.III.|IIIA.EV.|
|000063d0| 45 56 59 03 45 56 4e 02 | 57 52 03 57 52 59 03 57 |EVY.EVN.|WR.WRY.W|
|000063e0| 52 4e 02 41 41 02 41 42 | 02 41 43 02 41 44 02 41 |RN.AA.AB|.AC.AD.A|
|000063f0| 45 03 41 46 4d 03 41 46 | 50 02 41 47 02 41 48 03 |E.AFM.AF|P.AG.AH.|
+--------+-------------------------+-------------------------+--------+--------+
Only 25.0 KB of data is shown above.