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Text File  |  2002-08-07  |  418 b   |  35 lines

  1. Rents
  2.  
  3. Royalties
  4.  
  5. Other income
  6.  
  7. Fishing boat proceeds
  8.  
  9. Medical and health care payments
  10.  
  11. Nonemployee compensation
  12.  
  13. Substitute payments in lieu of dividends or interest
  14.  
  15. Crop insurance proceeds
  16.  
  17. Federal income tax withheld
  18.  
  19. State income tax withheld
  20.  
  21. Fees Paid to Attorney
  22.  
  23. Excess Golden Parachute Payments
  24.  
  25. State income tax withheld
  26.  
  27. State/Payer's state number
  28.  
  29. State/Payer's state number
  30.  
  31. State Income
  32.  
  33. State Income
  34.  
  35.