ocr: Department of the Treasury--IKS Form INCOME TAX RETURN FOR 1040EZ SINGLE FILERS YITH NO DEPENDENTS 1992 OMB No. 1545-U615 NOTE: you hare questions as to whether you can use this form, select interriew Topics for This rorm, or see the "When to Use" section of the Help index. Your Name: - 1st Name Last Name Jr (Place Your name: Social Sec. Number label Street, No.: Apt here) City,ST,Zip: PRESIDENTIAL ELECTION CAMPAIGN Do you want $1 to go to this fund? _I YES LJ NO NOTE: Checking "Tes" will not change your tax or reduce your refund. MINFYURKSHEET FOR LINE 1, YAGES Wages (from W-2). 0 Taxable sch ...
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