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Bitmap Image  |  1995-01-03  |  91.8 KB  |  624x301  |  4-bit (7 colors)
   ocr: F194SHR.1121 00000 1040 ITEST1 112/29/94 12:0 INCOME 7a. - Your wages. b. Spouse's wages.: C. Dependent care benefits (2441). d. Excess reimbursements (2106).- e. Unreported tip income (4137).. f. Early disability pensions... g. Excess moving expenses payments (3903)..- Total wages, salaries, tips.... ( )...7 C 8a. Taxable interest income (Sch B).. - 8a= H l N 8b. Tax-exempt interest on Sch B.... Tax-exempt interest not on Sch B... Total tax-exempt interest.. 8b-C 9. Dividend income (Sch B)..- 7 10. Refunds of state and local taxes. 10 11. Alimony received... 11 12. Business profit/loss from S ...