User's Manual

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FORM 1040X SCHEDULE OF DEPENDENTS STATEMENT 1
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QUALIFIES FOR:
SOCIAL CHILD OTHER
SECURITY TAX DEPENDENT
DEPENDENT'S NAME NUMBER RELATIONSHIP CREDIT CREDIT
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CHAYA F GOLDSTEIN 066 92 6582 DAUGHTER X
NISSAN GOLDSTEIN 099 94 8645 SON X
CHANA YENTA GOLDSTEIN 057 98 4925 DAUGHTER X
MOSHE GOLDSTEIN 053 02 5911 SON X
ZIPPY ROCHEL GOLDSTEIN 289 85 4762 DAUGHTER X
CHAIM GOLDSTEIN 022 96 9698 SON X
ARYA ABRAHAM GOLDSTEIN 885 37 6218 SON X
YISROEL & GITTY GOLDSTEIN 100-88-1947
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STATEMENT(S) 1