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hvolons S 1297.84 d Employee's social security number 580-29-3823 9 Advance EIC payment , a ErIMOTfiriitAltrrno end Initial Last name Suff. MCDONALD MORRELL PO BOX 306077 ST. THOMAS, VI, 00803 f 5m eels address and tpc o 11 Nonavollad lane 13 re 'Z, " Mr 120 • 14 Other 12c 174 0 4 / / rnrm
, Michigan, Minnesota. Missouri, Nebraska, North Dakota, Oklahoma, South Carolina, South Dakota, Tennessee, Wisconsin Kansas City, MO 84999 For moro Information and the Privacy Aot and Paperwork Reduction Act Notice, see the 2004 General Instructions for Forma 1099, 1098, 6498, and W-26. Form loge (2404) F
snotty tar vorrhO 1491.96 bladloare na Wthtgl .93 5" 5`""Tilfra .91 7 Boast snally fps ▪ tir e' • Employee's list name arida** LORETTA LAM an MCDONALD MORRELL I Em Fenn Copy 1-Fer VI ta.feaU of Internal Revatur re Copy 0-For Fmptoync es add nd * contra main 22222 9 Advance em payment a VI Welt:A.)
essee, Wisconsin Use the following Internal Revenue Service Canter address ' `Cr AS, TX 73301 Cinoinnin. OH 45999 Kansas City, MO 64999 For moro Information end the Privacy Act and Paperwork Reduction Act Nape, see the 2004 Omer* Instructions for Forms 1099, 1098, 5496. and W-20, 1C0037 Fern 1090 nag
6100 RED HOOK QUARTER 8-3 ST. THOMAS U.S.VIRGIN , 00802 d Employee's social smelly number 580-29-3823 e Ernployee's first name end Inklel Limon MCDONALD MORRELL LORF.,TTA rorrn Meth Isbandss wege and Tax Statement Copy El • For Employer 2004 Department of the Tretsthy • Internal Revenue Servl For Priv
a, Missouri, Nebraska, North Dakota, Oklahoma, South Carolina, South Dakota, Tennessee, Wisconsin CInotnnat, OH 46999 Kansas City, MO 84999 For moro Information and the Privacy Act and Paperwork Reduction Act Notioe, Form 1096 17300 See the 2004 General Instructions for Forms 1099,1098, 6498, and W-2G. F10
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