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n islands Wage and Tax Statement Copy 1-For VI Bureau of Internal Revenue or Copy D-For Employer 2005 Dapergrsont of the 7renoury—Intomml gavcours Seneca For Privacy Act and Ptporviork Reduction Act Node. end InStruc rt'ona, sec Form 16-36S. FTC0015 EFTA00176026 2iNOT STAPLE OP FOLD • carded (S
Semis and PR Treasury Department. and in suchforms accurately daafy dindenct ardice Interest as tax exempt or racabSe income. flea. comult your in:Eldon' tax prepare( October 2014 (S) Year to date IS) Taxable dividends 4,335 38 54,245 13 Taxable interest 0.11 7.90 Total current year $4,335.4
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