number loptItaail 13 Excess golden Piracies,. payments 14 Gross prorAeds an attorney 15. is Start tax vnUinold 17 Sline/Pdyer's stous no. 15 Sato Incomo S $ orrn 0/39.MISC O VOID O CORRECTED Deportment of the Treasury • Soma Revenue Sado/ rsycl0 name, soca 1100111/3e CIOr, DIM% LW WU% ens wrier