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EFTA00175998
x Statement '''''"1".3rir. 06 2 VI Inseam tax withhold 1052.00 4 Sonl moray lax wIthhdd 2673.82 7 Sacral smithy tips 9 Advance EIC payment tt Nonquallflod plans 3 14 Other 2005 10 6 Medic/ire tax withheld 62-5.33 2a Soo Forniit.369.Istruetion y2:32.6 r 57.32 2c r Department of the Treasity
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