476 lines
61 KiB
Plaintext
476 lines
61 KiB
Plaintext
<html><head>
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<meta http-equiv="Content-Type" content="text/html; charset=utf-8">
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</head><body>
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<span style="position:absolute; border: gray 1px solid; left:0px; top:50px; width:611px; height:791px;"></span>
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<div style="position:absolute; top:50px;"><a name="1">Page 1</a></div>
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<div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:490px; top:85px; width:65px; height:16px;"><span style="font-family: HelveticaNeue-Roman; font-size:8px">OMB No. 1545-0074
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<br>
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:499px; top:93px; width:45px; height:34px;"><span style="font-family: HelveticaNeue-Bold; font-size:26px">20</span><span style="font-family: Helvetica-Condensed-Black; font-size:27px">07
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:425px; top:123px; width:111px; height:18px;"><span style="font-family: HelveticaNeue-Bold; font-size:9px">Identifying number (see page 8)
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<br>
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:tb-rl; left:480px; top:150px; width:2px; height:28px;"><span style="font-family: HelveticaNeue-Roman; font-size:9px"> I
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:425px; top:149px; width:32px; height:18px;"><span style="font-family: HelveticaNeue-Roman; font-size:9px">Check if:
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<br>
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:425px; top:150px; width:112px; height:33px;"><span style="font-family: HelveticaNeue-Roman; font-size:9px">ndividual
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<br>
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<br>Estate or Trust
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<br>Type of entry visa (see page 8)
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:437px; top:113px; width:12px; height:16px;"><span style="font-family: HelveticaNeue-Roman; font-size:8px">, 20
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<br>
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:tb-rl; left:425px; top:184px; width:6px; height:14px;"><span style="font-family: Universal-NewswithCommPi; font-size:5px">䊳
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:61px; top:148px; width:330px; height:8px;"><span style="font-family: HelveticaNeue-Roman; font-size:8px">resent home address (number, street, and apt. no., or rural route). If you have a P.O. box, see page 8.
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:56px; top:157px; width:1px; height:8px;"><span style="font-family: HelveticaNeue-Roman; font-size:8px">
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:56px; top:172px; width:323px; height:18px;"><span style="font-family: HelveticaNeue-Roman; font-size:9px">City, town or post office, state, and ZIP code. If you have a foreign address, see page 8.
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<br>
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:56px; top:196px; width:233px; height:37px;"><span style="font-family: HelveticaNeue-Roman; font-size:9px">Country </span><span style="font-family: Universal-NewswithCommPi; font-size:6px">䊳
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<br></span><span style="font-family: HelveticaNeue-Roman; font-size:9px">Give address </span><span style="font-family: HelveticaNeue-Bold; font-size:9px">outside the United States </span><span style="font-family: HelveticaNeue-Roman; font-size:9px">to which you want any
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<br>refund check mailed. If same as above, write “Same.”
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<br>
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:88px; top:207px; width:1px; height:8px;"><span style="font-family: HelveticaNeue-Roman; font-size:8px">
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:251px; top:196px; width:195px; height:10px;"><span style="font-family: HelveticaNeue-Roman; font-size:9px">Of what country were you a </span><span style="font-family: HelveticaNeue-Bold; font-size:9px">citizen </span><span style="font-family: HelveticaNeue-Roman; font-size:9px">or national during the tax year? </span><span style="font-family: Universal-NewswithCommPi; font-size:6px">䊳
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:316px; top:208px; width:241px; height:25px;"><span style="font-family: HelveticaNeue-Roman; font-size:9px">Give address in the country where you are a </span><span style="font-family: HelveticaNeue-Bold; font-size:9px">permanent resident.
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<br></span><span style="font-family: HelveticaNeue-Roman; font-size:9px">If same as above, write “Same.”
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<br>
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:439px; top:207px; width:1px; height:8px;"><span style="font-family: HelveticaNeue-Roman; font-size:8px">
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:176px; top:82px; width:269px; height:17px;"><span style="font-family: FranklinGothic-Demi; font-size:16px">U.S. Nonresident Alien Income Tax Return
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<br>
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:146px; top:113px; width:30px; height:8px;"><span style="font-family: HelveticaNeue-Roman; font-size:8px">beginning
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:211px; top:100px; width:195px; height:16px;"><span style="font-family: HelveticaNeue-Roman; font-size:8px">For the year January 1–December 31, 2007, or other tax year
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<br>
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:260px; top:113px; width:61px; height:8px;"><span style="font-family: HelveticaNeue-Roman; font-size:8px">, 2007, and ending
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:251px; top:123px; width:37px; height:18px;"><span style="font-family: HelveticaNeue-Roman; font-size:9px">Last name
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<br>
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:55px; top:79px; width:66px; height:32px;"><span style="font-family: Helvetica-Condensed-Black; font-size:30px">1040NR
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<br>
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:34px; top:97px; width:87px; height:32px;"><span style="font-family: HelveticaNeue-Roman; font-size:8px">Form
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<br>Department of the Treasury
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<br>Internal Revenue Service
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<br>
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:56px; top:123px; width:93px; height:9px;"><span style="font-family: HelveticaNeue-Roman; font-size:9px">Your first name and initial
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:tb-rl; left:56px; top:132px; width:4px; height:24px;"><span style="font-family: HelveticaNeue-Roman; font-size:9px"> </span><span style="font-family: HelveticaNeue-Roman; font-size:8px">P
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:tb-rl; left:36px; top:146px; width:9px; height:78px;"><span style="font-family: HelveticaNeue-Bold; font-size:5px">P</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">l</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">ea</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">s</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">e</span><span style="font-family: HelveticaNeue-Bold; font-size:2px"> </span><span style="font-family: HelveticaNeue-Bold; font-size:4px">p</span><span style="font-family: HelveticaNeue-Bold; font-size:3px">r</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">i</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">n</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">t</span><span style="font-family: HelveticaNeue-Bold; font-size:2px"> </span><span style="font-family: HelveticaNeue-Bold; font-size:4px">o</span><span style="font-family: HelveticaNeue-Bold; font-size:3px">r</span><span style="font-family: HelveticaNeue-Bold; font-size:2px"> </span><span style="font-family: HelveticaNeue-Bold; font-size:2px">t</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">y</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">p</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">e</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">.
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:37px; top:221px; width:9px; height:2px;"><span style="font-family: HelveticaNeue-Bold; font-size:2px">
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:tb-rl; left:40px; top:273px; width:8px; height:159px;"><span style="font-family: HelveticaNeue-Bold; font-size:4px">A</span><span style="font-family: HelveticaNeue-Bold; font-size:1px">l</span><span style="font-family: HelveticaNeue-Bold; font-size:3px">s</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">o</span><span style="font-family: HelveticaNeue-Bold; font-size:1px"> </span><span style="font-family: HelveticaNeue-Bold; font-size:4px">a</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">tt</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">a</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">c</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">h</span><span style="font-family: HelveticaNeue-Bold; font-size:1px"> </span><span style="font-family: HelveticaNeue-Bold; font-size:4px">F</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">o</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">r</span><span style="font-family: HelveticaNeue-Bold; font-size:6px">m</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">(</span><span style="font-family: HelveticaNeue-Bold; font-size:3px">s</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">)</span><span style="font-family: HelveticaNeue-Bold; font-size:1px"> </span><span style="font-family: HelveticaNeue-Bold; font-size:3px">1099</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">-</span><span style="font-family: HelveticaNeue-Bold; font-size:5px">R</span><span style="font-family: HelveticaNeue-Bold; font-size:1px"> </span><span style="font-family: HelveticaNeue-Bold; font-size:1px">i</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">f</span><span style="font-family: HelveticaNeue-Bold; font-size:1px"> </span><span style="font-family: HelveticaNeue-Bold; font-size:2px">t</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">a</span><span style="font-family: HelveticaNeue-Bold; font-size:3px">x</span><span style="font-family: HelveticaNeue-Bold; font-size:1px"> </span><span style="font-family: HelveticaNeue-Bold; font-size:5px">w</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">a</span><span style="font-family: HelveticaNeue-Bold; font-size:3px">s</span><span style="font-family: HelveticaNeue-Bold; font-size:1px"> </span><span style="font-family: HelveticaNeue-Bold; font-size:5px">w</span><span style="font-family: HelveticaNeue-Bold; font-size:1px">i</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">t</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">hh</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">e</span><span style="font-family: HelveticaNeue-Bold; font-size:1px">l</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">d</span><span style="font-family: HelveticaNeue-Bold; font-size:1px">.
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:tb-rl; left:33px; top:312px; width:8px; height:80px;"><span style="font-family: HelveticaNeue-Bold; font-size:4px">A</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">tt</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">a</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">c</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">h</span><span style="font-family: HelveticaNeue-Bold; font-size:1px"> </span><span style="font-family: HelveticaNeue-Bold; font-size:4px">F</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">o</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">r</span><span style="font-family: HelveticaNeue-Bold; font-size:6px">m</span><span style="font-family: HelveticaNeue-Bold; font-size:3px">s</span><span style="font-family: HelveticaNeue-Bold; font-size:1px"> </span><span style="font-family: HelveticaNeue-Bold; font-size:6px">W</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">-</span><span style="font-family: HelveticaNeue-Bold; font-size:3px">2</span><span style="font-family: HelveticaNeue-Bold; font-size:1px"> </span><span style="font-family: HelveticaNeue-Bold; font-size:4px">h</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">e</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">r</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">e</span><span style="font-family: HelveticaNeue-Bold; font-size:1px">.
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:502px; top:243px; width:10px; height:11px;"><span style="font-family: HelveticaNeue-Bold; font-size:10px">7a
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:538px; top:243px; width:10px; height:11px;"><span style="font-family: HelveticaNeue-Bold; font-size:10px">7b
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:494px; top:256px; width:27px; height:9px;"><span style="font-family: HelveticaNeue-Bold; font-size:8px">Yourself
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<br>
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:532px; top:256px; width:25px; height:9px;"><span style="font-family: HelveticaNeue-Bold; font-size:8px">Spouse
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<br>
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:tb-rl; left:483px; top:286px; width:3px; height:41px;"><span style="font-family: Universal-GreekwithMathPi; font-size:25px">兵</span><span style="font-family: HelveticaNeue-Roman; font-size:27px">
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:528px; top:344px; width:7px; height:6px;"><span style="font-family: Universal-NewswithCommPi; font-size:6px">䊳
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:528px; top:374px; width:7px; height:6px;"><span style="font-family: Universal-NewswithCommPi; font-size:6px">䊳
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:528px; top:398px; width:7px; height:6px;"><span style="font-family: Universal-NewswithCommPi; font-size:6px">䊳
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:528px; top:415px; width:7px; height:6px;"><span style="font-family: Universal-NewswithCommPi; font-size:6px">䊳
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:528px; top:438px; width:7px; height:6px;"><span style="font-family: Universal-NewswithCommPi; font-size:6px">䊳
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:535px; top:354px; width:1px; height:8px;"><span style="font-family: HelveticaNeue-Roman; font-size:8px">
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:535px; top:384px; width:1px; height:8px;"><span style="font-family: HelveticaNeue-Roman; font-size:8px">
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:535px; top:409px; width:1px; height:8px;"><span style="font-family: HelveticaNeue-Roman; font-size:8px">
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:535px; top:426px; width:1px; height:8px;"><span style="font-family: HelveticaNeue-Roman; font-size:8px">
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:535px; top:448px; width:1px; height:8px;"><span style="font-family: HelveticaNeue-Roman; font-size:8px">
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:453px; top:339px; width:73px; height:86px;"><span style="font-family: HelveticaNeue-Bold; font-size:8px">No. of boxes checked
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<br>on 7a and 7b
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<br>
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<br>No. of children on
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<br>7c who:
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<br>
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<br></span><span style="font-family: Universal-NewswithCommPi; font-size:6px">● </span><span style="font-family: HelveticaNeue-Bold; font-size:8px">lived with you
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<br> </span><span style="font-family: Universal-NewswithCommPi; font-size:6px">● </span><span style="font-family: HelveticaNeue-Bold; font-size:8px">did not live with
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<br>you due to divorce
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<br>or separation
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<br>
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<br>Dependents on 7c
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<br>not entered above
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:458px; top:432px; width:68px; height:8px;"><span style="font-family: HelveticaNeue-Bold; font-size:8px">dd numbers entered
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:453px; top:439px; width:49px; height:15px;"><span style="font-family: HelveticaNeue-Bold; font-size:8px">on lines above
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<br>
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:459px; top:449px; width:10px; height:23px;"><span style="font-family: HelveticaNeue-Bold; font-size:10px">8
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<br>
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<br>9a
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:tb-rl; left:453px; top:424px; width:4px; height:16px;"><span style="font-family: HelveticaNeue-Bold; font-size:8px"> A
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:457px; top:485px; width:15px; height:11px;"><span style="font-family: HelveticaNeue-Bold; font-size:10px">10a
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:457px; top:509px; width:15px; height:132px;"><span style="font-family: HelveticaNeue-Bold; font-size:10px">11
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<br>12
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<br>13
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<br>14
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<br>15
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<br>16b
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<br></span><span style="font-family: HelveticaNeue-Bold; font-size:10px">17b
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<br>18
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<br>19
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<br>20
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<br>21
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:459px; top:654px; width:10px; height:11px;"><span style="font-family: HelveticaNeue-Bold; font-size:10px">23
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:459px; top:786px; width:10px; height:23px;"><span style="font-family: HelveticaNeue-Bold; font-size:10px">34</span><span style="font-family: HelveticaNeue-Bold; font-size:10px">
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<br>35</span><span style="font-family: HelveticaNeue-Bold; font-size:10px">
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:484px; top:810px; width:78px; height:11px;"><span style="font-family: HelveticaNeue-Roman; font-size:8px">Form </span><span style="font-family: HelveticaNeue-Bold; font-size:11px">1040NR </span><span style="font-family: HelveticaNeue-Roman; font-size:8px">(2007)
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:543px; top:820px; width:1px; height:8px;"><span style="font-family: HelveticaNeue-Roman; font-size:8px">
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:338px; top:297px; width:140px; height:19px;"><span style="font-family: HelveticaNeue-Roman; font-size:8px">If you check box 7b, enter your spouse’s
|
||
<br>identifying number </span><span style="font-family: Universal-NewswithCommPi; font-size:5px">䊳
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:331px; top:371px; width:36px; height:8px;"><span style="font-family: HelveticaNeue-Roman; font-size:8px">relationship
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:339px; top:378px; width:20px; height:15px;"><span style="font-family: HelveticaNeue-Roman; font-size:8px">to you
|
||
<br>
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:391px; top:364px; width:43px; height:29px;"><span style="font-family: Helvetica-Condensed-Bold; font-size:8px">(4)
|
||
<br></span><span style="font-family: Helvetica-Condensed; font-size:8px">if qualifying
|
||
<br>child for child tax
|
||
<br>credit (see page 9)
|
||
<br>
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:304px; top:254px; width:2px; height:10px;"><span style="font-family: HelveticaNeue-Roman; font-size:10px">
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:413px; top:321px; width:1px; height:6px;"><span style="font-family: HelveticaNeue-Roman; font-size:6px">
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:350px; top:282px; width:2px; height:10px;"><span style="font-family: HelveticaNeue-Roman; font-size:10px">
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:tb-rl; left:331px; top:290px; width:3px; height:41px;"><span style="font-family: Universal-GreekwithMathPi; font-size:25px">其</span><span style="font-family: HelveticaNeue-Roman; font-size:27px">
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:56px; top:255px; width:367px; height:119px;"><span style="font-family: HelveticaNeue-Roman; font-size:10px">Filing status. Check only one box (1–6 below).
|
||
<br>
|
||
<br></span><span style="font-family: HelveticaNeue-Bold; font-size:10px">1
|
||
<br>
|
||
<br>2
|
||
<br>
|
||
<br>3
|
||
<br>
|
||
<br>4
|
||
<br>
|
||
<br>5
|
||
<br></span><span style="font-family: HelveticaNeue-Bold; font-size:10px">
|
||
<br></span><span style="font-family: HelveticaNeue-Bold; font-size:10px">6
|
||
<br>
|
||
<br></span><span style="font-family: HelveticaNeue-Bold; font-size:10px">Caution: Do not </span><span style="font-family: HelveticaNeue-Roman; font-size:9px">check box 7a if your parent (or someone else) can claim you as a dependent.
|
||
<br></span><span style="font-family: HelveticaNeue-Bold; font-size:10px">Do not </span><span style="font-family: HelveticaNeue-Roman; font-size:9px">check box 7b if your spouse had any U.S. gross income.
|
||
<br></span><span style="font-family: HelveticaNeue-Bold; font-size:10px">7c
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:92px; top:271px; width:253px; height:81px;"><span style="font-family: HelveticaNeue-Roman; font-size:10px">Single resident of Canada or Mexico, or a single U.S. national
|
||
<br>Other single nonresident alien
|
||
<br>Married resident of Canada or Mexico, or a married U.S. national
|
||
<br>
|
||
<br>Married resident of the Republic of Korea (South Korea)
|
||
<br>
|
||
<br>Other married nonresident alien
|
||
<br></span><span style="font-family: HelveticaNeue-Roman; font-size:10px">
|
||
<br>Qualifying widow(er) with dependent child (see page 9)
|
||
<br>
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:72px; top:365px; width:83px; height:8px;"><span style="font-family: HelveticaNeue-Bold; font-size:8px">Dependents: </span><span style="font-family: HelveticaNeue-Roman; font-size:8px">(see page 9)
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:324px; top:364px; width:50px; height:8px;"><span style="font-family: HelveticaNeue-Bold; font-size:8px">(3)</span><span style="font-family: HelveticaNeue-Roman; font-size:8px"> Dependent’s
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:219px; top:294px; width:2px; height:10px;"><span style="font-family: HelveticaNeue-Roman; font-size:10px">
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:90px; top:361px; width:2px; height:9px;"><span style="font-family: HelveticaNeue-Roman; font-size:9px">
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:111px; top:243px; width:243px; height:10px;"><span style="font-family: HelveticaNeue-Bold; font-size:10px">Filing Status and Exemptions for Individuals </span><span style="font-family: HelveticaNeue-Roman; font-size:10px">(see page 8)
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:117px; top:373px; width:1px; height:8px;"><span style="font-family: HelveticaNeue-Roman; font-size:8px">
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:72px; top:378px; width:43px; height:8px;"><span style="font-family: HelveticaNeue-Bold; font-size:8px">(1)</span><span style="font-family: HelveticaNeue-Roman; font-size:8px"> First name
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:80px; top:385px; width:1px; height:8px;"><span style="font-family: HelveticaNeue-Roman; font-size:8px">
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:169px; top:378px; width:33px; height:15px;"><span style="font-family: HelveticaNeue-Roman; font-size:8px">Last name
|
||
<br>
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:239px; top:367px; width:58px; height:24px;"><span style="font-family: HelveticaNeue-Bold; font-size:8px">(2) </span><span style="font-family: HelveticaNeue-Roman; font-size:8px">Dependent’s
|
||
<br>identifying number
|
||
<br>
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:249px; top:385px; width:2px; height:52px;"><span style="font-family: HelveticaNeue-Roman; font-size:9px">.
|
||
<br>.
|
||
<br>.
|
||
<br>
|
||
<br>.
|
||
<br>.
|
||
<br>.
|
||
<br>
|
||
<br></span><span style="font-family: HelveticaNeue-Roman; font-size:9px">.
|
||
<br>.
|
||
<br>.
|
||
<br>
|
||
<br></span><span style="font-family: HelveticaNeue-Roman; font-size:9px">.
|
||
<br>.
|
||
<br>.
|
||
<br>
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:275px; top:385px; width:2px; height:52px;"><span style="font-family: HelveticaNeue-Roman; font-size:9px">.
|
||
<br>.
|
||
<br>.
|
||
<br>
|
||
<br>.
|
||
<br>.
|
||
<br>.
|
||
<br>
|
||
<br></span><span style="font-family: HelveticaNeue-Roman; font-size:9px">.
|
||
<br>.
|
||
<br>.
|
||
<br>
|
||
<br></span><span style="font-family: HelveticaNeue-Roman; font-size:9px">.
|
||
<br>.
|
||
<br>.
|
||
<br>
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:435px; top:664px; width:2px; height:6px;"><span style="font-family: Universal-NewswithCommPi; font-size:6px">
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:281px; top:486px; width:2px; height:10px;"><span style="font-family: HelveticaNeue-Roman; font-size:10px">
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:318px; top:727px; width:2px; height:10px;"><span style="font-family: HelveticaNeue-Roman; font-size:10px">
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:435px; top:607px; width:2px; height:10px;"><span style="font-family: HelveticaNeue-Roman; font-size:10px">
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:tb-rl; left:340px; top:668px; width:2px; height:21px;"><span style="font-family: HelveticaNeue-Roman; font-size:10px">
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:358px; top:473px; width:10px; height:11px;"><span style="font-family: HelveticaNeue-Bold; font-size:10px">9b
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:355px; top:497px; width:15px; height:11px;"><span style="font-family: HelveticaNeue-Bold; font-size:10px">10b
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:315px; top:571px; width:15px; height:23px;"><span style="font-family: HelveticaNeue-Bold; font-size:10px">16b
|
||
<br></span><span style="font-family: HelveticaNeue-Bold; font-size:10px">17b
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:211px; top:569px; width:15px; height:33px;"><span style="font-family: HelveticaNeue-Bold; font-size:10px">16a
|
||
<br></span><span style="font-family: HelveticaNeue-Bold; font-size:10px">
|
||
<br>17a
|
||
<br>
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:85px; top:438px; width:357px; height:377px;"><span style="font-family: HelveticaNeue-Roman; font-size:10px">Total number of exemptions claimed
|
||
<br>
|
||
<br>Wages, salaries, tips, etc. Attach Form(s) W-2
|
||
<br>
|
||
<br></span><span style="font-family: HelveticaNeue-Bold; font-size:10px">Taxable </span><span style="font-family: HelveticaNeue-Roman; font-size:10px">interest
|
||
<br></span><span style="font-family: HelveticaNeue-Bold; font-size:10px">Tax-exempt </span><span style="font-family: HelveticaNeue-Roman; font-size:10px">interest. </span><span style="font-family: HelveticaNeue-Bold; font-size:10px">Do not </span><span style="font-family: HelveticaNeue-Roman; font-size:10px">include on line 9a
|
||
<br>Ordinary dividends
|
||
<br>
|
||
<br>Qualified dividends (see page 11)
|
||
<br>Taxable refunds, credits, or offsets of state and local income taxes (see page 11)
|
||
<br>
|
||
<br>Scholarship and fellowship grants. Attach Form(s) 1042-S or required statement (see page 11)
|
||
<br>
|
||
<br>Business income or (loss). Attach Schedule C or C-EZ (Form 1040)
|
||
<br>
|
||
<br>Capital gain or (loss). Attach Schedule D (Form 1040) if required. If not required, check here
|
||
<br>
|
||
<br>Other gains or (losses). Attach Form 4797
|
||
<br>IRA distributions
|
||
<br></span><span style="font-family: HelveticaNeue-Roman; font-size:10px">
|
||
<br>Pensions and annuities
|
||
<br>Rental real estate, royalties, partnerships, trusts, etc. Attach Schedule E (Form 1040)
|
||
<br>Farm income or (loss). Attach Schedule F (Form 1040)
|
||
<br>
|
||
<br>Unemployment compensation
|
||
<br>Other income. List type and amount (see page 15)
|
||
<br>Total income exempt by a treaty from page 5, Item M
|
||
<br>Add lines 8, 9a, 10a, 11–15, 16b, and 17b–21. This is your </span><span style="font-family: HelveticaNeue-Bold; font-size:10px">total effectively connected income </span><span style="font-family: Universal-NewswithCommPi; font-size:6px">䊳
|
||
<br></span><span style="font-family: HelveticaNeue-Roman; font-size:10px">
|
||
<br>Educator expenses (see page 15)
|
||
<br>Health savings account deduction. Attach Form 8889
|
||
<br>Moving expenses. Attach Form 3903
|
||
<br></span><span style="font-family: HelveticaNeue-Roman; font-size:10px">Self-employed SEP, SIMPLE, and qualified plans
|
||
<br></span><span style="font-family: HelveticaNeue-Roman; font-size:10px">
|
||
<br>Self-employed health insurance deduction (see page 16)
|
||
<br>Penalty on early withdrawal of savings
|
||
<br>
|
||
<br>Scholarship and fellowship grants excluded
|
||
<br>
|
||
<br>IRA deduction (see page 16)
|
||
<br>
|
||
<br>Student loan interest deduction (see page 16)
|
||
<br>
|
||
<br>Domestic production activities deduction. Attach Form 8903
|
||
<br>
|
||
<br>Add lines 24 through 33
|
||
<br>Subtract line 34 from line 23. Enter here and on line 36. This is your </span><span style="font-family: HelveticaNeue-Bold; font-size:10px">adjusted gross income </span><span style="font-family: Universal-NewswithCommPi; font-size:6px">䊳
|
||
<br></span><span style="font-family: HelveticaNeue-Roman; font-size:10px">
|
||
<br></span><span style="font-family: Universal-NewswithCommPi; font-size:6px">
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:358px; top:666px; width:10px; height:120px;"><span style="font-family: HelveticaNeue-Bold; font-size:10px">24
|
||
<br>25
|
||
<br>26
|
||
<br>27
|
||
<br></span><span style="font-family: HelveticaNeue-Bold; font-size:10px">28
|
||
<br>29
|
||
<br>30
|
||
<br>31
|
||
<br>32
|
||
<br></span><span style="font-family: HelveticaNeue-Bold; font-size:10px">33
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:334px; top:572px; width:116px; height:33px;"><span style="font-family: HelveticaNeue-Roman; font-size:10px">Taxable amount (see page 12)
|
||
<br></span><span style="font-family: HelveticaNeue-Roman; font-size:10px">
|
||
<br>Taxable amount (see page 13)
|
||
<br></span><span style="font-family: HelveticaNeue-Roman; font-size:10px">
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:358px; top:642px; width:10px; height:11px;"><span style="font-family: HelveticaNeue-Bold; font-size:10px">22
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:296px; top:644px; width:2px; height:10px;"><span style="font-family: HelveticaNeue-Roman; font-size:10px">
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:206px; top:631px; width:2px; height:10px;"><span style="font-family: HelveticaNeue-Roman; font-size:10px">
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:184px; top:595px; width:2px; height:10px;"><span style="font-family: HelveticaNeue-Roman; font-size:10px">
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:308px; top:691px; width:2px; height:10px;"><span style="font-family: HelveticaNeue-Roman; font-size:10px">
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:241px; top:703px; width:2px; height:10px;"><span style="font-family: HelveticaNeue-Roman; font-size:10px">
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:150px; top:474px; width:2px; height:10px;"><span style="font-family: HelveticaNeue-Roman; font-size:10px">
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:256px; top:571px; width:2px; height:10px;"><span style="font-family: HelveticaNeue-Roman; font-size:10px">
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:223px; top:511px; width:2px; height:10px;"><span style="font-family: HelveticaNeue-Roman; font-size:10px">
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:63px; top:437px; width:5px; height:11px;"><span style="font-family: HelveticaNeue-Bold; font-size:10px">d
|
||
<br>
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:65px; top:451px; width:16px; height:59px;"><span style="font-family: HelveticaNeue-Bold; font-size:10px">8
|
||
<br>
|
||
<br>9a
|
||
<br>b
|
||
<br>
|
||
<br>10a
|
||
<br>b
|
||
<br>
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:65px; top:511px; width:15px; height:297px;"><span style="font-family: HelveticaNeue-Bold; font-size:10px">11
|
||
<br>12
|
||
<br>13
|
||
<br>14
|
||
<br>15
|
||
<br>16a
|
||
<br></span><span style="font-family: HelveticaNeue-Bold; font-size:10px">17a</span><span style="font-family: HelveticaNeue-Bold; font-size:10px">
|
||
<br></span><span style="font-family: HelveticaNeue-Bold; font-size:10px">18
|
||
<br>19
|
||
<br>20
|
||
<br>21
|
||
<br>22
|
||
<br>23
|
||
<br>24
|
||
<br>25
|
||
<br>26
|
||
<br>27
|
||
<br></span><span style="font-family: HelveticaNeue-Bold; font-size:10px">28
|
||
<br>29
|
||
<br>30
|
||
<br>31
|
||
<br>32
|
||
<br></span><span style="font-family: HelveticaNeue-Bold; font-size:10px">33
|
||
<br></span><span style="font-family: HelveticaNeue-Bold; font-size:10px">34</span><span style="font-family: HelveticaNeue-Bold; font-size:10px">
|
||
<br></span><span style="font-family: HelveticaNeue-Bold; font-size:10px">35</span><span style="font-family: HelveticaNeue-Bold; font-size:10px">
|
||
<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:tb-rl; left:51px; top:462px; width:8px; height:189px;"><span style="font-family: HelveticaNeue-Bold; font-size:2px">I</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">n</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">c</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">o</span><span style="font-family: HelveticaNeue-Bold; font-size:6px">m</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">e</span><span style="font-family: HelveticaNeue-Bold; font-size:1px"> </span><span style="font-family: HelveticaNeue-Bold; font-size:4px">E</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">ff</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">ec</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">t</span><span style="font-family: HelveticaNeue-Bold; font-size:1px">i</span><span style="font-family: HelveticaNeue-Bold; font-size:3px">v</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">e</span><span style="font-family: HelveticaNeue-Bold; font-size:1px">l</span><span style="font-family: HelveticaNeue-Bold; font-size:3px">y</span><span style="font-family: HelveticaNeue-Bold; font-size:1px"> </span><span style="font-family: HelveticaNeue-Bold; font-size:5px">C</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">o</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">nn</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">e</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">c</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">t</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">e</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">d</span><span style="font-family: HelveticaNeue-Bold; font-size:1px"> </span><span style="font-family: HelveticaNeue-Bold; font-size:6px">W</span><span style="font-family: HelveticaNeue-Bold; font-size:1px">i</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">t</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">h</span><span style="font-family: HelveticaNeue-Bold; font-size:1px"> </span><span style="font-family: HelveticaNeue-Bold; font-size:5px">U</span><span style="font-family: HelveticaNeue-Bold; font-size:1px">.</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">S</span><span style="font-family: HelveticaNeue-Bold; font-size:1px">. </span><span style="font-family: HelveticaNeue-Bold; font-size:4px">T</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">r</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">a</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">d</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">e</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">/</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">B</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">u</span><span style="font-family: HelveticaNeue-Bold; font-size:3px">s</span><span style="font-family: HelveticaNeue-Bold; font-size:1px">i</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">n</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">e</span><span style="font-family: HelveticaNeue-Bold; font-size:3px">ss
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:52px; top:649px; width:8px; height:1px;"><span style="font-family: HelveticaNeue-Bold; font-size:1px">
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:tb-rl; left:50px; top:692px; width:9px; height:90px;"><span style="font-family: HelveticaNeue-Bold; font-size:5px">A</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">d</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">j</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">u</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">s</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">t</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">e</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">d</span><span style="font-family: HelveticaNeue-Bold; font-size:2px"> </span><span style="font-family: HelveticaNeue-Bold; font-size:6px">G</span><span style="font-family: HelveticaNeue-Bold; font-size:3px">r</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">o</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">ss</span><span style="font-family: HelveticaNeue-Bold; font-size:2px"> </span><span style="font-family: HelveticaNeue-Bold; font-size:2px">I</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">n</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">c</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">o</span><span style="font-family: HelveticaNeue-Bold; font-size:7px">m</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">e
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:51px; top:780px; width:9px; height:2px;"><span style="font-family: HelveticaNeue-Bold; font-size:2px">
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:tb-rl; left:35px; top:531px; width:9px; height:159px;"><span style="font-family: HelveticaNeue-Bold; font-size:5px">E</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">n</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">c</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">l</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">o</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">s</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">e</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">, </span><span style="font-family: HelveticaNeue-Bold; font-size:4px">b</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">u</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">t</span><span style="font-family: HelveticaNeue-Bold; font-size:2px"> </span><span style="font-family: HelveticaNeue-Bold; font-size:4px">do</span><span style="font-family: HelveticaNeue-Bold; font-size:2px"> </span><span style="font-family: HelveticaNeue-Bold; font-size:4px">n</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">o</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">t</span><span style="font-family: HelveticaNeue-Bold; font-size:2px"> </span><span style="font-family: HelveticaNeue-Bold; font-size:4px">a</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">tt</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">ac</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">h</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">, </span><span style="font-family: HelveticaNeue-Bold; font-size:4px">a</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">n</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">y</span><span style="font-family: HelveticaNeue-Bold; font-size:2px"> </span><span style="font-family: HelveticaNeue-Bold; font-size:4px">p</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">a</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">y</span><span style="font-family: HelveticaNeue-Bold; font-size:7px">m</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">e</span><span style="font-family: HelveticaNeue-Bold; font-size:4px">n</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">t</span><span style="font-family: HelveticaNeue-Bold; font-size:2px">.
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:35px; top:688px; width:9px; height:2px;"><span style="font-family: HelveticaNeue-Bold; font-size:2px">
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:48px; top:431px; width:8px; height:1px;"><span style="font-family: HelveticaNeue-Bold; font-size:1px">
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:34px; top:813px; width:269px; height:16px;"><span style="font-family: HelveticaNeue-Bold; font-size:8px">For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see page 32.
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<br></span></div><div style="position:absolute; border: textbox 1px solid; writing-mode:lr-tb; left:367px; top:813px; width:53px; height:15px;"><span style="font-family: HelveticaNeue-Roman; font-size:8px">Cat. No. 11364D
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<div style="position:absolute; top:0px;">Page: <a href="#1">1</a></div>
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