00000000: 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 | |
00000010: 20 20 20 20 20 20 20 20 20 20 20 20 20 0D 0A 73 | ..s|
00000020: 45 4C 45 43 54 20 4F 4E 45 20 46 49 4C 49 4E 47 |ELECT ONE FILING|
00000030: 20 53 54 41 54 55 53 3A 0D 0A 0D 0A 20 20 20 20 | STATUS:.... |
00000040: 20 31 2E 20 73 49 4E 47 4C 45 0D 0A 20 20 20 20 | 1. sINGLE.. |
00000050: 20 32 2E 20 6D 41 52 52 49 45 44 20 46 49 4C 49 | 2. mARRIED FILI|
00000060: 4E 47 20 4A 4F 49 4E 54 4C 59 0D 0A 20 20 20 20 |NG JOINTLY.. |
00000070: 20 33 2E 20 6D 41 52 52 49 45 44 20 46 49 4C 49 | 3. mARRIED FILI|
00000080: 4E 47 20 53 45 50 41 52 41 54 45 4C 59 0D 0A 20 |NG SEPARATELY.. |
00000090: 20 20 20 20 34 2E 20 68 45 41 44 20 4F 46 20 48 | 4. hEAD OF H|
000000A0: 4F 55 53 45 48 4F 4C 44 0D 0A 20 20 20 20 20 35 |OUSEHOLD.. 5|
000000B0: 2E 20 71 55 41 4C 49 46 59 49 4E 47 20 57 49 44 |. qUALIFYING WID|
000000C0: 4F 57 28 45 52 29 20 57 49 54 48 0D 0A 20 20 20 |OW(ER) WITH.. |
000000D0: 20 20 20 20 20 44 45 50 45 4E 44 45 4E 54 20 43 | DEPENDENT C|
000000E0: 48 49 4C 44 0D 0A 0D 0A 66 49 4C 49 4E 47 20 53 |HILD....fILING S|
000000F0: 54 41 54 55 53 3A 0D 0A 1A |TATUS:... |
..SELECT ON
E FILING STATUS:.... 1. SINGLE..
2. MARRIED FILING JOINTLY.. 3. MARR
IED FILING SEPARATELY.. 4. HEAD OF H
OUSEHOLD.. 5. QUALIFYING WIDOW(ER) W
ITH.. DEPENDENT CHILD....FILING S
TATUS:...
×
C64 Image
> CLICK IMAGE PREVIEW FOR FULL MODAL