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[blocks in formation]

Income: type and amount. If "None (or less than $201)" is checked, no other entry is needed in Block C for that item.

Type

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x

X

SOLD

None (or less than $1,001)

$1,001

$15,000

$15,001-$50,000

$50,001 - $100,000 $100,001 - $250,000

$250,001

$500,000

$500,001 - $1,000,000

Over $1,000,000

Hent and Royalties

Dividenda

Excepted Investment Fund

Capital Gaina

Excepted Trust

Qualified Trust

Interest

X

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Income: type and amount. If "None (or less than $201)" is checked, no
other entry is needed in Block C for that item.

[blocks in formation]

$50,001-$100,000

$500,001-$1,000,000 Over $1,000,000

$100,001-$250,000 *260,001 - $600,000

Rent and Royalties

Dividende

Excepted investment Fund

Excepted Trust

Capital Gains

Qualified Trust

Interest

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[blocks in formation]

X

[blocks in formation]
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