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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.

Туре

$100,001 - $250,000

$600,001 - $1,000,000

260,001 $600,000

Over $1,000,000

Rent and Royalties

Dividends

Excepted Investment Fund

Capital Gains

Excepted Trust

Qualified Trust

Interest

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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.

Туре

None (or less than $1,001)

$1,001-$15,000 $15,001-$50,000

$60,001-$100,000 $100,001 - $260,000

$500,001-$1,000,000

$250,001 $500,000

Over $1,000,000

Rent and Royalties

Dividends

Excepted Investment Fund

Excepted Trust

Capital Gains

Qualified Trust

Interest

Cattle and Horses

X

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