Form Il-2210 - Computation Of Penalties For Individuals - 2002 Page 4

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This form is authorized as outlined by the Illinois Income Tax Act. Disclosure of this information is REQUIRED. Failure to provide
information could result in a penalty. This form has been approved by the Forms Management Center.
IL-492-0031
Page 4 of 4
Form IL-2210 (R-12/02)

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