Form Inc 250 - Individual Income Tax Return
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2TENNESSEE DEPARTMENT OF REVENUE
INDIVIDUAL INCOME TAX RETURN
ACCOUNT NUMBER
YOUR SSN:
INC
250
SPOUSE'S SSN:
FEIN:
Tennessee Department of Revenue
Andrew Jackson State Office Building
500 Deaderick Street
Nashville, TN 37242
1-800-342-1003 or (615) 253-0600.
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County ____________________________________________________________
City _______________________________________________________________
AFFIDAVIT FOR EXEMPTION
CHECK ALL BOXES WHICH APPLY:
TAX COMPUTATION
00
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FOR OFFICE
USE ONLY
RV-R0003501
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Parent category: Financial