Form 1npr Draft - Nonresident & Part-Year Resident Wisconsin Income Tax - 2012 Page 7

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400-00-5483
53-9990123
5,000.00
2,600.00
5,219.00
250.00
DFAS - Miltary
1240 East Ninth Street
Cleveland, OH 44199
5,219.00
80.00
Mary N.
Sorrel
Q
2,328.00
3RD LIGHT ARMORED RECON BN
2NDMARDIV BCX 123456
CAMP PENDLETON
CA 92055-5564
DSSN 9246 RDC 12800 MCC 2GR PLT CHQT
MN
5216876
5,000.00
62.00

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