Form 1npr Draft - Nonresident & Part-Year Resident Wisconsin Income Tax - 2012 Page 8
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18400-00-5483
39-1245789
15,000.00
1,000.00
15,000.00
750.00
Cheapo Mart
66 Industrial Way
Sparta, WI 54656
15,000.00
120.00
Mary N.
Sorrel
123 Anywhere Ave
Cataract, WI 54656
WI
036-1234567890-05
15,000.00
427.00
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