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+--------+-------------------------+-------------------------+--------+--------+
|00000000| 00 80 d3 43 48 45 44 55 | 4c 45 20 d2 20 2d 20 d0 |...CHEDU|LE . - .|
|00000010| 41 52 54 20 c9 2e 0d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |ART ...-|--------|
|00000020| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 0d d3 45 4c 45 |--------|---..ELE|
|00000030| 43 54 20 59 4f 55 52 20 | 46 49 4c 49 4e 47 20 53 |CT YOUR |FILING S|
|00000040| 54 41 54 55 53 20 42 59 | 20 50 52 45 53 53 49 4e |TATUS BY| PRESSIN|
|00000050| 47 0d d2 c5 d4 d5 d2 ce | 2e 0d 0d cf 50 54 49 4f |G.......|....PTIO|
|00000060| 4e 53 20 31 20 41 4e 44 | 20 32 20 41 52 45 20 49 |NS 1 AND| 2 ARE I|
|00000070| 46 20 59 4f 55 20 41 52 | 45 0d 53 49 4e 47 4c 45 |F YOU AR|E.SINGLE|
|00000080| 2c 20 41 20 48 45 41 44 | 20 4f 46 20 48 4f 55 53 |, A HEAD| OF HOUS|
|00000090| 45 48 4f 4c 44 20 4f 52 | 0d 51 55 41 4c 49 46 59 |EHOLD OR|.QUALIFY|
|000000a0| 49 4e 47 20 57 49 44 4f | 57 2e 0d 0d cf 50 54 49 |ING WIDO|W....PTI|
|000000b0| 4f 4e 53 20 33 20 54 48 | 52 4f 55 47 48 20 37 20 |ONS 3 TH|ROUGH 7 |
|000000c0| 41 52 45 20 46 4f 52 20 | 4d 41 52 52 49 45 44 0d |ARE FOR |MARRIED.|
|000000d0| 46 49 4c 49 4e 47 20 41 | 20 4a 4f 49 4e 54 20 52 |FILING A| JOINT R|
|000000e0| 45 54 55 52 4e 2e 0d 0d | cf 50 54 49 4f 4e 53 20 |ETURN...|.PTIONS |
|000000f0| 38 20 41 4e 44 20 39 20 | 41 52 45 20 46 4f 52 20 |8 AND 9 |ARE FOR |
|00000100| 4d 41 52 52 49 45 44 0d | 46 49 4c 49 4e 47 20 41 |MARRIED.|FILING A|
|00000110| 20 53 45 50 41 52 41 54 | 45 20 52 45 54 55 52 4e | SEPARAT|E RETURN|
|00000120| 2e 0d 0d 0d 0d 0d 0d d3 | 54 41 54 45 4d 45 4e 54 |........|TATEMENT|
|00000130| 20 4f 46 20 d0 45 52 4d | 41 4e 45 4e 54 20 41 4e | OF .ERM|ANENT AN|
|00000140| 44 20 d4 4f 54 41 4c 20 | c4 49 53 2e 0d 2d 2d 2d |D .OTAL |.IS..---|
|00000150| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00000160| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00000170| 2d 2d 0d c1 4c 54 48 4f | 55 47 48 20 54 48 49 53 |--..LTHO|UGH THIS|
|00000180| 20 53 45 43 54 49 4f 4e | 20 49 53 20 4e 4f 54 20 | SECTION| IS NOT |
|00000190| 49 4e 43 4c 55 44 45 44 | 0d 49 4e 20 54 48 45 20 |INCLUDED|.IN THE |
|000001a0| 50 52 4f 47 52 41 4d 2c | 20 49 54 20 4d 55 53 54 |PROGRAM,| IT MUST|
|000001b0| 20 42 45 20 43 4f 4d 50 | 4c 45 54 45 44 0d 42 59 | BE COMP|LETED.BY|
|000001c0| 20 41 20 50 48 59 53 49 | 43 49 41 4e 20 49 46 20 | A PHYSI|CIAN IF |
|000001d0| 59 4f 55 20 53 45 4c 45 | 43 54 20 46 49 4c 49 4e |YOU SELE|CT FILIN|
|000001e0| 47 0d 53 54 41 54 55 53 | 20 31 2c 20 33 2c 20 37 |G.STATUS| 1, 3, 7|
|000001f0| 20 4f 52 20 38 2e 0d    |                         | OR 8.. |        |
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