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    May 28, 2021
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us Best of Mitchell 1040 u.s. Individu Thank you for voting TAX SERVICE Decartment of he Trean U.S. Individu us Best of Mitchell 1040 For the year Jan. 1-Dec. 31, Your first name and inital or other tar ye Mitchell Republic BEST OF ta joint retuen, spouse's fst name and intal Home addross (number and street). you have City, town or post office, state, and P code. B you ha MITCHELL Foreign country name Infe Department of the Treasury Internal Revenue Service (WORKSHEETm) Filing Status Estimated Tax Cr Taxable income ex O Single 2 O Married filing joinbyven 3 O Married filing separatoly. Enter Check only one M ba 1 Qualified personal to line 14. Mem Ente f name here. omeone can olaim you as b O Spouse c Dependents: 1 Finst name 3. ne ? Dependent's ocial security number Last name If more than four dependents, see instctions and Smith Tax Service proudly serving Mitchell and the bendent's Eship to you 8 r the sm Multiply line Subtract li 4 1 2 3 0(00 d Total number of exempions claimed Income Wages 10 11 Subtrac Multiph Attach Formis) W chedule B if requ exempt interest. Do not include on lin Ordinaryvide Quats 12 tach Fonm W-2G and Schedule B 13 $10 tts of st scalco surrounding area for all your tax and bookkeeping needs. Smith Tax Service 605-996-1587 115 W 2nd Ave Mitchell SD 57301 2021 CO us Best of Mitchell 1040 u.s. Individu Thank you for voting TAX SERVICE Decartment of he Trean U.S. Individu us Best of Mitchell 1040 For the year Jan. 1-Dec. 31, Your first name and inital or other tar ye Mitchell Republic BEST OF ta joint retuen, spouse's fst name and intal Home addross (number and street). you have City, town or post office, state, and P code. B you ha MITCHELL Foreign country name Infe Department of the Treasury Internal Revenue Service (WORKSHEETm) Filing Status Estimated Tax Cr Taxable income ex O Single 2 O Married filing joinbyven 3 O Married filing separatoly. Enter Check only one M ba 1 Qualified personal to line 14. Mem Ente f name here. omeone can olaim you as b O Spouse c Dependents: 1 Finst name 3. ne ? Dependent's ocial security number Last name If more than four dependents, see instctions and Smith Tax Service proudly serving Mitchell and the bendent's Eship to you 8 r the sm Multiply line Subtract li 4 1 2 3 0(00 d Total number of exempions claimed Income Wages 10 11 Subtrac Multiph Attach Formis) W chedule B if requ exempt interest. Do not include on lin Ordinaryvide Quats 12 tach Fonm W-2G and Schedule B 13 $10 tts of st scalco surrounding area for all your tax and bookkeeping needs. Smith Tax Service 605-996-1587 115 W 2nd Ave Mitchell SD 57301 2021 CO

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