May 29th, 2015
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Form1040Department of the Treasury - Internal Revenue ServiceU.S. Individual Income Tax Return2010For the year Jan. 1-Dec. 31, 2010, or other tax year beginningName,Address,and SSNSee separateinstructions.PRINTCLEARLYPresidentialElection CampaignFiling StatusCheck only onebox.Your first name and initialHaroldSarahAttach Form(s)W-2 here. Alsoattach FormsW-2G and1099-R if taxwas withheld.If you did notget a W-2,see instructions.Spouse's social security numberPetersan001-02-0000Apt. no.Make sure the SSN(s) aboveand on line 6c are correc

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