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    April 20, 2021
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HALEY J. EVANS Tax & Financial Services T10 ELECTRONIC CALCULAT TAXRETIURN FOR 54 CUT- TAX- 123 South Main TAX+ M- M+ | 1040 PO Box 349 Hettinger, ND 58639-0349 For the yar Jan. 1- Your first nare a 4 ta jont retur atreet you nave a Pv. CE Home address Pcode. you rave a foreign address, a town or post office +/- 3 Office 701-567-2856 Fax 701-567-2348 haleyevans@ndsupernet.com Aopendents, be instruction check here d. Total nu of exemption 8a Tax-exempt interest. Do not include on line 8a 7. Wages, salaries, tips, etc. h Forms Taxable interest. Attach Schedule Bit re 96 Income fandends. Attach Schedule B if required Late and local income taxes 08 LO HALEY J. EVANS Tax & Financial Services T10 ELECTRONIC CALCULAT TAXRETIURN FOR 54 CUT- TAX- 123 South Main TAX+ M- M+ | 1040 PO Box 349 Hettinger, ND 58639-0349 For the yar Jan. 1- Your first nare a 4 ta jont retur atreet you nave a Pv. CE Home address Pcode. you rave a foreign address, a town or post office +/- 3 Office 701-567-2856 Fax 701-567-2348 haleyevans@ndsupernet.com Aopendents, be instruction check here d. Total nu of exemption 8a Tax-exempt interest. Do not include on line 8a 7. Wages, salaries, tips, etc. h Forms Taxable interest. Attach Schedule Bit re 96 Income fandends. Attach Schedule B if required Late and local income taxes 08 LO

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