First Name:
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Last or Family Name
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Date of Birth
(mm/dd/yyyy)
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ITIN or SSN
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Relationship to you (son, daughter, none, etc.)
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Number of months lived with you in the U.S.
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U.S. citizen, U.S. residentalien, U.S. national, or a resident of Canada, Mexico, or South Korea
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Did person file joint return?
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Did child provide more than 50% of their own support?
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Did you provide more than 50% of their support?
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Did the person have Gross Income of $4,000 or more?
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