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Dependent’s NameSocial Security No.

Dependents Statement2013

Attach to your returnStatement

PA Schedule SP 

Part B. Dependent Children

Name of taxpayer claiming Tax Forgiveness (if filing a PA-40 jointly, enter the name shown first)Social Security Number (shown first)

Spouse’s Name (even if filing separately)Spouse’s Social Security Number

Provide all the information for each dependent child. 

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