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Taxpayer Information

Tax Year

Name(s) shown on return

Your taxpayer identification number

Qualified Business Income or (Loss)

3. Qualified business net (loss) carryforward from the prior year

6. Qualified REIT dividends and publicly traded partnership (PTP) income or (loss) (see instructions)

7. Qualified REIT dividends and qualified PTP (loss) carryforward from the prior year .

11. Taxable income before qualified business income deduction

12. Net capital gain

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