A Dependent SSN in the return must not be the same as the Primary or Spouse SSN on another
return where ‘PrimaryClaimAsDependentInd’ or ‘SpouseClaimAsDependentInd’ is not checked.

The Dependent's was claimed by someone else on another tax return or the dependent filed his/her own tax return.

Dependent's Name:
Dependent's Social Security Number

Federal Refund with Dependent: 
Federal Refund without Dependent: 

State Refund with Dependent:
State Refund without Dependent:

An additional $39.00 retransmit fee has been added to this tax return.

Please add $39.00 retransmit fee to this tax return.