5009-c-fill-24e.fdf

%FDF-1.2
%âãÏÓ
1 0 obj

<<
/FDF 
<<
/Fields [
<<
/T (form1[0])
/Kids [
<<
/T (Page2[0])
/Kids [
<<
/T (Line28[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line27[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line29[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line34[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line35[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line36[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line50[0])
/Kids [
<<
/T (Amount2[0])
/V ()
>> 
<<
/T (Amount1[0])
/V ()
>>]
>> 
<<
/T (Line51[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line30[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line33[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line31[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line32[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Donation-Gift[0])
/Kids [
<<
/T (Line49[0])
/Kids [
<<
/T (Amount2[0])
/V ()
>> 
<<
/T (Amount1[0])
/V ()
>>]
>> 
<<
/T (Line48[0])
/Kids [
<<
/T (Amount2[0])
/V ()
>> 
<<
/T (Amount1[0])
/V ()
>>]
>>]
>> 
<<
/T (Medical-Expenses[0])
/Kids [
<<
/T (Line41[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line38[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line39[0])
/Kids [
<<
/T (Percent[0])
/V (3%)
>>]
>> 
<<
/T (Line37[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line42[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line40[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>>]
>> 
<<
/T (Line45[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line46[0])
/Kids [
<<
/T (Percent[0])
/V (10%)
>>]
>> 
<<
/T (Line47[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line44[0])
/Kids [
<<
/T (Amount2[0])
/V ()
>> 
<<
/T (Amount1[0])
/V ()
>>]
>> 
<<
/T (Line26[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line43[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>>]
>> 
<<
/T (Page3[0])
/Kids [
<<
/T (PartC[0])
/Kids [
<<
/T (Line53[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line52[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line54[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line55[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line58[0])
/Kids [
<<
/T (Amount2[0])
/V ()
>> 
<<
/T (Amount1[0])
/V ()
>>]
>> 
<<
/T (Line59[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line57[0])
/Kids [
<<
/T (Amount2[0])
/V ()
>> 
<<
/T (Amount1[0])
/V ()
>>]
>> 
<<
/T (Line56[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line65[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line66[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line63[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line64[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line60[0])
/Kids [
<<
/T (Amount2[0])
/V ()
>> 
<<
/T (Amount1[0])
/V ()
>>]
>> 
<<
/T (Line61[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line62[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>>]
>>]
>> 
<<
/T (Page1[0])
/Kids [
<<
/T (Line9[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line1[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line10[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (EI[0])
/Kids [
<<
/T (Line21[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line22[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>>]
>> 
<<
/T (Line18[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line17[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Chart[0])
/Kids [
<<
/T (Column3[0])
/Kids [
<<
/T (Line4-C3[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line7-C3[0])
/Kids [
<<
/T (Amount[0])
/V ( 18,385.26)
>>]
>> 
<<
/T (Line2-C3[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line3-C3[0])
/Kids [
<<
/T (Amount[0])
/V ( 177,922.00)
>>]
>> 
<<
/T (Line6-C3[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line8-C3[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (LIne5-C3[0])
/Kids [
<<
/T (Percent[0])
/V ( 13%)
>>]
>>]
>> 
<<
/T (Column5[0])
/Kids [
<<
/T (Line7-C5[0])
/Kids [
<<
/T (Amount[0])
/V ( 42,701.40)
>>]
>> 
<<
/T (Line4-C5[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line2-C5[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line5-C5[0])
/Kids [
<<
/T (Percent[0])
/V ( 15%)
>>]
>> 
<<
/T (Line3-C5[0])
/Kids [
<<
/T (Amount[0])
/V ( 355,845.00)
>>]
>> 
<<
/T (Line6-C5[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line8-C5[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>>]
>> 
<<
/T (Column4[0])
/Kids [
<<
/T (Line4-C4[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line7-C4[0])
/Kids [
<<
/T (Amount[0])
/V ( 26,095.30)
>>]
>> 
<<
/T (Line2-C4[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line6-C4[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line3-C4[0])
/Kids [
<<
/T (Amount[0])
/V ( 237,230.00)
>>]
>> 
<<
/T (Line5-C4[0])
/Kids [
<<
/T (Percent[0])
/V ( 14%)
>>]
>> 
<<
/T (Line8-C4[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>>]
>> 
<<
/T (Column1[0])
/Kids [
<<
/T (Line8-C1[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line5-C1[0])
/Kids [
<<
/T (Percent[0])
/V ( 10%)
>>]
>> 
<<
/T (Line4-C1[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line2-C1[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line6-C1[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line7-C1[0])
/Kids [
<<
/T (Amount[0])
/V ( 0.00)
>>]
>> 
<<
/T (Line3-C1[0])
/Kids [
<<
/T (Amount[0])
/V ( 0.00)
>>]
>>]
>> 
<<
/T (Column2[0])
/Kids [
<<
/T (Line5-C2[0])
/Kids [
<<
/T (Percent[0])
/V ( 12%)
>>]
>> 
<<
/T (Line8-C2[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line7-C2[0])
/Kids [
<<
/T (Amount[0])
/V ( 14,826.90)
>>]
>> 
<<
/T (Line4-C2[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line2-C2[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line3-C2[0])
/Kids [
<<
/T (Amount[0])
/V ( 148,269.00)
>>]
>> 
<<
/T (Line6-C2[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>>]
>>]
>> 
<<
/T (Eligible-Dependant[0])
/Kids [
<<
/T (Line16[0])
/Kids [
<<
/T (Amount2[0])
/V ()
>> 
<<
/T (Amount1[0])
/V ()
>>]
>> 
<<
/T (Line14[0])
/Kids [
<<
/T (Amount[0])
/V ( 21,885.00)
>>]
>> 
<<
/T (Line15[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>>]
>> 
<<
/T (CPP-QPP[0])
/Kids [
<<
/T (Line20[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line19[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>>]
>> 
<<
/T (Spouse-Net-Income[0])
/Kids [
<<
/T (Line11[0])
/Kids [
<<
/T (Amount[0])
/V ( 21,885.00)
>>]
>> 
<<
/T (Line13[0])
/Kids [
<<
/T (Amount2[0])
/V ()
>> 
<<
/T (Amount1[0])
/V ()
>>]
>> 
<<
/T (Line12[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>>]
>> 
<<
/T (Line25[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>> 
<<
/T (Line24[0])
/Kids [
<<
/T (Amount2[0])
/V ()
>> 
<<
/T (Amount1[0])
/V ()
>>]
>> 
<<
/T (Line23[0])
/Kids [
<<
/T (Amount[0])
/V ()
>>]
>>]
>> 
<<
/T (#pageSet[0])
/Kids [
<<
/T (Page1[2])
/Kids [
<<
/T (ClearData_EN[0])
/V /
>>]
>> 
<<
/T (Page1[1])
/Kids [
<<
/T (ClearData_EN[0])
/V /
>>]
>> 
<<
/T (Page1[0])
/Kids [
<<
/T (ClearData_EN[0])
/V /
>>]
>>]
>>]
>>]
>>
>>
endobj

trailer

<<
/Root 1 0 R
>>
%%EOF