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a Attach to Form 1040. Caution: If you are claiming a net qualified disaster loss on Form 4684, see the instructions for line 28. OMB No. 1545-0074 2017 Attachment Sequence No. 07 Name(s) shown on Form 1040 Your social security number Medical and Dental Expenses Caution: Do not include expenses reimbursed or paid by others. ................
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