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1040ez Tax Information:
Should I be using the 1040EZ form? (Click
here to find out)
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Please
do not enter any dollar signs or comma's. |
| Wages, tips, other compensation for you (and your spouse): Be sure to include income from all jobs
held in 2005. |
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(ie: 28320.18) |
| Federal income tax withheld for you (and your spouse): |
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(ie: 6320.56) |
| Your name (first, middle init., last): |
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(ie: John A. Doe) |
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(ie: 854-88-9765) |
| Spouses name (first name, middle initial, last name): |
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(ie Jane R. Doe) |
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(ie: 2465 Park St.) |
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(ie: B2) |
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(ie: Detroit, MI 48044) |
| Spouses S.S.# (if married): |
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(blank
or 123-45-6789) |
| Campaign Fund contribution of $3 for you: Please
answer yes or no. Note: This will not reduce your refund. |
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(ie: yes or no) |
| Campaign Fund contribution of $3 for your spouse: Please
answer yes or no. Note: This will not reduce your refund. |
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(ie: yes or no) |
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(ie: 25.66) |
| Unemployment compensation and Alaska Permanent Fund dividends
(see instruction booklet if applicable): |
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(ie:1585.36) |
| Can your parents (or someone else) claim you as a dependent
on their return? Please answer yes
or no. |
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(ie: yes or no) |
| Your bank routing # for direct deposits (refunds only; no
dashes): |
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(ie: 123456789) No
spaces or dashes please! |
| Bank account type for above routing # (checking or savings): |
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(ie: checking or savings) No spaces or dashes please! |
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Bank account #:
Note: This is not for payment of our
tax processing service, it is to have refunds directly deposited
in your account. This number will only be entered on your form.
You must mail your return. We do not offer any electronic
filing.
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(ie: 1234567890) No
spaces or dashes please! |
| Your occupation or enter "none": |
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What did you do to get a W-2?
Do not type in "student" if your occupation was "night
security", for example. |
| Your spouses occupation or enter "none": |
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| Do you want to allow another person to discuss this return
with the IRS! (If yes, enter designee's name, phone number, and
a four digit pin number): |
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Special Instructions:
Non-permanent mailing address, if applicable - Where
should we mail this form? Indicate a non-permanent
mailing address, different than the address that will be put
on your tax return (above).
OR
Earned Income Credit information, if applicable - If
your income is over $11,490 (if single) or $12,490 (if married),
you can not get a credit? If you think
you may qualify for a credit, click
here to find out for sure and to calculate
your credit. Then hit the back key on your browser until you
return to this form. Finally, type "I qualify for an earned
income credit of $XX", if you do.
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Special Instructions:
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| Method of payment: Type
"Check" if you are not going to use a credit card. |
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Note: Checks will have to clear before
we will process your tax return. No time line or can be promised.
We will e-mail you an address to send the check to within 24
hours.
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