Forms

                                                    Taxation Filling Sheet






 * 1) Name-

    1.1    Date-

 1.2   Address

 1.3   <span style="color: rgb(102, 102, 153);">Bank-

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<span style="color: rgb(102, 102, 153);">   2.Income

<span style="color: rgb(102, 102, 153);">2.1 Amount in Bank Account--- <span style="color: rgb(102, 102, 153);">

<span style="color: rgb(102, 102, 153);">2.2Off Shore Account Yes-No

<span style="color: rgb(102, 102, 153);"> <span style="color: rgb(102, 102, 153);">   2.3 Self Employed Yes-No <span style="color: rgb(102, 102, 153);">

<span style="color: rgb(102, 102, 153);">2.4 Federal Employee   YesNo

<span style="color: rgb(102, 102, 153);">   2.5 Currently Employed   Yes---No

<span style="color: rgb(102, 102, 153);">   2.6   Gross Income-

<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="color: rgb(102, 102, 153);">3.Deduction Levels

<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="color: rgb(102, 102, 153);">   3.1 Charitable Giving Monetary Amount--

<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="color: rgb(102, 102, 153);">   3.2 Charitable Giving Non Monetary   Yes---No

<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="color: rgb(102, 102, 153);">3.3 Type of Housing---

<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="color: rgb(102, 102, 153);">   3.4 Property Value-

<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="color: rgb(102, 102, 153);">   3.5 Area-- <span style="color: rgb(102, 102, 153);">   3.6 Dependant Children---

<span style="color: rgb(102, 102, 153);">   4. Filer Information

<span style="color: rgb(102, 102, 153);">   4.1 Date Filed--- <span style="color: rgb(102, 102, 153);">

<span style="color: rgb(102, 102, 153);">4.2 Date of Birth <span style="color: rgb(102, 102, 153);">

<span style="color: rgb(102, 102, 153);">4.3 Filing Status <span style="color: rgb(102, 102, 153);">

<span style="color: rgb(102, 102, 153);">4.4 State--

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<p class="MsoNormal" style="margin: 0in 0in 0pt 0.25in;"> <span style="color: rgb(102, 102, 153);">I certify all the given information is correct and applies to the person listed on this form, all information is current, and I sign approving it.

<span style="color: rgb(102, 102, 153);">Sign--

<p class="MsoNormal" style="margin: 0in 0in 0pt 0.25in;"> <p class="MsoNormal" style="margin: 0in 0in 0pt 0.25in;"><span style="color: rgb(102, 102, 153);">Tax Professional Only---

<p class="MsoNormal" style="margin: 0in 0in 0pt 0.25in;"><span style="color: rgb(102, 102, 153);">Name of Company--- <span style="color: rgb(102, 102, 153);">Employee Name---

<span style="color: rgb(102, 102, 153);">Employee I.D.-

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