TAX BY FAX PRINTABLE WORKSHEET

PART VII - STATE INFORMATION


Simply print out the form below, fill in the information as they pertain to you and fax or
mail these copies to us

 Yes     No     

_____   _____ Part Year Resident

              State 1:_____________	State 2:_____________	State 3:_____________
 
_____   _____ Job Location and Residence in Different States



		FAX:	  802-773-9381
		ADDRESS:  4 Seasons Accounting, LLC
		          Tax By Fax
			  25 Curtis Ave.
			  Rutland, VT 05701

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