TAX BY FAX PRINTABLE WORKSHEET

PART VIII - OTHER INFORMATION


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

Are there any special circumstances we should be aware of such as:
 Yes     No     

_____   _____ Death of Spouse     Date:____/____/_____

_____   _____ Blind or Disabled   Taxpayer: _____   Spouse: _____

_____   _____ Disabled Dependent

_____   _____ Have Household Employees

_____   _____ Child(ren) under 14 who received interest income of more than $1,400.00

_____   _____ Interest Paid on Student Loans

Other:  ___________________________________________________________________________________

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This completes the basic Tax-By-Fax Worksheets and Questionnaires.
Please enter any notes or comments that you believe are important to your return.
Also feel free to use this space to let us know what you liked and what would make
this form easier for you to use.  Thank you so much for your time.

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

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