GEBECK & ASSOCIATES, INC. Small Business Accounting 1040 Depar Payrollal Income Tax Return U.S For the y You Sales Tax Internal Revorue Service 20 check TTENe 31, 2010, or other tax year beginning Name, Address, and SSN ncom Last na me tach F 2 her ach F 2G a 9-R Monthly Bank Reconciliations Financial Statements City, town or post offie Last name See separate instructions. you have a P.O. box, see instruc wi Presidentiat Tax Planning & Preparation ouse if filing jointly, want $3 to g Single 2 Malndividual even if only one had income) 3 O Marned filing Check only one Estate and Trüst Enter spouse's SSN above ourself Sole Proprietorship box. Exemptions 6a claim you as a dependent, d Dependents LLC and Corporations (2) Dependent's social security number (1) First nam (3) De relations ore than four ndents, see ctions and ore Charles R. Gebeck, Enrolled Agent INC. GEBECK & ASSOCIATES, Attach Form(s) W-2 15 W. Warren Street, Suite 1 Princeton, IL 61356 ble interest. Attach Schedule guired -xempt 9a Ordinan Qualified dividends Alimony received (815) 915-8732 www.gebecktax.com (s) so ne 8a 8b b. thedule B ed 10 11 offsets of 12 Bus SM-PR1888932 GEBECK & ASSOCIATES, INC. Small Business Accounting 1040 Depar Payrollal Income Tax Return U.S For the y You Sales Tax Internal Revorue Service 20 check TTENe 31, 2010, or other tax year beginning Name, Address, and SSN ncom Last na me tach F 2 her ach F 2G a 9-R Monthly Bank Reconciliations Financial Statements City, town or post offie Last name See separate instructions. you have a P.O. box, see instruc wi Presidentiat Tax Planning & Preparation ouse if filing jointly, want $3 to g Single 2 Malndividual even if only one had income) 3 O Marned filing Check only one Estate and Trüst Enter spouse's SSN above ourself Sole Proprietorship box. Exemptions 6a claim you as a dependent, d Dependents LLC and Corporations (2) Dependent's social security number (1) First nam (3) De relations ore than four ndents, see ctions and ore Charles R. Gebeck, Enrolled Agent INC. GEBECK & ASSOCIATES, Attach Form(s) W-2 15 W. Warren Street, Suite 1 Princeton, IL 61356 ble interest. Attach Schedule guired -xempt 9a Ordinan Qualified dividends Alimony received (815) 915-8732 www.gebecktax.com (s) so ne 8a 8b b. thedule B ed 10 11 offsets of 12 Bus SM-PR1888932