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    January 15, 2022
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GEBECK & ASSOCIATES, INC. Small Business Accounting ructions k here 1040 Payroll Dopart Interal Roverue Service U.S. Midual Income Tax Return Fort 2010, or other tax year beginning Your Sales Tax Name, Address, and SS om Last nane Monthly Bank Reconciliations si name and initial Last name Financial Statements reet). If you have See separate instructions. Tax Planning & Preparation eCK here if vo SirIndividual 2 Married filing Estate and Trust "only one had income) Tuil name spouse if filing jointly, want $3 t Filing Status Check only one ox. 3. y Enter spouse's SSN above Sole Proprietorship Spouse kemptions 6a can claim you as a dependent LLC and Corporations Last name (2) Dependent's social security number (1) First name (3) relat than four nts, see ns and Charles R. Gebeck, Enrolled Agent GEBECK & ASSOCIATES, INC. 15 W. Warren Street, Suite 1 Princeton, IL 61356 C. Attach Form(s) W-2 'axable interest. Attach -xemp( Ordinary dividends (815) 915-8732 www.gebecktax.com equired e 8a b 9a ude Qualified equired 10 Taxable refunds cro 11 SM-PR1926887 GEBECK & ASSOCIATES, INC. Small Business Accounting ructions k here 1040 Payroll Dopart Interal Roverue Service U.S. Midual Income Tax Return Fort 2010, or other tax year beginning Your Sales Tax Name, Address, and SS om Last nane Monthly Bank Reconciliations si name and initial Last name Financial Statements reet). If you have See separate instructions. Tax Planning & Preparation eCK here if vo SirIndividual 2 Married filing Estate and Trust "only one had income) Tuil name spouse if filing jointly, want $3 t Filing Status Check only one ox. 3. y Enter spouse's SSN above Sole Proprietorship Spouse kemptions 6a can claim you as a dependent LLC and Corporations Last name (2) Dependent's social security number (1) First name (3) relat than four nts, see ns and Charles R. Gebeck, Enrolled Agent GEBECK & ASSOCIATES, INC. 15 W. Warren Street, Suite 1 Princeton, IL 61356 C. Attach Form(s) W-2 'axable interest. Attach -xemp( Ordinary dividends (815) 915-8732 www.gebecktax.com equired e 8a b 9a ude Qualified equired 10 Taxable refunds cro 11 SM-PR1926887