ructions ck here om Fi re than four nts, see ns and SM-PR2006389 GEBECK & ASSOCIATES, INC. Filing Status Check only one OX. kemptions 10 11 Name, Address, and SS See separate instructions Small Business Accounting 1040 Depart Ali P 6a b U.S. Payroll For t Your Monthly Bank Reconciliations rst name and initial (1) First name Sales Tax Financial Statements Internal Revenue Service vidual Income Tax Return 2010, or other tax year beginning 2 Married filing 3 b Tax-exemp Street). If you have a l Tax Planning & Preparation neck here if you Sir Individual spouse if filing jointly, want $3 to an Sole Proprietorship Spouse LLC and Corporations 9a Ordinary dividends Qualified b Taxable refunds. Estate and Trust if only one had income) Cly. Enter spouse's SSN above full name Cradu Last name Last name Last name Charles R. Gebeck, Enrolled Agent GEBECK & ASSOCIATES, INC. 7 15 W. Warren Street, Suite 1 Princeton, IL 61356 etc. Attach Form(s) W-2 axable interest. Attach ude on line 8a (815) 915-8732 required www.gebecktax.com can claim you as a dependent. (2) Dependent's social security number required ign 20 (3) relati ructions ck here om Fi re than four nts , see ns and SM - PR2006389 GEBECK & ASSOCIATES , INC . Filing Status Check only one OX . kemptions 10 11 Name , Address , and SS See separate instructions Small Business Accounting 1040 Depart Ali P 6a b U.S. Payroll For t Your Monthly Bank Reconciliations rst name and initial ( 1 ) First name Sales Tax Financial Statements Internal Revenue Service vidual Income Tax Return 2010 , or other tax year beginning 2 Married filing 3 b Tax - exemp Street ) . If you have a l Tax Planning & Preparation neck here if you Sir Individual spouse if filing jointly , want $ 3 to an Sole Proprietorship Spouse LLC and Corporations 9a Ordinary dividends Qualified b Taxable refunds . Estate and Trust if only one had income ) Cly . Enter spouse's SSN above full name Cradu Last name Last name Last name Charles R. Gebeck , Enrolled Agent GEBECK & ASSOCIATES , INC . 7 15 W. Warren Street , Suite 1 Princeton , IL 61356 etc. Attach Form ( s ) W - 2 axable interest . Attach ude on line 8a ( 815 ) 915-8732 required www.gebecktax.com can claim you as a dependent . ( 2 ) Dependent's social security number required ign 20 ( 3 ) relati