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Taxpayer Quality Assurance Feedback Form
Please fill the form carefully
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I (Taxpayer):
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First Name
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Last Name
This field is required.Please enter value
This field is required.Please enter value
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Provided information regarding education and/or other items to (Preparer Name):
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First Name
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Last Name
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This field is required.Please enter value
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For tax years. In connection with the preparation of my tax returns for those years. (check all that apply) :
2018
2017
2016
2015
All of the above
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The information that I furnished to my (preparer name), was the same information used by (prepare name):
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First Name
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Last Name
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This field is required.Please enter value
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To prepare my returns for the above listed years. This data was provided truthfully, accurately, and contained no misrepresentations. I have the substantiation to support these expenses and/or other items given to (prepare name):
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First Name
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Last Name
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This field is required.Please enter value
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Overall how would you rate your experience with you tax professional:
Excellent
Good
Needs Improvement
Poor
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Taxpayer Name:
First Name
Last Name
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Date:
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Date format is invalid, please check it again
The value must be greater than or equal to -21474836487
The value must be less than or equal to 2147483647
Time:
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The value must be greater than or equal to -21474836487
The value must be less than or equal to 2147483647
Taxpayer Signature :
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Submit