Form 13614-C - Intake/interview & Quality Review Sheet - 2010 Page 4

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Additional Taxpayer Notes:
Additional Tax Preparer Notes:
Paperwork Reduction Act Notice
The Paperwork Reduction Act requires that the IRS display an OMB control number on all public information requests. The OMB
Control Number for this study is 1545-1964. Also, if you have any comments regarding the time estimates associated with this study
or suggestion on making this process simpler, please write to the Internal Revenue Service, Tax Products Coordinating Committee,
SE:W:CAR:MP:T:T:SP, 1111 Constitution Ave. NW, Washington, DC 20224.
13614-C
Catalog Number 52121E
Form
(Rev. 10-2010)
4

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