Form 14157-A - Tax Return Preparer Fraud Or Misconduct Affidavit Page 2
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Briefly describe what happened and the resulting tax issue (if applicable). If additional space is needed, attach your explanation.
Under penalties of perjury, I declare that, to the best of my knowledge and belief, the information entered on this form is true, correct,
complete, and made in good faith
Taxpayer signature
Date signed
Spouse's signature (if applicable)
Date signed
Telephone number (include area code)
14157-A
Form
(Rev. 2-2016)
Catalog Number 59567Y
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