TAX CHECKS & DEBIT CARDS REGISTRY

1
CLIENT NAME?* This field is required.Enter Your Name Below
2
TAX CHECK OR DEBIT CARD?* This field is required.
TAX CHECK
WAL-MART DEBIT CARD
3
ISSUED OR VOIDED?* This field is required.
ISSUED TO CLIENT
VOID & SHRED
4
CHECK NUMBER *** OR WAL-MART DEBIT CARD NUMBER* This field is required.
5
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Cancelof
6
IS PROCESS COMPLETE? - - - - HAS CHECK OR WAL-MART DEBIT BEEN SHREDDED OR ISSUED?* This field is required.
YESNO
7
GBC TAX PRO SIGNATURE - FOR ISSUE- MAIL- OR SHRED
Clear
8
CLIENT SIGNATURE FOR ISSUE IN PERSON AT TAX OFFICE
Clear
Should be Empty: