Name

Tax Files, Tax Data and Tax Refund

.. for the last three years.

A negative item in red ($-0.00) indicate an amount you owe.

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Year
Federal
State
Total
2020
00
00
00
2021
00
00
00
2022
00
00
00

Documents

Please print, sign and date the Signature Pages below.

You must email them back to us before your Tax Return is submitted to IRS..

Read, print and sign the Republic Bank Refund Transfer Application and Agreement - If it applies to you.

Year
Sign
R Bank
Returns