Tax Return Correction Declaration Form

Tax Return Correction Declaration Form
Submit your request to correct a previously filed tax return. Please provide accurate and complete information for processing.
Full Name*
First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address*
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Tax Year to be Corrected*
Individual Income Tax ReturnBusiness Tax ReturnSales Tax ReturnOther
Date Original Return Was Filed*
MonthDayYear
Date
Describe the Correction(s) Requested*
Reason for Correction*
Supporting Documentation (if any)
Cancelof
Signature*
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Date of Declaration*
MonthDayYear
Date
Should be Empty: