QWIK FILE ELECTRONIC TAX FILING

Certification Form


This page must be printed, signed and included with your electronic filing submission package. To print, just "click" the print icon on your browser's toolbar


The undersigned request the services of Qwik File to electronically file their federal (and State of ZMichigan, if applicable) income tax return for 1998. By completing and signing this form the undersigned do hereby attest and warrant:


Taxpayer has read and agrees to the above statements:

Signature:

Primary Taxpayer  ___________________________________          Date ____________

If a joint return, spouse must also sign

Spouse                     ___________________________________          Date ____________


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