Irea Graves Tax Service

theireagravestaxservice@hotmail.com

Form 1040EZ-Order Form___

Filing Status______

Exemptions_______

Total Wage, Salary, and Other Earnings______

Tax year (example 2007)______

Your Name________________________________________________Date______________

Street Address_______________________________________________________________

City_____________________________________State____________Zip code___________

Foreign country___________________________International postal code________________

Daytime area code and telephone number____________ (optional)

E-mail address_______________________ (optional; used for service confirmation and to discuss information to assist in the income tax return preparation )

Determine and circle required tax form, worksheet, and/or schedule to keep the very low price.

Description	Quantity	x	Unit Price	=	Cost
1040EZ Federal Tax Form	__________		$4.58		$__________
Social Security	__________		.50		__________
Earned Income Credit	__________		.50		__________

Money Order Total cost $__________

Thank you for your order.

Make money order payable to Irea Graves

Mail to:

Irea Graves Tax Service

311 East 8th Street, #203

Little Rock, AR  72202

irea_graves@yahoo.com