Form Ir-2007 - Lebanon Tax Calculation Page 2

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COMPLETE ONLY BY THOSE WHO HAVE TAXABLE INCOME OTHER THAN WAGES OR
WHO CLAIMS EXPENSES AS A DEDUCTION FROM SUCH WAGES.
Do you want to allow another person to discuss this return with Lebanon Tax Department?
Yes, Complete the following.
No
Third Party
Designee’s
Phone
Personal Identification
Designee
name
no.
(
)
number (PIN)
Sign
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and
belief, they are true, correct and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Here
Your signature
Date
Your occupation
Daytime phone number
(
)
Keep a copy
Spouse’s signature, If a joint return, both must sign.
Date
Spouse’s occupation
for your
records.
Preparer’s
Date
Preparer’s SSN or PTIN
Check if
Paid
signature
self-employed
Preparer’s
Firm’s name (or
EIN
your if self-employed),
Use Only
address, and ZIP code
Phone no. ( )

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