Show NOTICE TO individual 1 TAX PAYERS this form should hc be executed awl ancl for form UW 1010 10 10 for t the calendar year 1133 if you merely received advice from home person ie or persons employed to t adist in ill tile preparation lion tion of the return tha nam llama anil alad address of your advisor together with avith a state slate mont it showing tile lie extent to which snell if or advice was ived is sufficient if your return wis was actually prepared by 1 y any gueft or PIr persons sons this form forin inist lie signed and sworn to liy such ruch person penson or did you yon employ anyone to prepare or advise in ill the pre pi epa piira ra lion of your income in olne return fur for the fit calendar year laj answer 1 yeb it r no if so sive name and address of such person or persons find and state to whit e such istance or advice wag received rree ived I 1 lawe Z is as atty or 01 advisor for tho the herein subscribed taxpayer that lwe JIM prepared lWe pared the ill e that tile lie sot set out in tile the return and in neaomi ne comi inkins iny ins IZ schedules if any corroa tir all nili 1 trav rel plants tile the information furnished blied flied or discoe red ered bv inen during alie tit course of lf preparation of if the hie return and 1111 that mih information I 1 Is true trop tf to fbi hi best of if majour ind 11 olief attorney At forney or advisor addrow A si i sworn dworn to t 0 anil it before nn ill aliis lay day of WI I 1 ISIA of rf officer oath title w t i c notarial seal |