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  1.          AccuTax Feedback Form
  2.  
  3. Name________________________________________________
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  5. Address_____________________________________________
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  7. City, State, Zip____________________________________
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  9. Phone_______________________________________________
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  12. I have a problem to report:__________________________
  13. _____________________________________________________
  14. _____________________________________________________
  15. _____________________________________________________
  16. _____________________________________________________
  17. _____________________________________________________
  18. _____________________________________________________
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  21. Other comments:______________________________________
  22. _____________________________________________________
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  24. _____________________________________________________
  25. _____________________________________________________
  26. _____________________________________________________
  27. _____________________________________________________
  28. _____________________________________________________
  29. _____________________________________________________
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  32. Mail to:  AccSoft, P.O.    Box 16706, Kansas City,    Mo.  64133
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