customer ser.

Location:

Fort Collins, CO

Salary:

$18

Posted:

July 20, 2025

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INTERNAL REVENUE SERVICE

P O Box 802501

Cincinnati, OH 45280-2501

INTERNAL REVENUE SERVICE

P O Box 802501

Cincinnati, OH 45280-2501

FEDERAL SLIP SHEET FORM 1040

IRS e-file Signature Authorization

OMB No. 1545-0074

Form 8879

Department of the Treasury

Internal Revenue Service

Submission Identification Number (SID)

Taxpayer's name Social security number

Spouse's name Spouse's social security number

Part I Tax Return Information -- Tax Year Ending December 31, 1 Adjusted gross income 1

2 Total tax 2

3 Federal income tax withheld from Form(s) W-2 and Form(s) 1099 3 4 Amount you want refunded to you 4

5 Amount you owe 5

Part II Taxpayer Declaration and Signature Authorization (Be sure you get and keep a copy of your return) Under penalties of perjury, I declare that I have examined a copy of the income tax return (original or amended) I am now authorizing, and to the Taxpayer's PIN: check one box only

I authorize to enter or generate my PIN

Form 8879 (Rev. 01-2021)

Spouse's PIN: check one box only

I authorize

if you are entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part lll below. to enter or generate my PIN

ERO firm name Enter five digits, but

signature on the income tax return (original or amended) I am now authorizing. don't enter all zeros I will enter my PIN as my signature on the income tax return (original or amended) I am now authorizing. Check this box if you are entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below. Spouse's signature Date

Practitioner PIN Method Returns Only -- continue below Part III Certification and Authentication -- Practitioner PIN Method Only ERO's EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN. I certify that the above numeric entry is my PIN, which is my signature for the electronic individual income tax return (original or amended) I am now requirements of the Practitioner PIN method and Pub. 1345, Handbook for Authorized IRS e-file Providers of Individual Income Tax Returns. ERO's signature Date

ERO Must Retain This Form -- See Instructions

Don't Submit This Form to the IRS Unless Requested To Do So For Paperwork Reduction Act Notice, see your tax return instructions. Don't enter all zeros

best of my knowledge and belief, it is true, correct, and complete. I further declare that the amounts in Part I above are the amounts from the income tax return (original or amended) I am now authorizing. I consent to allow my intermediate service provider, transmitter, or electronic return originator

(ERO) to send my return to the IRS and to receive from the IRS preparation software for payment of my federal taxes owed on this return and/or a payment of estimated tax, and the financial institution to debit the entry to this account. This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a payment, I must contact the U.S. Treasury Financial Agent at no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I further acknowledge that the personal identification number (PIN) below is my signature for the income tax return (original or amended) I am now authorizing and, if applicable, my Electronic Funds Withdrawal Consent.

ERO must obtain and retain completed Form 8879.

Go to www.irs.gov/Form8879 for the latest information. designated Financial Agent to initiate an ACH electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax only

only

as my

(a) an acknowledgement of receipt or reason for rejection of the transmission,

(b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its 1-888-***-****. Payment cancellation requests must be received

(Rev. January 2021)

Enter whole dollars only on lines 1 through 5.

Note: Form 1040-SS filers use line 4 only. Leave lines 1, 2, 3, and 5 blank. authorized to file for tax year indicated above for the taxpayer(s) indicated above. I confirm that I am submitting this return in accordance with the

(Enter year you are authorizing.)

CHRISTINE CEVALLOS ***-**-****

19,028

443

HRB TAX GROUP INC 10089

840********

04-23-2025

2024

XQB BWO 1040

A voucher is printed at the bottom of this page.

NOTE: This is a new scannable voucher approved by the IRS for filing of the 1040-V for the year 2024. This is different than the voucher that is on the IRS website. Use this voucher when making a payment with Form 1040. Do not staple this voucher or your payment to Form 1040. Make your check or money order payable to the ``United States Treasury". Write your Social Security Number (SSN) on your check or money order. Mail payment to:

Department of the Treasury

2024 Form 1040-V Payment Voucher

Internal Revenue Service

OMB No. 1545-0074

Use Form 1040-V when paying the balance due on

Form 1040, Form 1040A, 1040EZ, or 1040NR.

If your name, address, or SSN is incorrect, see instructions. money order.Make your check or

Amount you are paying by check or

For Privacy Act and Paperwork Reduction Act Notice, see instructions. Dollars

Enter your SSN on your check or money order money order payable to "United States Treasury" INTERNAL REVENUE SERVICE

P O Box 802501

Cincinnati, OH 45280-2501

443

CHRISTINE CEVALLOS INTERNAL REVENUE SERVICE

CAMINO DEL RIO PO BOX 159 P O Box 802501

DURANGO, CO 81303 Cincinnati, OH 45280-2501

570610089 TC CEVA 30 0-202***-***

BWO 1040

1735

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COLORADO DEPARTMENT OF REVENUE

DENVER, CO 80261-0008

COLORADO DEPARTMENT OF REVENUE

DENVER, CO 80261-0008

CO SLIP SHEET CO DR 0900

COLORADO DEPARTMENT OF REVENUE

DR 8454 (11/04/24)

24 CO84541 Form Software Copyright 1996 - 2025 HRB Tax Group, Inc. Spouse's Signature (If Joint Return, Both Must Sign) Date Signature of taxpayer, fiduciary officer, or partner Date Under penalties of perjury, I declare that the information I have provided for electronic filing and the amounts shown in Part I above agree with the amounts shown on my Part II -- Declaration of Transmitter

Total Income from your federal return (see instructions for more information) 1 4.

Part I -- Tax Return Information

City State ZIP

First Name

First Name or Business DBA if different from Business Name Middle Initial Taxpayer's SSN or ITIN FEIN

Spouse's Last Name (if applicable)

Taxpayer's Last Name or Business Name

Do not mail this form to the IRS or the Colorado

Tax.Colorado.gov

Denver CO 80261-0005

Income Tax Type

Part III -- Declaration of ERO/Preparer/Transmitter If the transmitter did not prepare the tax return, check here If I am not the preparer, I declare only that the amounts shown in Part I above agree with the amounts shown on the taxpayer's Federal/Colorado income tax returns. If I am ERO's Signature

Date

Check if also Preparer

Preparer Identification Number, Your SSN, or ITIN

(MM/DD/YY)

Page 1 of 1

State of Colorado Income Tax Declaration

the preparer, under penalties of perjury I declare that I have reviewed the above taxpayer's Federal/Colorado income tax returns and that the information provided to me by the taxpayer and the amounts shown in Part I above agree with the amounts shown on said tax returns, and that said tax returns, statements, schedules, and attachments are true, correct, and complete to the best of my knowledge and belief. As preparer, I further declare that I have obtained the taxpayer's signature on this form at the time of filing and have provided the taxpayer with copies of all forms and information filed. I also agree to maintain this signed Form (DR 8454) for the period covered by the Colorado statute of limitations, and to provide paper copies of this declaration, said returns, withholding statements, schedules and attachments upon request by the Colorado Department of Revenue at any time during this period.

Federal/Colorado income tax returns, and that said tax returns, statements, schedules and attachments are true, correct, and complete to the best of my knowledge and belief. I understand that I (or my Electronic Return Originator (ERO) if applicable) may be required to provide paper copies of this declaration, my returns, withholding statements, schedules, and attachments upon request by the Colorado Department of Revenue at any time during the period covered by the Colorado statute of limitations. Taxable Income (or allowable deduction) from your federal return (see instructions Colorado Tax (or recapture of prior year credits) from your Colorado return (see Colorado Tax Withheld, Payments, or Credits from your Colorado return (see instructions for more information)

Taxpayer's or Business's Address

Spouse's SSN or ITIN (if applicable)

Middle Initial

Department of Revenue. Retain with your records.

for Online Electronic Filing

or Fiscal Year beginning (MM/DD/YY)

Individual

(DR 0104)

C-Corporation Partnership/S-Corp Fiduciary

(DR 0112) (DR 0106) (DR 0105)

For Tax Year (MM/DD/YY)

(MM/DD/YY)

for more information)

Exempt Entity

(DR 0990)

Title

instructions for more information)

19028

4428

CEVALLOS CHRISTINE

CAMINO DEL RIO PO BOX 159 DURANGO CO 81303

01/01/24

P02347751

04/23/25

***-**-****

189

BWO 1040

248***-*****

DR 0900 (06/26/24)

COLORADO DEPARTMENT OF REVENUE

Denver CO 80261-0008

Caution!

This form

The Department strongly recommends that you file using Revenue Online ITIN and ''2024 DR 0104" on the memo line. Be sure to keep a copy of the money order or note the 24 CO09001 Form Software Copyright 1996 - 2025 HRB Tax Group, Inc. Return the DR 0900 with check or money order payable to the ''Colorado Department of Revenue". Mail payments to Colorado Department of Revenue, Denver, Colorado 80261-0008. This address and zip code is exclusive to the Colorado Department of Your Last Name First Name

SSN or ITIN

Spouse's SSN or ITIN

Spouse's Last Name (if joint) Spouse's First Name

Address

City State ZIP Code

The State may convert your check to a one-time electronic banking transaction. Your bank account may be debited as early as Amount of Payment

the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically. $ or another electronic filing method and remit your payment electronically. Complete the form below. The amount on the check and the amount entered on the payment form must be the same.This will help maintain accuracy in your tax account.

(0011)

2024 Individual Income Tax Payment Form

(Calendar year -- Due April 15, 2025)

Middle Initial

order. Do not send cash. Enclose, but do not staple or attach, your payment with this form. DO NOT CUT -- Return Full Page.

DO NOT CUT - Return Full Page.

To pay by mail, make the check or money order payable to the ''Colorado Department of Revenue.'' Be sure to round your payment to the nearest dollar. Clearly write your Social Security number or Tax.Colorado.gov

DO NOT submit the DR 0104 if you have already filed electronically. DR 0900

paid electronically or do not owe a payment do not file this form. Revenue, so a street address is not required. Write your Social Security number or ITIN and ''2024 DR 0104" on your check or money Page 1 of 1

IF NO PAYMENT IS DUE, DO NOT FILE THIS FORM.

must accompany your payment if you filed electronically and wish to pay by check. If you check number with your tax records.

(Colorado.gov/RevenueOnline)

CEVALLOS

***-**-****

CHRISTINE

CAMINO DEL RIO PO BOX 159

DURANGO CO 81303

12.00

17350011 123*****-** 000*********-** 005********-** BWO 1040

240***-*****

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