LETTER OF INTENT

TO ABIDE BY THE GUIDELINES FOR THE USE OF SUBSTITUTE AND REPRODUCED TAX FORMS

For computerized tax processors, commercial printers, and others who develop substitute copies of official Arkansas Income Tax forms.

As a duly-appointed representative of ______ I hereby state my intent to abide by the policies, procedures, and guidelines published by Arkansas Individual Income Tax concerning the development and reproduction of substitute tax forms that are produced in any way by products sold or offered by this company.

I agree that this company will:

1. Develop substitute tax forms or products that produce tax forms in accordance with the guidelines issued by Arkansas Individual Income Tax.

2. Submit substitute tax forms to Arkansas Individual Income Tax for review and written approval before releasing any substitute tax forms or any products that produce such forms to customers or clients;

3. Promptly correct errors in the company's products and substitute tax forms and provide Arkansas Individual Income tax with proof (as described in Arkansas Individual Tax written guidelines) that the company has corrected the errors and notified customers or clients of the corrections;

4. Identify all substitute tax forms by the company identification code shown below;

5. Notify customers or clients of the minimum computer hardware requirements necessary to produce this company's substitute tax forms that have been approved by Arkansas Individual Income Tax.

Representative's Name

Company Identification Code

Signature

Street Address

Title

City, State, Zip Code

Date

Telephone Number