MPBC 2021 Tax Year Contribution Letter Request

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Contribution letters may be requested to be mailed, emailed, or made available for pickup once a week on Wednesdays between 1:00 PM – 4:00 PM in the secretary’s office. If you would like someone to pick up your contribution letter, you must send your request in writing to the Financial Secretary.

**Mask and picture ID are required for pickup. **

For record-keeping purposes, only one name per request. Requests received with more than one name will be discarded. *

This request if for one person only.

I understand that my request will be discarded if more than one name is listed on my request.

Required

Name (Last, First, Middle Initial) *

Contact Number *

Email Address *

For mail requests, please be sure to provide your complete mailing address (city, state, zip code ). Incomplete information will result in your request being discarded. *

How would you like to receive your Tax Year 2021 Contribution letter? *

Acknowledgment #1 *

Requests will be processed and available for pickup starting February 09, 2022.

Required

Acknowledgment #2 *

In-person pickup requests will be available on Wednesdays between 1:00 PM - 4:00 pm.

Required

Acknowledgment #3 *

Requests received on Sunday after 12:00 PM EST will be processed the following week.

Required

I understand that it is my responsibility to keep all financial information requested from the Financial Secretary confidential. If the requested information is collected or disbursed by anyone, I assume full responsibility for any information shared without my consent. *

Yes,I acknowledge the above statement.

Required

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