reter's Signature 7.a. Interpreter's Signature 7.b. Date of Signature (mm/dd/yyyy) N IT6 a SLAT-ES Preparer's Contact Information 4. Pre. arers Da ime Tele hone Number 5. Preparers Mobile Telephone Number (if any) 6. Pre arer's Email Address if an Form 1.765 12/26.119 IIIIIWYWRNTOOMINs1VM4 III 1%i