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Personal Information

Please fill out the fields as accurate as possible as this information will be used to fill out your tax returns

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First Name *

Middle Initials

Last Name *

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First Name *

Middle Initial

Last Name *

Filing Status *

Dependents *

Address *

City *

State *

Zip Code

Phone Number *

Email *

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SSN *

Date of Birth *

Spouse SSN *

Spouse Date of Birth *

Dependent(s) SSN *

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Dependent(s) Name and Date of Birth *

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Business Name

EIN

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Income Records, Expense Records, Mileage *

Income Statement, written records, mileage logbook

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Other Information

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