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10
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1
Phone Number
Please enter a valid phone number.
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2
Email address
example@example.com
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3
Type a question
Do you need credit repair
YES
NO
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4
Type a question
Are you a returning client ?
YES
NO
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5
What type of income Do You Have ?
w2 employee
schedule c self employed
1099 self employed
side hussle
w2 and 1099 self employed
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6
Type a question
Are You Interested in A Tax Advance?
YES
NO
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7
Did anyone refer you?
type first name last name
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8
Name
First Name
Last Name
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9
Appointment
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10
File Upload
Photo of ID
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