Client's Statement of Self-Employment Income:
Self-Employment income is any money you make working for yourself or as a subcontractor; as well as any cash earned that is not reported on a W-2. If you have an employer who pays you and takes out taxes, you're not self-employed. By completing this form, you certify that the income reported is a summary of your business transactions and matches your records. J.W. Tax Consultants holds no responsibility in the actual amounts reported, only to obtain written verification from you, The Client.
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C'ara Howard
Jessica Wilkerson
Leritha Pride
Lernitta Howard
Lyuana Austin
Marinda Austin
Samara Wilkerson
Shanikka Walton
Tabatha Williams
T'ara Howard
Trinity Woods
Name
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First Name
Last Name
Address
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Street Address
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Email
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Last 4 Digits of Your Social Security Number
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(Must match the number on your tax return and supporting documents)
Job Title
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Brief description of duties performed:
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Number of Hours Worked Each Week:
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Please tell us how much money you earned during the Current Tax Year?
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First Name
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Last Name
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, certify that tall information is true and accurate.
Date
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