Free Consultation Form
Full Name
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First Name
Last Name
Cell Phone Number
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Area Code
Phone Number
E-mail
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example@example.com
Company or Organization name
Consultation Interest
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Please Select
Credit Repair
Tax Preparation
Become a Credit Repair Specialist
Form of Consultation
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Zoom Meeting
Phone Call
Text Message
Please Select an Appointment Date and Time
Additional Information/Comments
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Agent Interview
I want to be respectful of your time, let's start with a few question so I can get to know you.
Where are you located?
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City, State
What does your household look like?
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Single
Married
In a relationship
Children
Caregiver
Other
Are you looking to Supplement or Replace your income?
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Supplement
Replace
Both
Are you looking to commit to Part-time or Full-time?
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Part-Time
Full-Time
I'm not sure yet
How much would you need to make a month in order to FIRE your "9-5"?
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$2,500
$5,000
$10,000+
What got you interested in "working from home"?
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Where are you now, and where are you looking to be in the next 2-5 years?
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What's stopping you from reaching your goals right now?
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Are you Coachable and Self-motivated?
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Yes
No
I'm not sure
Are you willing to Invest in yourself?
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Yes
No
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Tax Preparation Interview
Based on the answers to these questions will allow me to estimate the complexity and cost of your tax preperation.
What State do you live in?
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Marital Status
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Single
Married
Legally Separated
Divorced
About how much income did you receive this year?
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Please Select
less than $20k
$21k-$44k
$45k-$80k
More than $100k
Between all the W2s, 1099Misc, Business Income, how much did you make?
How many children/dependents do you have, if any?
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Do you pay for child/dependent care?
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Yes
No
Cost of Child/Dependent Care per month?
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Medical Insurance?
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Please Select
Marketplace
Through Employer
Self-Funded
Medicaid
None
Did you have medical insurance this year?
Do you rent or own your home?
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Rent
Home
Other
Do you have a business or side gig?
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Yes
No
Cost of Rent?
Cost of Utilities?
Cost of Internet?
Cost of phone or cell phone?
Do you buy supplies?
Yes
No
What tax forms do you have?
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State Issued ID/DL
Social Security Card
W2 - Employer Income
1099 Misc - Independent Contractor
1099R - Retirement
1098T - College Tuition
Schedule A - Itemized Deductions
Schedule C - Income & Loss
Schedule E - Rental Income & Loss
1095A, 1098B, 1098C - Health Insurance
Other
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