Taxes Done Simple. Taxes Done Secure
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Name
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Last Name
Job Occupation
Email
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Format: (000) 000-0000.
Filing Status
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Single
Married Filing Joint
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Head of Household
Client Social Security Number
Address
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Street Address Line 2
City
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Are you a United States Citizen?
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Did you get health insurance through the Market Place?
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Did you file unemployment last year
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Did you receive your stimulus last year if YES, what was the total amount you received. If no please answer no.
Did you receive the Advance Child Tax Credit? If Yes please provide the total amount received. If not answer no and if it does not apply answer no.
Are you required to file with an ipin?
Please Select
No
Yes I have it
Yes I don’t have it yet
Legally Blind
Yes
No
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Social Security
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Income W2
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