First Name
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Last Name
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Email
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Phone Number
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What State do you live in?
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NSW
QLD
VIC
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ACT
Which state do you live in?
How much debt do you have?
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$3,000 - $10,000
$10,000 - $20,000
$20,000 - $50,000
$50,000 - $100,000
$100,000+
What amount of tax debt do you have?
Preferred time to call?
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8:30am - 10.00am
10:00am - 12:00pm
12:00pm - 2:00pm
2:00pm - 4:00pm
4:00pm - 5:30pm
What's the best time to call you?
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