Offer Qualifier

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Offer Qualifier

Offer Qualifier

This form will be reviewed by our tax attorney.

8Questions

1
Your Name
First Name
Last Name
2
How much do you owe?
Less than $10,000
$10,001 to $50,000
$50,001 to $250,000
$250,001 or more
Other
3
Have you filed all required tax returns?
Yes
No
Not Sure
4
How many dependents do you have, including yourself?
1
2
3
4
5
6 or more
5
What state and county do you live in?
6
What is your estimated yearly income?
7
Do you have any assets, besides home equity, worth more than your tax debt?
YESNO
8
Do you own a home or other real property with more equity than the tax debt?
YESNO
Should be Empty:

Question Label

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