COMPLETE INTAKE FORM  25
  • Format: (000) 000-0000.
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  • Spouse or Partner's Information

    If no spouse, please skip.
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  • Dependent Information

    The Earned Income Credit (EIC) increases with the first 3 Children you claim. The maximum number of dependents you can claim for Earned Income Purposes is Three. You MUST also meet other requirements related to your Adjusted Gross Income (AGI) to qualify for EIC. If you are MARRIED and FILING SEPARATE you CAN'T claim the credit.
  • Business Information

    Please complete if you are self employed.
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