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Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Date
*
-
Month
-
Day
Year
Date
Zip Code
*
Which exclusive retreat do you desire?
*
U,S Cities
Tax Debt Relief Island Retreats
Do you consider yourself a?
*
Introvert
Exervert
When was your last retreat?
*
6 Months or Less
With in the year
Over Years 2
This Will be my First Retreat
How do you define “success” at this stage in your life?
*
Peace of mind, not just profit
Enjoy my money stress free
I am humble; however, I have worked hard and deserve every ounce of my success.
Which best describes your relationship with financial success?
*
I feel extremely guilty
I am The first in my family to make six plus figures
I am responsible for a lot of people
I really need financial peace
How have you celebrated the lifestyle you've built over the years?
*
By treating others more than I treat myself
With luxurious experiences that remind me of how far I’ve come
I haven’t taken time to truly celebrate—it’s always on to the next goal
What brings you to this retreat?
*
I feel overwhelmed and need space to think clearly about money
I’ve been carrying financial burdens alone and need a safe place to talk
I’m ready to shift my relationship with money and reclaim my peace
I owe over $12,000 in unpaid Taxes
I am %100 ready to get Started with tax debt relief
I need a break however I must get started with some kind of IRS liability relief.
How many years of unfiled taxes?
*
1-3
3-6
Not sure
Which best describes your income type?
*
W-2
Entrepreneur
Both
How many years?
1-5
6-15
16+
What phrase or phrases were taught to you as a child?
*
Money is the root of evil
Money does not grow on trees
We are not rich
When I think about money
*
I get a headache
I am ready
I am excited about my investments
What emotional weight do you carry related to money?
*
Shame about not having “figured it all out”
Embarrassed about how much money I waste
Not sure where my money goes
What does financial peace look like for you?
*
Pay IRS in full
Make more money
Business funding
Have you received any of these letters form the IRS?
*
NFTL
CP 504
1058
LT11
None of the above
Robe size?
SM
LG
XLG
2X
3X
My favorite candle scents
*
Citrus
Clean/Linen
Lilac
Kuch
My favorite 2 colors
*
Pink
Purple
White
Yellow
Silver
Gold
Black
Blue
Red
My morning beverage is
*
Tea
Coffee/Cafe
Spring water
Chocolates
*
White
Milk
Dark
I am a
*
Berry lover
I love my melons
I am serious about citrus
I am a
*
Vegan
Vegetarian
Prestetarian
Carnivore
No Pork items
No Shell Fish
No Sea Food
Allergies
*
Nuts
Shell fish
Sea Food
Cats
Dogs
I am Here to
*
Relax
Exhale
listen
Refresh
Annual Income
*
$80K-$150K
$160K-$250K
$260K-$500K
$500-1M+
Religion
*
Chirstian
Muslim
Buddhist
Spiritual
Atheist
Rather not say
What do you hope to gain from this experience?
*
Clarity and a renewed sense of control
Emotional relief and mental space
Strategy and support
How does your financial success make you feel emotionally?
*
Grateful, but still carrying invisible stress
Empowered and proud, but often isolated
Accomplished—but unsure how to enjoy it fully
Available dates for introduction call and retreats.
This exclusive and personalized conversations gives you the opportunity to meet and connect with your host, discuss your tax resolution needs and goals, and determine if the Tax Debt Relief Retreat is the right fit for you. You’ll also have the option to pay your retreat fee in two installments. The consultation fee is non-deductible and will be applied toward your total retreat cost. This fee covers your meet-and-greet, application processing, and room hold. All fees must be paid in full no later than 10 days before the retreat date no exceptions.
One Hour Pre Retreat Call With Jacqueline Hamilton
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Share two important things we need to know.
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