Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
New or Returning Client?
Please Select
New
Returning
Did you file your 2024 tax return with Platinum Tax Service? 2024 Taxes would have been filed between January 2025-October 2025
*
YES
NO
Do you have one or more dependents age 17 and under?
*
YES
NO
Do you plan on applying for a taxpayer cash advance loan up to $7000 starting January 2nd?
*
YES
NO
Our office is located in Columbus, MS Do you understand that if you are not local or do not wish to come in, your service will be completed virutally?
*
YES
Please acknowledge that you understand this is just a spot reservation form and you are under no obligation to file with Platinum Tax Service, if you so choose.
Please Select
Yes, I understand
Submit
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