L&S Tax Service Client Intake Form
Name
First Name and Middle Initial
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
What is your filing status?
Single
Head of Household
Married filing Jointly
Married filing Separate
Are you currently up to date on your taxes, if not please provide a brief explanation.
Are a returning or new client?
Please Select
New
Returning Customer
Submit
Should be Empty: