New Customer Registration Form
Customer Details:
Full Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Como supiste de nosotros?/How did you hear about us?
*
Please Select
Referral
Facebook
Instagram
Current Client
Por favor especifica/Please Specify
*
Que servicio te interesa?/ What type of service are you interesed in?
Preparacion de taxes/Personal Taxes (1040)
Taxes para negocios/Business Taxes
Creacion de LLC/LLC or Corporation Formation
Enmienda de Taxes/Tax Amendment
ITIN o renovacion/ITIN or renewal
Has rendido impuestos anteriormente?/Did you filed taxes previously?
Yes
No
Trabajaste en 2025 con W2, 1099 o Cuenta propia?/Did you work in 2025 and receive W2, 1099 or self employed?
*
yes
no
Recibiste desempleo?Did you receive unemployment?
*
yes
no
Comenzaste un negocio ya sea por cuenta propia?/Did you start a business even self employed?
*
yes
no
Tienes dependientes?/Do you have dependents?
*
yes
no
Algunos de tus dependientes es incapacitado?/Any of your dependent are disable?
*
yes
no
Pagaste cuido privado por tus dependientes?/Did you paid daycare from your dependent?
*
yes
no
Estudiaste en la Universidad?/Did you go to College?
*
yes
no
Compraste casa o planeas hacerlo?/Did you buy a house or planning?
*
yes
no
Compraste placas solares?/Did you buy solar panels?
*
yes
no
Compraste carro electronico?/Did you buy electronic car?
*
yes
no
Tienes alguna deuda federal?/Do you have any federal debt?
*
yes
no
Recibiste alguna carta del IRS?/Did you receive any letter from IRS?
*
yes
no
El IRS te ha asignado un PIN de identidad?/Did the IRS give you an IP PIN?
*
yes
no
Tienes plan medico por Marketplace?/Do you have insurance from Marketplace
*
yes
no
Disponibilidad/Availability
*
Mañana/Morning
Tarde/Afternoon
Noche/Evening
Fin de semana/Weekend
Confirmacion/Consent
*
Autorizo a Luxeguard Tax a comunicarse conmigo por teléfono, texto o correo electrónico con respecto a mi solicitud.
I authorize Luxeguard Tax to contact me by phone, text or email regarding my inquiry.
Submit
Should be Empty: