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- Date of Birth*
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Format: (000) 000-0000.
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- Preferred Method of Contact
- Did you purchase health insurance in the marketplace?*
- Did you have any digital asset or crypto transactions? If yes, please attached any supporting documentation*
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- Filing Status*
- Do you have an IP PIN? (Issued by the IRS)*
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Format: (000) 000-0000.
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- Spouse Date of Birth (if applicable)
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- Do you have dependents?*
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- Types of Income Received
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- Did you have any of the following?
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- How would you like to receive your refund?
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- Date
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- Should be Empty: