Empire Financial Solutions : Tax Document Submission & Prep Readiness
Email
*
example@example.com
Choose Preparer:
Shaterrica Butler
Broderick Jackson
Shari Dupree
Angel Hymes
Tichelle Jenson
Cierra Alford
Lakeya Bowie
Full name listed on social:
*
I am here to:
File my taxes with Empire Financial Solutions
Filing Status:
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Single
Head of Household
Married Filing Separately
Married Filing Jointly
Widower
Full social security number:
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Date of birth:
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Month
-
Day
Year
Date
Phone Number
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Home address (Full address + city, state, zip):
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Occupation:
Do you owe any previous debts? (IRS debt, child support, alimony, etc.)
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Yes (if yes, select other and explain)
No
Other
Are you a full-time student? (if yes, upload 1098-T)
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Did you receive a tax refund last year?
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Yes
No
Were you audited?
Yes
No
Are you self employed? If yes, please list what type of self employment do you do?
Explain Self-employment:
Please list all dependents - NAME, SSN, BIRTHDAY, RELATIONSHIP (if none, type n/a)
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Did you receive Marketplace Insurance?
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Yes
No
I'm not sure
Please list you IP PIN # (IF you have had to use it in previous years, you will need it! Each year you are issued a NEW IP PIN! You will need to obtain it before submitting your return. No loans will be processed without IP PINS)
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Yes, I have an IP PIN
Yes, I have an IP PIN, but I need help locating it
No IP PIN
Tax Documents (W2, 1099, Unemployment, etc.) if documents do not load, send them to empirefinancialsolns@gmail.com
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Tax Documents (W2, 1099, Unemployment, etc.)
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Drivers License/ State Identification (CANNOT BE EXPIRED)
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Social Security Cards (5 max) (Please be sure that they are clear)
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Other documents (anything extra):
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Other documents (anything extra):
Bank name (for payment):
Routing Number:
Account Number:
Re-enter Account Number:
Terms & Conditions: I confirm that all information I entered here is accurate and true. I allow Shae at Empire Financial Solutions LLC. to capture my sensitive data like personal id, government id, social security number (SSN), and other information. I have read the terms and conditions and privacy of Empire Financial Solutions. By signing below, you acknowledge that you have read and understood your responsibilities and our responsibilities in completing this tax return.
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I accept the Terms & Conditions.
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