• Taxpayer Information

  • Marital Status
  • Taxpayer Date of Birth
     - -
  • Check all that apply:
  • Format: (000) 000-0000.
  • Rows
  • Do you have a "Special Needs" child?

  • ADVANCE CHILD TAX CREDIT PAYMENT:

  • Did you have out-of-pocket daycare or childcare expenses for a child age 13 or under?

  • HEALTH INSURANCE COVERAGE:

  • DID YOU RECEIVED HEALTH COVERAGE (INSURANCE) THROUGH YOUR STATE MARKETPLACE OR HEALTHCARE.GOV? IF SO, PLEASE UPLOAD YOUR FORM 1095A

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    • ID/DL card & SSN Cards for self/dependents.
    • Wages and Salaries (Attach W-2's)
    • Interest Income (Attach 1099's)
    • Unemployment Compensation Received (FORM 1099G)
      PLEASE UPLOAD FORM BELOW:
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  • Were you, your spouse, or any dependent registered in college? Do you have a form 1098T? If so, upload below

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  • If you would like your tax refund (if any) deposited directly into your bank
  • Should be Empty: