Form
Taxpayer Information
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
Email
example@example.com
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
DateDate of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Heading
Tax Preparation Engagement AgreementPrepared by Charece McFarley
Name
First Name
Last Name
Appointment
Signature
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
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Filing Status
• Single•
• Head of Household
• Married Filing Jointly
• Married Filing Separately
Qualifying Widow(er)
Should be Empty: