Erock Tax Initial Inquiry Form
Thank you for reaching out to Erock Tax. Please complete the brief form below, and a member of our team will review your information and follow up shortly.
First Name
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Last Name
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Spouse First Name
Spouse Last Name
Preferred method of contact
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Telephone
Text
Email
Preferred format for Meeting
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In Person
Zoom
Teams
Phone
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Spouse Email
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City
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How did you hear about us?
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Please Select
Referral
A Member of Our Team
Online Search / Website
Firm Event
Industry / Networking Event
Social Media
Media / Press
Direct Mail
Advertising
Email Campaign
Community / Board Involvement
Other
Who referred you?
Who are you connected with?
Please Select
Stu Steinberg
Bill Goldsmith
Jim Healy
Kerry McMenamy
Lynne Legault
Which firm event?
Which industry or networking event?
Which social media platform?
Please Select
LinkedIn
Facebook
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Where did you see our ad?
Which organization?
How can we help you? (select all that apply)
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Individual Tax Return
Business Tax Return
Tax Planning
IRS / State Letter Received
Multiple Tax Years Need Filing
New Business / Entity Setup
Bookkeeping
Payroll
Existing Erock Client
Financial Planning
Estate / Legacy Planning
Insurance Review
Not sure yet
Other
Tax Years Need Attention
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Current Year
Prior Year
Two or More Years
Not Sure
Which agency sent the notice?
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IRS
MA DOR
State of NH
Other State
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Business Entity Type
Sole Proprietor
Single Member LLC
Multi-Member LLC
Partnership
S-Corporation
C-Corporation
Trust
Not Sure
What are you looking to accomplish?
Form a new LLC
Form a Corporation
Convert existing entity
Add partner/owner
Unsure / need guidance
What is your primary tax planning concern?
Reducing Taxes
Retirement Planning
Stock Options / RSU's
Business Owner Planning
Roth Conversion Analysis
Real Estate Planning
Not Sure
Please list any years that have not yet been filed (if known).
Which area would you most like help with?
Retirement Planning
Investment Review
College Planning
Estate Planning
Comprehensive Financial Planning
Not sure
What type of insurance would you like reviewed?
Life Insurance
Long-Term Care Insurance
Disability Insurance
Business Insurance
Not Sure
Briefly tell us what prompted you to reach out?
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