CLAIM FOR REFUND AND REQUEST FOR ABATEMENT (Deadline: 10 JULY 2026)

CLAIM FOR REFUND AND REQUEST FOR ABATEMENT (Deadline: 10 JULY 2026)
TaxPayer Information:
Full Name

First NameLast Name
Social Security Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
DID YOU PAY A FAILURE-TO-FILE OR FAILURE TO PAY PENALTY FOR TAX YEAR 2020-2023 THAT WAS PAID LATE DURING THE COVID DISASTER WINDOW?
DO YOU AUTHORIZE US TO SIGN FORM 8821, (TAX AUTHORIZATION FORM) AND 843 (CLAIM FOR REFUND AND REQUEST FOR ABATEMENT)?
CLIENT STATUS
Will you be willing to recommend us?

Please give reference of any two people whom you feel may have fallen into this category:

Rows	Full Name	Contact Number	Email
1
2

FEE BREAKDOWN

EXISTING CLIENT- $100.00

NEW CLIENT- $150.00

FEE INCLUDES
- COLLECTING AND PULLING IRS DATA TO PREPARE FORMS
- PREPARING & SUBMITTING FORMS VIA CERTIFIED MAIL
- FOLLOW-UP STATUS THROUGH COMPLETION
- INCLUDES ALL YEARS (2020-2023)
- COPY SENT TO TAXPAYER FOR RECORD KEEPING
NO REFUNDS!!!

A 50% REFUND WOULD ONLY BE ISSUED IF WE DETERMINE AFTER PULLING YOUR TAX DOCUMENTS, THAT THERE ARE NO PENALTIES OR INTEREST TO ABATE!

New Clients

$150.00 Quantity

Existing Clients

$100.00 Quantity

Total

Credit Card

Apple Pay

Google Pay

Cash App Pay

I HEREBY AUTHORIZE THE USE OF THIS INFORMATION TO FILE THE FORMS NEEDED FOR CLAIM FOR REFUND AND REQUEST FOR ABATEMENT.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Should be Empty: