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Date

Month Day Year
Date
1. Who is requesting this service?
2. Full Name

First Name Last Name
3. E-mail
4. Phone Number

Area Code Phone Number
REACH MORGAN D. KING

512 591- 7060

925 829-6363

OR EMAIL MORGAN@MORGANKING.COM

(we are on central time zone):
Name

First Name Last Name
Email
example@example.com
Phone Number

Area Code Phone Number
5. TYPE OF SERVICE REQUESTED
6. IF "OTHER" PLEASE EXPLAIN WHAT YOU WOULD LIKE MR. KING TO DO FOR YOU
7. MAIN TOPICS

2. Update 2020 Discharging Taxes 95 pages 3. Non-bankruptcy remedies for delinquent taxes 4. Tax or Bankruptcy litigation or adversary proceedings 5. Seminar or Webinar on tax or discharge topi 5. Court ruling or judgment 7. IRS Offer-in-compromise 8 IRS Collection-Due-Process Appeal 9 Delinquent state tax problems 10. Problem with your tax or bankruptcy attorney 11. Explore all remedies - delinquent taxes or collection 12. Order a book or other publication 13. Order a recorded webinar or course 14. Enroll in live on-site seminar or course 15. Tax or Bankruptcy Appeal 16. Other
8. IF "OTHER TOPIC" PLEASE EXPLAIN:
9. BRIEFLY DESCRIBE PROBLEM
10. HAVE YOU DISCUSSED YOUR MATTER WITH MR. KING'S OFFICE BY PHONE, E-MAIL OR TEXTING?

YES - BY PHONE YES - BY EMAIL YES - BY TEXTING YES - BY OTHER MEANS NO
11. ATTACH DOCUMENTS (if any - limit 35 pages)
12. AMOUNT $ AUTHORIZED *
13. TYPE OF CREDIT CARD
14. CREDIT CARD NO.
15. SECURITY CODE
16. EXPIRATION DATE
17. NAME ON CARD
18. ADDRESS ON CARD IF DIFFERENT FROM ADDRESS ENTERED ABOVE

Street Address

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