VIP WAITLIST

VIP WAITLIST
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Email address*
example@example.com
Phone Number*
Please enter a valid phone number.
Preferred Contact Method*
Dependents?*

YesNo
If Yes, add # of dependents and ages
Who is your Tax Preparer?*

Wilma DunnMontrice CormierLisa EdwardsRhonda FrazierNyger PeekDominique ThomasTracy Williams
Type of Income this Year?*

W21099Self-EmploymentInvestmentsRetirementOther
Are you a returning client?*

YesNo
When do you prefer to file? *
December January February March April
Any additional notes about your situation?
I agree to receive tax season updates, reminders and emails from Clear Cents Resolutions?*

I agreeI disagree
Should be Empty: