Potential Client List Information
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Will you be filing with dependents?
*
Yes
No
Are you a full or part-time student?
*
yes
no
Employment
*
Employed
1099- Contractor/ Independent delivery drivers
Self-employed
Filing Status
*
Single
Married
Married filing jointly (MFJ)
Married filing separately
Head of Household (HOH)
Did you recieve unemployment in 2022
*
Yes
No
If filing dependents, did you pay for child care?
*
Yes
No
Any special tax circumstance or questions you would like to ask us?
Best way to contact you for an appointment
*
Phone
Text
Email
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