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Appointment Form - ICNA Relief Tax Clinic
Free tax service for families with income under $40,000

Food Pantry ICNA Relief Houston
Address: 5667 Hillcroft St #405, Houston, TX 77036
Phone:(832) 302-1681
Email: shabbir@icnarelief.org

February 24th (Friday), 2017 – 4pm – 6:30pm
March 4th (Saturday), 2017 11am – 2pm

Name
Your answer
Email
Your answer
Contact Number
Cell phone number
Your answer
Number of people in family?
including you (i.e. 4 kids & wife - 6 total)
Your answer
What day & time do you prefer?
I will bring these documents with me:
W2s, 1099s, Social Security Number, Drivers License/ID
Required
Submit
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