Tax-Net LLC Client Intake Form

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Please answer all questions

First name - Last Name *

Address (City, State, Zip Code *

Phone Number *

Social Security Number (email a copy) *

Driver License number (email a copy) *

What's your filing status? *

Single

Married Filing Jointly

Head of Household

Qualifying Widow (er) with Dependent Children

Nonresident Alien

Required

How many dependents are you claiming *

email address *

Date of Birth *

YYYY

Occupation *

Does your address differ from your last year taxes *

Do you have a W-2 (email a copy) *

Do you own a business Yes/No (If answer is NO) STOP! *

Yes

Required

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