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Client Information Request
Please complete the questionnaire below prior to your appointment with Access Tax Solutions. If you are an existing client, you will have the opportunity to notify us of any changes or updates. Thank you!
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Full Name
*
Your answer
Phone
*
Your answer
Email
*
Your answer
Full Address
*
Your answer
What type of returns do you have?
*
Business Returns
Personal Returns
Both Business and Personal Returns
Other:
Do you have dependents?
*
Yes
No
Other:
What type of income do you receive? Choose ALL that apply.
*
W2 Income
1099
Self Employment Income
Retirement
SSA
Investment Income
Unemployment Income
Other:
Required
Do you own a rental property?
*
Yes
No
Other:
Do you have any legal agreements, such as a divorce or custody agreement?
*
Yes
No
Other:
Do you have any outstanding tax issues?
*
Yes
No
I am unsure
Other:
If you answered "Yes" to having outstanding tax questions, please explain.
Your answer
Please provide any additional information you would like us to know below.
Your answer
How did you hear about us?
Online Search
Social Media
Referral
Other:
Clear selection
If you have someone you would like to refer to Access Tax Solutions, please provide their contact information.
Your answer
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