Tax Preparation Registration Form
First Name
Last Name
Email
Phone Number
Address
Occupation Title
Birthdate
What is your filing status?
Single
Married Filing Separate
Married Filing Joint
Head of Household
I Don't Know
Do you have dependents?
Yes
No
Name of Your Dependents & Date of Birth
100
Did you pay for childcare?
Yes
No
Do you own a home or pay a mortgage?
Yes
No
Did you or one of your dependents attend college this tax year?
Yes
No
Did you receive a 1095-A medical statement?
Yes
No
Questions and Concerns
100
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