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SSN/ITIN (Taxpayer 2)
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Email (Taxpayer 2)
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Did you have health insurance?
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Choose Who Had Health Insurance
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Did you receive form 1095A from Marketplace?
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Who Received Form 1095A?
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Are you a U.S. citizen, U.S. national, or U.S. resident alien?
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Are you a qualifying dependent on another person's return?
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Can anyone else claim your children on their return?
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Were you separated for last 6 months of the year?
Yes
No
Do you owe any student loans?
Yes
No
Do you owe child support?
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No
Do you have any outstanding debt with the IRS?
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Do you have a payment arrangement with IRS?
Yes
No
Would like help with consolidating student loans?
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Do you own a business?
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Would like help with Business Startup?
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Would you like to see, if you qualify for a Business Loans?
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Choose All That Applies To You
Taxpayer is blind
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The Taxpayer wishes to contribute $3 to the Presidential Election Campaign Fund
Taxpayer or Spouse served in a combat zone during the current tax year
Taxpayer or Spouse was affected by a natural disaster during the current tax year
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Types of Income(choose all that apply)
W2-Employer
1099G-Unemployment
1099R-Retirement
1099k-Merchant Accounts
1099-DIV-Dividends
Schedule E -Rental Income
W2G-Gambling
1099MISC -Contractor
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1099-INT-Interest
Schedule C-Self Employed
Schedule D-Capital Gains/Loss
1120-Corporation
1120-S
K-1
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Are you self-employed?
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Do you receive a 1099?
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Do you have a EIN?
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Is your business registered with State Corporations Division?
Yes
No
Dependent 1
Dependent First Name#1
Dependent Middle Name#1
Dependent Last Name#1
Dependent DOB#1
Dependent SSN#1
Dependent Relationship#1
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Number of months Dependant#1 lived with you in the US?
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Did you pay for Dependent 1 daycare?
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Dependent 2
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Dependent Relationship#2
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Number of months Dependant#2 lived with you in the US?
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7
8
9
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Did you pay for Dependent 2 daycare?
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Dependent 3
Dependent First Name#3
Dependent Middle Name#3
Dependent Last Name#3
Dependent DOB#3
Dependent SSN#3
Dependent Relationship#3
Son
Daughter
Grand Child
Grand Parent
Parent
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Step Brother
Step Sister
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Half Sister
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Number of months Dependant#3 lived with you in the US?
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2
3
4
5
6
7
8
9
10
11
12
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Did you pay for Dependent 3 daycare?
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No
How would you like to receive your Federal refund?
Credit Card
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Check
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How would you like to receive your State refund?
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Bank Account#
ID, Birth Certificate, Social, Medical Card or Lease Agreement
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Email:
[email protected]
Phone : (404) 857-8428
Address: 3295 River Exchange Dr. STE 400, Norcross GA 30092
