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TAX RESOLUTION

Thanks for your interest in our services!

To move forward, just complete the form below and someone from our team will contact you:

Tax Resolution Client Intake Form

PERSONAL INFORMATION

Primary Taxpayer Name *

Spouse's Name *

Address *

City *

State *

Postal code *

Phone *

Email *

Social Security Number *

TAX INFORMATION

Are you employed? *

Personal Tax Return

Business Tax Return

What's the source of your income?

What tax year or years do you owe for? *

How much do you think you owe? *

How much do you earn a month? *

Last Notice Received from IRS *

Are you currently on a payment plan with IRS? *

Do you have dependents *

Yes

No

Do you have Bitcoin, Stocks, bonds? *

Yes

No

Do you have a retirement account? *

Yes

No

How many vehicles are registered in your name? *

Do you own or rent any properties? *

Yes

No

Have you experienced any hardships (death, divorce, loss of income etc) *

Are you currently in bankruptcy *

Yes

No

How did you get in this situation *

Referred By *

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YOLANDA MATHIS

Your Favorite Tax Resolution Specialist

IRS Veteran for Over 25 Years

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(469) 254-6557

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