Tax Information Form

Complete your tax information securely

Personal Information

Filing Status

Full Name

Social Security Number

Format: XXX-XX-XXXX (only numbers)

Date of Birth

Job Title

Phone Number

Format: XXX-XXX-XXXX (only numbers)

Address

ZIP Code

Format: XXXXX (5 digits)

Spouse Name

Spouse Social Security

Format: XXX-XX-XXXX (only numbers)

Spouse Date of Birth

Spouse Phone

Format: XXX-XXX-XXXX (only numbers)

Spouse Email

Dependent's Name

Date of Birth

Relationship

By signing below, I declare that I have examined this form and to the best of my knowledge and belief, it is true, correct, and complete.

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