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Tax Payer First Name *
Tax Payer Last Name*
E-Mail*
Tax Payer D.O.B.
Spouse First Name
Spouse Last Name
Spouse D.O.B.
Complete Mailing Address
Names of Dependants (comma separated)
D.O.B. of Dependants (comma separated)
How many W-2's
How many 1099’s (R, Misc., etc.)
How many 1098’s (mortgage interest)
Do you have an approved 4361 SS Exemption Form?
Yes or no
How many days were you in the USA ?
Book Expenses
Tution Expenses
Conference Expenses
Home Maintenance Expenses
Housing
Housing Allowance
Property Taxes
Retirement Fund
Tithe/Charity
Equipment
Office Supply Expenses
Utilities
Telecommunication Expenses (Cell, Telephone,
Internet, etc.
Furlough Funds
Furlough Hotels and Meals
Printing/Newsletter
Postage/Shipping
Taxes US and Foreign
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