Tax Payer First Name *
Tax Payer Last Name *
E-Mail *
Tax Payer D.O.B. *

MM		/
DD		/
YYYY
Spouse First Name
Spouse Last Name
Spouse D.O.B.

MM		/
DD		/
YYYY
Complete Mailing Address *
Street Address *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
Names of Dependants (comma separated)
D.O.B. of Dependants (comma separated)
Do you have Health Insurance? *
If so, who is your provider and what are you dates coverage?
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? *
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
Upload your W2 *
Upload your 1099
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