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Filing Year

Taxpayer

Birthday
Month
Day
Year
Multi-line address
Single choice
Returning Client
New Client
Filing Status
Single
Head of Household (HOH)
Married Filing Seperate
Married Filing Joint
Qualifying Widower
Were you a full time student for any portion of the year?
Yes
No
Disabled
Yes
No
Legally Blind
Yes
No

Spouse

Birthday
Month
Day
Year
Was your spouse a full time student for any portion of the year?
Yes
No
Disabled
Yes
No
Legally Blind
Yes
No
Taxpayer Dependent?
Yes
No
Unsure

Dependents

Dependent #1

Birthday
Month
Day
Year
Disabled

Dependent #2

Birthday
Month
Day
Year
Disabled

Dependent #3

Birthday
Month
Day
Year
Disabled

Health Insurance Coverage

Taxpayer
Spouse
Dependent #1
Dependent #2
Dependent #3

Income

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Self Employed

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Rental Properties

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Credits/Deductions

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Other

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