Tax Preparation Questionnaire
Full Name:
Phone:
E-Mail Address:
For IRS correspondence:
Mailing Address:
City:
State:
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Check one that applies:
U.S. Citizen:
Permanent Resident:
U.S. Visa:
If, not U.S. Citizen, specify Country of Citizenship:
Date of Birth:
Sex:
Male
Female
Marital Status:
Single
Married
Divorced
Widowed
Dependents:
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