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*Taxpayer First Name:

Middle Initial:

*Taxpayer Last Name:

* Date of Birth:

* Social Security #:

Spouse First Name:

Spouse Middle Initial:

Spouse Last Name:

Spouse Date of Birth:

Spouse Social Security #:

* Filing Status:

* Number of Dependents:

Dependent #1 Name:

Dependent #1 SS#:

Dependent #1 D.O.B.:

Relationship:

Months in Home?

Child-Care Expenses:

Full-Time Student?

Dependent #2 Name:

Dependent #2 SS#:

Dependent #2 D.O.B.:

Relationship:

Months in Home?

Child-Care Expenses:

Full-Time Student?

Dependent #3 Name:

Dependent #3 SS#:

Dependent #3 D.O.B.:

Relationship:

Months in Home?

Child-Care Expenses:

Full-Time Student?

Dependent #4 Name:

Dependent #4 SS#:

Dependent #4 D.O.B.:

Relationship:

Months in Home?

Child-Care Expenses:

Full-Time Student?

Dependent #5 Name:

Dependent #5 SS#:

Dependent #5 D.O.B.:

Relationship:

Months in Home?

Child-Care Expenses:

Full-Time Student?

Dependent #6 Name:

Dependent #6 SS#:

Dependent #6 D.O.B.:

Relationship:

Months in Home?

Child-Care Expenses:

Full-Time Student?

* Enter DL/ID#:

* Enter ID State:

Enter ID Issue Date:

* Enter ID Expiration Date:

Enter Occupation:

* Phone:

*Physical Address:

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Are You Self-Employed?

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Email:

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Did You Receive a Refund Last Year?

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Interested in Business/Finance Coaching?

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If Referred By a Person, Enter Person's Name;

* Electronic Signature (Permission to File):

File Here (Required Field No dashes for SS# or Phone#)

Income Tax Preparation Payroll
Tax Strategy Business Coaching

LOCATIONS

Headquarters

Atlanta:
1945 The Exchange SE NW
Ste 410
Atlanta, GA 30339

CONTACT

(678) 424-8253 Atlanta

(504) 345-2988 New Orleans

info@financialexpertsofamerica.com

tax@myfeoa.com

CONNECT

File Here (*Required Field* No dashes for SS# or Phone#)

Income Tax Preparation Payroll Tax Strategy Business Coaching

LOCATIONS

HeadquartersAtlanta:1945 The Exchange SE NWSte 410Atlanta, GA 30339

CONTACT

(678) 424-8253 Atlanta

(504) 345-2988 New Orleans

info@financialexpertsofamerica.com

tax@myfeoa.com

CONNECT

File Here (Required Field No dashes for SS# or Phone#)

Income Tax Preparation Payroll
Tax Strategy Business Coaching

Headquarters

Atlanta:
1945 The Exchange SE NW
Ste 410
Atlanta, GA 30339