What is your name? *

Where do you live? (City, State) *

What is your e-mail address? *

What is your phone number? *

What is your occupation? *

What is your tax filing status? *

Do you have children or other dependents? *

What life events may impact your taxes?

What is your main source of income? *

If applicable, what is your spouse's main source of income?

What are your other sources of income?

Which deductions are you entitled to?

Why are you looking for a new tax accountant? *

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