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This page must be completed in order to begin the free tax analysis.  We do not request your name, address or social security numbers unless you choose to have us complete your returns for you.  Therefore, the results of our tax analysis is based upon information you submit and will strictly maintain your confidentiality.  Please begin completing the rest of this page.

Fill out only those fields that apply:

Valid e-mail address: (your e-mail address becomes your account number for reference purposes)

State of Residence:

Marital Status as of 12/31/08:

Taxpayers Date of Birth:

Spouse Date of Birth (if applicable):

Dependent 1 Date of Birth:

Dependent 2 Date of Birth:

Dependent 3 Date of Birth:

Dependent 4 Date of Birth:

Dependent 5 Date of Birth:

Dependent 6 Date of Birth:

Dependent 7 Date of Birth:

Additional comments or name or existing clients submitting information:

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