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About Us
Services
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Taxprep
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Reviews
Contact Us
Book Now
Tax Prep Info
Home
Tax Prep Info
Personal Information
Taxpayer
Filing Status
Check one box only
Single
Married Filing Jointly
Married Filing Separately
Head of Household
Qualifying Widow(er)
SSN/ITIN
First Name
Middle Name
Last Name
Date of birth
Occupation
Date of death, only if in last year or this year
Address
Apt. No.
Street (US Address)
Zip-code
City
State
If IRS has assigned you an identity Protection PIN enter it here
Do you want $3 to go to Presidential Election fund
*
Yes
No
Cell Phone Number
Daytime Telephone Number
Work Telephone Number
Extension for Telephone Number (Work)
Email Address
Spouse
SSN/ITIN
First Name
Middle Name
Last Name
Date of birth
Occupation
Date of death, only if in last year or this year
Did your spouse live with you this year?
Yes
No
Did your spouse itemize deductions?
Yes
No
Address
Apt. No.
Street (US Address)
Zip-code
City
State
Dependants
Child 1
SSN/ITIN
First Name
Middle Name
Last Name
Date of birth
Relationship
Child 2
SSN/ITIN
First Name
Middle Name
Last Name
Date of birth
Relationship
Child 3
SSN/ITIN
First Name
Middle Name
Last Name
Date of birth
Relationship
Child 4
SSN/ITIN
First Name
Middle Name
Last Name
Date of birth
Relationship
Child 5
SSN/ITIN
First Name
Middle Name
Last Name
Date of birth
Relationship
Income and Deduction
Do you have any W2 income to be reported on your return?
Yes
No
Do you have any interest income?
Yes
No
Do you have any dividend income?
Yes
No
Did you receive form 1099G for any unemployment compensation?
Yes
No
Enter W2 Wages (1)
Employees SSN/ITIN/Recipients EIN
Employer's Name
Employer identification number
Employer's Address
Street (USA)
Zip code
City
State
1. Wages, tips, other compensation
2. Federal income tax withheld
3. Social security wages
4. Social security tax withheld
5. Medicare wages and tips
6. Medicare tax withheld
7. Social security tip
8. Allocated tips
9. Reserved
10. Dependent care benefits
11. Non qualified plans
12a. Code
12a. Amount
12a. Year (YY)
12b. Code
12b. Amount
12b. Year (YY)
12c. Code
12c. Amount
12c. Year (YY)
12d. Code
12d. Amount
12d. Year (YY)
13.
Statutory Employee
Retirement plan
Third-party sick pay
14. Other benefits
Complete the box 14 entries as they appear on the W-2.
Type
Amount
Type
Amount
Type
Amount
15. State Abbreviation
Employer's state ID number
16. State wages tips, etc.
17. State income tax
18. Local wages tips, etc.
19. Local income tax
20. Locality name
Enter W2 Wages (2)
Employees SSN/ITIN/Recipients EIN
Employer's Name
Employer identification number
Employer's Address
Street (USA)
Zip code
City
State
1. Wages, tips, other compensation
2. Federal income tax withheld
3. Social security wages
4. Social security tax withheld
5. Medicare wages and tips
6. Medicare tax withheld
7. Social security tips
8. Allocated tips
9. Reserved
10. Dependent care benefits
11. Non qualified plans
12a. Code
12a. Amount
12a. Year (YY)
12b. Code
12b. Amount
12b. Year (YY)
12c. Code
12c. Amount
12c. Year (YY)
12d. Code
12d. Amount
12d. Year (YY)
13.
Statutory Employee
Retirement plan
Third-party sick pay
14. Other benefits
Complete the box 14 entries as they appear on the W-2.
Type
Amount
Type
Amount
Type
Amount
15. State Abbreviation
Employer's state ID number
16. State wages tips, etc.
17. State income tax
18. Local wages tips, etc.
19. Local income tax
20. Locality name
Enter W2 Wages (3)
Employees SSN/ITIN/Recipients EIN
Employer's Name
Employer's Name
Employer identification number
Employer's Address
Street (USA)
Zip code
City
State
1. Wages, tips, other compensation
2. Federal income tax withheld
3. Social security wages
4. Social security tax withheld
5. Medicare wages and tips
6. Medicare tax withheld
7. Social security tips
8. Allocated tips
9. Reserved
10. Dependent care benefits
11. Non qualified plans
12a. Code
12a. Amount
12a. Year (YY)
12b. Code
12b. Amount
12b. Year (YY)
12c. Code
12c. Amount
12c. Year (YY)
12d. Code
12d. Amount
12d. Year (YY)
13.
Statutory Employee
Retirement plan
Third-party sick pay
14. Other benefits
Complete the box 14 entries as they appear on the W-2.
Type
Amount
Type
Amount
Type
Amount
15. State Abbreviation
Employer's state ID number
16. State wages tips, etc.
17. State income tax
18. Local wages tips, etc.
19. Local income tax
20. Locality name
Enter W2 Wages (4)
Employees SSN/ITIN/Recipients EIN
Employer's Name
Employer identification number
Employer's Address
Street (USA)
Zip code
City
State
1. Wages, tips, other compensation
2. Federal income tax withheld
3. Social security wages
4. Social security tax withheld
5. Medicare wages and tips
6. Medicare tax withheld
7. Social security tips
8. Allocated tips
9. Reserved
10. Dependent care benefits
11. Non qualified plans
12a. Code
12a. Amount
12a. Year (YY)
12b. Code
12b. Amount
12b. Year (YY)
12c. Code
12c. Amount
12c. Year(YY
12d. Code
12d. Amount
12d. Year (YY)
13.
Statutory Employee
Retirement plan
Third-party sick pay
14. Other benefits
Complete the box 14 entries as they appear on the W-2.
Type
Amount
Type
Amount
Type
Amount
15. State Abbreviation
Employer's state ID number
16. State wages tips, etc
17. State income tax
18. Local wages tips, etc.
19. Local income tax
20. Locality name
Enter W2 Wages (5)
Employees SSN/ITIN/Recipients EIN
Employer's Name
Employer identification number
Employer's Address
Street (USA)
Zip code
City
State
1. Wages, tips, other compensation
2. Federal income tax withheld
3. Social security wages
4. Social security tax withheld
5. Medicare wages and tips
6. Medicare tax withheld
7. Social security tips
8. Allocated tips
9. Reserved
10. Dependent care benefits
11. Non qualified plans
12a. Code
12a. Amount
12a. Year (YY)
12b. Code
12b. Amount
12b. Year (YY)
12c. Code
12c. Amount
12c. Year(YY)
12d. Code
12d. Amount
12d. Year (YY)
13.
Statutory Employee
Retirement plan
Third-party sick pay
14. Other benefits
Complete the box 14 entries as they appear on the W-2.
Type
Amount
Type
Amount
Type
Amount
15. State Abbreviation
Employer's state ID number
16. State wages tips, etc.
17. State income tax
18. Local wages tips, etc.
19. Local income tax
20. Locality name
Name
*
Email Address
*
Phone
*
Select Your Amount
*
$150
Custom Amount
A mininum deposit of $150 is required to submit this form
Custom Amount
*
USD
Total cost
$
Total cost
$
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