See If You Qualify

First Name *

Last Name *

Phone Number *

Email *

Zip *

Date Of Birth *

1. WHAT TYPE OF TAX ISSUE DO YOU HAVE? PersonalBusinessBusiness and PersonalPayrollOther

2. DO YOU OWE THE IRS? YesNo

3. WHAT YEAR IS THE DEBT FROM?

4. DO YOU OWE THE STATE? YesNo

5. WHAT YEARS IS THE DEBIT FROM?

6. HAVE YOU FILED ALL YOUR TAXES? YesNo

7. DO YOU FILE? SingleHead of HouseholdMarried Filing Separately or Married Filing Jointly

ARE YOUR WAGES GETTING GARNISHED?

ARE YOU GETTING LEVIED?

8. HAVE YOU RECEIVED A LETTER WITH A FINAL INTENT TO LEVY? YesNo

9. ARE YOU A W-2 (TAXES TAKEN OUT OF YOUR PAYA 1099 (YOU PAY TAXES YOURSELF)

10. WHAT IS YOUR MONTHLY GROSS INCOME?

11. HOW MUCH APPROXIMATELY ARE YOUR MONTHLY EXPENSES?

12. HOW MUCH APPROXIMATELY ARE YOUR ASSETS WORTH( VALUE OF YOUR ASSET LESS ANY MONIES OWED AGAINST YOUR ASSET)? BANK ACCOUNTS,INVESTMENTS,RETIREMENT ACCT,LIFE INSURANCE,REAL ESTATE,VEHICLES,MISC

13. PLEASE GIVE US A SHORT DESCRIPTION OF HOW AND WHY YOU OWE.

I acknowledge and agree to the terms and conditions*

* I acknowledge that by clicking “get quote” I am providing express written consent to be contacted by Defense Tax and its affiliates and tax services partners via autodialed and/or prerecorded and/or SMS/MMS text messages to the number I provided above, to discuss the products and services offered by Defense Tax, its affiliates, and/or its tax service partners, including telemarketing sales calls and information calls in response to your requests, to complete transactions, and to facilitate any service offering. I acknowledge and agree that I am authorized to receive calls at the number provided and to consent to receive those calls from Defense Tax , its affiliates, and its tax service partners. I also agree to receive e-mails from Defense Tax, including e-mails to my mobile device. I waive any registration to any state, federal, or corporate Do Not Call registry for purposes of such calls. I understand consent is not required to purchase goods or services and that message & data rates may apply.

[anr_nocaptcha g-recaptcha-response]

* Required