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 DEBIT 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.

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