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Business Wiz Tax Services Form
1
Taxpayer Information
2
Spouse Information
3
Dependent Information
4
Income Information
5
Self Employed
6
Direct Deposit Information
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1
Taxpayer Information
2
Spouse Information
3
Dependent Information
4
Income Information
5
Self Employed
6
Direct Deposit Information
Please select you filing status.
Single
Married Filing Jointly
Married Filing Separately
Head of Household
Qualifying Widow
Social Security Number
Name
First
Last
Date of Birth
MM
/
DD
/
YYYY
Cell Phone
###
-
###
-
####
Email
Everyone on this return either had minimum essential coverage or qualified for an exemption for every month of the year.
Please select
Yes
No
Choose a tax preparer.
Please select
Doulicia Hemphil
Shenise Noel
What is your current income status?
Self-Employed
W-2
Contractor (1099)
Student (1098T)
Date of Birth
MM
/
DD
/
YYYY
Taxpayer - Please upload Drivers License or State ID.
Taxpayer - Please upload social security card
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