Thank you for choosing NuDawn Business Services for your tax debt resolution needs. Please answer the questions below.

Full Name

Phone *

Email *

1. How much do you think you owe?

2. Are you currently employed?

3. How much do you make a year?

4. Do you have any dependents?

5. Are you currently on any payment plans with the IRS?

6. Do you have any retirement accounts?

7. Do you have any life insurance plans that hold monetary value?

8. Do you have any Virtual Currency? (Bitcoin, Litecoin, Ethereum etc.)

9. Do you own or rent any properties?

Yes, I rent properties.

Yes, I own properties.

10. How many vehicles are registered in your name?

11. Are you in bankruptcy?

12. Have you experienced any hardships in the last 5 years? (Deaths, loss of income, illnesses etc.)

13. How did you get in this situation?

Client Signature *

Clear

Date *

Please use the spaces below to upload supporting documents. You can upload 4 documents into each space.

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