Are you a Previous Client?*

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Apply for the Tax Advance up to $7500?

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Has the IRS issued you an IP PIN in previous years?*

Identity Protection from IRS

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Taxpayer Information*

Date of birth *

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Single

Married Filing Jointly

Married Filing Separate

Head Of Household

Widowed

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Spouse Information

Spouse First Name

Spouse Last Name

Spouse Date Of Birth

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Dependents Information

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Do you have dependents?

Full Name
Date of Birth
SSN #
Relationship

Please list all dependent information in the boxes above*

Full Name
Date of Birth
SSN #
Relationship

Please list all dependents information in the boxes above*

Full Name
Date of Birth
SSN #
Relationship

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More Information

Please complete the details below so we can provide the most accurate estimate possible.

Did you receive unemployment compensation?

$

Annual amount received from unemployment

Were you Self Employed or Contracted Employee?

$

Did you have health insurance 12 months out of the year?

Yes

No

If Yes, was it through the MarketPlace?

Yes

No

Yes

No

1095A comes from Government Agency

Own Rental Property/Properties

Real Estate Investor with 3 or More Properties

Business Owner/Or Own a % of a company.

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Upload Documents

Image of Driver's License or State ID

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W2, 1099,1095, Paystub

Additional Files

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I certify that the information I provide is accurate and complete. I understand Good People Tax Service prepares my return based on my documents and can not audit or verify them. Fees apply to completed returns regardless of refund or balance due.

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