First Name
Last Name
Phone
Email
*
Who owes the Tax Liability?
Individual
Business
Type of Tax Liability
Income Tax
Employment Taxes
Sales Tax
Taxing agency
IRS
State
Amount of Tax Liability
$5000 - $30,000
$30,001 - $100,000
$100,001 - $500,000
$500,001 - $1,000,000
More than $1,000,000
Have you received a tax levy?
Yes
No
Best time of day to call
Message
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