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First Name:
Last Name:
Middle Initial:
Street Address:
Apartment/Unit:
City:
State:
Zip Code:
Phone:
Email:
Did you receive the third stimulus check?
Yes
No
If yes, how much?
Did you receive the monthly child tax credit advance?
Yes
No
If yes, how much?
Do you have health insurance through Obama Care? (If yes, you must submit tax form 1095-A.)
Ye
No
Do you own a business? (If yes, please fill out requested information below.)
Yes
No
Business Name:
Job Title:
Responslbilitles:
From:
To:
Does your business have an EIN?
Yes
No
If yes, provide the number below, EIN:
I certify that my answers are true and complete to the best of my knowledge.
I understand that false or misleading Information may delay my return.
Thank you for contacting us.
We will get back to you as soon as possible
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(318) 243-9537
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Contact Info
Ruston, Louisiana, United States
(318) 243-9537
bigal@tatortaxsevice.com
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All Rights Reserved | Tator Tax Service
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