QUICK TAX - E-MAIL TAX SERVICE

$50-PAYMENT IN ADVANCE. (limit 5 employers)

This service is for taxpayers with income from W-2 wages, interest and dividends (less than $400), social security, unemployment and deductions for IRA contributions. Additional schedules that may be used with this form are: Child Care Credit, Interest & dividends-Schedule B, more than $400 and Estimated Tax Vouchers. If these additional schedules are required, you will be charged only 80% of our regular fee for theses forms.

If you want to file electronically please check the box and add $25 to our fee. YES NO
If more forms are required please request our organizer to help you gather the information.

If this service does not apply to you and you have a more complex return please contact us for a quote.
More complicated returns will be charged at our regular rate. Click here for a Quick Quote.

Name:Age: SS#
Address:
City/State/Zip:
Spouse's Name:Age: SS#
Occupation Spouse's Occupation
WORK PHONE#HOME PHONE#
Are You: SingleMarried Head of Household Married filing Separate
Dependents: Live with you Pre-1985 divorce Agreement
NAMES AGE RELATIONSHIP SS#
NAMES AGE RELATIONSHIP SS#
NAMES AGE RELATIONSHIP SS#
NAMES AGE RELATIONSHIP SS#

INFORMATION REQUIRED:

Employer 1INCOME 1:
Fed W/H FICA Med/Ins State W/H SDI


Employer 2INCOME 2:
Fed W/H FICA Med/Ins State W/H SDI


Employer 3INCOME 3:
Fed W/H FICA Med/Ins State W/H SDI


Employer 4INCOME 4:
Fed W/H FICA Med/Ins State W/H SDI


Employer 5INCOME 5:
Fed W/H FICA Med/Ins State W/H SDI

(W-2' Information: Mail to us for attachment to return).

Interest Income:
Name of Payer Amount
Name of Payer Amount
Name of Payer Amount


Dividend Income:
Name of Payer Amount
Name of Payer Amount
Name of Payer Amount

SS Income: Yours: Spouse's:
IRA Contribution: Yours Spouse's:
Unemployment Comp: Tax Exempt Income:

Estimated Taxes Paid: FederalState
Pension Income:

Child Care Expenses: Amount:
Care Giver: SS #
Address: City / State / Zip:


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