INCOME TAX SHEET

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Social Security

Date of Birth

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Social Security

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Occupation

Address

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Phone

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Dependents Information:

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US Citizen
Resident

Name

Date of Birth

Social Security

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US Citizen or Resident?

US Citizen
Resident

Name

Date of Birth

Social Security

Relationship

US Citizen or Resident?

US Citizen
Resident

Income Information

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Expenses Information

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INCOME TAX SHEET

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Taxpayer Information:

Spouse Information:

Dependents Information:

Income Information

Expenses Information

Bank Information