Tax Problem Referral Request

Your Name (required)

Your Email (required)

Your Phone (required

How do you prefer to be contacted (required)
 Phone Email

If you would prefer to be contacted by phone, what is the best time to call?

What city and state are you located in?

How much does the IRS claim you owe?

Do you agree with the IRS's numbers?
 Yes No

Are all your returns filed?
 Yes No Don't Know

Are you paying all current taxes as they come due?
 Yes No Don't Know

Do you have any equity in assets?
 Yes No Don't Know

Do any of the following apply?
 I have been contacted by an IRS employee I disagree with the balance due I'm being levied by the IRS I need a payment plan I have an economic hardship

Is there anything else we should know?


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