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Tell me about yourself...

Filling out this form helps me learn more about your situation. In exchange for your time, you'll get a free instant price quote. 😊

FYI, if the question has checkboxes, please check all that apply. After you get a quote, don't forget to schedule a meeting (I'd love to meet you!). The form should only take you about 3 minutes start to finish.

πŸ™‹β€β™‚οΈ What's your first name?

✍️ What's your last name?

πŸ“§ What's your email address?

⏳ What tax year do you need help with?

πŸ‡ΊπŸ‡Έ What state do you live in?

πŸ’Έ Did you generate income in multiple states?

πŸ’Έ Did you generate income in multiple states?

πŸ’° Did you receive income from any of these sources?

πŸ’° Did you receive income from any of these sources?

πŸ₯ Do you have health insurance through the government marketplace/exchange?

πŸ₯ Do you have health insurance through the government marketplace/exchange?

πŸ‘¨β€πŸ³ What service tier are you interested in?

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πŸ‘¨β€πŸ³ What service tier are you interested in?

πŸ“’ Anything else I should know about?