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Taxes Request Form

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Step 1 of 3
Name
Address
Date of Birth
Student, Teacher, Electrician, Realtor, Retired, etc.
xxx-xx-xxxx
Relationship Status
Filing Status (select best option; to maximize returns, this may be adjusted prior to filing)
Do you have any Dependents?
Do you have an Active Business Entity?
Example: 2024 Tesla Model Y, 2018 Ford Explorer, etc.
If you at any point during the tax year had an Affordable Care Act plan, you should have received this form. Contact your Marketplace if you have not recieved this form yet.
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