Identification form

PERSONAL TAX DECLARATION - PART 1/2

Información Personal

First Name(s)

Last Name(s)

Date of Birth

Marital Status

Social Security Number or ITIN

Occupation

Address (Number, Street, (Apt/Suite/Unit) City, State, ZIP Code)

Phone

Phone Company

Spouse Information

First Name(s)

Last Name(s)

Date of Birth

Social Security Number or ITIN

Occupation

Phone

Phone Company

Did you have any dependents during the year?

If the answer is yes, complete the following information

1) First Name(s)

Last Name(s)

Date of Birth

Social Security Number or ITIN

Relationship

Did you live with your dependent for more than six months during the year?

How many months?

2) First Name(s)

Last Name(s)

Date of Birth

Social Security Number or ITIN

Relationship

Did you live with your dependent for more than six months during the year?

How many months?

3) First Name(s)

Last Name(s)

Date of Birth

Social Security Number or ITIN

Relationship

Did you live with your dependent for more than six months during the year?

How many months?

4) First Name(s)

Last Name(s)

Date of Birth

Social Security Number or ITIN

Relationship

Did you live with your dependent for more than six months during the year?

How many months?

* We are not lawyers or paralegals, as a result we cannot give you any legal advice and/or opinion, but we can assist you in filling out the forms and documents to process your application.

IDENTIFICATION FORM

PERSONAL TAX DECLARATION - PART 1/2

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