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TEXT I WANT IN TO 804-336-0085 FOR TAX TIPS AND MORE!

804-745-6324

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Filing Status

Single

Head of Household

Married Filing Joint

Married FIling Separate

Dependent of Another

01. Taxpayer Info

Taxpayer Name:

Spouse's Name:

Social Security No.

Spouse's Social Security No.

Date of Birth:

Spouse's Date of Birth:

Occupation:

Spouse Occupation:

Street Address:

City:

State:

Postal / Zip code:

Daytime Phone:

Evening Phone:

Did you have full-year healthcare coverage?

Yes

If Yes, was it through the Marketplace?

Yes

What was the amount of your economic stimulus payment in Summer 2020?

What was the amount of your economic stimulus payment received in late Dec. 2020 or early Jan. 2021?

Did you receive unemployment benefits at ANY point in 2021?

Yes

Did you receive the third economic stimulus payment in 2021?

Yes

Amount received on third economic stimulus payment in 2021:

Did you receive monthly Child Tax Credit payments in 2021?

Yes

Amount Received from monthly Child Tax Credit payments in 2021:

02. Dependent Info

Dependent Name

Date of Birth

Social Security Number

Relationship

Dependent Name

Date of Birth

Social Security Number

Relationship

Dependent Name

Date of Birth

Social Security Number

Relationship

Dependent Name

Date of Birth

Social Security Number

Relationship

Childcare Information (enter the # of children in daycare)

Provider's Name & Address

SSN or Fed ID

Total Amount Paid

Thanks for submitting!

7005 Hull Street Road
Richmond, VA 23224
USA

team@reliabletaxrva.com
804-745-6324
804-745-6323 (fax)

OFF SEASON HOURS (begin 05/01/23)
Monday - Friday 8am- 3pm
Saturday - Closed
Sunday - Closed

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GET STARTED

01. Taxpayer Info

02. Dependent Info

7005 Hull Street Road Richmond, VA 23224 USA

team@reliabletaxrva.com 804-745-6324 804-745-6323 (fax)

OFF SEASON HOURS (begin 05/01/23) Monday - Friday 8am- 3pm Saturday - Closed Sunday - Closed

7005 Hull Street Road
Richmond, VA 23224
USA

team@reliabletaxrva.com
804-745-6324
804-745-6323 (fax)

OFF SEASON HOURS (begin 05/01/23)
Monday - Friday 8am- 3pm
Saturday - Closed
Sunday - Closed