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Online Tax Form


1. Purchase Verification

Select your Tax Consultant   
 
Google Checkout Order Number(s) *:          
 
Your Full Name *:
 
Your Email *:
 
Your Phone Number *:
 

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2. Shipping Address



Please enter your shipping address.
 
Address Line 1:   
 
Address Line 2:
 
City:
 
State:
 
Zip:


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3. Comments

Please add any additional information, you want the Tax Consultant to know.

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4. Customer Signature

I, ( Name of the Customer) hereby allow to file the Taxes on my behalf.

I agree to provide receipts, checks or any relevant documents requested by the Tax Preparer to validate the information i provide.

Please Enter your Initials as a proof of digital signature, and to confirm that the information entered in the form is accurate.

By Clicking Submit, I agree to the Terms and Conditions and the Privacy Policy at www.VisaTaxes.com


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