{"id":60,"date":"2023-02-11T03:49:53","date_gmt":"2023-02-11T03:49:53","guid":{"rendered":"https:\/\/montielservices.com\/?page_id=60"},"modified":"2023-02-16T16:00:19","modified_gmt":"2023-02-16T16:00:19","slug":"client-questionnaire","status":"publish","type":"page","link":"https:\/\/montielservices.com\/es\/client-questionnaire\/","title":{"rendered":"Client Questionnaire"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"60\" class=\"elementor elementor-60\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-585cbdcb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"585cbdcb\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;background_motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;background_motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;background_motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:4,&quot;sizes&quot;:[]},&quot;background_motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:0,&quot;end&quot;:100}},&quot;background_motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-42d1c586\" data-id=\"42d1c586\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-72235325 elementor-icon-list--layout-inline elementor-align-center elementor-list-item-link-full_width elementor-invisible elementor-widget elementor-widget-icon-list\" data-id=\"72235325\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInDown&quot;}\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<link rel=\"stylesheet\" href=\"https:\/\/montielservices.com\/wp-content\/plugins\/elementor\/assets\/css\/widget-icon-list.min.css\">\t\t<ul class=\"elementor-icon-list-items elementor-inline-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-home\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">home<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-angle-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8455442 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8455442\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b0e16d3\" data-id=\"b0e16d3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-6f4f1e0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6f4f1e0\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-6faa5a7\" data-id=\"6faa5a7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-67bd4f6 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"67bd4f6\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.15.0 - 20-08-2023 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">2023 Client Questionnaire<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-20803c2 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"20803c2\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.15.0 - 20-08-2023 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>Thank you for taking time to complete your 2023 Client Intake Form. For new clients, this information is critical to ensure we accurately file your tax return. For existing clients, we kindly request that you provide this information again to ensure our records are 100% accurate &amp; up to date.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9a6edd3 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"9a6edd3\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><strong>IMPORTANT INFORMATION:<\/strong>\u00a0\u00a0UPON COMPLETION OF ALL APPLICABLE PARTS OF THIS FORM YOU MUST CLICK THE<strong>\u00a0&#8220;SUBMIT&#8221;<\/strong>\u00a0BUTTON AT THE BOTTOM OF THE FORM TO SEND THIS INFO TO OUR OFFICE. CLOSING YOUR BROWSER BEFORE CLICKING THE &#8220;SUBMIT&#8221; BUTTON WILL DELETE ALL INFO WITHOUT SENDING TO US, UNLESS YOU CLICK THE\u00a0<strong>&#8220;SAVE&#8221;<\/strong>\u00a0BUTTON FIRST!\u00a0 IT SHOULD BE NOTED THAT UPON CLICKING THE &#8220;SUBMIT&#8221; BUTTON, YOU WILL GET A CONFIRMATION EMAIL THAT WE RECEIVED YOUR INFO AND SOMEONE WILL FOLLOW UP WITH YOU IN 24-48 HOURS.\u00a0IT SHOULD ALSO BE NOTED THAT UPON CLICKING THE &#8220;SAVE&#8221; BUTTON, YOU WILL GET A CONFIRMATION EMAIL WITH A LINK TO PICK UP WHERE YOU ORIGINALLY LEFT OFF.<\/p><p>Please also note that to comply with federal and state identity theft protection efforts our firm will ask for a valid state issued photo identification card during your engagement.<\/p><p><strong>***The page is highly secure. We use industry-leading technology Secured Socket Layer (SSL) to keep your information safe. All sensitive information are securely transmitted and can not be compromised***<\/strong><\/p><p>This questionnaire may take you up to 20 minutes to complete. Please be sure to organize all of your tax documents prior to completing the form.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-a12b0fa elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"a12b0fa\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor-pro - v3.11.1 - 15-02-2023 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.select-caret-down-wrapper{position:absolute;top:50%;transform:translateY(-50%);inset-inline-end:10px;pointer-events:none;font-size:11px}.elementor-select-wrapper .select-caret-down-wrapper svg{display:unset;width:1em;aspect-ratio:unset;fill:currentColor}.elementor-select-wrapper .select-caret-down-wrapper i{font-size:19px;line-height:2}.elementor-select-wrapper.remove-before:before{content:\"\"!important}<\/style>\t\t<form class=\"elementor-form\" method=\"post\" name=\"Client Questionnaire\" action=\"\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"60\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"a12b0fa\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"\" \/>\n\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-name elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAre you a NEW or EXISTING Client?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before\">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t<option value=\"New\">New<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"EXISTING \">EXISTING <\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_4f6c87f elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4f6c87f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHow did you hear about Extreme Tax Services?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before\">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_4f6c87f]\" id=\"form-field-field_4f6c87f\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t<option value=\"Social Media Ad\">Social Media Ad<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Extreme Tax Services Tax Professional\">Extreme Tax Services Tax Professional<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Returning Client\">Returning Client<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Referral\">Referral<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Google\">Google<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Other\">Other<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_5551512 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5551512\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWho referred you?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_5551512]\" id=\"form-field-field_5551512\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_77f6fad elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_77f6fad\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDo you have a copy of your prior year (2021) tax return?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"yes \" id=\"form-field-field_77f6fad-0\" name=\"form_fields[field_77f6fad]\"> <label for=\"form-field-field_77f6fad-0\">yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_77f6fad-1\" name=\"form_fields[field_77f6fad]\"> <label for=\"form-field-field_77f6fad-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-upload elementor-field-group elementor-column elementor-field-group-field_a764a87 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a764a87\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tUpload a Copy of your 2021 Tax Return (New Clients Only)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"file\" name=\"form_fields[field_a764a87]\" id=\"form-field-field_a764a87\" class=\"elementor-field elementor-size-sm  elementor-upload-field\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_186018f elementor-col-100\">\n\t\t\t\t\tTaxpayer Name *\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_102472b elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_102472b]\" id=\"form-field-field_102472b\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"First\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_490575f elementor-col-20 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_490575f]\" id=\"form-field-field_490575f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"MI\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_d65aab1 elementor-col-25 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_d65aab1]\" id=\"form-field-field_d65aab1\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Last\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_b0666e5 elementor-col-20 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_b0666e5]\" id=\"form-field-field_b0666e5\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Suffix\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_2fab8b8 elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2fab8b8\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTaxpayer Date of Birth *\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_2fab8b8]\" id=\"form-field-field_2fab8b8\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field elementor-use-native\" required=\"required\" aria-required=\"true\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_4a35c84 elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4a35c84\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTaxpayer Social Security Number *\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_4a35c84]\" id=\"form-field-field_4a35c84\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_7d03443 elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_7d03443\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTaxpayer Occupation *\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_7d03443]\" id=\"form-field-field_7d03443\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_fe4507c elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_fe4507c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWere you issued an Identity Protection PIN (IP PIN) by the IRS?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"yes \" id=\"form-field-field_fe4507c-0\" name=\"form_fields[field_fe4507c]\"> <label for=\"form-field-field_fe4507c-0\">yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_fe4507c-1\" name=\"form_fields[field_fe4507c]\"> <label for=\"form-field-field_fe4507c-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_1507bac elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1507bac\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEnter Your IP PIN here (Your tax return will reject if you don't provide this number)!\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_1507bac]\" id=\"form-field-field_1507bac\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_b9f1e4a elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b9f1e4a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPhone Number *\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_b9f1e4a]\" id=\"form-field-field_b9f1e4a\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-66 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tE-mail *\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_79be17a elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_79be17a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAddress\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_79be17a]\" id=\"form-field-field_79be17a\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Address Line 1\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_27bf2fc elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_27bf2fc]\" id=\"form-field-field_27bf2fc\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Address Line 2\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_32db5c8 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_32db5c8]\" id=\"form-field-field_32db5c8\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"City\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_de3baed elementor-col-33\">\n\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before\">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_de3baed]\" id=\"form-field-field_de3baed\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"State\">State<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Armed Forces America\">Armed Forces America<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Armed Forces\">Armed Forces<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Armed Forces Pacific\">Armed Forces Pacific<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Alabama\">Alabama<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Alaska\">Alaska<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"American Samoa\">American Samoa<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Arizona\">Arizona<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Arkansas\">Arkansas<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"California\">California<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Colorado\">Colorado<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Connecticut\">Connecticut<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Delaware\">Delaware<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"District of Columbia\">District of Columbia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Florida\">Florida<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Georgia\">Georgia<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_45dda5d elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_45dda5d]\" id=\"form-field-field_45dda5d\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Zip Code\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_3e3bf78 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3e3bf78\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCan another taxpayer claim you as a dependent on their tax return?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes \" id=\"form-field-field_3e3bf78-0\" name=\"form_fields[field_3e3bf78]\"> <label for=\"form-field-field_3e3bf78-0\">Yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_3e3bf78-1\" name=\"form_fields[field_3e3bf78]\"> <label for=\"form-field-field_3e3bf78-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_fb8c1b0 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_fb8c1b0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWill you be filing a tax return with your Spouse?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes \" id=\"form-field-field_fb8c1b0-0\" name=\"form_fields[field_fb8c1b0]\"> <label for=\"form-field-field_fb8c1b0-0\">Yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_fb8c1b0-1\" name=\"form_fields[field_fb8c1b0]\"> <label for=\"form-field-field_fb8c1b0-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-upload elementor-field-group elementor-column elementor-field-group-field_d1b6002 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d1b6002\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTaxpayer Photo Identification\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"file\" name=\"form_fields[field_d1b6002]\" id=\"form-field-field_d1b6002\" class=\"elementor-field elementor-size-sm  elementor-upload-field\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-upload elementor-field-group elementor-column elementor-field-group-field_6e3db48 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6e3db48\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTaxpayer Social Security Card\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"file\" name=\"form_fields[field_6e3db48]\" id=\"form-field-field_6e3db48\" class=\"elementor-field elementor-size-sm  elementor-upload-field\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-upload elementor-field-group elementor-column elementor-field-group-field_e0bef6b elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e0bef6b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tProof of residency for Head of Household Filers \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"file\" name=\"form_fields[field_e0bef6b]\" id=\"form-field-field_e0bef6b\" class=\"elementor-field elementor-size-sm  elementor-upload-field\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_5a6067e elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5a6067e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDid the Taxpayer work in 2022?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before\">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_5a6067e]\" id=\"form-field-field_5a6067e\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"Yes \">Yes <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No\">No<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-upload elementor-field-group elementor-column elementor-field-group-field_01eec8e elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_01eec8e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTaxpayer Income Documents (W-2, 1099 etc) *\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"file\" name=\"form_fields[field_01eec8e]\" id=\"form-field-field_01eec8e\" class=\"elementor-field elementor-size-sm  elementor-upload-field\" required=\"required\" aria-required=\"true\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_b78309d elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b78309d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAre you self-employed?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before\">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_b78309d]\" id=\"form-field-field_b78309d\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"Yes \">Yes <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No\">No<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_975f564 elementor-col-100\">\n\t\t\t\t\tDEPENDENTS\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_0494483 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0494483\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDo you have any dependents you will claim on your tax return?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes \" id=\"form-field-field_0494483-0\" name=\"form_fields[field_0494483]\"> <label for=\"form-field-field_0494483-0\">Yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_0494483-1\" name=\"form_fields[field_0494483]\"> <label for=\"form-field-field_0494483-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_458471e elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_458471e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHow many dependents will you claim on your 2022 tax return?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"1 dependent \" id=\"form-field-field_458471e-0\" name=\"form_fields[field_458471e]\"> <label for=\"form-field-field_458471e-0\">1 dependent <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"2 dependent\" id=\"form-field-field_458471e-1\" name=\"form_fields[field_458471e]\"> <label for=\"form-field-field_458471e-1\">2 dependent<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"3 dependent\" id=\"form-field-field_458471e-2\" name=\"form_fields[field_458471e]\"> <label for=\"form-field-field_458471e-2\">3 dependent<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"4 dependent\" id=\"form-field-field_458471e-3\" name=\"form_fields[field_458471e]\"> <label for=\"form-field-field_458471e-3\">4 dependent<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"5 dependent\" id=\"form-field-field_458471e-4\" name=\"form_fields[field_458471e]\"> <label for=\"form-field-field_458471e-4\">5 dependent<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"6 dependent\" id=\"form-field-field_458471e-5\" name=\"form_fields[field_458471e]\"> <label for=\"form-field-field_458471e-5\">6 dependent<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_2620160 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2620160\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWas the taxpayer affected by a natural disaster in 2022?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes \" id=\"form-field-field_2620160-0\" name=\"form_fields[field_2620160]\"> <label for=\"form-field-field_2620160-0\">Yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_2620160-1\" name=\"form_fields[field_2620160]\"> <label for=\"form-field-field_2620160-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_290bf8d elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_290bf8d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDid you or your Spouse receive government assistance in 2022? (ex: SNAP (food stamps), Medicaid or Section 8 housing assistance?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes \" id=\"form-field-field_290bf8d-0\" name=\"form_fields[field_290bf8d]\"> <label for=\"form-field-field_290bf8d-0\">Yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_290bf8d-1\" name=\"form_fields[field_290bf8d]\"> <label for=\"form-field-field_290bf8d-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_5ff4f2e elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5ff4f2e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDid you, your spouse or any dependents attend college in 2022?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes \" id=\"form-field-field_5ff4f2e-0\" name=\"form_fields[field_5ff4f2e]\"> <label for=\"form-field-field_5ff4f2e-0\">Yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_5ff4f2e-1\" name=\"form_fields[field_5ff4f2e]\"> <label for=\"form-field-field_5ff4f2e-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_eeeb193 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_eeeb193\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDid you, your spouse, or dependents receive health insurance through the Marketplace in 2022 and receive Form 1095-A?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes \" id=\"form-field-field_eeeb193-0\" name=\"form_fields[field_eeeb193]\"> <label for=\"form-field-field_eeeb193-0\">Yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_eeeb193-1\" name=\"form_fields[field_eeeb193]\"> <label for=\"form-field-field_eeeb193-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_d0c6b4c elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d0c6b4c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDid you or your spouse receive unemployment benefits in 2022?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes \" id=\"form-field-field_d0c6b4c-0\" name=\"form_fields[field_d0c6b4c]\"> <label for=\"form-field-field_d0c6b4c-0\">Yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_d0c6b4c-1\" name=\"form_fields[field_d0c6b4c]\"> <label for=\"form-field-field_d0c6b4c-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_d49fffd elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d49fffd\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDo you rent or own your current residence?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before\">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_d49fffd]\" id=\"form-field-field_d49fffd\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"Rent \">Rent <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Own\">Own<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_c784bf8 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c784bf8\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDid you or your spouse make payments on your student loans in 2022?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes \" id=\"form-field-field_c784bf8-0\" name=\"form_fields[field_c784bf8]\"> <label for=\"form-field-field_c784bf8-0\">Yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_c784bf8-1\" name=\"form_fields[field_c784bf8]\"> <label for=\"form-field-field_c784bf8-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_09045e3 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_09045e3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDid you or your spouse pay any medical or dental expenses in 2022? (this does not include insurance premiums)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes \" id=\"form-field-field_09045e3-0\" name=\"form_fields[field_09045e3]\"> <label for=\"form-field-field_09045e3-0\">Yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_09045e3-1\" name=\"form_fields[field_09045e3]\"> <label for=\"form-field-field_09045e3-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_ccd0500 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ccd0500\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDo you or your spouse own a rental property?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes \" id=\"form-field-field_ccd0500-0\" name=\"form_fields[field_ccd0500]\"> <label for=\"form-field-field_ccd0500-0\">Yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_ccd0500-1\" name=\"form_fields[field_ccd0500]\"> <label for=\"form-field-field_ccd0500-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_152d9da elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_152d9da\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDid you or your spouse have any gambling winnings in 2022?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes \" id=\"form-field-field_152d9da-0\" name=\"form_fields[field_152d9da]\"> <label for=\"form-field-field_152d9da-0\">Yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_152d9da-1\" name=\"form_fields[field_152d9da]\"> <label for=\"form-field-field_152d9da-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_ab12a2e elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ab12a2e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDid you or your spouse sell, acquire, send, receive or exchange any virtual currency?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes \" id=\"form-field-field_ab12a2e-0\" name=\"form_fields[field_ab12a2e]\"> <label for=\"form-field-field_ab12a2e-0\">Yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_ab12a2e-1\" name=\"form_fields[field_ab12a2e]\"> <label for=\"form-field-field_ab12a2e-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_fa5c5a8 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_fa5c5a8\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDid you or your spouse receive social security benefits in 2022?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes \" id=\"form-field-field_fa5c5a8-0\" name=\"form_fields[field_fa5c5a8]\"> <label for=\"form-field-field_fa5c5a8-0\">Yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_fa5c5a8-1\" name=\"form_fields[field_fa5c5a8]\"> <label for=\"form-field-field_fa5c5a8-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_be169fd elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_be169fd\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDid you or your spouse make any charitable contributions in 2022? (Goodwill, Salvation Army, Church etc.)?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes \" id=\"form-field-field_be169fd-0\" name=\"form_fields[field_be169fd]\"> <label for=\"form-field-field_be169fd-0\">Yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_be169fd-1\" name=\"form_fields[field_be169fd]\"> <label for=\"form-field-field_be169fd-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_6e19965 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6e19965\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDid you or your spouse make any charitable cash contributions of $300 or more in 2022?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes \" id=\"form-field-field_6e19965-0\" name=\"form_fields[field_6e19965]\"> <label for=\"form-field-field_6e19965-0\">Yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_6e19965-1\" name=\"form_fields[field_6e19965]\"> <label for=\"form-field-field_6e19965-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_ab77c8f elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ab77c8f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDid you or your spouse purchase an electric vehicle in 2022?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes \" id=\"form-field-field_ab77c8f-0\" name=\"form_fields[field_ab77c8f]\"> <label for=\"form-field-field_ab77c8f-0\">Yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_ab77c8f-1\" name=\"form_fields[field_ab77c8f]\"> <label for=\"form-field-field_ab77c8f-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_933b52a elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_933b52a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDid you or your spouse withdraw money from their 401k in 2022?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes \" id=\"form-field-field_933b52a-0\" name=\"form_fields[field_933b52a]\"> <label for=\"form-field-field_933b52a-0\">Yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_933b52a-1\" name=\"form_fields[field_933b52a]\"> <label for=\"form-field-field_933b52a-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_ddd47dc elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ddd47dc\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDid you or your spouse receive any earnings from interest or dividends in 2022?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes \" id=\"form-field-field_ddd47dc-0\" name=\"form_fields[field_ddd47dc]\"> <label for=\"form-field-field_ddd47dc-0\">Yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_ddd47dc-1\" name=\"form_fields[field_ddd47dc]\"> <label for=\"form-field-field_ddd47dc-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_ecc15b4 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ecc15b4\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDo you or your spouse owe debt to any Government Agency; such as IRS, Student Loans, Child Support etc?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes \" id=\"form-field-field_ecc15b4-0\" name=\"form_fields[field_ecc15b4]\"> <label for=\"form-field-field_ecc15b4-0\">Yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_ecc15b4-1\" name=\"form_fields[field_ecc15b4]\"> <label for=\"form-field-field_ecc15b4-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_3a1a721 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3a1a721\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWould you like to see if you PRE-QUALIFY for a SAME DAY ADVANCE UP TO $6,000? (ENDS 2\/\u200b28\/\u200b2023)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes \" id=\"form-field-field_3a1a721-0\" name=\"form_fields[field_3a1a721]\"> <label for=\"form-field-field_3a1a721-0\">Yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_3a1a721-1\" name=\"form_fields[field_3a1a721]\"> <label for=\"form-field-field_3a1a721-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_664a1f6 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_664a1f6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWould you like your tax refund direct deposited into your bank account? If so, please complete bank information below:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes \" id=\"form-field-field_664a1f6-0\" name=\"form_fields[field_664a1f6]\"> <label for=\"form-field-field_664a1f6-0\">Yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_664a1f6-1\" name=\"form_fields[field_664a1f6]\"> <label for=\"form-field-field_664a1f6-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_cb6c0dc elementor-col-25 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_cb6c0dc\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBank Name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_cb6c0dc]\" id=\"form-field-field_cb6c0dc\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_cdfcf2e elementor-col-25 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_cdfcf2e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRouting Number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_cdfcf2e]\" id=\"form-field-field_cdfcf2e\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_a7ca39b elementor-col-25 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a7ca39b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t Account Number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_a7ca39b]\" id=\"form-field-field_a7ca39b\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_18fc063 elementor-col-25 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_18fc063\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tType Of Account\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before\">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_18fc063]\" id=\"form-field-field_18fc063\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t<option value=\"Checking\">Checking<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Savings\">Savings<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Third Choice\">Third Choice<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_d947f4b elementor-col-50\">\n\t\t\t\t\tPlease re-enter bank information for confirmation. \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-upload elementor-field-group elementor-column elementor-field-group-field_f2a4db0 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f2a4db0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tUpload a screen shot of your bank account and routing number (this is to avoid copying your information incorrectly)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"file\" name=\"form_fields[field_f2a4db0]\" id=\"form-field-field_f2a4db0\" class=\"elementor-field elementor-size-sm  elementor-upload-field\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_64a8c07 elementor-col-25 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_64a8c07\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBank Name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_64a8c07]\" id=\"form-field-field_64a8c07\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_2bd28a2 elementor-col-25 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2bd28a2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRouting Number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_2bd28a2]\" id=\"form-field-field_2bd28a2\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_4dc3bd5 elementor-col-25 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4dc3bd5\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t Account Number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_4dc3bd5]\" id=\"form-field-field_4dc3bd5\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_4a44a05 elementor-col-25 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4a44a05\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tType Of Account\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before\">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_4a44a05]\" id=\"form-field-field_4a44a05\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t<option value=\"Checking\">Checking<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Savings\">Savings<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Third Choice\">Third Choice<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_9ad9bcf elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9ad9bcf\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWould you like to receive a text message when your refund is funded?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes \" id=\"form-field-field_9ad9bcf-0\" name=\"form_fields[field_9ad9bcf]\"> <label for=\"form-field-field_9ad9bcf-0\">Yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_9ad9bcf-1\" name=\"form_fields[field_9ad9bcf]\"> <label for=\"form-field-field_9ad9bcf-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_66433bb elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_66433bb\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSelect Your Tax Professional\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before\">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_66433bb]\" id=\"form-field-field_66433bb\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"LATOYA COOKSEY\">LATOYA COOKSEY<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_5c86af4 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5c86af4\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDo you and your spouse understand and agree to the fees for Extreme Tax Services preparing your Federal\/\u200bState income tax return?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes \" id=\"form-field-field_5c86af4-0\" name=\"form_fields[field_5c86af4]\"> <label for=\"form-field-field_5c86af4-0\">Yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_5c86af4-1\" name=\"form_fields[field_5c86af4]\"> <label for=\"form-field-field_5c86af4-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_3100e81 elementor-col-100\">\n\t\t\t\t\tI acknowledge that all information provided to Extreme Tax Services is true and accurate to the best of my knowledge.  I understand that I am required to have any supporting documentation to validate the information provided.  Furthermore, I understand that knowingly providing false information on my tax return and reporting it to the IRS, that I am taking part in a potentially criminal penalty situation and is punishable by law including but not limited to: facing court dates, restitution, and possible imprisonment.  I waive Extreme Tax Services and the preparer of any error due to incorrect information provided by me.  By signing below, I authorize Extreme Tax Services to file my tax return.<br><br>\n\n\n\n\nI acknowlege by signing this form if I and\/or my spouse owes a federal\/governement debt such as IRS, child support, student loans etc., I\/we are still responsible for tax preparation fees due to Extreme Tax Services at the time of service. Also, if the federal refund amount is mailed, I\/we are still responsible for the tax preparation fees stated on the invoice. If the tax preparation fees are not paid, I understand Extreme Tax Services will take legal action to collect the unpaid tax preparation fees. \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button type=\"submit\" class=\"elementor-button elementor-size-sm\">\n\t\t\t\t\t\t<span >\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Submit my Tax Information NOW! <\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>home 2023 Client Questionnaire Thank you for taking time to complete your 2023 Client Intake Form. For new clients, this information is critical to ensure we accurately file your tax return. For existing clients, we kindly request that you provide this information again to ensure our records are 100% accurate &amp; up to date. IMPORTANT [&hellip;]<\/p>","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-60","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/montielservices.com\/es\/wp-json\/wp\/v2\/pages\/60","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/montielservices.com\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/montielservices.com\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/montielservices.com\/es\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/montielservices.com\/es\/wp-json\/wp\/v2\/comments?post=60"}],"version-history":[{"count":0,"href":"https:\/\/montielservices.com\/es\/wp-json\/wp\/v2\/pages\/60\/revisions"}],"wp:attachment":[{"href":"https:\/\/montielservices.com\/es\/wp-json\/wp\/v2\/media?parent=60"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}