Drop Off Form

PLEASE COMPLETE THE INFORMATION TO HELP DETERMINE YOUR FILING STATUS

If you have any questions, please give us a call at 912-691-4550.

Drop Offs can be made 24 hours a day, 7 days a week

Drop Off Location:

18 Commerce Place, Ste. B

Savannah, Ga 31406

Show File-select Fields

Show a file-select field which allows multiple files to be chosen:

Select a file:

Client

Existing ClientNew Client

Referred By?

Name

Address

City, State, Zip Code

Phone Number

Email Address (please provide for tax updates only)

Last 4 of SS#

1. WHAT IS YOUR CURRENT FILING STATUS? (Choose one)

Single - unmarriedMarried Filing JOINTLY - married living with spouseMarried Filing SEPARATELY - married but filing separatelyHead of Household - pay more than 50% of the household cost for a dependent child or relative who lives with you for more than 7 monthsQualifying Widower

2. HOW MANY PEOPLE LIVE IN YOUR HOUSEHOLD?

3. HOW MANY DEPENDENTS LIVE IN YOUR HOUSEHOLD?

4. HAVE THESE DEPENDENTS LIVED WITH YOU FOR THE ENTIRE YEAR?

YESNO

5. ARE ANY OF THESE DEPENDENTS OVER THE AGE OF 18?

YESNO

6. IF YOU ANSWERED "YES" #5, IS YOUR DEPENDENT CURRENTLY WORKING?

YESNO

7. IF YOU ANSWERED YES TO #5, IS YOUR DEPENDENT A FULL-TIME STUDENT?

YESNO

8. DO YOU HAVE HEALTH INSURANCE WITH MARKETPLACE? IF YOU ANSWER YES, PLEASE EMAIL FORM 1095-A to [email protected] or text to 912-472-1133*

YESNO

9. DID YOU RECEIVE UNEMPLOYMENT BENEFITS FOR THIS TAX YEAR? IF YES, PLEASE EMAIL FORM 1099-G TO [email protected] or text to 912-472-1133*

YESNO

10. ARE YOU INTERESTED IN REFUND TRANSER AND/OR EASY ADVANCE?*

YESNO

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Give Us a Call Today!

912-691-4550

Expedient Tax Service, LLC

18 Commerce Place, Ste. B, Savannah, Ga 31406

Office: 912-691-4550

Fax: 912-358-1514