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Tax Client Information Personal
2025 ACP BUSINESS | TAX CLIENT INFORMATION PERSONAL
Which language do you prefer service?
English
Spanish
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Where do you want service?
ACP Miami
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Social Security/ITIN Number *:
Social Security
ITIN
Apply for an ITIN
First Name*:
Middle Name*:
Last Name*:
Date of Birth: *
Filing Status: *
Single
Married Filing Jointly
Married Filing Separately
Head of Household
Qualifying Widow
Cellphone*:
Email*:
Street address*:
City*:
State*:
Zip Code*:
Occupation*:
Spouse info:
Spouse Social Security/ITIN Number:
Social Security
ITIN
Apply for ITIN
Spouse Full Name (as shown on social security card)
Spouse Email
Spouse Date of Birth:
Spouse Date Occupation:
Dependants
Do you have any dependants?
Yes
No
Full dependant name:
Relationship:
D.O.B:
Social Security/ITIN Number(select one):
Social Security
ITIN
Apply for ITIN
Do you have any other(s) Dependant(s)?
Yes
No
Full dependant name:
Relationship:
D.O.B:
Social Security/ITIN Number(select one):
Social Security
ITIN
Apply for ITIN
Do you have any other(s) Dependant(s)?
Yes
No
Full dependant name:
Relationship:
D.O.B:
Social Security/ITIN Number(select one):
Social Security
ITIN
Apply for ITIN
Do you have any health insurance from Marketplace? (Obamacare- form 1095-A)*
Yes
No
Did you trade or sell any stocks for 2024? *
Yes
No
Were you affected by any natural disaster in 2024?
Do you have anything to add?
Who may we thank for referring you to ACP BUSINESS USA?
Account Number & Routing Number to Receive Refund (if it's the case)
ID NUMBER/PASSPORT NUMBER:
