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Tax Client Information Personal

    2025 ACP BUSINESS | TAX CLIENT INFORMATION PERSONAL

    Which language do you prefer service? EnglishSpanishPortuguese
    Where do you want service? ACP MiamiACP Vegas

    Social Security/ITIN Number *:

    Social SecurityITINApply for an ITIN First Name*: Middle Name*: Last Name*: Date of Birth: * Filing Status: *
    Cellphone*: Email*: Street address*: City*: State*: Zip Code*: Occupation*:

    Spouse info:


    Spouse Social Security/ITIN Number: Social SecurityITINApply 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? YesNo
    Full dependant name: Relationship: D.O.B: Social Security/ITIN Number(select one): Social SecurityITINApply for ITIN
    Do you have any other(s) Dependant(s)? YesNo

    Full dependant name: Relationship: D.O.B: Social Security/ITIN Number(select one): Social SecurityITINApply for ITIN
    Do you have any other(s) Dependant(s)? YesNo
    Full dependant name: Relationship: D.O.B: Social Security/ITIN Number(select one): Social SecurityITINApply for ITIN

    Do you have any health insurance from Marketplace? (Obamacare- form 1095-A)* YesNo

    Did you trade or sell any stocks for 2024? * 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: