File a Claim | Personal

If you're human leave this blank:

Personal Information

First Name

MI

Last Name

Spouse First Name

Spouse MI

Spouse Last Name

What is a good contact number for you?

Taxpayer SSN

Taxpayer DOB

Spouse SSN

Spouse DOB

Please provide current mailing address

City

State --Select One-- Alabama Alaska American Samoa Arizona Arkansas Armed Forces Africa Armed Forces Americas Armed Forces Canada Armed Forces Europe Armed Forces Middle East Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Federated States Of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

Zip

Please provide us with an email address to receive updates and correspondence from us

Claim Details

How did you file your tax return? --Select One-- Self-Prepared Online Tax Professional Other

Did you purchase audit protection through Audit Protection Services?

YesNo

If yes, can you provide proof if necessary?

YesNo

For what year or years are you having tax issues?

Is this a State or IRS issue or both? --Select One-- State IRS Both

Please give us a detailed explanation of your tax issue

Do you currently have a balance due with the taxing authority?

YesNo

If so, how much?

Are your wages currently being garnished or have you had any levies on your bank account?

YesNo

Have you or another tax professional attempted to resolve these issues before?

YesNo

Are you current on filing all your tax returns?

YesNo

Can you provide us with the most recent IRS or State notices?

YesNo

How did you hear about us?