Tax Resolution Form - Tax Experts of OC

What prompted you to seek tax relief? (Select all)

Received IRS notice Garnishment, lien or levy Unpaid taxes Other

Do you have any unfiled tax years?

Yes No Not Sure

Which tax years are unfiled? (Select all)

How much tax debt do you owe?

$5,000 & under $5,001 - $10,000 $10,001 - $25,000 $25,001 - $50,000 $50,001 - $75,000 $75,001 & above

Do you owe federal or state taxes?

Federal and State Federal Only State Only

What type of tax issue do you have?

Personal Business Personal and Business

Are you currently in bankruptcy?

Yes No

When do you expect your bankruptcy to discharge?

1–2 Months 3–4 Months 5–6 Months Not Sure

Discharge Date (if applicable)

We must wait until your bankruptcy is discharged. We’ll send you our checklist in the meantime.

First name Last name Email Phone When would you like us to call you?

I am providing express written consent to be contacted at the phone number provided and any other subscriber or user of this number by Tax Experts of OC and/or its affiliates using automatic dialing systems and pre-recorded and artificial voice and text messages anytime from and after your inquiry, to discuss the products and services offered by its affiliates in response to your requests. I waive any registration to any state, federal, or corporate Do Not Call registry for purposes of such calls. I understand consent is not required to purchase goods or services and that message & data rates may apply.

Tax Relief Assessment