Do you currently owe any IRS (federal) or state taxes?

Yes

No

If so, what is the approximate amount they say you owe?

less than $5,000

$5,000 - $10,000

$10,000 - $20,000

$20,000+

Not sure / Rather not say

Do you have any previous year's tax returns still to file?

YES

NO

Is the IRS threatening to levy your bank account or garnish your wages?

Yes

No

First Name *

Last Name *

Your best email *

Phone Number

(Lastly) If you could identify ONE THING you want from a tax resolution specialist, what would it be?