Ken Flint CPA, P.C. - Cpa Tax Accountant, Tax Preparation Service

Life Events *

Received any large tax due correspondence from the IRS

Received any IRS examination notification for prior year

Bought or sold a home

Bought or sold mineral rights

Bought or sold rental property

Bought or sold a business

Had debt cancelled by a lender (Form 1099-A, 1099-C)

Inherit any assets in the previous year or current year

N/A

Which states did you live in?

Address *

Have you (or your spouse, if married) been a victim of tax related identity theft or been issued an Identity Protection PIN? *

Yes

No

Occupation *

Are you a US citizen or permanent resident? *

Yes

No

Name: *

Other Information you may want to explain about your situation

Spouse's Occupation

Where you referred by a client? If so, who referred you?

What type of services are you interested in? *

Phone *

Did you live in any other state besides Texas in the previous year? *

Yes

No

If married what is your spouse's name?

Spouse's Email Address

What is your current status? *

Married

Single

Divorced

Head of Household

Email *

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