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Client Information
Sheet
Tax-Masters, Inc.
6159 Executive Blvd
Tax-Masters, Inc.
Rockville, MD 20852
Established 1977
(301) 230-0200
(301) 230-0203 FAX
www.tax-masters.com
Taxpayer Spouse
Full Name
Full Name
Occupation
Occupation
SSN
SSN
Date of Birth
Date of Birth
Daytime No.
Daytime No.
Mobile No.
Mobile No.
Fax No.
Fax No.
Email
Email
Current Address Apt #
Have you moved since filing
City State
your last return?
Zip
Date of Move
COUNTY
Tax Year / Type of Service
Tax Consultant
Dependents
Legal Name Birthdate SSN#
Total Fee $
Adjustments
Total Due
Payment 1
Payment 2
Balance Due
Credit Card Number
Expiration Date
Billing Zip Code