Tax Seller Servicing Application

TAX SELLER SERVICING APPLICATION

Full Name*

First NameMiddle NameLast Name

E-mail Address*

Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Business Address (if Applicable)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Business Contact Number

Area CodePhone Number

Business E-mail Address

Do You Have Taxes That You Owe*

YesNo

Have You Paid Taxes For Several Products or Services or Even Work Related*

YesNo

Would You Like To Receive Cash For The Taxes You Owe or Have Paid For Already*

YesNo

If so, then below is a non-exhaustive list of tax references that Seller may utilize but is not required to receive cash for tax offers. Seller may use the box below to list additional taxes and tax amounts that Seller owe or have paid for and would like to include for cash considerations by potential buyers.

Any Income Taxes Owed or Paid (Enter Total)

ex. I paid $2900 in income tax this year (you would enter 2900 total that you want to list to get paid cash for)

Any Real Estate Property Taxes Owed or Paid (Enter Total)

Any Utility Taxes Owed or Paid (enter total)

Any Retail Sales Taxes Owed or Paid (enter total)

Any Cell Phone Taxes Owed or Paid (enter total)

Any Online Purchase Taxes Owed or Paid (enter total)

Any Dental Taxes Owed or Paid (enter total)

Any Maintenance/Repair Taxes Owed or Paid (enter total)

Any Medical Taxes Owed or Paid (enter total

Any Auto Taxes Owed or Paid (Enter Total)

Any Travel/Hotel Taxes Owed or Paid (enter total)

Any Advertising or Marketing Taxes Owed or Paid (enter total)

Any Insurance Taxes Owed or Paid (enter total)

Any Gas/Oil/Lube Taxes Owed or Paid (enter total)

Any License Plate Taxes Owed or Paid (enter total)

Any Tires, Batteries, Auto Supply Taxes Owed or Paid (enter total)

Any Book Taxes Owed or Paid (enter total)

Any Furniture or Appliances Taxes Owed or Paid (enter total)

Any Work Tip Taxes Owed or Paid (enter total)

Any Investment Taxes Owed or Paid (enter total)

Any Payroll Taxes Owed or Paid (enter total)

List Any Other Tax Amounts Owed or Paid (enter total)

Bills or Receipts may be required proof by potential Buyers

Total Taxes Owed or Paid*

Here you may upload any or all receipts, bills or other documentation to provide proof of taxes paid or you may elect to upload them from your email address at the Buyer request.

Upload a File

Ask questions or concerns regarding your tax expenses

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