VIP LIST

First Name *

Last Name *

Name of Tax Preparer: *

Name of Tax Preparer

What Type of Income Do You Have? *

What Type of Income Do You Have

W2 Work For Employees
Self Employed Schedule C
1099 Contractor
Side Hustle
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Phone *

Email *

Are You Interested In A Cash Advance Up to $7,000? *

YES/NO

YES
NO
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Are You Interested in Being A Referral Agent? *

YES/NO

YES
NO
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