New Client Data Sheet- Individual
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Email *
Name (as listed on your Tax return): *
DOB *
MM
/
DD
/
YYYY
Business name (if any):
Spouse Name (as listed on your tax return):
Spouse DOB:
MM
/
DD
/
YYYY
Spouse email address:
Children: Name,  DOB:
Address: Please include full address *
Home phone: *
Cell phone: *
Work phone: *
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