FREE CONSULTATION If you owe the IRS more than you are able to pay, you may be able to settle for much less than you owe … often pennies on the dollar. Not everybody qualifies, however, many people have been able to settle the debt and become taxpayers in good standing once again. The process is technical and complicated and many mistakes can be made. Fill out this form – we will review your case and get back to you. We’re Here To Help You Through The Process General Information *First Name *Last Name *Street Address *City *State Select StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFederated States Of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming *Zip *Home Phone Fax Email Please Complete If You Have A Business Or Payroll Tax Problem. Business Information Company Title Office Phone Cell Phone Number of Employees Business Type -Select One-Sole ProprietorS CorporationC CorporationPartnershipLLC – Limited Liability Corp. Brief description of your business: Additional Information *The best time to contact me is: Weekday MorningsWeekday AfternoonsWeekday EveningsWeekend MorningsWeekend AfternoonsWeekend Evenings *Please contact me by: PhoneFaxEmail Approximately how much What years are involved? Additional contact information, (spouse’s name, extension numbers, etc.) Check all that apply: I’ve been audited I’ve been levied Via my: Bank Account Wages I haven’t filed I’ve received levy/lien notices Other:
