IRS Tax Problems - David A. Semanchik, Attorney at Law, New JerseyDavid A. Semanchik, Attorney at LawDavid A. Semanchik, Attorney at Law
David A. Semanchik, Attorney at Law

Client Intake Form

 

Taxpayer Spouse
Name: Name:
Address: Address:
Home Phone: Home Phone:
Work Phone: Work Phone:
Mobile Phone: Mobile Phone:
Email Address: Email Address:
Age or DOB: Age or DOB:
Social Security #: Social Security #:
Employer: Employer:
Occupation: Occupation:
Children's Names: DOB: Children's Social Security #'s
1.
2.
3.
4.


Reason for Appointment
  Amount Owed   Years
Unfiled Returns:
Returns Filed,
Not Paid:
IRS Deadline:
Payment Plan:
Liens or Levies:
How did you hear about our firm?


 

David A. Semanchik, Attorney at Law
David A. Semanchik, Attorney at Law

Print Page David A. Semanchik, Attorney at Law

Firm Profile | IRS Problem Solving | Bodily Injury | Traffic Violations | Business Transactions | Bankruptcy | Attorney Profile | Resource Links | Office Directions | Forms | Home

The information you obtain at this site is not, nor is it intended to be, legal advice. You should consult an attorney for individual advice regarding your own situation.

Copyright © by David A. Semanchik. All rights reserved. You may reproduce materials available at this site for your own personal use and for non-commercial distribution. All copies must include this copyright statement.

This FirmSite® is designed and hosted by FindLaw®, a service of West Group, Eagan, Minnesota.


David A. Semanchik, Attorney at Law