Thank you for filling out the form below. We respect your privacy and the privacy of your personal information. We only collect, store and use your information for defined purposes. The purposes include supplying service and support for filing Federal and State Tax Returns. To ensure the highest levels of security and confidentiality, we use the services of TaxAct. TaxAct is the web site of 2nd Story Software, Inc. 2nd Story Software is committed to protecting your privacy and data. To review. 2nd Story Software privacy statement visit their web site at www.taxact.com or by telephone at (319)-373-3600. We at Tax 2 Go do not disclose your information to third parties except as stated in this privacy statement. Charles L. Williams Owner/Tax Professional The fields marked with (*) are required fields. * TAXPAYER'S FIRST NAME AND INITIAL  * required * LAST NAME  * required * TAXPAYER'S DATE OF BIRTH  * required * YOUR SOCIAL SECURITY NUMBER  * required   IF A JOINT RETURN,SPOUSE'S FIRST NAME AND INITIAL   SPOUSE'S LAST NAME   SPOUSE'S SOCIAL SECURITY NUMBER   SPOUSE'S DATE OF BIRTH * HOME ADDRESS (APT.#IF APPLY) * PRESIDENTIAL ELECTION CAMPAIGN: DO YOU OR YOUR SPOUSE IF FILING JOINT RETURN,WANT $3 TO GO TO THIS FUND Yes No * CHECK YOUR FILING STATUS.(CHECK ONLY ONE BOX) SINGLE MARRIED FILING JOINTLY (EVEN IF ONLY ONE HAS INCOME) MARRIED FILING SEPARATELY.ENTER SPOUSE SSN# & FULL NAME HEAD OF HOUSEHOLD QUALIFYING WIDOW(ER)   CHECK ALL BOXES THAT APPLY YOURSELF.If someone can claim you do not check this box SPOUSE   DEPENDENT'S FIRST AND LAST NAME   DEPENDENT'S SOCIAL SECURITY NUMBER   DEPENDENT'S RELATIONSHIP TO YOU AUNT DAUGHTER GRANDPARENT PARENT NEPHEW NIECE SON STEPCHILD OTHER   DEPENDENT'S DATE OF BIRTH   DEPENDENT'S FIRST AND LAST NAME   DEPENDENT'S SOCIAL SECURITY NUMBER   DEPENDENT'S RELATIONSHIP TO YOU AUNT DAUGHTER GRANDPARENT PARENT NEPHEW NIECE SON STEPCHILD OTHER   DEPENDENT'S DATE OF BIRTH   DEPENDENT'S FIRST AND LAST NAME   DEPENDENT'S SOCIAL SECURITY NUMBER   DEPENDENT'S RELATIONSHIP TO YOU AUNT DAUGHTER GRANDPARENT PARENT NEPHEW NIECE SON STEPCHILD OTHER   DEPENDENT'S DATE OF BIRTH   DEPENDENT'S FIRST AND LAST NAME   DEPENDENT'S SOCIAL SECURITY NUMBER   DEPENDENT'S RELATIONSHIP TO YOU AUNT DAUGHTER GRANDPARENT PARENT NEPHEW NIECE SON STEPCHILD OTHER   DEPENDENT'S DATE OF BIRTH * TAXPAYER DISABLE Yes No * SPOUSE DISABLE Yes No   TAXPAYER'S OCCUPATION   SPOUSE OCCUPATION * TAXPAYER'S TELEPHONE NUMBER  * required   SECOND TELEPHONE NUMBER   TAXPAYER'S E-MAIL ADDRESS   SPOUSE E-MAIL ADDRESS   EARN A 10% DISCOUNT Once you submit your personal information,all that is left is for you to bring in or call and we will pick up your W-2’s, 1099’s, 1098’s and any other information you feel will assist with the preparation of your 2009 Income Tax Return. This head start will earn you a 10% DISCOUNT .