Quote Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone Number *Occupation *Filing Status *SingleMarriedMarried Filing Separately Head of HouseholdDo you have any depedents? *NoYes, Child in DaycareNo, Child Not in DaycareDo you own or rent your home? *OwnRentLive with ParentsDo you own rental property in PA or in another State? *NoYes, in PAYes, in Another StateWhere do you live and work? *Live and Work in PhiladelphiaLive in Philadelphia, Work out of CityLive in Philadelphia, Work out of StateWork in Philadelphia, Live out of CityWork in Philadelphia, Live out of StateNeither Live or Work in PhiladelphiaDo you receive a W2 from an employer? *YesNoAre you self-employed or do you have freelance income? *YesNoDo you have any investments in stocks, bonds, mutual funds? *YesNoDo you receive Stock Options, RSUs or are you part of an employee stock purchase plan? *YesNoDo you have any foreign bank accounts? *YesNoDid you buy or sell any crypto currency in 2020? *YesNoDid you make any cash or non-cash charitable contributions? *YesNoDid you or anyone in your family have healthcare through the Healthcare Marketplace? *YesNoDid you receive unemployment benefits in 2020? *YesNoDid you receive your $1200 Stimulus check? *YesNo, Need Help Getting ItNo, Not Eligible Partial Did you receive your $600 Stimulus check? *YesNo, Need Help Getting ItNo, Not Eligible Partial Additional comments or questions here:Submit