Quote Get A Quote First Name Last Name Email Phone Number Occupation for both Taxpayer and Spouse if applicable Filing Status SingleMarriedMarried Filing SeparatelyHead of Household Do you have any dependents? NoYes, in DaycareYes, not in Daycare Do you own or rent your home? OwnRentLive with Parents Where do you live and work? Live and Work in PhiladelphiaLive in Philadelphia, Work outside of CityLive in Philadelphia, Work out of StateWork in Philadelphia, Live outside of CityWork in Philadelphia, Live out of StateNeither Live or Work in Philadelphia Do you receive a W2 from an employer? YesNo Are you self-employed or receive a 1099 for a service provided? YesNo Do you have any investments in stocks, bonds, mutual funds? YesNo Do you receive Stock Options, RSUs or are you part of an employee stock purchase plan? YesNo Did you sell any real property in 2023? NoYes, Primary ResidenceYes, Investment/rental Property Do you own rental property in PA or in another State? NoYes, in PAYes, in another state Did you purchase a new or used qualified plug-in electric vehicle (EV) in 2023? NoYes, a new EVYes, a used EV Do you have any foreign bank accounts? YesNo Did you buy or sell any crypto currency in 2023? YesNo Did you make any cash or non-cash charitable contributions? YesNo Did you or anyone in your family have healthcare through the Healthcare Marketplace? YesNo Did you receive unemployment benefits in 2023? YesNo Additional comments or questions here: Please prove you are human by selecting the cup.
