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Assigned To
Kristy Huynh
About You
Name
*
Email
*
Phone
*
Name of Business
Type of Business
EIN Number (Optional)
Business Address
City, State, Zip code
Income and Expenses
Gross Sales Income
Phone Expense
Uniforms
Insurance (other than health)
Supplies
Rent/Lease Vehicle, Equipment etc
Mortgage
Wages
Legal and Professional Fees
Advertising Expense
Utilities
Office Expense
Contract Labor
Repairs and Maintenance
Business Miles Driven
Travel
Meals
Other Deductions
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Who referred you?
I acknowledge that all information provided to Z3 Prodigy is true and accurate to the best of my knowledge. I understand that I am required to have any supporting documentation to validate the information provided. Furthermore, I understand that knowingly providing false information on my tax return and reporting it to the IRS, that I am taking part in potentially criminal penalty situation and is punishable by law including but not limited to facing court dates, restitution, and possible imprisonment. I waive Z3 Prodigy and the preparer of any error due to incorrect information provided by me.
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