Phone: 909-822-5192
Online QuestionnairePERSONAL INFORMATION
Taxpayer
* * *
* *
Dependant on
another return? *

Are you Married?*

Spouse (if applicable)
Dependant on
another return?

Address
* *
* * Military Address? :
Bank Information (Do you want your return to be Directly Deposited?)
Account Type? :
Dependants (Enter the information, starting with the youngest dependant)
Basic Information
Do You Own A Home?*

Medical Insurance thru Employer?*

Do You Own Rental Property?*

Did you or dependants have Medicare?*

Did you or attend College or Trade School?*

Medical Insurance with Covered California (Market Place)?*

Security

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Lyzet & Thomas Snipp
Lyzet's Tax Service
Ph: 909-822-5192Fax:909-822-0434
8275 Sierra Ave #106
Fontana, CA 92335 US