IRS Resolution Intro Questionnaire
Full Name
*
Phone
*
Email
*
1. How much do you currently owe the IRS?
Less than $10,000
$10,000 – $20,000
$20,000 – $50,000
Over $50,000
Not sure
Best Time to Contact You
*
Is your tax debt personal, business, or both?
Personal
Business (Payroll, 941, etc.)
Both
Have you received any IRS letters?
CP504
LT11 or Notice of Intent to Levy
CP90
Wage Garnishment Notice
I’m not sure / I haven’t received any
Is the IRS currently garnishing your wages or threatening legal action?
Yes
No
Not yet, but I’m worried it’s coming
How long have you been dealing with this tax debt?
Less than 1 year
1–3 years
3–5 years
Over 5 years
Penalties Under Debt-Related Issues
Penalties Under Debt-Related Issues
Late Payment Penalties
Interest Penalties
Tax Penalties
Overlimit Fees
Default Penalties
Legal Penalties
Collection Agency Fees
Bank Penalties (e.g., NSF Fees)
Government Fines
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What’s your approximate monthly income?
Less than $3,000/month
$3,000–$5,000/month
$5,000–$8,000/month
Over $8,000/month
Are you experiencing any financial hardship?
Yes — medical issues, loss of income, etc.
No significant hardship
Prefer not to say
How serious are you about resolving your IRS issue?
Very serious — ready to take action
Just exploring options
Not ready yet
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