New Address or Contact Information December 31, 2016 wagnertax Posted by wagnertax on December 31, 2016 Change Or Update Your Contact Information Change Or Update Your Contact Information Use this form if your address, phone, email or other contact information has changed. Who Prepared Your Taxes Last Year? * Russell Landon Lois Wagner Lola "Charli" Allsup Other Tax Office Taxpayer Information Taxpayer First & Last Name * Taxpayer Cell Phone * Taxpayer Email Address * Spouse Information Married Filing Joint or Married Filing Separate Only (If you are filing Single or Head of Household do not fill this part out) Spouse First & Last Name Spouse Cell Phone Spouse Email Address Tax Return Mailing Address & Secondary Phone (Update) Current Mailing Address * Current Mailing Address Current Mailing Address Current Mailing Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Secondary Phone? * Authorize & Confirm New or Updated Contact Info * Confirm By confirming, you authorize Wagner Tax to use this contact information as our primary form of communication.
