Please complete the following information

Lopeza Services

Impuestos / Taxes:

Tax payer name:
Tax payer name:
Name
Apellidos
Address
Address
City
Estate
Zip-code
Spouse:
Form of presentation:
Has dependents:

Dependents

Name
Name
Name
Middle name or initial
Apellidos
Relationship:
Has lived with you during the reporting period:

Ingresos

Presentation documents:
Maximum file size: 5MB
Select one or more options (according to your case):
Maximum file size: 5MB

Impuestos de Negocio o Contratista

Reporta Negocio o Contratista

Impuestos de negocio o contratista (continuación)…

Ingreso
Maximum file size: 5MB
Reporta vehículo:

house taxes

1098 INT (Mortgage Company)
Maximum file size: 5MB

Home taxes (continued)

Expenses / Gastos

Gastos estudiantiles:
Maximum file size: 5MB
1098E:
Maximum file size: 5MB
Daycare:
Maximum file size: 5MB

Medical Form

1095 A
Maximum file size: 5MB
1095 B
Maximum file size: 5MB
1095 «C»
Maximum file size: 5MB
Masshealth
Gastos de dentista:

Deposito Directo

Desea deposito directo:

Datos Banco:

en_US