Lopeza Services Worksheet Walkin RequirementsTax payer name: * Tax payer name: Name Name Apellidos Apellidos Birthdate LOPEZA customer number: Phone: * Email Confirm Email Address * Address Address Address City City Estate AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Estate Zip-code Zip-codeForm of presentation: * Single Llenando Juntos Llenando Separado Jefe de Hogar OtherSpouse: * Yes No Spouse Date of Birth: * Form of presentation: * Married reporting together Married Reporting Separated Other If you are human, leave this field blank. Siguiente
