Cash Advance

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Your Info

First Name *

Last Name *

Phone *

Email *

Working with Quality Tax

Have you filed with Quality Tax before? *

Yes

No

Have you received a Money Bag Cash Advance in the past from Quality Tax? *

Yes

No

Have you received a Cash Advance or Loan on your taxes for this tax season from any other tax season? *

Yes

No

Dependents in Your Home

How many dependents in your home? *

Checkbox 2pAge of dependents? (Can select multiple answers)

Children 19 years old and below

Full-time students 24 years old and below

Permanently disabled (no age limit)

Financial Information

Total of Income in the home before taxes?

Do you have any known debts that will offset your tax refunds?

Yes

No

How much are you interested in applying for?

Up to $750 before January 2nd

Up to $7,750 after January 2nd

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