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<<< Tax Return Services

USA Tax Refund Application


How would you like to register?
Chat personally and directly with us by clicking here
or Complete our online registration form below.

Please fill out this simple form with as much information as possible - it will take just 4 minutes! Once you complete this form, our representative will contact you within 1 hour!

CONTACT DETAILS
( * - mandatory fields )

Title
First Name *
Middle Name
Surname *
Postal Address *
Email address  *
 
Phone number *
Line Type *
Country Code *
  Area Code *
   Phone number *
 
Phone number
Line Type
Country Code
  Area Code
   Phone number
 
Please send confirmation via SMS to this number
 
Date of Birth *  
DD/MM/YYYY
Which country are you from? *
State *
City *
How did you hear about our service? *
What is the name of that person/organisation? *
 
EMPLOYMENT INFORMATION
 
Year of Employment *
Have you filed a tax return with the U.S. Tax Authorities for this year of employment?
Approximate first date of arrival in the USA *  
DD/MM/YYYY
Approximate last date of departure from the USA *  
DD/MM/YYYY
Type of Visa *
Program Type *
Which organisation arranged this program for you in your home country?
Who was your Visa Sponsor?
Do you have your Social Security Card?
Social Security Number (if possible) - -
Do you have your DS-2019 Form (formerly known as the IAP66)?
Do you have your J1 Visa in your passport?
Type of employment ?  *
What was the cost of your programme to the US? * $
Travel costs (flight, train, bus tickets and etc): * $
Luggage expenses * $
What part of the expenses above are covered by employer? * $
How many employers did you work for? *
 
EMPLOYER 1
 
Company Name *
Full Business Address
In which US state did you work? *
Telephone Number
Fax Number
E-mail Address / Website
Last date of employment  
DD/MM/YYYY
Do you have your final payslip? *
If yes, please fax, scan and email or post to taxback.com today
Have you received your W2 form? *
If yes, please fax, scan and email or post to taxback.com today
If no, would you like us to source replacements for you?
Any contact information for your employer:
 
EMPLOYER 2
 
Company Name *
Full Business Address
In which US state did you work? *
Telephone Number
Fax Number
E-mail Address / Website
Last date of employment  
DD/MM/YYYY
Do you have your final payslip? *
If yes, please fax, scan and email or post to taxback.com today
Have you received your W2 form? *
If yes, please fax, scan and email or post to taxback.com today
If no, would you like us to source replacements for you?
Any contact information for your employer:
 
EMPLOYER 3
 
Company Name *
Full Business Address
In which US state did you work? *
Telephone Number
Fax Number
E-mail Address / Website
Last date of employment  
DD/MM/YYYY
Do you have your final payslip? *
If yes, please fax, scan and email or post to taxback.com today
Have you received your W2 form? *
If yes, please fax, scan and email or post to taxback.com today
If no, would you like us to source replacements for you?
Any contact information for your employer:
 
EMPLOYER 4
 
Company Name *
Full Business Address
In which US state did you work? *
Telephone Number
Fax Number
E-mail Address / Website
Last date of employment  
DD/MM/YYYY
Do you have your final payslip? *
If yes, please fax, scan and email or post to taxback.com today
Have you received your W2 form? *
If yes, please fax, scan and email or post to taxback.com today
If no, would you like us to source replacements for you?
Any contact information for your employer:
 
EMPLOYER 5
 
Company Name *
Full Business Address
In which US state did you work? *
Telephone Number
Fax Number
E-mail Address / Website
Last date of employment  
DD/MM/YYYY
Do you have your final payslip? *
If yes, please fax, scan and email or post to taxback.com today
Have you received your W2 form? *
If yes, please fax, scan and email or post to taxback.com today
If no, would you like us to source replacements for you?
Any contact information for your employer:
 
I want to provide you with my bank details
Currency of the transfer *
Bank name *
Address of the bank branch *
Branch code *
SWIFT /BIC code *
Personal account number /IBAN for all EU countries/ *
Name of account holder *
Have you also worked in any of the following countries?

to select multiple options, hold down the control key while selecting
Did you receive a tax refund?
 
YOUR FEEDBACK AND ADDITIONAL INFORMATION
Please enter any additional comments and information here:
 
Please read our terms and conditions and indicate that you accept them in order for your registration to proceed
Yes, I accept the Terms and Conditions *
DON'T FORGET-IMPORTANT!

Once you hit submit you will need to send us your final pay-slip(s) OR W2(s) from each of your employers (if you have them) - see details on the next page.



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