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Fill in the SPEED PASS with as much information as you can to minimize your wait time….
Please input your information below:
YOUR INFO
Your FULL Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Email Address
*
Date Of Birth
*
MM
DD
YYYY
Marital Status
*
If married, please complete the SPOUSE section. If single, skip to w-2/1099 section.
Single
Married - Filing Joint
Married - Filing Separately
Dependents
*
If you have dependents, please complete the DEPENDENT SECTION.
None
One
Two
Three
4 or more
Health Insurance
*
Did you have health insurance all year?
yes
no
Social Security Number (optional)
EMPLOYMENT
Checkbox
*
If you have a W-2, the 1099 section may not apply. If you have a 1099, the W-2 section may not apply. Please complete the proper section(s).
W-2
1099
w-2
Company Name
First Name
Last Name
Employer's FED ID
Company Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Wages, tips, other comp. (box 1)
$
Federal Income Tax Withheld (box 2)
$
Social Security Wages (box 3)
$
Social Security Tax Withheld (box 4)
$
Medicare Wages and Tips (box 5)
$
Medicare Tax Withheld ( box 6)
$
1099
Company Name
First Name
Last Name
Payer's TIN
Company Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Non-Employee Compensation (box 7)
$
SPOUSE INFO
Spouse's FULL Name
First Name
Last Name
Date Of Birth
MM
DD
YYYY
Social Security Number (optional)
Spouse Employment
Checkbox
If you have a W-2, the 1099 section may not apply. If you have a 1099, the W-2 section may not apply. Please complete the proper section(s).
W-2
1099
Company Name
First Name
Last Name
Employer's FED ID
Company Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Wages, tips, other comp. (box 1)
$
Federal Income Withheld (box 2)
$
Social Security Wages (box 3)
$
Social Security Tax Withheld (box 4)
$
Medicare Wages and Tips (box 5)
$
Medicare Tax Withheld (box 6)
$
DEPENDENT 1
Dependent Name
First Name
Last Name
Date Of Birth
MM
DD
YYYY
Social Security Number (optional)
DEPENDENT 2
Dependent Name
First Name
Last Name
Date Of Birth
MM
DD
YYYY
Social Security Number (optional)
DEPENDENT 3
Dependent Name
First Name
Last Name
Date Of Birth
MM
DD
YYYY
Social Security Number (optional)
Thank you!
