HARPER ADVISORY GROUP

First Name:

First Name

Last Name:

Last Name

Daytime Phone:

Daytime Phone

Evening Phone:

Evening Phone

Mobile Phone:

Mobile Phone

E-mail:

E-mail

Address:

Street Address

City

State/Province

ZIP/Postal Code

Country

Do you own a home?:

Do you own a home?

Yes

Do you file a short form except for the Earned Income Tax Credit? Childcare? Educator Deduction?:

Do you file a short form except for the Earned Income Tax Credit? Childcare? Educator Deduction?

Yes

Did you buy or sell your primary residence in 2021?:

Did you buy or sell your primary residence in 2021?

Yes

Did you refinance your home in 2021?:

Did you refinance your home in 2021?

Yes

Username:

Username

Password:

Password

Confirm Password:

Confirm Password

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