Client Intake Form Name Marital Status Marital Status Single Married Divorced Widowed Separated Name of Spouse Size of Household Household Income Address City State Zip Code County Phone Number Best Time to Call Email Address Have you or any of your relatives worked with the North Georgia LITC before? Have you or any of your relatives worked with the North Georgia LITC before? Yes No Description of Tax Issue: 8 + 11 = Submit Contact 234 Luckie Street Lawrenceville, GA 30046 Phone: (678) 646-5661 Toll Free: (888) 267-6891 esantos@gataxclinic.com Social Media FacebookFollow LinkedInFollow DONATE