Individual & Group
Health
Insurance
Sean,
Tom, Sara, or Robin
303-782-0123

2021 After American Rescue Act

Number of People you will be including on your 2021 Tax Return:

Did you receive any Unemployment income in 2021

NoYes

Estimated 2021 Family Gross Income: MAGI (Including unemployment income)

Adjusted Gross Income: $/yr Example: 45,000 or 45000

Home Zip Code (5 digit Colorado):