Michele L Brenner Brenner & Company, PC-CPA,moore,okc,harrah,mcloud,Oklahoma,childcare,farm,ranch

New Client Profile Sheet

Please bring the following information with you to the first meeting with our staff.

	Names and Social Security Numbers of Taxpayers
	Addresses
	Date(s) of Birth
	Occupation
	Home/Work Telephone Numbers
	Fax Number
	E-mail Address
	Dependants
	Pertinent Information Needing Special Attention

We have created a form for your use in gathering this information.
Click here to open this form. (Acrobat form).
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Two convenient locations to better serve you!

Moore:

Michele L. Brenner
& Company, P.C.
629 N Broadway
Moore, OK 73160
(405) 793-1927

Harrah:

Michele L. Brenner
& Company, P.C.
2011 N Church Ave.
Harrah, OK 73045
(405) 454-2998

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