Fast Professional Services Inc Step 1- Enter Indentification Number Your First Name MI Your Last Name Your Date of Birth Your Social Security Number Spouse's First Name MI Spouse's Last Name Spouse's Date of Birth Spouse's Social Security Number Address City State Zip code Email Cell Phone Number Home Telephone Number Step 2 - Determine eligibility 1 - Date of residing in NEW YORK. All 2020 Yes From : To : 2 - Can you be claimed as a dependent on another tax payer's 2020 federal return? Yes No 3 - Did you reside in public housing, or other residence completely exempted from real property taxex in 2020? Yes No 4 - Did you live in a nursing home during 2020? Yes No Yes No Amount Weekly/Monthly/Anually Have you been receiving SNAP / EBT assistance during year 2020 Have you been receiving housing allowance during year 2020 Have you been receiving disability benefits during year 2020 Did you have health coverage during year 2020
