Visa Holders F1 & J1

**Please Note: All Fields are required to have an entry. Qty fields must have a number, text fields must have an answer.

To Complete Offline: Download As A PDF

Quick Quote: Visa Holders (F1 / F1 OPT / F1 CPT / J1) Checklist

Name:

Email:

Phone:

Current Address

Marital Status:

Number of W2s

Number of States

Stock Option Transactions:

Options For Type Of Stocks:

1099 - B

Form 1099 - INT

Form 1099 - DIV

1099 - MISC

1098 - G

1099 - R

1099 - SA

1099 - K

1095 - A

1042-S

1098 - MORTGAGE STATEMENT

DONATIONS

1099 RENTALS - Number of Accounts

STUDENT LOANS

Yes

Did You Purchase a Clean Vehicle in 2024? (Information from this report will be required to claim or reconcile a Clean Vehicle Credit on your income tax return for the year the vehicle was placed in service. See the sample below. Click the button " Sample - Form 15400" to download.)

Message: Any Additional Information?

Date of first entry into the USA

Provide your i-94 travel history

Attach file here

Please provide the following information:

Did you have health insurance in 2024?

Are you an existing Mudra Client? If No, then please attach your 2023 tax return copy.

Copy Attached

Attach 2023 tax return copy here

Provide the copy of your Driver's License/ passport copy for identification

Upload File

Click the button below to download the "Sample - Form 15400" for the Clean Vehicle Seller Report.