Income-Based Program | Consideration

Client Income-Based Program Submission

Welcome! I’m so glad you said yes to this journey.

To be considered for Income-Based Program pricing, please provide your most recent tax return with sensitive information blacked-out/marked over. Your document is kept confidential and used solely to set your pricing.

Please follow the instructions below carefully before uploading.

First Name

Last Name

Email Address

PROTECTING YOUR PRIVACY

To protect your privacy, please black out (mark over) or cover the following before taking a photo or scanning your return:

Your full Social Security Number (SSN) — all digits
Your home address
Your spouse or dependent's SSN (if applicable)
Your bank account or routing numbers (if shown)
Your employer's EIN (Employer Identification Number) — optional but recommended

LEAVE VISIBLE (for consideration):

Your name
filing year
and the income/wages line(s) — typically Line 1 (W-2 wages) or Schedule C (self-employment income) on a Form 1040.

Upload Tax Return (sensitive info. marked over)

Choose File

I understand that this document is being collected solely to determine my income-based program pricing. I confirm I have blacked-out/marked over my SSN, address, and any other sensitive identifying information. I consent to Monique Honer / Her Life Elevated™ viewing my reported income for this purpose only.