1. Last name: Chagaleti

2. Middle name:

3. First name: Akhila

4. Occupation: Student

5. DOB: 07/20/1999

6. Email id: achagaleti@eiu.edu

7. Contact no: 9739648973

8. Current address: 1430, 9thStreet, Charleston, IL, 61920

9. Marital status on 31st Dec 2023: Single

10. Visa status on 31st Dec 2023: F1

11. No of months stayed in US in the year 2023: 5Months

12. State lived in US in 2023(mention name & date if lived more than one state): Illinois

13. Any Advance child tax credit amount received in 2023: no

14. Any loans in India or USA: Education Lone

15.First port of entry date (year) to USA : Aug 11th

16. SSN: 859648305

Spouse Details

1. First name: -

2.Last name: -

3. ITIN/SSN:

4. DOB:

5. Occupation:

Kids Details

1. First name:

2.Last name:

3. ITIN/SSN:

4. DOB:

5.Amount received as child tax credit in 2023

: