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My spouse and me usually do simple joint filing from my turbotax account every year. She wants to pay for the self-employed full service this year. Does she need to create a new account in her name and add me as spouse (I'll do a simple tax filing)? Or is there a way to login to my account and select self-employed full service for her?
No, she doesn't need to make a new account. She can just login to your existing account, start a brand new return just for herself and choose Full Service.

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