TaxMajesty Client Registration Form

1
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Tax Majesty Corporate
ADMIN CLAUDIA SKINNER
ADMIN BRITTANY MCLAUGHLIN
ADMIN PHILIP SIMS
ADMIN MONICA MYLES
ADMIN TONI GREEN
ADMIN CRYSTAL ALLEN
ADMIN TY PRICE
ADMIN NEVA PRICE
ADMIN ALESIA ERVIN
20001 Elizabeth McDonald
20004 Heather Mclaughlin
20006 Heather Few
20011 Irene Lambert
20012 Darius Davis
20016 Shaina Blaze
20022 JSCHARLA ADKINS
20025 Andrea McKinney
20026 Nakeia Terry
20028 Lewin Pierce
20029 Xante Shropshire Mayes
20031 Ashley Walker
20032 Krystle Jackson
20033 Tiffany Brooks
20036 Jana Shelton
20039 Christina Sims
20041 Ebonique Cudges
20043 Ronda Stevens
20050 Nikelle Andujar
20051 Natasha Fletcher
20054 Mya Espinosa
20056 Cassandra Moore
20059 Jaroid Washington
20060 shaquell Hinton
20063 Lindsey Berryman
20069 Ruben Gonzales
20072 Precious Dimayuga
20073 Terry Ricker
20074 Jessica Vezer
20076 Shelly Jones
20078 Monique Feagins
20080 Diana Sagrero
20082 Sheri Gray
20083 Mary Alexander
20085 Monet Pickering Hendrickson
20086 JAMES FOUNTAIN
20097 Pamela Carter
20099 Elizabeth Palma
20100 Charisse Lewis
20103 Michaelle Cohen
20104 Alexandra Gonzalez
20106 Ashley Hill
20107 Nina Stephens
20111 Laura Edwards
20112 Ruby Camarillo
20116 Elaine Lewis
20117 Veronica Guevara
20123 Shannell Edmonds
20125 Kristinia Campbell
20126 Veronica James
20129 Donnetta Carter
20131 Kayla Jackson
20136 Rochanne Faustin
20137 Damenica Wallace-Green
20142 Alagrian Macklin
20144 Lori Ruth
20146 Machemed McCaskill
20149 Courtni Wiggins
20158 Ciara Boykin
20159 Beverly Bradley-Onifade
20161 Kayla Nelson
20162 Barlaine Elijah
20166 Elsie Farias
20171 Kammi Culverwell
20172 Michaelle Cohen
20180 Mary Lynch
20182 Deborah Vera
20183 Melinda Clonts
20184 Brittany Johnson
20193 Nikki Persaud
20196 Karina Angulo Solis
20197 Dana Kelly
20201 Amanda Coffey
20204 Cynthia Duran
20205 Jesse Tanner
20208 Chiantisa Joplin
20209 Danielle Jacintho
20212 Shannon Brown
20217 Tashitaka Gaines
20221 Jasmine Johnson
20222 Wayne Albert
20224 Fatina Bryant-Koonce
20225 Nigel Fabio
20226 Nicholas Hope
20227 Mary Stremmel
20231 Sean Bell
20233 Anthony Montaldi
20234 Cynthia Thomas
20235 Jacobo Garza
20237 Cierra Robinson
20238 Ga Won Woo
20239 Octavia Hurt
20243 Kristin Kelly
20245 RaShonda Carter
20246 Marvia Weston
20247 Amanda Dawson
20250 atasha douglas
20253 YATICE COOPER
20254 Robert Chapman
20255 Gina Vargas
20256 Shelby Dickie
20260 Leilani Perkins
20261 Shelon Knox
20263 Jennifer Prince
20265 tina oliver
20268 Cristina Sferle
20269 Halgah Nau
20270 Ashernita Taylor
20274 Donna Latta
20275 Ashley Smith
20276 Charlese Collins
20277 Jennifer Collinsworth
20279 Keondra Johnson
20280 Johnathon Mackin
20283 Veronica Hastings
20284 Jessica Washington
20285 Ashley Andrews
20286 Fantashia Price
20287 TEARKA LOVELL
20288 Ashley Williams
20291 Rachel Hearne
20293 Kevin Word
20294 Doug Waldorf
20295 Ivonne Lujan
20297 Lisa McCottry
20298 Ramiro Garza Jr
20299 Adriana Ayala Sanchez
20301 Tkeiha Fullwood
20302 Elizabeth Burton
20303 Aisha Patterson
20304 Michael Torres
20305 juan herrera
20306 Sarah Basham
20308 Bianca Tellez
20309 Janis Ludwig
20310 Lapeasha Smith
20311 Cera Willis
20312 Tiana Landry
20313 Aundreia Moore
20314 Tiffany Bartley
20315 Alaina Chavez
20316 LaToya Johnson
20317 Briana Babcock
20318 Lawanda Oliver
20320 Victoria Smith
20321 Lisa Edgeson
20322 Yewande Kadree
20323 Catlyn Jones
20324 Tracy Drake
20325 Taroryia Purnell
20326 Dona Davis-Donaldson
20327 LYNETTE RICH
20328 Deneshia Booth
20329 Naomi Balliston
20330 William Scott
20331 Shavonta Louis
20332 Kimberly Douglas
20334 Daniel Guillory
20333 Brandy Magnini
20337 Mark Olivares
20336 Tatyanna Squire-Spruce
20338 Haleh Williams
20339 Valencia Golden
20340 Meagan Dixon
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Please fill out all of the form below for your tax professional. After reviewing we will work to get you the Maxxx Back by coming up with your best tax saving strategy! Please complete all fields.
4
Filing Status* This field is required.
Single
Married Filing Joint
Married Filing Separate
Head of Household
Qualifying Widow/Widower
5
State of Residence* This field is required.
6
State of Non- Residence (other state you worked and had taxes withheld if applicable)
7
Prefix
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
8
Name* This field is required.
First Name
Middle Name
Last Name
9
Birth Date* This field is required.
Month
Day
Year
10
Social Security Number* This field is required.
Your private information is kept secure.
11
Driver's License or State ID #
12
DL State* This field is required.
13
Phone Number* This field is required.
Area Code
Phone Number
14
Email* This field is required.
example@example.com
15
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
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Albania
Algeria
American Samoa
Andorra
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The Bahamas
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Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
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Denmark
Djibouti
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El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
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Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
16
Have you lived here 6 months or more?* This field is required.
Yes
No
Please Select
17
Are you a homeowner?* This field is required.
Yes
No
Please Select
18
Did you file taxes last year?* This field is required.
Yes
No
Please Select
19
If yes, did you receive a refund?* This field is required.
Yes
No
Please Select
20
Do you need to file form 8862 * This field is required.Were you ever disallowed EIC?
Yes
No
Disallowed EIC previously
21
Did you have health insurance?* This field is required.
Full Year Self
Full Year Dependents
Partial Year
None
22
Do You (or your spouse) Owe* This field is required.
Student Loans
Child Support
IRS
Any State Agency
None
23
Do You (or your spouse) Require an IP PIN?* This field is required.
Yes
No
IF YES, ENTER BELOW
24
IP PIN
(PRIMARY FILER)
25
IP PIN
(SPOUSE)
26
SELECT YOUR PLAN* This field is required.
INDIVIDUAL-(1) W2 EMPLOYEE
FAMILY- UP TO (3) W2s
BUSINESS- W2 + 1099
BUSINESS PLUS- INCOME RECONSTRUCT
27
Did You Get 1st Stimulus? 1st Stimulus Amount
Did You Get 2nd Stimulus?
2nd Stimulus Amount
Prior Year AGI
AGI 2019
28
How many jobs did you work this year?* This field is required.
0
1
2
3 or more
Please Select
29
What income will you file this year?* This field is required.
W2
1099
BUSINESS
UNEMPLOYMENT
STIMULUS PAYMENT
30
Current Job Title* This field is required.
31
Employer
32
Work Phone
33
SpouseSKIP THIS SECTION IF NO SPOUSE
Yes
No
Filing separate
Widowed
34
Prefix
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
35
Name
First Name
Middle Name
Last Name
36
Birth Date
Month
Day
Year
37
Social Security Number
Your private information is kept secure.
38
Driver's License or State ID #
39
DL State
40
Email
example@example.com
41
Phone Number
Area Code
Phone Number
42
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
43
Did you file taxes last year?
Yes
No
Please Select
44
If yes, did you receive a refund?
Yes
No
Please Select
45
What income did you file last year?
W2
1099
BUSINESS
46
Do you need to file form 8862
Yes
No
Disallowed EIC previously
47
Did you have any dependents?* This field is required.
Yes
No
48
Dependent #1
First Name
Last Name
49
Birth Date
Month
Day
Year
50
Social Security Number
51
Relationship to You
Son
Daughter
Step Child
Eligible Foster Child
Grandchild
Brother
Sister
Half Brother
Half Sister
Step Brother
Step Sister
Adopted Child
Mother
Father
Grandmother
Grandfather
Qualified Relative
Not Related
52
Student?
Yes
No
Part-time College
Full-time College
Elementary
Middle
High School
53
Dependent #2
First Name
Last Name
54
Birth Date
Month
Day
Year
55
Social Security Number
56
Relationship to You
Son
Daughter
Step Child
Eligible Foster Child
Grandchild
Brother
Sister
Half Brother
Half Sister
Step Brother
Step Sister
Adopted Child
Mother
Father
Grandmother
Grandfather
Qualified Relative
Not Related
57
Student?
Yes
No
Part-time College
Full-time College
Elementary
Middle
High School
58
Dependent #3
First Name
Last Name
59
Birth Date
Month
Day
Year
60
Social Security Number
61
Relationship to You
Son
Daughter
Step Child
Eligible Foster Child
Grandchild
Brother
Sister
Half Brother
Half Sister
Step Brother
Step Sister
Adopted Child
Mother
Father
Grandmother
Grandfather
Qualified Relative
Not Related
62
Student?
Yes
No
Part-time College
Full-time College
Elementary
Middle
High School
63
Did You Provide More than half support for all dependents?
Yes
No
for 1 of 3
for 2 of 3
64
Did ALL of your dependents live with YOU for at least 6 months?
Yes
No
for 1 of 3
for 2 of 3
65
Were any of your dependents employed?
66
Is anyone else available to claim ANY of your dependent(s)?
Yes
No
If yes, please explain relationship below.
67
Did you pay for child care for any dependent?
68
Do you have provider info?
Yes
No
69
Explanation of dependent info:
70
Would you like to apply for a Tax Cash Advance?* This field is required.
Yes
No
71
How would you like to get your refund?* This field is required.
72
UPLOAD VOIDED CHECK OR DIRECT DEPOSIT FORM
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Bank Routing#
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Bank Name
75
Bank Account#
76
Tax Preparation Fee Plans
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ORDER SUMMARY
Total costUSD
Single Planincludes (1) W2 No Dependents No Credits (1) State Basic Deductions Each addtl W2 is $25
$215.00+Edit
Back
Family PlanS/MFJ/MFS/HOH Up to (3) W2s EIC & Child Tax Credits Student Schedules A and B Each addtl W2 is $25
$415.00+Edit
Back
Business PlanW2 + 1099 Income Filers Business Owner All Schedules Included Schedule C *Income Reconstruction Available for Added Fee-Price based on complexity
$615.00+Edit
Back
Add Credit RepairAdd credit repair services. Flat rate price covers up to 30 items and 3 rounds. Guaranteed Results.
$299.00+Edit
Back
Audit Protection
$89.95+Edit
Back
Total cost $0.00
77
ADDITIONAL FEES APPLY:

Transmitter, Bank Product, Income Reconstruction, Additional W2s, Amended Returns, Audit Protection and Credit Repair fees.
78
Take Your Personal Photo
79
Driver's License or ID* This field is required.
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Max. file size: 10.6MB
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80
W2s
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Max. file size: 10.6MB
Place on one page. Must be clear and visible. No blurry documents.
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81
1099/Business Expenses/EIN
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Max. file size: 10.6MB
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82
1098-T
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83
DEPENDENTS SS
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Put on 1 page
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84
Add any additional financial documents here:
85
Did you submit?
86
Child Tax CreditChild Tax Credit Amount Received
87
Recovery RebateEnter 3rd Stimulus Amount
88
2019 AGIEnter 2019 AGI-line8b Amount
89
You agree that all information submitted is true and correct to your knowledge and recollection. By checking this box and submission, you agree to not hold tax preparer liable for any omissions on your part whether intentional or unintentional. It is your responsibility to review all information submitted to us and on your behalf by us.

My signature below constitutes my written consent and authorization for the utilization of the tax prep services by TaxMajesty tax preparer of my choice.
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I agree to the terms and conditions set forth.
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Signature
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Date Signed
Date
Month
Day
Year
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