• TTS Accounting & Tax Services

    2023 Taxpayer information Sheet

  • What year(s) are you filing              

  • If filing 2020 please list 1st Economic Payment and 2 Economic Payment and if filing 2021 pease list 3 Economic Payment

  • First Economic Stimulus Payment $      Second Economic Stimulus Payment $      Third Economic Stimulus Payment $            

  • If filing 2021, please answer this question

  • Child Tax Credit Amounts

  • July 15, Aug. 15 ,Sept. 15    , Oct. 15,   , Nov. 15     ,  Dec. 15      

  • Taxpayer SSN#   *   DOB   Pick a Date     DL#   *   State    ISS Date   Pick a Date   EXP Date   Pick a Date   Occupation        Phone         

  • SPOUSE SSN#      DOB   Pick a Date   DL#      State    ISS Date   Pick a Date    EXP Date   Pick a Date   Occupation       Phone         

  • Dependents

    If Applicable
  •       SSN#      DOB   Pick a Date   Relationship        Tuition/dependent care  $    Disabled            
  •       SSN#      DOB   Pick a Date   Relationship   Tuition/dependent care  $    Disabled            
  •       SSN#      DOB   Pick a Date   Relationship        Tuition/dependent care  $    Disabled         
  •       SSN#      DOB   Pick a Date   Relationship        Tuition/dependent care  $    Disabled         

  • Child Care Provider

  • Provider Name Address    
    SSN/EIN     Amount Paid      

  • Provider Name Address    
    SSN/EIN     Amount Paid      

  • Dependent Care Expenses

  • Name
    SSN/EIN     

  • Name
    SSN/EIN     

  • Name
    SSN/EIN     

  • Bank Information

  • Bank Name *   
    Will this refund go to an account outside of US?  
    Routing Number      
    Account Number   
    Account Type     

  • I Hereby certify that the information provided on this form is correct to the best of my ability and therefore authorize TTS Accounting Services to prepare and/or electronically file my Tax Return.

  • Taxpayer         Pick a Date* Spouse   Pick a Date

  • Disclosure Statements

    Federal law requires this consent form be provided to you. Unless authorized by law, we cannot disclose your tax return information to third parties for purposes other than the preparation and filing of

    your tax return without your consent. If you consent to the disclosure of your tax return information, Federal law may not protect your tax return information from further use or distribution.

    You are not required to complete this form to engage our tax return preparation services. If we obtain your signature on this form by conditioning our tax return preparation services on your consent, your consent will not be valid. If you agree to the disclosure of your tax return information, your consent is valid for the amount of time that you specify. If you do not specify the duration of your consent, your consent is valid for one year from the date of signature.

    REFUND DEPOSIT AGREEMENT. I hereby authorize Tiffany’s Tax Services to deduct from my refund for related fees applicable to the preparation of my tax return, the RT Fee, any debt that I owe IRS or TTS, and any related amounts authorized by me. I understand and agree that the tax preparation, software and related fees owed to Tiffany’s Tax Services are not paid at the time of filing, but dependent upon the Internal Revenue Service (IRS) funding. I further understand and agree that if the IRS does not issue my tax refund to my bank account, within 21 days after the IRS accepts my tax return for processing, that I am responsible for and agree to pay all tax preparation and related fees. (d) I understand and agree that I must pay for the tax preparation, software and any related services Tiffany’s Tax Service provides when services are complete. TTS may withdraw from my refund deposit any check I receive for refund I endorse and present for payment or to disburse money to me in accordance with my Application.

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