Tax Preparation

Tax Preparation

New Client Intake Form
Filing Status

SingleHead of HouseholdMarried Filing SeparateMarried Filing JointlyQualifying Widower

Enter your dependents here

Does you, your spouse, and your dependents have health insurance within 12 months last year? If yes, who covers for it?

General Expenses

	Amount
Medical Expenses
Dental Expenses
Insurance Premiums paid
Long Term Care Premiums
Prescription Drugs and Medications
Home Mortgage
Investment Interest
Cash Contributions
Non-Cash Contributions
Unreimbursed Business Expenses
Union Dues
Tax Preparation Fees
Investment Expenses

Acknowledgment & Signature
I confirm that all information I have entered here is accurate and true. I allow J&J Tax Services to capture my sensitive data like personal id, government id, social security number (SSN), and other information. I have read and signed the consent form and engagement letter from J&J Tax Services. By signing below, you acknowledge that you have read and understood your responsibilities and our responsibilities in doing this tax return.
Date Signed

MonthDayYear
Date
Taxpayer Signature

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Date Signed

MonthDayYear
Date
Spouse Signature

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Should be Empty: