1040 Client Questionnaire
Taxpayer
*
First
Last
Spouse (if applied)
First
Last
Tax Year
*
Please type tax year that questionnaire applies to.
Do you want any refund deposited directly to your bank account?
*
Yes
No
Do you want to apply refund to next year's tax return?
*
Yes
No
Do you want any tax owing to be paid electronically from your bank account?
*
Yes
No
Did you make any estimated tax payments?
*
Yes
No
Did you receive a distribution from a retirement or pension plan? (Form 1099R)
*
Yes
No
Did you contribute to a traditional IRA or ROTH IRA or convert any retirement plan to a ROTH IRA?
*
Yes
No
Did you or your spouse receive a distribution from an HSA plan? (Form 1099-SA)
*
Yes
No
Did you, your spouse, or a dependent(s) incur any tuition expenses to attend a college, university, or vocational school? (Form 1098-T)
*
Yes
No
Did you sell a business or any investment other than those held in a brokerage or retirement account?
*
Yes
No
Did you purchase, sell, and/or refinance your primary or second home and/or did you take out a home equity loan?
*
Yes
No
Did you sell, send, exchange or acquire any virtual currency?
*
Yes
No
Did you pay for any childcare while you (and spouse, if any) worked?
*
Yes
No
Did you purchase health insurance through a state sponsored exchange? If so, please provide Form 1095-A from the exchange with your tax documents.
*
Yes
No
Did you have any foreign financial account(s) (bank, brokerage, insurance, annuity) or any other foreign activities or associations?
*
Yes
No
Were you notified by the Internal Revenue Service or a State taxing agency about a matter you have not yet discussed with Davies Tax Advisors?
*
Yes
No
Did you receive or give any gifts over $19,000?
*
Yes
No
Did you receive or were you made aware of an inheritance coming?
*
Yes
No
Submit
Should be Empty: