Dependent Due Diligence Form

Dependent Due Diligence Form
Your child must pass all of the following tests to be your qualifying child for EITC:

Relationship
- Your son, daughter, adopted child, stepchild, foster child or a descendent of any of them such as your grandchild
- Brother, sister, half-brother, half-sister, step brother, step sister or a descendant of any of them such as a niece or nephew.
Age
- At the end of the filing year, your child was younger than you (or your spouse if you file a joint return) and younger than 19
- At the end of the filing year, your child was younger than you (or your spouse if you file a joint return) younger than 24 and a full-time student
- At the end of the filing year, your child was any age and permanently and totally disabled
Residency
- Child must live with you (or your spouse if you file a joint return) in the United States for more than half of the year
Joint Return
- The child cannot file a joint for the tax year unless the child and the child's spouse did not have a separate filing requirement and filed the joint return only to claim a refund.
By listing the dependent information below, you are certifying that you have the legal right to claim this dependent according to the IRS
Taxpayer Name*

First NameLast Name
Taxpayer Email*
example@example.com
Taxpayer Phone Number*
Please enter a valid phone number.
Tax Year*
Tax Preparer

Dependent 1
Dependent Name*  is my    *   who lived in the same household with me for   *   during the   *tax year.

What is the dependent's date of birth?   Date*
What is the dependent's Social Security Number   SSN#*

Is this dependent considered permanently and totally disabled?     YES    NO*
Is this dependent a college student any time during the tax year?    YES    NO*
In case of an audit, what documents can you provide to show that you lived in the same household with your dependent for more than 6 months?     *
Are you listed on the birth certificate?   YES   NO*

In order to meet the relationship reset, what documents can you provide in case of an audit that the dependent is related to you for EIC purposes?    *

Whose last name does the dependent have?    *
Who takes care of the dependent while you are at work?    *
If only one parent is claiming the dependent, why isn’t the other one claiming the dependent?   *
Does the other parent live in the same household?     YES   NO*
Did you claim this dependent last year?   YES   NO*
If you did not claim the same dependent last year, why not?     *
Dependent 2
Dependent Name  is my       who lived in the same household with me for      during the   tax year.

What is the dependent's date of birth?   Date
What is the dependent's Social Security Number   SSN#

Is this dependent considered permanently and totally disabled?     YES    NO
Is this dependent a college student any time during the tax year?    YES    NO
In case of an audit, what documents can you provide to show that you lived in the same household with your dependent for more than 6 months?
Are you listed on the birth certificate?   YES   NO

In order to meet the relationship reset, what documents can you provide in case of an audit that the dependent is related to you for EIC purposes?

Whose last name does the dependent have?
Who takes care of the dependent while you are at work?
If only one parent is claiming the dependent, why isn’t the other one claiming the dependent?
Does the other parent live in the same household?     YES   NO
Did you claim this dependent last year?   YES   NO
If you did not claim the same dependent last year, why not?
Dependent Name  is my       who lived in the same household with me for      during the   tax year.

What is the dependent's date of birth?   Date
What is the dependent's Social Security Number   SSN#

Is this dependent considered permanently and totally disabled?     YES    NO
Is this dependent a college student any time during the tax year?    YES    NO
In case of an audit, what documents can you provide to show that you lived in the same household with your dependent for more than 6 months?
Are you listed on the birth certificate?   YES   NO

In order to meet the relationship reset, what documents can you provide in case of an audit that the dependent is related to you for EIC purposes?

Whose last name does the dependent have?
Who takes care of the dependent while you are at work?
If only one parent is claiming the dependent, why isn’t the other one claiming the dependent?
Does the other parent live in the same household?     YES   NO
Did you claim this dependent last year?   YES   NO
If you did not claim the same dependent last year, why not?
Dependent 3
Dependent Name  is my       who lived in the same household with me for      during the   tax year.

What is the dependent's date of birth?   Date
What is the dependent's Social Security Number   SSN#

Is this dependent considered permanently and totally disabled?     YES    NO
Is this dependent a college student any time during the tax year?    YES    NO
In case of an audit, what documents can you provide to show that you lived in the same household with your dependent for more than 6 months?
Are you listed on the birth certificate?   YES   NO

In order to meet the relationship reset, what documents can you provide in case of an audit that the dependent is related to you for EIC purposes?

Whose last name does the dependent have?
Who takes care of the dependent while you are at work?
If only one parent is claiming the dependent, why isn’t the other one claiming the dependent?
Does the other parent live in the same household?     YES   NO
Did you claim this dependent last year?   YES   NO
If you did not claim the same dependent last year, why not?
Dependent Name  is my       who lived in the same household with me for      during the   tax year.

What is the dependent's date of birth?   Date
What is the dependent's Social Security Number   SSN#

Is this dependent considered permanently and totally disabled?     YES    NO
Is this dependent a college student any time during the tax year?    YES    NO
In case of an audit, what documents can you provide to show that you lived in the same household with your dependent for more than 6 months?
Are you listed on the birth certificate?   YES   NO

In order to meet the relationship reset, what documents can you provide in case of an audit that the dependent is related to you for EIC purposes?

Whose last name does the dependent have?
Who takes care of the dependent while you are at work?
If only one parent is claiming the dependent, why isn’t the other one claiming the dependent?
Does the other parent live in the same household?     YES   NO
Did you claim this dependent last year?   YES   NO
If you did not claim the same dependent last year, why not?
Dependent 4
Dependent Name  is my       who lived in the same household with me for      during the   tax year.

What is the dependent's date of birth?   Date
What is the dependent's Social Security Number   SSN#

Is this dependent considered permanently and totally disabled?     YES    NO
Is this dependent a college student any time during the tax year?    YES    NO
In case of an audit, what documents can you provide to show that you lived in the same household with your dependent for more than 6 months?
Are you listed on the birth certificate?   YES   NO

In order to meet the relationship reset, what documents can you provide in case of an audit that the dependent is related to you for EIC purposes?

Whose last name does the dependent have?
Who takes care of the dependent while you are at work?
If only one parent is claiming the dependent, why isn’t the other one claiming the dependent?
Does the other parent live in the same household?     YES   NO
Did you claim this dependent last year?   YES   NO
If you did not claim the same dependent last year, why not?
Dependent Name  is my       who lived in the same household with me for      during the   tax year.

What is the dependent's date of birth?   Date
What is the dependent's Social Security Number   SSN#

Is this dependent considered permanently and totally disabled?     YES    NO
Is this dependent a college student any time during the tax year?    YES    NO
In case of an audit, what documents can you provide to show that you lived in the same household with your dependent for more than 6 months?
Are you listed on the birth certificate?   YES   NO

In order to meet the relationship reset, what documents can you provide in case of an audit that the dependent is related to you for EIC purposes?

Whose last name does the dependent have?
Who takes care of the dependent while you are at work?
If only one parent is claiming the dependent, why isn’t the other one claiming the dependent?
Does the other parent live in the same household?     YES   NO
Did you claim this dependent last year?   YES   NO
If you did not claim the same dependent last year, why not?
Dependent 5
Dependent Name  is my       who lived in the same household with me for      during the   tax year.

What is the dependent's date of birth?   Date
What is the dependent's Social Security Number   SSN#

Is this dependent considered permanently and totally disabled?     YES    NO
Is this dependent a college student any time during the tax year?    YES    NO
In case of an audit, what documents can you provide to show that you lived in the same household with your dependent for more than 6 months?
Are you listed on the birth certificate?   YES   NO

In order to meet the relationship reset, what documents can you provide in case of an audit that the dependent is related to you for EIC purposes?

Whose last name does the dependent have?
Who takes care of the dependent while you are at work?
If only one parent is claiming the dependent, why isn’t the other one claiming the dependent?
Does the other parent live in the same household?     YES   NO
Did you claim this dependent last year?   YES   NO
If you did not claim the same dependent last year, why not?

By signing this form, I acknowledge that all information regarding any dependents that allows me to qualify for the EITC credit is true and correct the best of my knowledge. I understand that this information is being provided to the IRS & State Revenue. I have been advised by my tax preparer that any false and misleading information that I have provided for income tax filing purposes is against the law. In addition, you are aware that the IRS may ask for additional information in case of an audit. *

Clear
Date*

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Dependent Due Diligence Form

Dependent 1

Dependent 2

Dependent 3

Dependent 4

Dependent 5