Due Diligence Questionnaire

Tax Credits Due Diligence Questionnaire

** SKIP WHAT DOES NOT APPLY

Instructions
You are being supplied with this questionaire because you have claimed one of these credits in the past or you have indicated that you will be claiming one of them this year. The questionaire is designed to assist us in qualifying you for some valuable refundable tax credits.

While the questions may seem to be a little intrusive at times, they are questions that we are required to ask under the Due Diligence Requirements of Internal Revenue services.

Please complete them in as much detail as possible. Not all questions will apply to all taxpayers. If they do not apply to you, please answer them as N/A (not applicable) so that we will know that you read the question and didn't just miss it.
Abbreviations used on the Questionaire:

CTC - Child Tax Credit
ACTC - Additional Child Tax Credit
EITC - Earned Income Tax Credit (Low Income Households)
AOTC - American Opportunity Tax Credit (College Credit)

FOR NEW CLIENTS with Dependents: Please remember to submit copies of social security cards, birth certificates and proof of residency (possibly school records or medical records showing the dependents name and YOUR address) for all dependents.

FOR TAXPAYERS CLAIMING COLLEGE TAX CREDITS: Please remember to submit copies of the Form 1098-T that you received from the college AND a copy of the Bursar's or Tuition statement from the college showing the Spring and/or Fall semester charges and payments. If claiming required textbook expenses, please include receipt for textbooks and corresponding course syllabus showing it was required for the course. The Credit applies to all payments made in cash or via student loans for tuition, fees and related expenses. IT does NOT apply to Room and Board or travel expenses.

FOR TAXPAYERS CLAIMING HEAD OF HOUSEHOLD FILING STATUS: It is important to complete both the dependent questions and the Household Expense worksheet on page 3. If you are divorced or legally seperated, please remember to include a copy of the divorce decree and/or seperation agreement. [NOTE: If the divorce is NOT final or you and your spouse lived together AT ANY TIME in the last 6 months of the tax year, you CANNOT claim Head of Household filing status]

IF you have any questions about the questionaire please do not hesitate to contact our officeat (313)-551-5857. We will be glad to assist you.

** SKIP WHAT DOES NOT APPLY

Taxpayer Name

First NameLast Name

Phone Number

Area CodePhone Number

Can you be claimed as a dependent on anyone else's tax return?

Do you live on your own?

Did you live in the United States?

Where did you live in the United States?

If you are a single parent, where’s the other parent(s) of your child/children?

What is the name of the other parent(s)?

Why is the other parent of the child/children not claiming the child?

Explain why the dependent(s) have different last names than the taxpayer?

If you are separated/divorced, when did you last live in the same home?

How long did the child live in your home during this tax year?

How long did your child/children live in the other parent’s home during this tax year?

How much income did the other parent have during this tax year?

Do you have a signed Form 8332?

How old were you when your oldest child was born that is listed on this return?

How many months did the dependent(s) live in your home during the tax year?

If you live alone, who cares for your child/children while you work? Name:

Do you receive any other type of supplemental, non taxable income such as child support, welfare benefits, social security, etc? If so, how much and what kind?

Have you claimed them as a dependent before?

Are you receiving state or local benefits for them?

If this is not your biological child, what is your relationship to the dependent?

Can you prove your relationship to them with birth certificates?

Did the dependent live in your home with you more than 6 months of the year?

What are the names of the child's biological parents?

Where do the biological parents live?

What were the circumstances leading to the dependent(s) being placed in your home?

How many months did the dependent(s) live in your home during the tax year?

Have you claimed them as a dependent before?

Are you receiving state or local benefits for them?

Can you prove your dependent(s) lived with you in your home more than 6 months of the tax year with school records, medical records, social service records or dependent care records?

Do you have paperwork from any state agency stating that the dependent(s) were placed in your home?

If you had different dependents on last year's tax return than this year, please explain.

Do you have a 1098-T Form?

Which college did the student attend (yourself or dependent)?

How many years have you claimed the American Opportunity Tax Credit?

PLEASE UPLOAD BURSAR STATEMENT OF ACCOUNT HISTORY (TUITION OR STUDENT ACCT BILL) AND COPY OF 1098-T FORM FROM THE INSTITUTION & ANY ADDITIONAL RECEIPTS FOR TEXTBOOKS & COURSE SYLLABUS SHOWING THEY WERE REQUIRED FOR COURSE.

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If your dependent is over the age of 18 and Disabled, what is the nature of the disability?

How long have they been disabled?

If this is not your biological child, why is this child living with you and not their parents?

Where are the biological parents of your disabled dependent(s)?

Who cares for the disabled dependent while the taxpayer works?

Do they receive any benefits due to their disability?

Are there medical records to document proof of the disability?

To be considered disabled under the law, the individual must have a serious medical condition that results in being unable to work, and the condition must result in death OR the condition must be expected to last continuously for at least a year. I understand and agree to the following that my disabled dependent meets these criteria.

What is your filing status?

Others adults that lived in your home that are not reported on this tax return?

Please note why the above named adult is not claiming the child on the above named relative’s tax return.

Please note Head of Household can ONLY be claimed by taxpayers with a Qualified Dependent AND who are:

Single and paying more than ½ cost of keeping up a home (complete worksheet below), OR
Married but did not live with your spouse AT ANY TIME in the last 6 months of the year OR
Divorced or LEGALLY seperated (Attach copy of Decree or Separation Agreement)

Monthly Income

Total Property Taxes

Total Rent

Mortgage Interest Expense

Utility Expenses

Upkeep and Repairs

Property Insurance

Food Consumed on the premises (not purchased with EBT/P-EBT/WIC/TANF)

Other Household expenses

Here were your total expenses

Last Year Federal Refund Amount

Last Year State Refund Amount

Did you receive WIC benefits?

Did you receive food assistance benefits (EBT/FAP)?

Did you receive cash assistance from government programs (FIP)?

Did anyone in the home receive Social Security Benefits (SSD, SSI, Survivor's Benefits)?

Did you have housing assistance (HUD, MSHDA, Section *, low-income housing, etc.)?

Did you receive any vouchers from Michigan Works or any other agency?

Did you receive student loans?

Did you have any gambling winnings (lottery, casino, online gambling, horse racing, etc.)?

Did you receive income from other sources?

Did you receive any financial gifts?

Did you have any capital gains from sale of Cryptocurrency or stocks?

Explain any other pertinent information here:

Tax Payer Signature

Date

Single Taxpayers & Taxpayers under 24 Years Old

DUE DILIGENCE QUESTIONAIRE

Not Your Biological Child:

Foster Parents/legal Guardians

Different Dependents Last Year

College Credits

Disabled At Any Age

Filing Status

Supplemental Income

Other Information