2026 Tax Client Intake Form
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  • 2026 Tax Client Intake Form

    2026 Tax Client Intake Form

    Please answer all questions that pertain to your tax situation
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  • Was this your address all of 2025?*
  • Filing Status*
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    • Spouse Information 
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    • General Information 
    • Are you new to our firm?*
    • Did you file 2024 Taxes?*
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    • Did you receive your 2024 Refund?*
    • How did you hear about us? (Please check all that apply)*

    • Are you interested in any of our other services? (Please check all that Apply)*
    • Marital Status at 12/31/2025*
    • Were you divorced or separated during the year?*
    • If you are divorced or separated and plan to file as Single or Head of Household, please answer the following:

       

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    • Since the date of separation, have you and your spouse maintained separate living quarters?*
    • If you have children, who did the child(ren) live with for more than half of the year*
    • Compliance note:

      Filing status eligibility is determined by IRS rules and is based on separation date, living arrangements, and where the child(ren) lived during the year.

    • Have you or your spouse received any notices from the IRS or state revenue department within the past year?*
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    • Do you or your spouse owe student loans that are in default status?*
    • Are you aware of any federal, state, or other agency offsets (such as past-due child support, student loans, back taxes, or government debts) that could reduce or take all or part of your tax refund? We recommend you check for federal offsets by contacting the U.S. Treasury Offset Program at 800-304-3107. For IRS-related tax debts or refund questions, you may contact the IRS at 800-829-1040.*
    • Were you or your spouse enrolled in college in 2025?*
    • Did you or your spouse receive a 1098-T for 2025?*
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    • I understand that the American Opportunity Tax Credit may only be claimed for a maximum of four (4) tax years per eligible student.Has the AOTC already been claimed for this student four (4) times?*
    • Was the student enrolled as an undergraduate or a graduate student during the tax year?*
    • At of the end of the tax year, had the student been convicted of a federal or state felony for possession or distribution of a controlled substance?*
    • **To claim the American Opportunity Tax Credit (AOTC), the primary documentation is Form 1098-T, Tuition Statement, provided by your educational institution. You must also keep detailed personal records, including receipts, for all qualified education expenses in case of an IRS audit. 

    • Did you, your spouse, or your dependents receive any federal, state or charitable contributions to your household in 2025? Please note that this information is strictly confidential and will only be used for the purpose of accurately filing your tax return. Please select all that apply.*
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    • Did you, your spouse (if applicable), or any dependents have government-provided health coverage or health insurance obtained through the Health Insurance Marketplace (Healthcare.gov) at any time during the year?*
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    •  If you

      • are unsure
      • had marketplace the prior year
      • don't have your 1095A or inormation

      you must retrieve or verify this information. Please contact Healthcare.gov at 800-318-2596 (available 24 hours a day). Missing or incorrect Marketplace insurance details can delay processing or cause your tax return to be rejected.


      Request your policy information from Form 1095-A, specifically the amounts listed in Columns A, B, and C. They are legally required to provide this information by phone.


      ⚠️ Note: These amounts may vary by month and by column, so please write down the information exactly as provided for each month.

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    • Qualifying Dependents 
    • Are you claiming any children or qualifying dependents?*
    • Please review this question carefully before making your selections. The child must be related to you in an IRS-qualifying way and must meet the applicable age requirements to be eligible.

    • In order to claim a dependent as a qualifying child you must meet certain conditions. Please select all that apply to see if your dependents qualify:*
    • In order to claim "Head of Household" filing status, taxpayers are required to provide proof of residency. Please select one of the following documents to submit for status verification.*
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    • Were any of your dependents enrolled in college in 2025?*
    • If so, did they receive a 1098-T*
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    • I understand that the American Opportunity Tax Credit may only be claimed for a maximum of four (4) tax years per eligible student.Has the AOTC already been claimed for this student four (4) times?*
    • Was your dependent enrolled as an undergraduate or a graduate student during the tax year?*
    • At of the end of the tax year, had the student been convicted of a federal or state felony for possession or distribution of a controlled substance?*
    • **To claim the American Opportunity Tax Credit (AOTC), the primary documentation is Form 1098-T, Tuition Statement, provided by your educational institution. You must also keep detailed personal records, including receipts, for all qualified education expenses in case of an IRS audit. 

    • Did any of your dependents have income above $1,050 for the 2025 tax year?*
    • Do any of your dependents have a disability?
    • Do they receive SSI or any other disability payments?*
    • Do you have a letter from the child’s doctor/healthcare provider stating that the child is permanently and totally disabled?*
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    • Did you pay for childcare or dependent care expenses for any dependents under age 13, or for a disabled spouse or dependent?*
    • Did you receive a statement from your provider with the business name, address, EIN, and total amount paid for care?*
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    • Is it anticipated that a different taxpayer will seek to claim a child listed above as their dependent for tax year 2025? (ex. co parent, biological parent, grandparent, foster parent or responsible party)*
    • SWORN STATEMENT OF RESIDENCY

      Required to claim qualifying dependents
    • Are you the dependents biological parent, step parent or court ordered guardian?*
    • Does the other parent/s live in your household?*
    • You have indicated that you are not the biological parent/ step parent/ or court ordered guardian of a child you are claiming. You are required to fill out the following information:

    • Does Biological Parent/s live in the home with you?*
    • Does biological parent provide more that 51% of cost to upkeep home? (rent, utilities, food, insurance etc.)*
    • I am submitting the following documentation as proof to support my claim (Check all that apply)*

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    • By signing here I hereby affirm under the penalty of perjury that the information provided in this statment is true.

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    • Other Dependents 
    • Are you claiming other dependents that are not your minor children?*
    • Deductions & Credits 
    • Lifestyle and Taxes - Select all that apply*
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    • Investments - Select all that apply*
    • Deductions - Select all that apply*
    • Did you live in multiple states in 2025?*
    • Do you rent or own your home*
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    • During the tax year, did you have any self-employment income or operate a business, even if it was informal or not registered (no LLC or EIN required)? This includes, but is not limited to: babysitting, hair braiding, exotic dancing, lawn care, cleaning services, tutoring, or any other work where you were paid directly. Did you also perform any gig or app-based work, such as Uber, Lyft, DoorDash, Instacart, Amazon Flex, or similar platforms?*
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    • Upload Your W2s, 1099s and other docs below!

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    • Client Responsibility Notice:

      You are responsible for providing complete and accurate information, including all income-related documents, for the preparation of your tax return. Failure to provide or disclose all required documentation may result in IRS audit, delayed processing, denial or reduction of your refund, or additional tax, penalties, and interest owed.In accordance with IRS Circular 230, tax preparers are permitted to rely on information provided by the client and are not responsible for verifying information that is incomplete, incorrect, or omitted. Our office cannot be held responsible for errors or consequences resulting from information you fail to disclose or provide. If issues arise due to missing or omitted information after your return is filed, additional fees will apply for any amendments, notices, audit assistance, or follow-up services required.

    • Refund Instructions 
    • If you are due a refund, How would you like to receive your refund?*
    • Would you like to apply for a REFUND ADVANCE LOAN up to $7500 (no credit check)*
    • Selected Tax Specialist*

    • Client Agreement & Acknowledgment
      By signing this disclosure, you agree and acknowledge that:

      All information you provide to EZ Tax Co —whether written, electronic, or verbal—is true, complete, and accurate to the best of your knowledge.


      You understand that providing false, incomplete, or misleading information is against the law and may result in penalties, audits, delayed processing, denial or reduction of refunds, or additional tax, interest, and penalties owed.


      You accept full responsibility for supplying all income documents and relevant tax information, and you understand that our office is permitted under IRS Circular 230 to rely on the information you provide.


      You acknowledge that if your refund is offset, intercepted, delayed, reduced, or not issued for any reason, you remain fully responsible for all tax preparation fees owed to EZ Tax Co.


      You understand that if corrections or amendments are required due to missing, incorrect, or omitted information you provided, additional fees may apply. Amendments required due to our error will be corrected at no additional cost.
      You acknowledge that you have been given the opportunity to review your tax return prior to filing and that once your return is submitted, any changes will require an amendment.


      You consent to your tax information being submitted to the IRS and applicable state taxing authorities as required for filing.


      You authorize EZ Tax Co to contact you regarding your tax return and related services by phone, email, text, or mail. You may opt out of marketing communications at any time by contacting our office.


      By signing below, you confirm that you have read, understand, and agree to all terms outlined in this disclosure.

       

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    • PRIVACY POLICY

      The nature of our work requires us to collect certain nonpublic information. We collect financial and personal information from applications, worksheets, reporting statements, and other forms, as well as interviews and conversations with our clients and affiliates. We may also review banking and credit card information about our clients in the performance of receipt of payment. Under our policy, all information we obtain about you will be provided by you or obtained with your permission.

      Our firm has procedures and policies in place to protect your confidential information. We restrict access to your confidential information to those within our firm who need to know in order to provide you with services. We will not disclose your personal information to a third party without your permission, except where required by law. We maintain physical, electronic, and procedural safeguards in compliance with federal regulations that protect your personal infromation from unauthorized access

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