KENTWOOD ACCOUNTING SERVICES

KENTWOOD ACCOUNTING SERVICES
Please select you Tax Preparer
SSN
Date of Birth

MonthDayYear
Date
First Name
MI
Last Name
Address

Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Street
Zip
Phone #

Area CodePhone Number
Name

First NameLast Name
Name

First NameLast Name
Dependent 1 Name / D.O.B / SSN. / Relationship
Dependent 2 Name / D.O.B / SSN. / Relationship
Dependent 3 Name / D.O.B / SSN. / Relationship
WHO ARE YOU HERE TO SEE? (TAX PREP)
REFERRED BY?
2023 REFUND AMOUNT
*ASK US HOW YOU CAN MAKE UP TO $250.00 CASH*
Signature
Date

MonthDayYear
I would like to retain Kentwood Accounting Services to prepare my 2023 Income Tax Return. I understand that the Tax Preparer is only to

answer basic questions in reference to tax credits and eligibility.I

understand that Kentwood Accounting Services will NOT and CAN NOT advise any clients as to the accuracy or stability of this transaction, for me, my family and business. I also agree that the information on my Taxes were provide to Kentwood Accounting Services by:

In accordance with the federal law, the parties shall execute this agreement electronically - binding the parties to the same degree as a handwritten signature - by using the following process to create an electronic symbol signifying intent to be legally bound. Each Party must fill in the name, signature, and date below. This agreement shall not be binding on either party until both parties have electronically executed versions of the Agreement that are identical.
Print Name
Signature
Date

MonthDayYear
Date
Earnings not Reported on W-2 Statement

Self-Employment is the act of generating one's income directly from customers, clients or other organizations as opposed to being an employee of a business/or person.
Occupation
Business Name
EIN #
Total Earnings 2023 $
I attest all information regarding my 2023 earnings that was provided to Kentwood Accounting Services is accurate to the best of my knowledge. Kentwood
Date

MonthDayYear
Taxpayer's Drivers License & SSN Cards

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Dependents SSN Cards & Birth Certificates

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Proof of Residency For Taxpayer & Dependent(s) (Lease/Utility Bill)

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Proof of Residency For Taxpayer & Dependent(s) (Lease/Utility Bill)

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Other Items

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