SMT Client Tax Intake Form
  • Tax Intake Form

    In order for us to file your federal and state return, we need the following information. The information you provide to us will remain confidential. We value you as our client and promise not to share your information with any third-party vendors.
  • Filing Status

  • Type a question*
  • To be eligible for the Head of Household (HOH) credit, please provide either a lease agreement or a recent utility bill (water bill or Power bill). We require the Social Security Numbers for each dependent and taxpayer, and/or birth certificate. If you encounter any issues with your documents, please contact me at the following phone number: 706-850-6166

  • Would you like to request a Refund Advance Loan? *
  • Tax Payer's Date of Birth*
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  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Spouse Date of Birth
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  • Did you file a 2025 Tax Return?
  • Can someone claim you as dependent?
  • Are you and/or your spouse disabled?
  • What is your marital status at the end of the filing tax year?
  • Did you and your spouse live apart during the year?
  • If yes, did you live together at any time during the current filing year?
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  • Income

  • Please select all forms of income that apply
  • Deductions

    Please Provide All Documentation Needed
  • Deductions
  • Work=Related Expenses

    Please Provide All Documentation Needed
  • Itemized Deductions
  • Earned Income Credit

    Additional Due Diligence
  • Areas of Emphasis


    Around 60% of all mistakes in EITC are results of 3 main areas:

    1. The child might not meet the age, residency, or relationship requirement.

    2. The case might be that someone is filing as single or HOH when he/she is actually married.

    3. A mistake might arise when reporting income or expenses. Special attention has to be paid when the client is answering these questions. 

     

    The people who are eligible for EITC:

     

    1. Have earned income
    2. Have a valid Social Security Number
    3. Are filing separately and not as married
    4. Are not a nonresident alien
    5. Are not a qualifying child of another person
    6. Are not filing Form 2555 or Form 2555-EZ
    7. Have limited investment income

     

  • BUSINESS INFORMATION

    Please provide EIN, a Business Card, LLC Form, or Cash App Statements
  • Schedule C- Self Employment/ Side Business

    1099 Independent Contractor- Uber, Lyft etc.
  • Schedule C- Business Expenses

    1099 Independent Contractor- Uber, Lyft etc.
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  • Terms and Conditions

    I certify that the expenses listed above are true and were submitted by the taxpayer. I am responsible for each entry on this form and do not hold Smart Mobile Tax Services LLC or its agents responsible for any audits arising from the entries above.
  • Did you pay over half the expenses of maintaining your residence for the entire year?
  • Are you currently receiving any government assistance (e.g., SNAP, SSI, TANF, housing assistance)?
  • Did you provide more than half of the support for a child or other family member for more than six (6) months during the tax year?
  • Are you planning to purchase a new home within the next year?
  • Are there any dependents in daycare under the 13? If yes, please upload the form you received from your daycare provider.
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  • If requested by the IRS, do you have documentation (e.g., receipts, records) to substantiate your eligibility for the Child Tax Credit, Earned Income Tax Credit, and/or Head of Household filing status?
  • Are you self employed or do you own a business?
  • Did you own livestock or participate in trail ride groups?
  • Did you have health insurance in 2025?
  • Have you ever been denied the Earned Income Tax Credit (EITC)??
  • Did you or your dependent receive a Form 1098-T for tuition paid during the tax year?
  • Did you trade any Virtual Currency(RobinHood)?
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  • Tax Preparation Document Checklist

     

    Required Documentation
    To prepare your tax return accurately, you must provide all relevant documentation, including but not limited to:

    Income Statements: W-2, 1099-INT, 1099-DIV, 1099-B, 1099-R, Schedules K-1, and any other income-reporting statements.
    Health Insurance Forms: 1095-A, 1095-B, or 1095-C.
    Prior Year Tax Returns (if you are a new client).
    Completed Individual Income Tax Organizer (or answer all “Yes/No” questions under “Questions — All Taxpayers”).
    Real estate closing statements for property bought or sold.
    Mileage records for any claimed automobile expenses.
    Details of estimated tax payments made.
    Categorized income and deductions for business or rental activities.
    Categorized itemized deductions: medical, taxes, interest, charitable contributions, and miscellaneous.
    Acknowledgment letters from charitable organizations for contributions made during the tax year.

    Tax Return Preparation
    SMTS will prepare your tax return based on the information you provide.
    You are responsible for the accuracy and completeness of all information provided.
    SMTS does not audit, verify, or provide assurance regarding your documents or supporting records.
    You must review your return carefully before signing to confirm accuracy.

    Taxpayer Responsibilities
    You agree to:

    Provide complete and accurate documentation for all income, deductions, credits, and other relevant items.
    Notify SMTS immediately if additional information is received after tax preparation has begun.
    Retain all supporting documentation for items reported on your return in case of IRS or state audit.
    Understand that you are responsible for substantiating all deductions and credits claimed on your tax return.
    IRS Due-Diligence Notice:
    For taxpayers claiming the Earned Income Tax Credit (EITC), Child Tax Credit (CTC), Additional Child Tax Credit (ACTC), American Opportunity Tax Credit (AOTC), or Head of Household filing status, SMTS is required by law (IRC §6695(g)) to exercise due diligence, which includes:

    Asking for and reviewing documentation to substantiate eligibility.
    Calculating credits accurately based on provided information.
    Retaining copies of supporting documents for at least 3 years.
    By signing this agreement, you certify that all information provided is truthful and accurate and that you have the required documentation to substantiate these claims.


    Fees & Payment
    Fees are due prior to filing your tax return unless you select an authorized bank product.
    If engagement is terminated before completion, you agree to pay a fee for work performed.
    Additional fees may apply if copies of tax returns or supporting documentation are requested after filing.

    Client Acknowledgment
    By signing below, you acknowledge that you have read, understood, and agree to:

    The responsibilities of the taxpayer and SMTS outlined above.
    Your obligation to provide accurate information and documentation.
    SMTS’s limited scope of services regarding preparation only and not verification or audit protection.

     

  • Payment of Tax Refund Disbursement
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  • CLIENT CONTRACT

     NAME: ______________________

    Signature Authorization & Taxpayer Certification
    I hereby authorize Smart Mobile Tax Services LLC (SMTS) to use my personal signature on all tax documents required to prepare and submit my individual or joint federal and/or state tax return(s). This authorization includes all bank-related products associated with my tax filing. I confirm that I have been provided with all available options and information necessary to make an informed decision based on my individual or household needs. I understand and accept any applicable fees associated with my selected options and agree to the terms outlined in the Refund Advantage Bank Application Agreement, as acknowledged by my signed application.

    Taxpayer Certification
    I certify that:

    All information I have provided to SMTS is true, complete, and accurate to the best of my knowledge.
    I have submitted all required supporting documentation, and no documents have been falsified, omitted, or misrepresented in a manner that would require an amended tax return.
    I accept full responsibility and liability for any inaccurate or incomplete documentation provided and release SMTS from any resulting liability.
    The IRS due-diligence requirements applicable to my tax return (including Earned Income Tax Credit, Child Tax Credit, Additional Child Tax Credit, American Opportunity Tax Credit, and Head of Household filing status) have been fully explained to me. I understand the potential penalties for false or misleading submissions.
    I authorize my tax preparer to access all available debt hotlines to verify the presence of any potential debts, liens, disallowances, or offsets that may affect my anticipated refund. To the best of my knowledge, I am not aware of any such obligations owed to the IRS or the State.
    I have been advised to retain all tax documentation for a period of five (5) years, as IRS audits may occur randomly. I understand that it is my responsibility to notify SMTS immediately if I receive correspondence from the IRS or Department of Revenue.
    If a correction to my return is necessary and is not caused by my failure to provide proper documentation, I acknowledge that no additional fee will be charged for the correction.

    Return Copy & Fees
    I will receive one (1) copy of my completed tax return, either via email or as a physical copy, for my personal records.
    I acknowledge that additional copies requested after the initial one will incur a $35 retrieval and reissue fee, payable at the time of service.

    Authorization Duration
    This signature authorization shall remain valid for five (5) years from the date signed below.

    Date: ____ / ____ / ______

    Taxpayer Signature: ________________________________

    Joint Taxpayer Signature (if applicable): ________________________________


    SMTS Management Note
    All fees are due at the time of service

     

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  • CLIENT CONTRACT

     NAME: ______________________

     I authorize Smart Mobile Tax Service LLC to use my personal signature for all tax documents required to prepare and submit my individual or joint tax return. This authorization extends to all bank-related products, and I confirm that I have been provided with all available options and details necessary to make the best decision based on my individual or household needs. I understand and accept any applicable fee deductions based on the choices I have made, and I agree to the terms outlined in the Refund Advantage Bank Application Agreement, as acknowledged by my signed application.

    • I certify that all information I have provided is true and accurate to the best of my knowledge. I confirm that all supporting documentation has been submitted and that no documents have been falsified or intentionally omitted in a manner that would require an amended tax return.
    • I accept full responsibility and liability for any inaccurate or incomplete documentation provided and hereby release Smart Mobile Tax Service LLC from any resulting liability. I acknowledge that the IRS due diligence requirements have been fully explained to me, and I understand the potential penalties for false or misleading submissions.
    • I further authorize my tax preparer to access all available debt hotlines to verify the presence of any potential debts, liens, disallowances, or offsets that may affect my anticipated refund. I affirm that, to the best of my knowledge, I am not currently aware of any such obligations owed to the IRS or the State.
    • I have been advised to retain all tax documentation for a period of five (5) years, as IRS audits may occur randomly. Should I receive any correspondence from the IRS or Department of Revenue, I understand it is my responsibility to notify Smart Mobile Tax Service LLC immediately. If a correction is needed and it is not due to my failure to provide proper documentation, I acknowledge that no additional fee will be charged for the correction.

    I acknowledge that I will receive one (1) copy of my completed tax return, either via email or as a physical copy, for my personal records.

    This signature authorization shall remain valid for a period of five (5) years from the date signed below:

    Date: ____ / ____ / ______

    Signature: ________________________________

     

    You will be issued one (1) copy of your completed tax return, provided either as a hard copy or via email.Please retain this copy for your records.If you request any additional copies after the initial one has been provided, a $35 fee will apply to retrieve and reissue the return.                                                (ALL FEES ARE DUE AT THE TIME OF SERVICE)
    SMT SERVICES MANAGEMENT TEAM

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