ZOOM TAXPAYER QUESTIONNAIRE

  • REFUND ESTIMATE / ESTIMADO DE REEMBOLSO

  • Format: (000) 000-0000.
  • DOB / Fecha de Nacimiento*
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  • Do you have a social security card or an ITIN? / Usted tiene seguro o ITIN?*
  • Filing status / Estado Civil*
  • Spouse's DOB / Fecha de Nacimiento del conyuge*
     / /
  • Does your spouse have a social security card or an ITIN? / Su conyuge tiene seguro o ITIN?*
  • If single or head of household: are you married? / Si es soltero o cabeza de Hogar, esta usted casado?*
  • If you are the head of the household, have you paid over half of the expenses for maintaining the home? / Si es Cabeza de Hogar, Pago usted mas de la mitad de la manutencion de la casa?*
  • What bills do you have under your name? Que biles tiene a su nombre?*
  • Do you have dependents? Tienes dependientes?*
  • How many? Cuantos?*
  • Does your dependent have a social security card or an ITIN? / Usted tiene seguro o ITIN?*
  • Relationship / Relacion*
  • Does your dependent have a social security card or an ITIN? / Usted tiene seguro o ITIN?*
  • Relationship / Relacion*
  • Does your dependent have a social security card or an ITIN? / Usted tiene seguro o ITIN?*
  • Relationship / Relacion*
  • Does your dependent have a social security card or an ITIN? / Usted tiene seguro o ITIN?*
  • Relationship / Relacion*
  • Does your dependent have a social security card or an ITIN? / Usted tiene seguro o ITIN?*
  • Relationship / Relacion*
  • Does your dependent have a social security card or an ITIN? / Usted tiene seguro o ITIN?*
  • Relationship / Relacion*
  • AGE TEST.- Is your child 19+ and under 24? /Su dependiente es 19+ y menor de 24?*
  • Is your dependent 19 or over and permanently and totally disabled? Su dependiente tiene 19 o mas y esta completamente discapacitado?*
  • Is your dependent 19 or over and a full-time student? Su dependiente tiene 19 o mas y estudiante a tiempo completo?*
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  • What is your source of Income? Cual es su fuente de ingreso?*
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  • Do you have health insurace? / Tiene seguro Medico?*
  • Which one? Cual?*
  • Are you a Full-Time Student? Es usted Estudiante a Tiempo Completo?*
  • What proof do you have? Que prueba tiene?*
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  • Date - Fecha*
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