Tax Preparation Information Sheet

Tax Preparation Information Sheet
Divine Professional Tax Services
TAX PREPARATION MAIN INFORMATION SHEET
TAXPAYER INFORMATION (PLEASE PRINT):
BIRTH
FIRST NAME
MI
LAST
SPOUSE INFORMATION (PLEASE PRINT):
BIRTH
DATE OF

MonthDayYear
Date
FIRST NAME
MI
LAST
CURRENT ADDRESS (PLEASE PRINT):
ADDRESS
CITY
STATE
ZIP CODE
MOBILE PHONE
MOBILE PROVIDER
Dependent Information - Do not include yourself or your spouse Please list everyone who lived in your home and anyone living outside your home that you support

NAME: (First, Middle, Last) Print Exactly As Social Security Card Reads

Full TimeTotally StudentDisabled
1. Would you like for your refund to be direct deposited in your bank account? YES OR
(If yes, you will need a voided check or a bank statement with your routing and account number) 2. How did you hear about Divine Professional Tax Services
If someone referred you to Divine Professional Tax Services please list their name below New Client Only
Referred By
Please indicate that the information above is correct best to your knowledge:
Your Signature

Clear
Spouse Signature

Clear
Should be Empty: