MsMaxTaxSolutions.com Powered by JWELLS & Company Intake Form
Name
First Name
Middle Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County
Birthdate:
-
Month
-
Day
Year
Date
Occupation Title:
Spouse Full Name:
First Name
Middle Name
Last Name
Spouse Email:
example@example.com
Spouse Phone Number:
Please enter a valid phone number.
Spouse Occupation
Dependent 1 Name, Dependent 1 Social Security #, Dependent 1 Date of Birth, Dependent 1 Relationship:
Dependent 2 Name, Dependent 2 Social Security #, Dependent 2 Date of Birth, Dependent 2 Relationship:
Dependent 3 Name, Dependent 3 Social Security #, Dependent 3 Date of Birth, Dependent 3 Relationship:
Dependent 4 Name, Dependent 4 Social Security #, Dependent 4 Date of Birth, Dependent 4 Relationship:
If any of your dependents are disabled list them here:
Are you disabled?
Yes
No
Select your filing status:
Single
Head of household
Married Filing Seperate
Married Filing Jointy
Widowed
Were you audited by the IRS last year?
Yes
No
Did you receive marketplace health insurance
Yes
No
Do you have an IP PIN?
Yes
No
Do you have any credits that were disallowed or reduced?
Yes
No
if you have any credits that were disallowed or reduced, please enter them here:
List - 2024 Identity Protection Pin & who it was issued to:
What document will you provide for proof of residency for child dependents?
School Report Card
Doctor Letter
Government assistance Letter Ex. Food Stamps, Section 8 Public Housing
Other
Please upload proof of residency for each dependent:
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If you are filing head of Household, what documents will you provide for proof of head of household?
Utility Bill
Rental Lease
Rent Receipts
Mortgage Interest Payments
Other
Please upload your driver's license/ID for you & your spouse (of applicable)
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Social Security Cards for Each Individual on Return
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Please answer only if it applies to you..
if your address is different than the one that's on your government ID or driver's license, please indicate the reason why.
if applicable, please indicate why you are claiming a dependent that is not related to you. What are the circumstances that you have supported this dependent for at least 6 months of 2024. Please outline the support you have provided of this dependent.
Are all of the dependents being claimed related to the taxpayer by birth or bloodline? If not, please identify which child is not related to you?
Type a question
Please answer id applicable, if your last name is different than your dependent's last names, that's you are filing, what is the reason why? Please indicate the reason why there is a difference in the last names between you and your dependents.
Please answer, only if applicable: If your income is at or below $13,000.00 & you have 2 or more children, how are you able to maintain the household. For example, did you receive government assistance, as such as: section 8, public housing, SNAP benefits, or other.
If you are the father of the child and claiming the child. Please indicate the reason why the child is living with you and not the mother. Please outline the support you have provided to the child.
Federal Financial Documents
Financial Tax Documents (W2,1099. Unemployment, etc.)
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If your received a 1099G form for unemployment, please upload it here.
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If you received a 10098T form for school, please upload it here.
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Do you need assistance with organizing your/side hustle business income & expenses?
Yes
No
Did you have a business in 2024? Includes 1099's, or side businesses. Ex. hair braiding, hair stylist, baby sitting, uber, Lyft, door dash, & etc. If so, what is the name & nature of your business or side business. If you don't have a name, you can bypass the name.
Did you purchase a vehicle recently?
Yes
No
If yes, please list the year make and model of the vehicle..
Other Documents
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Do you want to apply for the Cash Advance up to $7K? No Credit Check. You will be notified if you are approved within 24 hours.
Yes
No
How so you want to receive your refund?
Printed Check
Direct Deposit
Go2BAnk Prepaid Debit Card
If you select direct deposit. please enter your information below.
Bank Name
Account Number
Confirm Account Number
Routing Number
Confirm Routing Number
Tax Payer Signature (Must be legible)
Spouse Signature
Notes (anything you think we need to know)
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