Employee’s Withholding Certificate

Employee’s Withholding Certificate

SUBMIT YOUR DOCUMENTS

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Who is your tax preparer?
Step 1: Personal Information
Full Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Contact Number is
Email
example@example.com
Date of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Social Security Number
Pin Number
ID Type

Other
Issuing State
License Number/State
Issue Date
Expiration Date
Job Occupation
Do you have Marketplace Health Insurance?
If yes, upload Form 1095-A

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Filing Status
What status are you filing?
Spouse Full Name
Spouse SSN
Spouse DOB

MonthDayYear
Date
Spouse Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Spouse Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Spouse Email
example@example.com
Spouse ID Type
Spouse License Number
Issuing State
Issuing Date

MonthDayYear
Date
Are you or your spouse permanently disabled?
Spouse Job Occupation

Income
Check all that apply
Check all that apply

Self-employed

(If you checked self-employed, please answer the following)
Business Name
Job Description
Months on the Job
Self-employment income
EIN Number
Click on here if you do not have EIN number

Household income

Only fill out this section if you were paid cash and worked inside the home 
Job Description
Customer's Name
Customer's Phone
Please enter a valid phone number.Format: (000) 000-0000.
Customer's Email
example@example.com
Customer's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Income from this source
This cannot exceed $2,400.

Education
College Name
College Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Total amount you spent on school supplies
Did you attend college more than 50% of the year in 2024?
Do you have a 1098-T form?
If yes, upload 1098-T form

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Dependents
Dependents

Loan Advance
Are you applying for a loan advance?
How would you like your refund?
Name of Bank
Routing Number
Bank Account Number

Documentation Upload

Upload all supporting documents here.
File Upload

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Add Previous Year Returns and Amendments
File Upload

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Submit

Please fill out completely and wait for confirmation message that your form was submitted. Please give us a call should you have any issues. Thank you!
Regarding Qualifying Children for Earned Income Credit

According to the information you provided in regards to the dependent(s), the dependent(s) is/are your biological child, grandchild, niece, or nephew, etc.

I discussed with you a qualifying child cannot be used by more than one person per tax period. One person is one of the parent(s) if married filing jointly.

If filing Head of Household, you attest that you can provide a lease or utility bill in your name at your current address.

Please note: You are stating that you provide over 50% of care and support for the dependent(s), you are the sole provider for the dependent(s), the dependent(s) lives with you for more than half the year, and no one else is eligible to claim the dependent(s).

By signing below, you are stating that the dependent(s) information on your tax return is true, correct, and has been documented by your preparer. You are stating that you are not providing your preparer with any false/fraudulent information.

ANY AND ALL INFORMATION HAS BEEN FILLED OUT BY ME TO THE BEST OF MY KNOWLEDGE. THE DATA FILLED OUT BY ME, (THE TAXPAYER) ,IS ACCURATE AND TRUTHFUL. I give, Plus More And Some Tax Services, LLC., authority to use the information provided by myself, the taxpayer, for filing purposes.

By signing below, I give, C&H Tax Solutions, LLC., authority to use the information provided by myself, the taxpayer, for filing purposes.
Sign with your finger, mouse, or stylus.
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