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  • Client Tax Questionnaire

    Thank you for taking time to complete the Client Tax Questionnaire. This questionnaire may take you up to 20 minutes to complete. Please be sure to organize all of your tax documents prior to completing the form.
  • IMPORTANT: AFTER THE COMPLETION OF ALL APPLICABLE PARTS OF THIS FORM, IT MUST BE CLICKED THE "SUBMIT" BUTTON AT THE BOTTOM OF THE FORM TO SEND THIS INFO TO THE OFFICE. IT SHOULD BE NOTED THAT AFTER CLICKING THE SUBMIT BUTTON, THE CONFIRMATION EMAIL WILL BE SENT. 

     

    Please also note that to comply with federal and state identity theft protection efforts our firm will ask for a valid state issued photo ID during your engagement.

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  • Spouse Information

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  • Dependent Information

  • Dependent 1

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  • Dependent 2

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  • Dependent 3

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  • Four or more dependents

  • Child Care Expense Information

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  • Mortgage and Other Information

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  • Engagement Letter

  • Thank you for choosing Tortolano & Company LLC. This letter is to confirm and specify the terms of our engagement with you and to clarify the nature and extent of the services we will provide. We will prepare your 2024 federal, state, and local income tax (if applicable) returns from information which you will furnish to us. We will not audit or otherwise verify the data you submit, although it may be necessary for you to clarify some of this information upon request. We will make available questionnaires and worksheets to guide you in gathering the necessary information.

    It is your responsibility to provide all the information required for the preparation of complete and accurate returns. You should retain all the documents, cancelled checks and other data that form the basis of income and deductions. These may be necessary to prove the accuracy and completeness of the returns to a taxing authority. You have the final responsibility for these tax returns and, therefore, you should review them carefully and get any questions answered by your preparer before you sign them.

    Our work in connection with the preparation of your income tax returns does not include any procedures designed to discover defalcations and/or irregularities, should any exist. All tax positions must satisfy the professional standards set out by the various taxing authorities and professional groups that determine best practices for tax preparation and consultation. Our office accepts responsibility only for tax positions taken on the current year return, and is not responsible for past positions / returns or any associated penalties, interest or fees associated with tax returns prepared in prior years by Tortolano & Company LLC or any other tax preparer. We will render such bookkeeping assistance as determined to be necessary for preparation of the income tax returns. Such bookkeeping assistance will be billed at an hourly rate determined by our office. Our work will be limited strictly to tax accounting services, unless otherwise described in this letter. You are not relying on us for legal, business, investment or valuation decisions.

    The law provides various penalties that may be imposed when taxpayers understate their tax liability. If you would like information on the amount or the circumstances of these penalties, please contact us. Your returns may be selected for review by the taxing authorities. Any proposed adjustments by the examining agent are subject to certain rights of appeal. In the event of such government tax examination, we will be available upon request to represent you and will require a separate engagement letter for representation to be signed at that time.

    Our fee for services will be based upon the number of forms and related data entry required to file your return(s). Please note that a price estimate is just that: an estimate of the cost of your return. The final cost of your return may differ from the estimate, and can be affected by many factors, including (but not limited to) changes in the information provided, additional forms that may be required to file the return, and bookkeeping / support services. Should our office incur any additional expenses in the course of this engagement, such as for travel, document delivery, or for professional services outside of our firm, you will be required to provide reimbursement for those expenditures.

    In some instances, additional charges may be assessed at an hourly rate for services that go beyond the completion of your tax returns, as determined by our office. These services may include communication over and above what would normally be required for the preparation of a return, such as repeated in-depth client consultations, or responding to taxing authorities on your behalf. We also reserve the right to assess additional charges for late, untimely, or incomplete submission of documents, revising erroneous information previously submitted by the client, as well as the re-printing of returns the client has previously approved. We reserve the right to assess additional charges in instances where a return is asked to be finished before it would ordinarily be completed, as determined by our office (i.e. a “rush surcharge”). All invoices are due and payable upon presentation. Our office will assess service charges for invoices that are not paid within 30 days of being issued, at a rate of 2% per month/24% annually. Payment is accepted by cash, personal/business check or money order.

    Please be aware that in order to complete your returns in a timely fashion, our firm will communicate with you primarily through email and telephone.

    It is your responsibility to regularly check your voicemail and email accounts for any correspondence we send. If you are unable to use either telephone or email to correspond with us, it is your responsibility to let us know at the time this engagement letter is signed. You are also responsible for notifying our office of any changes to your contact information, including (but not limited to): your home, business, or mailing address; contact numbers for your home, business, or cellular telephone, and email addresses. Our office shall not be held liable for any errors, mistakes, or damages resulting from your failure to notify us of changes to your contact information. Our office reserves the right to bill for additional work incurred as a result of any of the failures outlined in this paragraph.
    Due to the uncertainties inherent in tax preparation, our office cannot guarantee a completion date for any work performed on behalf of the client. It is your responsibility to remain aware of any and all tax deadlines, due dates, or filing schedules. Our office reserves the right to place you on extension if we feel it is prudent, but will not do so automatically unless we have received your written request for the specific tax year to be extended. Our office maintains regular deadlines for the submission of our documents, and posts these deadlines on our website. You must meet these deadlines in order to ensure the timely filing of your returns, and to avoid additional “rush” charges that office may assess.

    When sending correspondence electronically that contains sensitive or personal information our office will endeavor to send it via encrypted communications software. We specifically disclaim and waive any liability or responsibility whatsoever for interception or unintentional disclosure of emails transmitted to or from us in connection with the performance of this engagement. In that regard, you agree that we shall have no liability for any loss or damage to any person or entity resulting from the use of email transmissions, including any consequential, incidental, direct, indirect, or special damages, such as loss of revenues or anticipated profits, or disclosure or communication of confidential or proprietary information.

    Our office reserves the right to terminate this engagement at any time, for any reason. Should such action be necessary, we reserve the right to bill for work that has already been performed on your behalf. If any part of this agreement is held to be void or invalid, the remaining provisions shall remain in full force and effect.

    Notwithstanding anything contained herein, you agree that regardless of where you are domiciled and regardless of where this Agreement is physically signed, this Agreement shall have been deemed to have been entered into at our office located in Seabrook, NH, shall be the exclusive jurisdiction for resolving disputes related to this Agreement. This Agreement shall be interpreted and governed in accordance with the Laws of the State of New Hampshire.

    This Agreement contains the final and complete agreement and understanding of the parties with respect to the subject matter of it, and supersedes all prior contemporaneous agreements among them, oral or written. If the foregoing fairly sets forth your understanding, please sign the enclosed copy of this letter in the space indicated and return it to our office. Our maximum liability with respect to you arising from services rendered under this engagement is limited to the fees paid for these services. You agree that any action against Tortolano & Company LLC in relation to services rendered shall be commenced within one year of the date of this engagement letter. Any action not brought within that one-year time period shall be barred, without regard to any other limitations period set forth by law or statute. Additionally, you agree that any actions shall be commenced within the framework of binding arbitration.

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  • Consent to Use of Tax Return Information

  • Federal law requires this consent form be provided to you. Unless authorized by law, we cannot use, without your consent, your tax return information for purposes other than the preparation and filing of your tax return. However, federal law also prohibits us from revealing any personal or financial information to any third party. Therefore, as a matter of fact, we will never reveal your financial or personal information in any way, to anyone, unless you specifically request, we do so, and provide in writing to us the specific person or persons to whom you wish that disclose to be made, which is done on a wholly separate consent form from this. For the purposes of this consent form please note we are seeking consent only to satisfy requirements set forth by federal law so we may speak with you on the phone, send you email correspondences of any kind, send you mailings, newsletters, email reminders, holiday and occasional cards and greetings, and reminders of upcoming deadlines, etc. You are not required to complete this form. If we obtain your signature on this form by conditioning our service on your consent, your consent will not be valid. Your consent is valid for the amount of time that you specify. If you do not specify the duration of your consent, your consent is valid for a period of three years from the date you have signed the consent. The undersigned hereby consents to the use; by Tortolano & Company LLC its owner, employees, and staff; of any and all tax return information pertaining to: Direct questions, inquiries or requests you make regarding your tax returns, situation, or issues. Requests you make for copies of your documents, figures, numbers, or information. Upon your direct request in order to connect you with another professional in another field or profession so you may gain further information on a certain topic not available or in the realm of expertise of this firm. Notification of important tax law changes. Notification of changes or information that will impact our engagement, such as a change of firm website address, email address, physical location, or other such contact, biographical or geographical information. Other reasonable business purposes including but not limited to: appointment reminders, holiday mailings, birthday greetings and other informational mailings. The tax information may not be disclosed or used by Tortolano & Company LLC its owner, employees, or staff, for any purpose other than that which is permitted by this consent document. If you believe your tax return information has been disclosed or used improperly in a manner unauthorized by law or without your permission, you may contact Tortolano & Company LLC by telephone at (603) 501-7100 or by email, info@tortolanoandco.com.

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