2024 Supplemental Questionnaire
You are being supplied with this questionnaire because you have claimed one of these credits in the past or you have indicated that you will be claiming one of them this year. The questionnaire is designed to assist us in qualifying you for some valuable refundable tax credits. While the questions may seem to be a little intrusive at times, they are questions that we are required to ask under the Due Diligence Requirements of the new Tax Laws.
Name
*
First Name
Last Name
Email
*
example@example.com
Filing Status
Please Select
Single
Head of Household
Married Filing Jointly
Married Filing Separately
Were you MARRIED or considered MARRIED on December 31, 2024?
*
Yes
No
If you were married on December 31, 2024, did you live apart from your spouse for EVERY night within the last six months of 2024?
Yes
No
Have you ever been disallowed the EITC/AOTC/CTC? If so, when?
Will the other parent of the child/children be claiming the child on their tax return?
Yes
No
Did you provide over 50% of the upkeep and maintenance of your home for yourself and your dependent(s) in 2024?
Yes
No
Did anyone, that provides financial support, live with you in your home in 2024?
Do you have full custody of your dependent(s)? And can provide documented proof to the IRS if requested.
Yes
No
How many months did the dependent(s) live in your home during the year of 2024?
Can anyone else claim your dependent(s) as a dependent on their tax return?
Yes
No
Back
Next
Not Your Biological Child Section:
Please ONLY answer these questions in this section if the child/children on your return is NOT your biological child.
If this is not your biological child, what is your relationship to the dependent?
Please Select
Sister
Brother
Niece
Nephew
Aunt
Uncle
Did the dependent live in your home for more than 6 months?
Yes
No
Who are the biological parents?
Where do the biological parents live?
Are you listed as the guardian for this dependent(s) on school records, medical records, daycare records, or place of worship records?
Yes
No
Back
Next
College Students ONLY
Please complete this section ONLY if you or your dependent is in college.
Which college did the student attend?
Did student attend at least half time?
Yes
No
Did this student receive a tuition statement from the school? Form 1098-T?
Yes
No
How many tax years have you claimed the American Opportunity Tax Credit?
Please Select
0
1
2
3
4
Does the student have any drug related felonies?
Yes
No
Back
Next
Taxpayer Certification
CAN YOU, THE TAXPAYER, PROVIDE SCHOOL/MEDICAL/DAYCARE/PLACE OF WORSHIP/BIRTH CERTIFICATES UPON REQUEST FROM THE IRS?
*
Yes
No
I, the taxpayer has provided all answers to the above questions to be true and correct to the best of the taxpayer’s knowledge. Taxpayer has been informed that claiming a dependent for EITC/CTC/AOTC/HOH or other can result in an audit, fines and penalties if information provided to preparer is incorrect.
*
Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: