Estimate Intake Form
Thank you for coming to Above and Distinguished Services & FS LLC for your estimate today!! The information being requested on this form is just for your tax preparer to complete an estimate for you. Not all information that is needed to complete your tax return is requested on this document at this time but will be needed later if quote is accepted(If quote accepted, you will have to complete our Intake Form and resubmit some information). Please allow us up to 48 hours to respond back to you with your Quote. Hope to have you join our family and be of service to you!!!
Client(s) Information
Tax Filing Year
*
Please Select
2024
2023
2022
2021
2020
2019
Filing Status
*
Please Select
Single
Head of Household
Married Filing Jointly
Married Filing Separately
Qualifying Surviving Spouse
Taxpayer Name
*
First Name
Last Name
Spouse Name
First Name
Last Name
Taxpayer Last 4 of Social Security Number
*
Spouse Last 4 of Social Security Number
Taxpayer Date of Birth
*
/
Month
/
Day
Year
Date
Spouse Date of Birth
/
Month
/
Day
Year
Date
Email(please provide this information for your estimate to be sent to you)
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Dependents
Dependent First Name
Dependent Last Name
Dependent Date of Birth
DISABLED
Dependent 1
Dependent 2
Dependent 3
Dependent 4
Dependent 5
Did anyone on this estimate attend college? If so, please list who:
Attendee Name
1
2
3
4
Is anyone on this estimate self employed?
WHO?
WHAT TYPE OF BUSINESS?
INCOME TOTAL
EXPENSES TOTAL
1
2
3
4
Please upload all your Tax Filing Documents for filing year(ex. W2, 1099, etc.)
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By Typing Your Name and Dating this document in the next section, you agree that everything entered on this form and this estimate intake form is true and correct to the best of your knowledge.
Taxpayer Name
*
First Name
Last Name
Spouse Name
First Name
Last Name
Today's Date
*
/
Month
/
Day
Year
Date
Submit
Should be Empty: