Tax Intake Form
  • Tax Intake Form

    2025 Tax Year
  • Format: (000) 000-0000.
  • Date of Birth*
     - -
  • What is your filing status?*
  • Do you have an IRS PIN?
  • Dependent #1 Date of Birth
     - -
  • Dependent #2 Date of Birth
     - -
  • Dependent #3 Date of Birth
     - -
  • Dependent #4 Date of Birth
     - -
  • Dependent #5 Date of Birth
     - -
  • Did you adpot any childern in 2025?
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  • Did you make any charitable contributions in 2025?
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  • Did you pay mortgage interest or real estate taxes in 2025?
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  • Did you finance a vehicle in 2025?
  • Did you pay any of the following in 2025? (Check all that apply)
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  • Bucket List Consulting LLC – Powered by ATM

    This agreement outlines the understanding between Bucket List Consulting LLC (“Preparer”) and the Client (“You”) regarding the preparation and filing of your tax return(s).

     

    1. Scope of Services

    Bucket List Consulting LLC will prepare your federal and/or state income tax return(s) based solely on the information you provide. We do not audit, verify, or investigate your documents. Our role is to prepare your return accurately using the information you submit.

     

    2. Client Responsibilities

    You agree that:

    All information and documents you provide are true, complete, and accurate.
    You will supply all requested documents needed to legally prepare your return.
    Incomplete, inaccurate, or missing information may delay filing or affect your tax outcome.
    You are responsible for reviewing your completed return before it is filed.

     

    3. Disclaimer

    By submitting your intake form, you acknowledge and agree that:

    Bucket List Consulting LLC provides tax preparation services based solely on the information you provide. You confirm that all information is accurate, complete, and truthful to the best of your knowledge. Bucket List Consulting LLC is not responsible for errors, omissions, or penalties resulting from incorrect or incomplete information. Final tax liability and refund amounts are determined by the IRS and applicable state agencies.

     

    4. Fees & Payment

    You agree to pay the applicable fees for services provided.
    If you choose pay-from-refund, you authorize fees to be deducted from your refund by the bank product provider.
    If your refund is delayed or your return is rejected, you are still responsible for paying all preparation fees.
    Fees are earned when services are completed.
     

    5. No Guarantee

    Bucket List Consulting LLC does not guarantee refunds, advances, or processing times. Final determinations are made by the IRS and/or state agencies.

     

    6. Authorization to File

    You authorize Bucket List Consulting LLC to prepare and electronically file your tax return(s) after you have reviewed and signed them.

     

    7. Privacy & Confidentiality

    Your information will be kept secure and will not be shared except as required by law or necessary to file your return.

     

    8. Acknowledgment

    By signing below, you confirm that you have read, understand, and agree to this Engagement Agreement and the Fee Agreement.

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