Tax Intake Form
Language
  • English (US)
  • Spanish (Latin America)
  • TAX YEAR 2024

  • TAXPAYER'S INFORMATION

  • Date of Birth*
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  • Did you trade any virtual currency in 2024?*
  • Can you be claimed as a dependent on someone else's tax return?*
  • What was your marital status at the end of 2024?*
  • Did you live apart from your spouse the entire last 6 months of 2024?
  • By answering “Yes,” you are confirming that if requested by the IRS, you can provide documentation that verifies your spouse did not live with you during the last 6 months of the year, such as a lease agreement, utility bills, a letter from a clergy member, or a letter from social services.

  • SPOUSE'S INFORMATION

  • Date of Birth
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  • Did you pay for over half of the cost of keeping up with your home during 2024?*
  • By answering "Yes," you are confirming that if requested by the IRS, you can provide documentation that verifies you paid for over half of the costs of keeping up with your home. 

  • Are you on any government assistance?*
  • DEPENDENTS

  • Is dependent #1 permanently and totally disabled?
  • Is dependent #2 permanently and totally disabled?
  • Is dependent #3 permanently and totally disabled?
  • Is dependent #4 permanently and totally disabled?
  • Have you been denied or reduced credits in previous years (EIC/CTC/ATCT/ODC/AOTC/HOH)?*
  • Did you have health insurance last year?*
  • Was it through:
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  • Are you self employed or an independent contractor?
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  • Did you or any of your dependents attend college in 2024?
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  • TERMS OF ENGAGEMENT

  • We will prepare your Federal and State income tax returns using the information you provide. We may ask for clarification of some items, but we will not audit or otherwise verify the information you give to us.

    It is your responsibility to provide all the information required for the preparation of complete and accurate tax returns. You should retain all documents, cancelled checks, and other data that support your reported 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 your income tax returns, and therefore, you should review them carefully before you sign them.

    We are responsible for the timely electronic filing of your tax returns. During our engagement with you, we may provide you with an estimated refund date. We do not however have any influence over the IRS or State issuing your refunds. These taxing authorities do not guarantee a specific date that a tax refund will be issued.

    Your tax returns may be selected for audit by a taxing authority. In the event of a tax examination, we can arrange to assist you with any correspondence or communication that is initiated by the IRS or State. It is our policy to keep records related to this engagement for 5 years. However, we do not keep any of your original records, so you should retain these records in secure storage. Upon the expiration of the 5 year period, we are free to destroy our records related to this engagement.

    If we make an error on your tax return, and it is discovered after the return has been filed, we will pay any initial penalties and interest that result from that mistake. However, we are not responsible for additional taxes that may be required due to an error.

     

  • How would you like to receive your tax refund?*
  • What type of bank account is this?*
  • By signing below, I confirm all information I have provided is true and correct to the best of my knowledge. I also agree to and accept the Terms of Engagement.

  • Date
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