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  • TGJ Tax Preparation Client Intake Form

  • As a valued client of TGJ Tax Services, we kindly request specific information to begin the preparation of your income tax return. Please ensure that you have all necessary documents organized prior to submitting your information.

    Please note: A separate form is required for each individual whose taxes we will prepare for the respective tax year. The taxpayer must submit their own information, as certain sections necessitate their digital signature.

    • Taxpayer Information 
    • Filing Status
    • Date of Birth
       - -
      2 digit month, 2 digit day, 4 digit year
    • Format: (000) 000-0000.
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    • Were you issued an Identity Protection PIN (IP PIN) by the IRS?
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    • Were you employed at any time last year and received or expect to receive a W-2 statement?
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    • Are you a full-time student?
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    • Are you totally and permanently disabled?
    • Are you legally blind?
    • Do you have any dependents that you will claim on your current tax return?
    • Did you receive health insurance through Marketplace in the current filing year?
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    • Did you purchase Employer-Provided Health Insurance Coverage?
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    • Did you pay any out-of-pocket medical or dental expenses in the current tax year?
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    • Did you receive unemployment benefits?
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    • Do you have any gambling winnings in the current tax year?
    • Did you sell, acquire, send, receive or exchange any virtual currency?
    • Did you receive social security benefits in the current tax year?
    • Did you receive any payments for goods or services for transactions of $600 or more through any third-party merchants?
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    • Did you receive social security benefits in the current filing year?
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    • Payment and Bank Information 
    • If you receive a tax refund, how do you want to be paid?
    • Would you like to see if you pre-qualify for same day advances?
    • Would you like your tax refund direct deposited into your bank account?
    • Please provide your bank account information if you choose to be paid by direct deposit.

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    • Spouse Information 
    • Please note that you haev the right to skip this section if it does not pertain to information that is needed for your tax preparation process. 

    • Date of Birth
       - -
      2 digit month, 2 digit day, 4 digit year
    • Format: (000) 000-0000.
    • Are they a full-time student?
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    • Are they totally and permanently disabled?
    • Are they legally blind?
    • Are they your dependent?
    • Did your spouse receive health insurance through the Marketplace in the current filing year?
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    • Dependents 
    • Enter your dependents here
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    • Does you, your spouse, and your dependents have health insurance within 12 months last year? If yes, who covers for it?
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    • Does your dependent(s) have tuition expenses from a continuous education institution?
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    • Tax Related Questions 
    • Employment Status
    • Are you contributing to 401k or other pre-tax account?
    • Did you withdraw from your 401K plan in the current filing year?
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    • Is this your first time opening a pre-tax account?
    • Please select what state return are you requesting?
    • Do you have any expenses for child care?
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    • Do you have energy star rated improvements to your home?
    • Are you currently renting?
    • What is the monthly rental amount?
    • Do you have your own home?
    • Do you have documents that shows you paid for property taxes?
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    • Did you sell any stock?
    • Did you receive any earnings from interest or dividends in the current tax year?
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    • Did you pay your vehicle tax?
    • Do you have mortgage interest?
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    • Do you have real estate tax?
    • Did you receive a federal tax last year?
    • Are you a victim of identity theft?
    • Business Expenses 
    • Are you a small business owner or an independent contractor?
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    • Expenses 
    • Please fill-up the information within the current year only.

    • Did you make any charitable contributions? (Goodwill, Salvation Army, Church, etc.)?
    • General Expenses
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    • Client Engagement Agreement  
    • CLIENT ENGAGEMENT AGREEMENT
      For Tax Preparation Services

      Dear Taxpayer,

      Thank you for choosing TGJ Tax Services to assist with preparing your income tax returns. To ensure a clear understanding of our professional relationship and services, please carefully review the terms outlined below.

      This Client Engagement Agreement is entered into as of the date signed below by and between TGJ Tax Services (“Service Provider”) and the undersigned individual or business entity (“Client”). This Agreement sets forth the terms and conditions under which TGJ Tax Services will provide tax preparation services.

      Scope of Services

      We will prepare your income tax returns based exclusively on the information you provide. Upon completion, your original tax documents will be returned to you. While we may retain scanned copies of your records for our files, it is your responsibility to keep all relevant documentation that supports the income, deductions, and credits claimed on your tax returns. TGJ Tax Services will provide professional tax preparation services, including:

          •    Preparation and filing of Federal, State, and Local tax returns (1040 and applicable schedules).
          •    Review of Client-provided financial and tax-related information for accuracy and completeness.
          •    Year-round tax planning and advice upon request (separate fees may apply).
          •    IRS and state correspondence assistance related to returns prepared by TGJ Tax Services.

      Additional services, such as amended returns, audits, or financial consulting, will require separate agreements and may incur additional fees. It is critical to retain these documents to validate the accuracy of your tax returns, particularly if they are selected for examination by taxing authorities. We recommend retaining all records and copies of your tax returns for at least five years after filing or the due date, whichever is later.

      Client Responsibilities

      The Client agrees to:
          •    Provide all necessary documentation and information required for accurate tax preparation, including but not limited to W-2s, 1099s, receipts, prior-year returns, and other relevant forms.
          •    Ensure all information provided is accurate, complete, and submitted in a timely manner.
          •    Notify TGJ Tax Services of any changes in financial or tax-related circumstances that may affect the return.
          •    Understand and accept responsibility for the accuracy of the information submitted to TGJ Tax Services.

      Failure to provide required documents or information may result in delays or additional charges.

      Limitations of Services

      Our work in preparing your income tax returns does not include:
          •    Detecting or addressing errors, irregularities, or illegal acts such as fraud.
          •    Audit or examination representation (unless separately agreed upon).
          •    Compliance services related to payroll taxes, sales taxes, excise taxes, property taxes, or licensing.

      We will use our professional judgment to resolve any unclear tax laws or conflicting positions. When possible, we will adopt tax positions in your favor, provided they are reasonable and supportable. However, we cannot guarantee that these positions will not be challenged by taxing authorities or predict the outcome of such challenges.

      Fee Structure and Payment Policy

      Our fees are determined based on a “per form” basis, along with time spent by our staff and costs incurred during tax preparation.

      • Service fees are based on the complexity of the tax return and will be communicated before services commence.
      • Payment is due upon completion of the return and prior to e-filing.
      • Bank product options, including refund transfers or advances (offered through partners like TPG and Refund Advantage), may incur additional fees, which will be disclosed in advance.

      Payment Terms:
      • Fees are due upon completion of your tax returns.
      • Tax returns and related documents will not be released until payment is made in full.
      • If legal action is required to collect unpaid fees, you may be held responsible for any legal costs incurred.

      Estimates:
      We strive to provide fee estimates before completing your returns. However, unforeseen circumstances may affect the final cost. If adjustments are required, we will inform you promptly.

      If payment is not received as agreed, TGJ Tax Services reserves the right to withhold filing the return until the balance is paid in full.

      Tax Return Completion and Filing

      Once your returns are completed and fees are paid, we will provide you with:
          •    A copy of your tax returns.
          •    E-file signature authorizations (if applicable).

      You are responsible for reviewing the completed returns for accuracy. If corrections are needed, notify us immediately, and we will make the necessary adjustments.

      Important Notes:
          •    Taxing authorities require signed authorization before we can e-file your returns.
          •    For paper filings, we will provide you with signed copies to submit directly.

      Termination and Additional Services

      Should you terminate this engagement before we complete your tax returns, you may be invoiced for:


          •    Time incurred at our hourly rate.
          •    Out-of-pocket expenses.

      Audit or examination representation is not included in our standard tax preparation fee and requires a separate agreement. If desired, you may opt into our Audit Maintenance Protection, which covers basic representation services in the event of an audit.

      Confidentiality and Privacy

      TGJ Tax Services is committed to maintaining the confidentiality of all Client information.

          •    All data provided will be handled in accordance with applicable federal and state privacy laws.
          •    Information will only be disclosed with the Client’s written consent or as required by law.

      Limitation of Liabiity 

      Your privacy is a top priority at TGJ Tax Services. We will safeguard your personal information and never sell or disclose it to third parties. While TGJ Tax Services will make every effort to provide accurate and compliant tax preparation services:
          •    The Client assumes full responsibility for the accuracy and completeness of the information provided.
          •    TGJ Tax Services is not liable for penalties, interest, or other damages resulting from inaccurate, incomplete, or untimely information submitted by the Client.

      Refund Policy

      Once tax preparation services are completed and the return is filed, all fees are non-refundable. 

      Termination of Agreement

      Either party may terminate this Agreement at any time with written notice. If terminated, the Client is responsible for payment for all services rendered up to the termination date.

      Governing Law

      This Agreement shall be governed by and construed in accordance with the laws of the State of [Insert State], without regard to its conflict of laws principles.

      Acknowledgement and Acceptance

      By signing below, the Client acknowledges that they have read, understood, and agree to the terms and conditions outlined in this Agreement. The Client acknowledges that TGJ Tax Services relies on the accuracy and completeness of the information provided by the Client to prepare their tax return.

      Client Name: ____________________________
      Client Signature: ________________________
      Date: _________________________________

      TGJ Tax Services Representative Name: ____________________________
      Signature: ____________________________
      Date: _________________________________

       

    • Date*
       - -
      2 digit month, 2 digit day, 4 digit year
    • Acknowledgment & Signature 
    • Acknowledgment and Agreement

      I acknowledge that all information provided to TGJ Tax Services is true and accurate to the best of my knowledge. I understand that I am responsible for maintaining supporting documentation to validate the information provided. Furthermore, I understand that knowingly providing false information on my tax return and submitting it to the IRS constitutes a potentially criminal offense punishable by law. This may include court proceedings, restitution, and possible imprisonment.

      I waive TGJ Tax Services and its preparers of any liability for errors caused by incorrect information I have provided. I authorize TGJ Tax Services by signing below to file my tax return.

      Additionally, I understand that if I and/or my spouse owe a federal or government debt (e.g., IRS, child support, student loans), we remain responsible for paying the tax preparation fees to TGJ Tax Services at the time of service. If the federal refund is issued via mail or otherwise withheld, I/we are still obligated to pay the tax preparation fees as indicated on the invoice.

      If tax preparation fees are not paid, I acknowledge that TGJ Tax Services reserves the right to pursue legal action to collect any unpaid fees.

    • Date Signed*
       - -
      2 digit month, 2 digit day, 4 digit year
    • Date Signed*
       - -
      2 digit month, 2 digit day, 4 digit year
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    • Should be Empty: