COMPLETE INTAKE FORM  25
  • Referral Source: Let us know who referred you, or where you found out about our business
  • Format: (000) 000-0000.
  • Taxpayers Date of Birth
     - -
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  • Filing Status
  • Primary Taxpayer - Please Check Any That Apply
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  • Spouse or Partner's Information

    If no spouse, please skip.
  • Spouse's Date of Birth
     - -
  • Spouse - Please Check Any That Apply
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  • Dependent Information

    The Earned Income Credit (EIC) increases with the first 3 Children you claim. The maximum number of dependents you can claim for Earned Income Purposes is Three. You MUST also meet other requirements related to your Adjusted Gross Income (AGI) to qualify for EIC. If you are MARRIED and FILING SEPARATE you CAN'T claim the credit.
  • Do your dependents have an IP PIN?
  • Business Information

    Please complete if you are self employed.
  • Are you self employed or a business owner?
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  • Did you have a vehicle you used for your business?
  • Do you have a separate personal vehicle?
  • Do you have marketplace insurance? If so please upload your 1095C form
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  • Did you get a refund last year? If so, upload transcript or copy of tax return at the bottom of this form? (new clients ONLY)
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  • Should be Empty: