You can always press Enter⏎ to continue
2024 Client Questionnaire

2024 Client Questionnaire

Please submit your 2024 Tax Information to get your Free Tax Quote
Language
  • English (US)
  • Spanish (Latin America)
  • 1

    IMPORTANT:  UPON COMPLETION OF ALL APPLICABLE PARTS OF THIS FORM YOU MUST CLICK THE "SUBMIT" BUTTON AT THE BOTTOM OF THE FORM TO SEND THIS INFO TO OUR OFFICE.  CLOSING YOUR BROWSER BEFORE CLICKING THE "SUBMIT" BUTTON WILL DELETE ALL INFO WITHOUT SENDING IT TO US.  IT SHOULD BE NOTED THAT UPON CLICKING THE SUBMIT BUTTON YOU WILL GET A CONFIRMATION EMAIL THAT WE RECEIVED YOUR INFO.

    Please also note that to comply with federal and state identity theft protection efforts our firm will ask for a valid unexpired state issued photo identification card during your engagement.

    ***The page is highly secure. We use industry-leading technology Secured Socket Layer (SSL) to keep your information safe. All sensitive information is securely transmitted and can not be compromised***

    This questionnaire may take you up to 20 minutes to complete. Please be sure to organize all of your tax documents prior to completing the form.

    Press
    Enter
  • 2
    Please Select
    • Please Select
    • YES
    • NO
    Press
    Enter
  • 3
    Please Select
    • Please Select
    • YES
    • NO
    Press
    Enter
  • 4
    Please Select
    • Please Select
    • Yes
    • No
    Press
    Enter
  • 5
    Please Select
    • Please Select
    • Yes, I have previous years that need to be filed
    • No, my tax filings are up to date
    Press
    Enter
  • 6
    Press
    Enter
  • 7
    Press
    Enter
  • 8
    -
    Pick a Date
    Press
    Enter
  • 9
    Drag and drop files here
    Select files to upload
    Cancelof
    Press
    Enter
  • 10
    Press
    Enter
  • 11
    Existing Client DO NOT need to upload
    Drag and drop files here
    Select files to upload
    Cancelof
    Press
    Enter
  • 12
    Press
    Enter
  • 13
    Press
    Enter
  • 14
    Press
    Enter
  • 15
    Please Select
    • Please Select
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • United States
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
    Press
    Enter
  • 16
    Press
    Enter
  • 17
    Press
    Enter
  • 18
    ie Cigarettes, Vape or Marijuana - This is a NO JUDGEMENT ZONE :)
    Press
    Enter
  • 19
    Press
    Enter
  • 20
    If Yes, Please provide this number to your tax professional
    Press
    Enter
  • 21
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 22
    Press
    Enter
  • 23
    Press
    Enter
  • 24
    Press
    Enter
  • 25
    Press
    Enter
  • 26
    Press
    Enter
  • 27
    If Yes, we will send you a separate link with access to your client portal.
    Press
    Enter
  • 28
    Press
    Enter
  • 29
    Press
    Enter
  • 30
    Press
    Enter
  • 31
    Press
    Enter
  • 32
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 33
    Press
    Enter
  • 34
    Press
    Enter
  • 35
    Press
    Enter
  • 36
    -
    Pick a Date
    Press
    Enter
  • 37
    Press
    Enter
  • 38
    Press
    Enter
  • 39
    ie Cigarettes, Vape or Marijuana
    Press
    Enter
  • 40
    (ex: drivers license or state ID)
    Drag and drop files here
    Select files to upload
    Cancelof
    Press
    Enter
  • 41
    Press
    Enter
  • 42
    Existing Clients DO NOT need to upload
    Drag and drop files here
    Select files to upload
    Cancelof
    Press
    Enter
  • 43
    Press
    Enter
  • 44
    Press
    Enter
  • 45
    Press
    Enter
  • 46
    Press
    Enter
  • 47
    Press
    Enter
  • 48
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 49
    Press
    Enter
  • 50
    Press
    Enter
  • 51
    Press
    Enter
  • 52
    Press
    Enter
  • 53
    Press
    Enter
  • 54
    -
    Pick a Date
    Press
    Enter
  • 55
    Press
    Enter
  • 56
    Please Select
    • Please Select
    • Son
    • Daughter
    • Niece
    • Nephew
    • Parent
    • Grandparent
    • Grandchild
    • Foster Child (placed by agency)
    • Aunt
    • Uncle
    • Sister
    • Brother
    • Stepchild
    • Stepbrother
    • Stepsister
    • Half brother
    • Half sister
    Press
    Enter
  • 57
    Press
    Enter
  • 58
    Press
    Enter
  • 59
    Press
    Enter
  • 60
    Press
    Enter
  • 61
    Press
    Enter
  • 62
    Press
    Enter
  • 63
    Ex: Financial Support ie child support or cash support etc
    Press
    Enter
  • 64
    Press
    Enter
  • 65
    Please Select
    • Please Select
    • 12
    • 11
    • 10
    • 9
    • 8
    • 7
    • 6
    • 5
    • 4
    • 3
    • 2
    • 1
    Press
    Enter
  • 66
    Press
    Enter
  • 67
    Press
    Enter
  • 68
    Gifts, Loans, Family Assistance etc. If none, type "NONE"
    Press
    Enter
  • 69
    Press
    Enter
  • 70
    Existing Clients DO NOT need to upload, unless this is a new dependent
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 71
    Existing Clients DO NOT need to upload, unless this is a new dependent
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 72
    Press
    Enter
  • 73
    Press
    Enter
  • 74
    Press
    Enter
  • 75
    -
    Pick a Date
    Press
    Enter
  • 76
    Press
    Enter
  • 77
    Please Select
    • Please Select
    • Son
    • Daughter
    • Niece
    • Nephew
    • Parent
    • Grandparent
    • Grandchild
    • Foster Child (placed by agency)
    • Aunt
    • Uncle
    • Sister
    • Brother
    • Stepchild
    • Stepbrother
    • Stepsister
    • Half brother
    • Half sister
    Press
    Enter
  • 78
    Press
    Enter
  • 79
    Press
    Enter
  • 80
    Press
    Enter
  • 81
    Press
    Enter
  • 82
    Press
    Enter
  • 83
    Ex: Financial Support ie child support or cash support etc
    Press
    Enter
  • 84
    Press
    Enter
  • 85
    12
    • Please Select
    • 12
    • 11
    • 10
    • 09
    • 08
    • 07
    • 06
    • 05
    • 04
    • 03
    • 02
    • 01
    Press
    Enter
  • 86
    Press
    Enter
  • 87
    Press
    Enter
  • 88
    Gifts, Loans, Family Assistance etc. If none, type "NONE"
    Press
    Enter
  • 89
    Press
    Enter
  • 90
    Existing Clients DO NOT need to upload, unless this is a new dependent
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 91
    Existing Clients DO NOT need to upload, unless this is a new dependent
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 92
    Press
    Enter
  • 93
    Press
    Enter
  • 94
    Press
    Enter
  • 95
    -
    Pick a Date
    Press
    Enter
  • 96
    Press
    Enter
  • 97
    Please Select
    • Please Select
    • Son
    • Daughter
    • Niece
    • Nephew
    • Parent
    • Grandparent
    • Grandchild
    • Foster Child (placed by agency)
    • Aunt
    • Uncle
    • Sister
    • Brother
    • Stepchild
    • Stepbrother
    • Stepsister
    • Half brother
    • Half sister
    Press
    Enter
  • 98
    Press
    Enter
  • 99
    Press
    Enter
  • 100
    Press
    Enter
  • 101
    Press
    Enter
  • 102
    Press
    Enter
  • 103
    Ex: Financial Support ie child support or cash support etc
    Press
    Enter
  • 104
    Press
    Enter
  • 105
    12
    • Please Select
    • 12
    • 11
    • 10
    • 09
    • 08
    • 07
    • 06
    • 05
    • 04
    • 03
    • 02
    • 01
    Press
    Enter
  • 106
    Press
    Enter
  • 107
    Press
    Enter
  • 108
    Gifts, Loans, Family Assistance etc. If none, type "NONE"
    Press
    Enter
  • 109
    Press
    Enter
  • 110
    Existing Clients DO NOT need to upload, unless this is a new dependent
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 111
    Existing Clients DO NOT need to upload, unless this is a new dependent
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 112
    Press
    Enter
  • 113
    Press
    Enter
  • 114
    -
    Pick a Date
    Press
    Enter
  • 115
    Press
    Enter
  • 116
    Please Select
    • Please Select
    • Son
    • Daughter
    • Niece
    • Nephew
    • Parent
    • Grandparent
    • Grandchild
    • Foster Child (placed by agency)
    • Aunt
    • Uncle
    • Sister
    • Brother
    • Stepchild
    • Stepbrother
    • Stepsister
    • Half brother
    • Half sister
    Press
    Enter
  • 117
    Press
    Enter
  • 118
    Press
    Enter
  • 119
    Press
    Enter
  • 120
    Press
    Enter
  • 121
    Press
    Enter
  • 122
    Ex: Financial Support ie child support or cash support etc
    Press
    Enter
  • 123
    Press
    Enter
  • 124
    12
    • Please Select
    • 12
    • 11
    • 10
    • 09
    • 08
    • 07
    • 06
    • 05
    • 04
    • 03
    • 02
    • 01
    Press
    Enter
  • 125
    Press
    Enter
  • 126
    Press
    Enter
  • 127
    Gifts, Loans, Family Assistance etc. If none, type "NONE"
    Press
    Enter
  • 128
    Press
    Enter
  • 129
    Existing Clients DO NOT need to upload, unless this is a new dependent
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 130
    Existing Clients DO NOT need to upload, unless this is a new dependent
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 131
    Press
    Enter
  • 132
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 133
    Press
    Enter
  • 134
    Press
    Enter
  • 135
    Press
    Enter
  • 136
    If none, type "NONE"
    Press
    Enter
  • 137
    Press
    Enter
  • 138
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 139
    Press
    Enter
  • 140
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 141
    Press
    Enter
  • 142
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 143
    Press
    Enter
  • 144
    Please be detailed
    Press
    Enter
  • 145
    Press
    Enter
  • 146
    Press
    Enter
  • 147
    Press
    Enter
  • 148
    Press
    Enter
  • 149
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 150
    Ex: Solar Panels, Solar Water Heater, Generators, or Energy Efficient Improvements
    Press
    Enter
  • 151
    Press
    Enter
  • 152
    Press
    Enter
  • 153
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 154
    Press
    Enter
  • 155
    Press
    Enter
  • 156
    Press
    Enter
  • 157
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 158
    Press
    Enter
  • 159
    Press
    Enter
  • 160
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 161
    Press
    Enter
  • 162
    Press
    Enter
  • 163
    Press
    Enter
  • 164
    Press
    Enter
  • 165
    Press
    Enter
  • 166
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 167
    Press
    Enter
  • 168
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 169
    Press
    Enter
  • 170
    Press
    Enter
  • 171
    Press
    Enter
  • 172
    Press
    Enter
  • 173
    Press
    Enter
  • 174
    Press
    Enter
  • 175
    Press
    Enter
  • 176
    Press
    Enter
  • 177
    Press
    Enter
  • 178
    Press
    Enter
  • 179
    Press
    Enter
  • 180
    Press
    Enter
  • 181
    Press
    Enter
  • 182
    Press
    Enter
  • 183
    Press
    Enter
  • 184
    Press
    Enter
  • 185
    Call 1-800-304-3107 Debt Offset Line to confirm
    Press
    Enter
  • 186
    Press
    Enter
  • 187
    Press
    Enter
  • 188
    Press
    Enter
  • 189
    Press
    Enter
  • 190
    Press
    Enter
  • 191
    Direct Deposit is the preferred and fastest disbursement option
    Please Select
    • Please Select
    • Direct Deposit
    • Paper Check
    • Pre-Paid Debit Card
    Press
    Enter
  • 192
    If so, there is an additional fee of $25
    Press
    Enter
  • 193
    Press
    Enter
  • 194
    Press
    Enter
  • 195
    Bank Details
    Please Select
    • Please Select
    • Checking
    • Savings
    Press
    Enter
  • 196
    Press
    Enter
  • 197
    Press
    Enter
  • 198
    Press
    Enter
  • 199
    Press
    Enter
  • 200
    Select All that apply
    Press
    Enter
  • 201
    Please Select
    • Please Select
    • Ambrea' Lacy
    • Tamala Davis
    • Zakiyyah McDonald (Rudy)
    • Shaheeda Scott
    • No Preference, First Available
    Press
    Enter
  • 202
    Press
    Enter
  • 203
    You will receive $50 for each New Client you refer!
    Press
    Enter
  • 204

    I acknowledge that all information provided to Pursuit of Wealth Consulting INC is true and accurate to the best of my knowledge. I understand that I am required to have any supporting documentation to validate the information provided. Furthermore, I understand that knowingly providing false information on my tax return and reporting it to the IRS, that I am taking part in a potentially criminal penalty situation and is punishable by law including but not limited to: facing court dates, restitution, and possible imprisonment. I waive Pursuit of Wealth Consulting INC and the preparer of any error due to incorrect information provided by me. By signing below, I authorize Pursuit of Wealth Consulting INC to file my tax return. I acknowledge by signing this form if I and/or my spouse owes a federal/governement debt such as IRS, child support, student loans etc., I/we are still responsible for tax preparation fees due to Pursuit of Wealth Consulting INC at the time of service. Also, if the federal refund amount is mailed, I/we are still responsible for the tax preparation fees stated on the invoice. If the tax preparation fees are not paid, I understand Pursuit of Wealth Consulting INC will take legal action and or debt collection action to collect the unpaid tax preparation fees.

    Press
    Enter
  • 205
    Powered by Jotform SignClear
    Press
    Enter
  • 206
    Powered by Jotform SignClear
    Press
    Enter
  • 207

    I acknowledge that all information provided to Pursuit of Wealth Consulting INC is true and accurate to the best of my knowledge. I understand that I am required to have any supporting documentation to validate the information provided. Furthermore, I understand that knowingly providing false information on my tax return and reporting it to the IRS, that I am taking part in a potentially criminal penalty situation and is punishable by law including but not limited to: facing court dates, restitution, and possible imprisonment. I waive Pursuit of Wealth Consulting INC and the preparer of any error due to incorrect information provided by me. By signing below, I authorize Pursuit of Wealth Consulting INC to file my tax return. I acknowledge by signing this form if I and/or my spouse owes a federal/governement debt such as IRS, child support, student loans etc., I/we are still responsible for tax preparation fees due to Pursuit of Wealth Consulting INC at the time of service. Also, if the federal refund amount is mailed, I/we are still responsible for the tax preparation fees stated on the invoice. If the tax preparation fees are not paid, I understand Pursuit of Wealth Consulting INC will take legal action and or debt collection action to collect the unpaid tax preparation fees.

    Press
    Enter
  • 208

    CONSENT TO USE OF TAX RETURN INFORMATION

    Federal law requires this consent form be provided to you.  Unless authorized by law, we cannot use, without your consent, your tax return information for purposes other than the preparation and filing of your tax return.  However, federal law also prohibits us from revealing any personal or financial information to any third party.  Therefore as a matter of fact, we will never reveal your financial or personal information in any way, to anyone, unless you specifically request we do so, and provide in writing to us the specific person or persons to whom you wish that disclose to be made, which is done on a wholly separate consent form from this.  For the purposes of this consent form please note we are seeking consent only to satisfy requirements set forth by federal law so we may speak with you on the phone, send you email correspondences of any kind, send you mailings, newsletters, email reminders, holiday and occasional cards and greetings, and reminders of upcoming deadlines, etc. 

    You are not required to complete this form.  If we obtain your signature on this form by conditioning our service on your consent, your consent will not be valid.  Your consent is valid for the amount of time that you specify.  If you do not specify the duration of your consent, your consent is valid for a period of three years from the date you have signed the consent.

    The undersigned hereby consents to the use; by [your company], its owner, employees, and staff; of any and all tax return information pertaining to:

    Direct questions, inquiries or requests you make regarding your tax returns, situation, or issues.
    Requests you make for copies of your documents, figures, numbers, or information.
    Upon your direct request in order to connect you with another professional in another field or profession so you may gain further information on a certain topic not available or in the realm of expertise of this firm.
    Notification of important tax law changes.
    Notification of changes or information that will impact our engagement, such as a change of firm website address, email address, physical location, or other such contact, biographical or geographical information.
    Other reasonable business purposes including but not limited to: appointment reminders, holiday mailings, birthday greetings and other informational mailings.
    The tax information may not be disclosed or used by [your company], its owner, employees, or staff, for any purpose other than that which is permitted by this consent document.

    If you believe your tax return information has been disclosed or used improperly in a manner unauthorized by law or without your permission, you may contact the Treasury Inspector General for Tax Administration (TIGTA) by telephone at 1-800-366-4484 by email at complaints@tigta.treas.gov.

     

    Press
    Enter
  • 209
    Please sign below indicating you agree with the above consent to use of tax return information terms and conditions.
    Powered by Jotform SignClear
    Press
    Enter
  • 210
    Please sign below indicating you agree with the above consent to use of tax return information terms and conditions.
    Powered by Jotform SignClear
    Press
    Enter
  • 211

    CONSENT FOR PAYMENT

    We here at Pursuit of Wealth Consulting INC value the relationship we have with all of our clients. We are in the business to provide you with the absolute best service you can have. With saying that, we would like to remind you that we are providing you a service NOT a refund. You as a taxpayer have the choice to pay your tax preparation fees by one of the following: cash, check, money order, credit card, or directly from your refund*.

    *If you choose to have the tax preparation fees taken/deducted from your refund and for whatever reason your taxes are intercepted/offset, YOU ARE STILL RESPONSIBLE FOR THE TAX PREPARATION FEES!  Please contact us immediately at our office for payment or payment arrangements. By signing your return you are agreeing to pay the preparation fees regardless if your refund was received or not. After 90 days from the date the refund was scheduled to arrive if no payment or payment arrangement is made, we will be forced to put your account into collections and/or debit your bank account. We hope we never have to go this route, so please keep open communication with us so we can work with you!

    Press
    Enter
  • 212
    Please sign below indicating you agree with the above consent for payment.
    Powered by Jotform SignClear
    Press
    Enter
  • 213
    Please sign below indicating you agree with the above consent for payment.
    Powered by Jotform SignClear
    Press
    Enter
  • Should be Empty:
(TEMPLATE) 2024 Client Questionnaire
[Edit]
Question Label
1 of 213See AllGo Back
close