2025 CLIENT INTAKE FORM
  • 2025 Client Information Form

  • Are you a new or returning tax client?*
  • Do you have ALL of your tax documents? Keep in mind we will NOT begin working on your file until all documents have been received by our office.*
  • Are you Interested in a Refund Advance Up to $7000?*
  • Filing Status*
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  • Format: (000) 000-0000.
  • Income

    Please put all Income for 2024
  • Did you receive a W-2, 1099-MISC, 1099-INT, 1099-DIV, 1099-B, 1099-G, or 1099-S or Self employed? Check all that apply.*
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  • Did you receive unemployment compensation this year?*
  • Are you retired? Did you receive any retirement income? Examples: 1099-R, 1099-SA, 1099-RRB, etc?*
  • Did you make an early withdrawal from your 401K/​IRA?*
  • Did you receive any gambling winnings, lottery winnings, prizes, or other awards?*
  • Did you have a home foreclosure, credit card or other debt forgiven/​cancelled? Examples: 1099-A, 1099-C*
  • Health Insurance 

  • Did you, your spouse, or a dependent have insurance under the Affordable Care Act (Market Place Health insurance) in 2025? *If so, select Yes – you MUST report Form 1095-A for the IRS to accept your return. If you did not have an Affordable Care Act insurance plan, select No.*
  • If you received a 1099-MISC OR 1099-NEC form OR conducted any kind of side businesses and got paid CASH, you are self employed.*Do you own a business/​self employed?*
  • Credits

  • Did you or anyone in your household attend a college or university this year?*
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  • Did you purchase a plug-in EV or fuel cell electric vehicle (FCV) 2023 or after? All-electric, plug-in hybrid, and fuel cell electric vehicles purchased new in 2023 or after may be eligible for a federal income tax credit of up to $7,500.*
  • Adjustments to Income

  • Did you make any IRA contributions, withdrawals or rollovers?*
  • Did you contribute to a Health Savings Account this year?*
  • Did you make any student loan payments?*
  • Itemized Deductions

  • Did you buy or sell a home this year?*
  • Did you make any mortgage payments this year?*
  • Did you make any charitable contributions?*
  • I confirm and agree I double checked all information for any errors*
  • To your knowledge, do you currently owe the IRS?*
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  • Should be Empty: