2025-2026 Tax Intake Due Diligence Form

2025-2026 Tax Intake & Due Diligence Form

Thank you so much for choosing Prosperity 93 Consultants! Please complete the below questions as accurately as possible. If you have any questions or concerns, please text us 346-744-7729
Tax preparer name
How did you hear about us?
If referred, please enter your referrals name here (put N/A if none)
Are you trying to buy a home within the next 2 years?
Are you interested in credit repair?
- Taxpayer first and last name
  
  First NameLast Name
- Date of birth
  
  MonthDayYear
  Date
- Taxpayer SSN
- Taxpayer phone number
  Please enter a valid phone number.Format: (000) 000-0000.
- Taxpayer job title
- Taxpayer email
  example@example.com
- Taxpayer address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Taxpayer spouses full name
  
  First NameLast Name
- Spouse DOB
  
  MonthDayYear
  Date
- Spouse SSN
- Spouse Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Spouse job title
- Spouse email
  example@example.com
- Spouse address (if different from taxpayer address)
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Taxpayers drivers license
  
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- Primary taxpayers SSC
  
  Cancelof
- Taxpayers W-2/1099
  
  Cancelof
- Based on your understanding, do you believe you may qualify for the Earned Income Tax Credit (EITC)? Please Note (your tax preparer will make the final determination).
- Has anything changed since your last tax return?
- Did you earn income from working a W2 job??
- Are you self employed?
- Did you receive any income during the year that was paid in cash, not reported on a tax form, or paid by an individual household?
- If Yes, Please briefly explain the type of work performed, who paid you and how were you paid. Answer Here If No Put N/A*
- Are you claiming any children or dependents on this tax return?
- Is any child you are claiming under age 17 at the end of the tax year?
- Did you support a child or family member for more than 6 months out of the year in the U.S?
- Did the child live anywhere else at any time during the year (including summers, weekends, relatives)?
- Were you or any of your dependents in college in 2025?
- Do you have a 1098-T Form for either you or your dependents?
- If yes, please upload 1098-T here
  
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- Has the IRS ever reduced or disallowed any tax credits for you in a prior year?
- Did you and your spouse live apart during the year?
- Did you pay over half the expenses of maintaining your residence for the entire year?
- If yes, did you live together at any time after June 30, 2025?
- Are you on any Government Assistance
- Can someone else claim you as a dependent?
- Did you have health insurance in 2025?
- Did you have health insurance in for the entire year?
- Who was your insurance coverage through in 2025?
- Was your insurance through your employer?
- Who was your dependents insured with in 2025?
- Upload tax payer insurance documents here
  
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- Have you ever been denied the Earned Tax Credit (EITC)?
- Did you trade any Virtual Currency?
- Are you interested in audit protection?
- How many dependents are you claiming?
- Dependent #1 first and last name
  
  First NameLast Name
- Dependent #1 DOB
  
  MonthDayYear
  Date
- Dependent #1 SSN
- Your relation to dependent #1
- How many months did Dependent #1 live with you in 2019?
  If all year, enter 12 months
- Dependent #1 social security card
  
  Cancelof
- Dependent #1 birth certificate
  
  Cancelof
- Dependent #2 first and last name
  
  First NameLast Name
- Dependent #2 DOB
  
  MonthDayYear
  Date
- Dependent #1 SSN
- Your relation to dependent #2
- How many months did Dependent #2 live with you in 2019?
  If all year, enter 12 months
- Dependent #2 social security card
  
  Cancelof
- Dependent #2 birth certificate
  
  Cancelof
- Dependent #3 first and last name
  
  First NameLast Name
- Dependent #3 DOB
  
  MonthDayYear
  Date
- Dependent #3 SSN
- Your relation to dependent #3
- How many months did Dependent #3 live with you in 2019?
  If all year, enter 12 months
- Dependent #3 social security card
  
  Cancelof
- Dependent #3 birth certificate
  
  Cancelof
- Dependent #4 first and last name
  
  First NameLast Name
- Dependent #4 DOB
  
  MonthDayYear
  Date
- Dependent #4 SSN
- Relation to dependent #4
- How many months did Dependent #4 live with you in 2019?
  If all year, enter 12 months
- Dependent #4 social security card
  
  Cancelof
- Dependent #4 birth certificate
  
  Cancelof
- Dependent #5
  
  First NameLast Name
- Dependent #5 DOB
  
  MonthDayYear
  Date
- Dependent #5 SSN
- Relation to dependent #5
- How many months did Dependent #5 live with you in 2019?
  If all year, enter 12 months
- Dependent #5 social security card
  
  Cancelof
- Dependent #5 birth certificate
  
  Cancelof
- Are there any dependents in daycare? If yes, please upload the form you received from your daycare provider.
  
  Cancelof
- Upload dependent #1 insurance documents
  
  Cancelof
- Upload dependent #2 insurance documents
  
  Cancelof
- Upload dependent #3 insurance documents
  
  Cancelof
- Upload dependent #4 insurance documents
  
  Cancelof
- Upload dependent #5 insurance documents
  
  Cancelof
- Dependents proof of residency (Lease/Utility bill)
  
  Cancelof
- You are not required to know filing status rules. Please answer the questions below honestly. Your tax preparer will determine whether Head of Household filing status applies based on IRS rules and documentation
- Are you requesting that your tax preparer determine whether Head of Household filing status may apply to you?
- What is your marital status as of December?
- Did you pay more than half the cost of keeping your home for the year ( rent, mortgage, utilities, food in the home, etc. ?
- Did a qualifying child or dependent live with you for more than have the year?
- Did you incurred ordinary and necessary expenses related to this business?
- Do you understand that your refund amount may change after your tax preparer verifies eligibility for credits using documents and IRS rules?
- Do you understand by providing false or incomplete information may result in denial of credits, penalties, or IRS action, and that your tax preparer relies on your answers?
- How would you like to receive your refund?
- Name of bank
- Which type of account would you like your refund deposited into?
- Routing number
- Confirm routing number
- Account bank number
- Confirm bank account number
- CLIENT NON PAYMENT/OFFSET CLAUSE
  
  At Prosperity 93 Consultants LLC, we strive to assist all of our clients in their tax needs, howwever we understand that situations arise. If your refund is offset by the IRS, student loans, child support or your check is mailed, you are still obligated to pay our company the fees associated with filing your tax return.
  
  By signing this agreement you acknowledge that if payment is not made in full with in 30 days legal actions will be sought to resolve payment.
  
  -
  
  I am giving Prosperity 93 Consultants LLC permission to prepare all forms related to my tax return; to apply for and secure RAC's and RAL's on my behalf; and sign all necessary forms and file my taxes electronically. I take full responsibility for the accuracy of this form and understand that Prosperity 93 Consultants LLC and/or associated affiliates hold no responsibility for any misrepresentation or false claims.
- Full name of taxpayer
  
  First NameLast Name
- Taxpayer signature
- Date
  
  MonthDayYear
  Date
- Full name of taxpayer spouse
  
  First NameLast Name
- Spouse signature
- Date
  
  MonthDayYear
  Date
- I certify under penalty of perjury that the information I have provided in this questionaire is true and correct, and complete to the best of my knowledge. I understand that my tax preparer is relying on the information I provided to prepare and file my tax return. I acknowledge that providing false information or imcomplete information may result in penalitiles, denials of tax credtis , or additional IRS action.
- I agree and certify that the information provided is accurate?
- Who provided the answers in this questionnaire? First Name* Last Name*
- Our Tax Company retains tax records , due diligence questionnaires, supporting documents, and communication history for a minimum of three (3) years in accordance with the IRS regulations. These records may be used to support tax filings and responses to IRS inquiries or audits.
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2025-2026 Tax Intake & Due Diligence Form