CLIENT INTAKE FORM 2025
  • LETTER OF ENGAGEMENT

    CLIENT INTAKE FORM
  • OUR RESPONSIBILITIES
    Our work (whether consultation, tax return, tax plan or related product) is based on data you provide.

    • We are not responsible to audit or verify the data that you give to us.
    • We may ask for clarification of your data or additional information.
    • We are not responsible to discover fraud or other irregularities, should any exist.
    • We will work to find all the credits and deductions you are legally entitled to.

    YOUR RESPONSIBILITIES

    • To provide all the information required for a complete and accurate finished product.
    • To provide this information in a timely manner.
    • To retain, with the completed work, all the documents, cancelled checks and other data that form the basis of income and deductions since you may later have to provide them to a taxing authority.
    • To carefully review all work completed by our office before you sign. You have the final responsibility for anything submitted to a taxing authority.
    • You are responsible not to commit fraud.
    • You are responsible to let us know if you recieve additional sources of income, self-employed income, 1099k Form, and Unemployment 1099 Form.

    PENALTIES, EXAMINATIONS AND NOTICES
    The IRS and state taxing authorities impose penalties for certain offenses, including understatement of income, filing after the deadline, underpaying estimated taxes, or under withholding taxes (If you would like more information, please contact us.) They can also select any return for examination.

    PRIVACY POLICY
    Tax preparers are bound by professional standards of confidentiality. Therefore, we have always protected your right to privacy. For current and former clients, we do not disclose any nonpublic personal information obtained in the course of our practice except as required or permitted by law, and as is necessary to properly provide our services to you.

    Types of Nonpublic Personal Information We Collect. We collect nonpublic personal information about you that is provided to us by you or obtained by us with your authorization.

    Parties to Whom We Disclose Information. We make available information to our employees and to nonaffiliated third parties who need to know that information to assist us in providing services to you. In all such situations, we require a contractual agreement that includes procedural safeguards that protect the confidential nature of the information being shared.

    Protecting the Confidentiality and Security of Current and Former Client Information.
    We retain records relating to professional services that we provide so that we are better able to assist you with your professional needs and, in some cases, to comply with professional guidelines. In order to guard your nonpublic personal information, we maintain physical, electronic, and procedural safeguards that comply with our professional standards.

    OUR FEES
    We invoice for time spent, depending on schedules and forms completed and out-of-pocket expenses incurred. Our rates vary depending on the nature of the work performed. We may invoice for partially completed work that is placed on extension or remains undone.

    TAX DOCUMENTS
    All clients are provided a copy of their tax documents at the conclusion of their tax preparation, if return is e-filed to the IRS. Tax documents are issued via email or in office only. In order to provide you with a copy of your tax documents, tax return must be e-filed and submitted to the IRS. Any additional copies of your e-filed tax documents are $50 per year.

    *A retainer will be required when working on ALL tax returns and before undertaking projects for new clients.

    ARBITRATION
    If a dispute arises out of or relates to this contract or engagement letter, or the obligations of the parties therein, and if the dispute cannot be settled through negotiation, the parties agree first to try in good faith to settle the dispute by mediation administered by the American Arbitration Association under its commercial Mediation Rules before resorting to arbitration, litigation, or some other dispute resolution procedure.

    AGREEMENT
    The foregoing is in accordance with my (our) understanding of your engagement to provide tax and financial services and you are hereby advised that each item of revenue or expense can be substantiated by receipts, cancelled checks, or other documents. This information is true, correct, and complete to the best of my (our) knowledge. Further, it is my (our) understanding that these terms will continue to be in force for the succeeding years of our engagement.

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  • Client Data Organizer

    *Required for all Tax payers
  • IRS 1-800-829-1040
    To check the status of your Refund, please visit IRS.gov Check My Refund
    Protection Plus Audit Assistance Phone Number: 1 (866) 942-8348

  • Please provide for your appointment

    • Last year's tax return (new clients only)
    • All statements (W2’s, 1098s, 1099s, Business Income Statements)
    • Name and address label (from government booklet or card)
  • Tax Payer Verification for Filing Status (Must have)
  • Tax Payer Address Verification Address Verification (Must have)
  • Tax Payer Dependency Relationship Verification (Must have)
  • Tax Payer Dependent Residency Verification (Must have one)
  • Please complete thisOrganizer before your appointment.Prior year clientsshould use the proforma Organizer provided

  • 1. Personal Information

  • Rows
  • Format: (000) 000-0000.
  • Rows
  • Filling Status
  • 2. Dependents (Children & Others)

  • Rows
  • EITC Dependent Section (Relationship/Support/Residency):

    (Required when filing dependent(s) only)
  • Dependent 1:

  • 1. Is the dependent being claimed on your 2025, tax return your biological son or daughter?
  • 2. Is the dependent adopted?
  • 3. Did you claim the dependent on your 2025 tax return?
  • 4. Did the dependent live with you more than 6 months in 2025?
  • 5. Did the dependent live with anyone else for part of the year of 2025?
  • 6. Did you receive any support from the other biological parent in 2025?
  • 11. Check the records you can provide for your dependent in 2025:
  • 12. Did you receive any additional income support in 2025 for the dependent? Gifts, Loans, Family Assistance, Credit Cards, etc.
  • Dependent 2:

  • 1. Is the dependent being claimed on your 2025, tax return your biological son or daughter?
  • 2. Is the dependent adopted?
  • 3. Did you claim the dependent on your 2025 tax return?
  • 4. Did the dependent live with you more than 6 months in 2025?
  • 5. Did the dependent live with anyone else for part of the year of 2025?
  • 6. Did you receive any support from the other biological parent in 2025?
  • 11. Check the records you can provide for your dependent in 2025:
  • 12. Did you receive any additional income support in 2025 for the dependent? Gifts, Loans, Family Assistance, Credit Cards, etc.
  • Dependent 3:

  • 1. Is the dependent being claimed on your 2025, tax return your biological son or daughter?
  • 2. Is the dependent adopted?
  • 3. Did you claim the dependent on your 2025 tax return?
  • 4. Did the dependent live with you more than 6 months in 2025?
  • 5. Did the dependent live with anyone else for part of the year of 2025?
  • 6. Did you receive any support from the other biological parent in 2025?
  • 11. Check the records you can provide for your dependent in 2025:
  • 12. Did you receive any additional income support in 2025 for the dependent? Gifts, Loans, Family Assistance, Credit Cards, etc.
  • 1. Did anyone else live in your home in 2025?*
  • Additional Household Support Verification:

  • EITC Government Assistance Verification:

  • 1. Did you receive any government assistance in 2025?*
  • 2. Did you receive Food Stamps in 2025?*
  • 3. Did you receive Medicaid in 2025:*
  • 4. Did you receive Housing Assistance in 2025 or N/A:*
  • 5. What address did you use in 2025 to claim housing assistance or N/A?

  • 6. Did you receive Dependent Care Assistance in 2025:
  • Please answer the following questions to determine maximum deductions

  • 1. Are you self-employed or do you receive hobby income*
  • 2. Did you receive payments for goods or services through third-party payment networks like Venmo, Cash App, PayPal, Amazon, and Square?*
  • 3. Did you receive your 1099-K?(Note: If yes, your required to file a 1099- K to use when filing your federal income tax return.)*
  • 4. Did you receive income from raising animals or crops?*
  • 5. Did you receive rent from real estate or other property?*
  • 6. Did you receive income from gravel, timber, minerals, oil, gas, copyrights, patents?*
  • 7. Did you withdraw or write checks from a mutual fund?*
  • 8. Do you have a foreign bank account, trust, or business?*
  • 9. Do you provide a home for or help support anyone not listed in Section 2 above?*
  • 10. Did you receive any correspondence from the IRS or State Department of Taxation?*
  • 11. Did you have healthcare coverage (health insurance) for you, your spouse and dependents during this tax season? If yes, include Forms 1095-A, 1095-B, and 1095-C*
  • 12. Did you apply for an exemption through the Marketplace/Exchange?*
  • 13. Did you have any children under the age of 19 or 19- to 23-year-old students with unearned income of more than $1100?*
  • 14. Did you receive child tax credit monthly payments in 2025?*
  • 16. Who did you file with last year?
  • 17. Are you interested in building your business credit?*
  • 18. Were there any births, deaths, marriages, divorces or adoptions in your immediate family?*
  • 19. Did you give a gift of more than $15,000 to one or more people?*
  • 20.Did you have any debts cancelled, forgiven,or refinanced?*
  • 21. Did you go through bankruptcy proceedings?*
  • (b) Was heat included?
  • 23. Did you pay interest on a student loan for yourself, your spouse, or your dependent during the year?
  • 24. Did you pay expenses for yourself, your spouse, or your dependent to attend classes beyond high school?*
  • 25.Did you install any energy property to your residence such as solar water heaters, generators or fuel cells or energy efficient improvements such as exterior doors or windows, insulation, heat pumps, furnaces, central air conditioners or water heaters?*
  • 26. Did you own $50,000 or more in foreign financial assets?*
  • 27. Have you or your spouse been a victim of identity theft and given an identity theft protection PIN by the IRS? If yes, enter the six- digit identity protection PIN number.*
  • 28. Did you need to set up you LLC and EIN number for your business?*
  • 29. Have your tax refund ever been taken by the IRS for owing a past due debt?*
  • 30. Do you have any student loans debt?*
  • 31. Do you have any child support debt?*
  • 32. Do you have any IRS debt?*
  • 33. Do you have any financial debt that wouldprevent you from getting your tax return?*
  • 33. Do you need to improve your credit score?*
  • 3. Direct Deposit of Refund / or Savings Bond Purchases

  • Would you like to have your refund(s) directly deposited into your account?
  • (The IRS will allow you to deposit your federal tax refund into up to three different accounts. If so, please provide the following information.)

  • ACCOUNT 1

  • Owner of account
  • Type of account
  • ACCOUNT 3

  • Owner of account
  • Type of account
  • ACCOUNT 3

  • Owner of account
  • Type of account
  • IRS Required Documents to file Section:

    1. Tax Payer Identification Verification:

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  • 2. Tax Payer Filing Status and address verification

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  • 3. Tax Payer Dependent ID Verification:

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  • 4. Tax Payer Dependent Relationship Verification:

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  • 5. Tax Payer Dependent Residency Verification

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  • 6. Tax Payer Income Statement Verification-W2, 1099, Bank Statement, Income Statement, Receipt Log, Medical/Dental Expense, Taxes paid,Interest expense (1098-Int), Charitable contribution, or any additional documentation

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  • Additional documents. (Please upload the following document if available)

    Property Sold Income, IRA (Individual Retirement), Dividend income, Partnership Trust, Estate, Property sold Income, Pension, Annuity Income, Child and dependent care expenses, Education Expense (College 1098T form), Business mileage, or any other additional documents.

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  • To the best of my knowledge the information enclosed in this client tax organizer is correct and includes all income, deductions, and other information necessary for the preparation of this year's income tax returns for which I have adequate records.

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