Tax Savvy Lobby Sheet
  • Date of Birth*
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  • Dear Tax Client:

    This letter is to confirm and specify the terms of our engagement with you and to clarify the nature and extent of the services we will provide.  In order to ensure an understanding of our mutual responsibilities, we ask all clients for whom returns are prepared to confirm the following arrangements. 

    By providing us with your signature, you are accepting the terms and conditions specified in this letter.

    We will prepare your federal, state and local income tax returns from information which you will furnish to us. We will not audit or otherwise verify the data you submit, although it may be necessary to ask you for clarification of some of the information. We will furnish you with questionnaires and worksheets to guide you in gathering the necessary information. We reserve the right to assess additional bookkeeping charges.

    It is your responsibility to provide all the information required for the preparation of complete and accurate returns. You should retain all the documents, cancelled checks and other data that form the basis of income, expenses, credits and deductions. These may be necessary to prove the accuracy and completeness of the returns to a taxing authority.

    You have the final responsibility for the income tax returns and, therefore, you should review them carefully before you sign them.

    Our work in connection with the preparation of your income tax returns does not include any procedures designed to discover defalcations and/or irregularities, should any exist. We will render such bookkeeping assistance as determined to be necessary for preparation of the income tax returns.

    The law provides various penalties that may be imposed when taxpayers understate their tax liability. If you would like information on the amount or the circumstances of these penalties, please view the IRS website.

    Your returns may be selected for review by the taxing authorities. Any proposed adjustments by the examining agent are subject to certain rights of appeal.
    If the above sets forth your understanding, please sign this letter in the space indicated.  This letter will apply for all tax returned prepared for you by our tax preparers.

    I understand that this information is being provided to the IRS and State Revenue. I have been advised by my tax preparer that any false and misleading information that I provide for income tax filing purposes is against the law and are subject to penalties.  I understand that this tax company is only liable for any Error and Omission on their part and will be responsible for any interest and penalties and not tax due. 

  • Filing Status*
  • Date*
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  • Spouse Date
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  • CONSENT TO DISCLOSURE OF TAX RETURN

  • For the purpose of this consent form “we”, “us”, and “our mean Tax Savvy for   * tax year.

  • Federal Law requires this consent form be provided to you. Unless authorized by law we cannot disclose your tax return information to third parties for other purposes other than the preparation and filing of your tax return without your consent. If you consent to disclosure of your tax return information, Federal Law may not protect your tax return information from further use or distribution.

    Yoa are not required to complete this form to engage in our tax preparation services. If we obtain your signature on this form by conditioning our services on your consent, your consent your consent will not be valid for the amount of time that you specify. If you do not specify the duration of your consent, your consent is valid for one year from the date of your signature.

    You have indicated that you are interested in receiving an Electric Disbursement Service and/or Loan (or collectively, "Products or Services") from Refund Advantage, a division of MetaBank National Association. In order to provide you with the opportunity to apply for one of the Products or Services, we must disclose all current tax return information necessary for evaluating the request to Refund Advantage. If you request a more limited disclosure of your tax return information, you will not be eligible to submit an application request for these Products or Services. If you would like us to disclose your tax return for this purpose, please sign and date your consent to the disclosure of your tax return.

    By signing below, you authorize us to disclose to Refund Advantage all of your tax return information necessary for the evaluation and processing of your request for a Product or Service. You understand that if you are unwilling to authorize the disclosure and sharing your tax return information with Refund Advantage, you will not be able to obtain a Product or Service, but you may still choose to have your tax return prepared and filed by us for a fee.

     

  • Date*
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  • Printed Name of Joint Taxpayer( if applicable)   *   *   *   Pick a Date*   

  • 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, or by email at complaints at complaints@tigta.treas.gov.

  • TAX INFORMATION SHEET

    This form allows us to complete your tax return. Please verify the spelling and correction of your entry.
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  • TAXPAYER’S DATE OF BIRTH*
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  • Did you receive an identity pin? *
  • Are you over the age of 65?*
  • Did you purchase a brand new vehicle in 2025? ( Must be an unused vehicle)*
  • Did your address change since last tax season?*
  • Do you provide more than half of your own support and support of your dependents?*
  • SPOUSE INFORMATION (Only Complte if Married filing Separately or Jointly)

  • SPOUSE DATE OF BIRTH
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  • Was anyone on your tax return in college during the tax year?*
  • Did you receive a 1098T or expect to receive one for the person in college?*
  • Do you have life Insurance?*
  • Would you like to be contacted by an insurance agent?*
  • Have you been disallowed EITC previously?*
  • Did you receive unemployment during the tax season?*
  • Did you receive health insurance through the Marketplace? If so, a healthcare form from the marketplace is required. go to www.healthcare.gov to retrieve a copy and upload it*
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  • Do you owe back taxes, student loans, child support, or any other government agency?*
  • Did you receive your refund last year?*
  • Household Section

  • Were you considered married on December 31st of last year? (If you selected yes, you and your spouse must file married filing separately or a joint return)*
  • Were you a U.S. citizen or a resident alien on December 31st of last year?*
  • Did you pay more than half of the cost for keeping up the home where you lived during the year? (ONLY APPLIES TO HEAD OF HOUSEHOLD- NOT SINGLE OR MARRIED FILING STATUS)*
  • Did you become a widow(er) during the tax year?*
  • Did anyone live with you for more than a year that you provided more than half their support? If you do not have any dependents, your filing status will be single and this question does not apply to you.*
  • Was the person living with you a citizen or resident alien of the U.S., a resident of Canada or a resident of Mexico?*
  • Income Section

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  • Did you receive tips from any of your employers?*
  • Do you have self employed income/expenses?*
  • Did you work as a household worker?*
  • Is it okay that we text you regarding the status of your tax return and add you to our messaging list for specials, and notifications from our tax office?*
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  • Date*
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  • Date
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