2025-26 Tax Intake Form
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  • READY TO FILE?

    Thank you for taking the time to complete our client onboarding form!
  • Welcome to WealthWise Ally! We are a boutique financial services firm dedicated to providing personalized solutions to help individuals and families achieve financial well-being. Whether you’re looking to optimize your tax filing, restore your credit, or secure the right mortgage, we guide you every step of the way with professionalism, integrity, and a focus on your long-term success. Let us help you build a stronger financial future.

    For new clients, this information is required to ensure your tax return is prepared accurately from the start.

    For returning clients, even if we already have some of this information on file, we ask that you submit it again to confirm everything is current and correct.

    IMPORTANT: You must click SUBMIT and receive the confirmation message. If you do not see the completed message, your form was not successfully submitted and will not be received.

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  • Taxpayer's Information

    All sections of the intake form must be completed to ensure an accurate filing. Incomplete forms will delay processing.
  • Date of Birth*
     - -
  • Are you a US Citizen or Permanent Resident?*
  • What is your marital status?*
  • Please check all that apply to you?*
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  • Are you filing with a spouse?*
  • Spouse's Information

    IF YOU ARE LEGALLY MARRIED OR PRESUMED MARRIED BY COMMON LAW STATUTE IN THE STATE YOU RESIDE IN
  • Spouse's Date of Birth*
     - -
  • Are you a US Citizen or US Permanent Resident?*
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  • Tax Credit & Deduction Eligibility

  • Please check all that apply*
  • Which of the following applies to you?*
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  • Dependents Information

  • PLEASE NOTE:

    The Earned Income Credit (EIC) increases with the first 3 Children you claim. The maximum number of dependents you can claim for Earned Income Purposes is Three.

    You MUST also meet other requirements related to your Adjusted Gross Income (AGI) to qualify for EIC. If you are MARRIED and FILING SEPARATE you CAN'T claim the credit.

  • Dependent 1

  • Date of Birth*
     - -
  • Dependent 2

  • Date of Birth*
     - -
  • Dependent 3

  • Date of Birth*
     - -
  • Dependent 4

  • Date of Birth*
     - -
  • Dependent 5

  • Date of Birth*
     - -
  • Dependent(s) Eligibility & Documentation

  • Have you ever been disallowed the Earned Income Tax Credit (EITC), Additional Child Tax Credit (AOTC), or Child Tax Credit (CTC)?*
  • Did you live with your dependent(s) in the United States all year?*
  • Did you pay over half the expenses of maintaining your residence for the entire year?*
  • Did you support a child or a family member outside of your home for more than 6 months out of the year?*
  • Is your Dependent(s) married?*
  • Is anyone else eligible to claim your dependent(s) on their tax return?*
  • Did anyone else live in the home and provide financial support for your dependent(s)?*
  • Did you receive any type of supplemental income, such as Child Support, TANF/Welfare Benefits, Social Security/Disability, etc?*
  • Were you ever charged with any drug related felonies?*
  • Do you have any child care expenses or Adult Day Care expenses?*
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  • PLEASE ANSWER THESE QUESTIONS IF YOU HAVE A BUSINESS OR HAVE RECEIVED SELF EMPLOYMENT INCOME

  • What is the structure of your business?*
  • Do you have a Business Name?*
  • Do you have an EIN?*
  • Do you have a vehicle used strictly for business purposes only?*
  • How did you collect payment for your services?*
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  • Payment Information

  • Do you plan to use any of the following Bank Products? (Choose All That Apply) - Please note all bank products must go through an approval process and will require a written authorization Form 7216 Bank Consent to Disclosure of Tax Return Information.*
  • 7216 Bank Consent to Disclosure of Tax Return Information

    Requesting bank products, including but not limited to rapid refunds, withdrawing tax preparation fees from your tax return, and other banking products, requires your consent to the disclosure of information.

    Federal law requires that this consent form be provided to you (“you” refers to each taxpayer, if more than one). Unless authorized by law, we may not use or disclose your tax return information for purposes other than the preparation and filing of your tax return without your consent. You are not required to complete this form. However, our need to disclose your tax return information to a third party, Santa Barbara Tax Products Group, affects the tax return preparation services we provide and the cost of those services. As a result, we may decline to provide tax return preparation services or may change the terms, including the cost, of those services. Your consent is valid for the period of time you specify. If no duration is specified, your consent will be valid for one year.

    In order to process your return, we must disclose all of your tax return information to Santa Barbara Tax Products Group. For your convenience, we have entered into agreements with a bank to provide qualifying taxpayers the opportunity to apply for bank products such as a Refund Transfer (RT), Electronic Refund Check, or Electronic Refund Deposit. To determine eligibility for these products, we must analyze your tax return information and calculate your anticipated refund.

    By signing below, you (and each taxpayer, if more than one) authorize us to disclose all of your tax return information to Santa Barbara Tax Products Group.

  • Banking Information

  • How would you like to receive your refund?*
  • Your Preferred Shipping Method (Checks or Debit cards)?
  • Letter of Engagement

  • Thank you for choosing WealthWise Ally Financial Solutions to assist with your tax preparation. This engagement letter outlines the scope of our services, mutual responsibilities, and important terms to ensure a smooth and transparent process.

    By proceeding with our services, you agree to the terms outlined below.

    Scope of Services

    We will prepare your current-year federal income tax return, and state tax return(s) if applicable, based solely on the information you provide. Additional fees may apply for:

    Multi-state filings
    Self-employment/business income (Schedule C)
    Other complex forms or supplemental schedules
    We will always inform you in advance if additional charges apply.

    Please note:

    • We do not provide legal, financial, or investment advice.
    • We do not represent clients in audits or legal matters unless separately agreed in writing.
    • Additional services such as tax planning, bookkeeping, or audit support are available under separate agreements.

    Client Responsibilities

    To ensure accurate and timely filing, we ask that you:

    1. Provide accurate and complete information – including all relevant tax forms (W-2s, 1099s, business income/expenses, etc.).
    2. Retain your original records – You are responsible for keeping documentation to support all income, credits, and deductions reported.
    3. Respond promptly – Timely communication is critical to avoid delays in preparing and filing your return.
    4. Review your return – You’ll have the opportunity to review your return before it is submitted.

    Our Responsibilities

    You can expect the following from us:

    • Preparation of your tax return based on the documents and details you provide
    • Full compliance with IRS and state requirements, including due diligence standards
    • Confidentiality and secure handling of your personal information
    • Clear communication throughout the process, including notification of potential issues or audit triggers

    Filing Authorization

    Your return will not be filed without your explicit approval.

    Once your return is completed, we’ll send it to you for review. After you provide written or electronic approval, we will proceed with e-filing your federal and state returns.

    By signing this agreement, you confirm that:

    • You have reviewed and approve the tax return to the best of your ability
    • You authorize us to file the return electronically after approval
    • You have selected your preferred refund method (direct deposit, refund advance, etc.)

    Abandonment Fee

    If you choose not to file after we’ve completed your return, a $150 abandonment fee will be charged. This fee will be drafted via ACH from the bank account listed on your intake form. By signing this agreement, you consent to this charge.

    Fees & Payment Terms

    Our pricing is transparent and based on your specific filing needs:

    • Your fee includes preparation of your federal and state returns and is based on the complexity and number of forms required.
    • Additional fees apply for bank products, refund advances, and third-party services. These will be disclosed prior to your selection.
    • If you choose to pay from your refund, convenience fees will also apply.

    Payment Options

    • Pay upfront via card, Cash App, or other accepted methods
    • Deduct fees from your refund (bank product clients only)

    Refund Policy

    Due to the nature of our work, no refunds will be issued once services are rendered, regardless of whether you choose to file. You are paying for time, expertise, and completed work.

    We cannot guarantee:

    • A specific refund amount or tax result
    • Timing of refunds or IRS/state processing
    • Approval for bank products or refund advances

    Record Retention Policy

    • We will retain a copy of your final return and required documents for three (3) years.
    • You are responsible for keeping original documents, including income statements, receipts, and supporting materials.
    • If you request a copy of your return after tax season, a $25 retrieval fee may apply.

    Termination of Agreement

    You may cancel this agreement at any time before your return is filed by providing written notice. Fees for services already performed will still be due.

    We also reserve the right to terminate this agreement if:

    • Required information is not provided in a timely manner
    • False or misleading information is submitted
    • Communication becomes unprofessional or abusive
    • Continuing the engagement would compromise our ethics or credentials

    In the event of termination, all completed work will be billed, and if your return was prepared but not filed, the $150 abandonment fee will apply.

    Final Acknowledgment

    By signing this engagement letter, you acknowledge that you:

    • Understand and accept the terms of this agreement
    • Will provide accurate and complete information
    • Authorize WealthWise Ally to prepare and file your return upon approval
    • Accept all associated fees and policies, including the no-refund and abandonment fee provisions

    Let’s move forward and make this tax season your smoothest yet.

    If you have any questions, we’re always here to help.

    WealthWise Ally Financial Solutions
    support@getwealthhealthy.com
    www.getwealthhealthy.com
    480-386-1503

    By signing below (or providing electronic consent), you acknowledge that:

    1. You have read and understand the terms of this agreement in full.
    2. You accept the terms outlined, including all fees, client responsibilities, and the abandonment policy.
    3. You’ve had the opportunity to ask questions and feel confident in proceeding.

    We’re grateful for the opportunity to serve as your tax team and are committed to handling your tax matters with professionalism, care, and integrity.

  • 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 WealthWise Ally Financial Solutions, 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 WealthWise Ally Financial Solutions, 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.

    Warm Regards,

    WealthWise Ally Financial Solutions

  • Consent To File Tax Return Electronically

  • We are in the process of completing your tax return and are preparing it to transmit it to the IRS. Because we are virtually preparing your tax return and before we can transmit your tax return, we will need permission from you to electronically sign your tax return.


    To grant us permission purpose, please sign below

    Once we received your authorization, we will complete your tax return and provide you copies of your signed and completed tax return.


    Please let me know if you have any questions or concerns.

    Thanks so much!

    WealthWise Ally Financial Solutions

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