2026 Individual Tax Return Client Intake Form
For clients of Number Crunchers Accounting & Tax. Please complete all sections to begin your 2026 tax return.
Taxpayer Information
Please provide your personal information.
Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Social Security Number (last 4 digits only)
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Filing Status for 2026
*
Single
Married Filing Jointly
Married Filing Separately
Head of Household
Qualifying Surviving Spouse
Are you a new client?
*
Yes
No
Do you have a spouse to include on this return?
*
Yes
No
Spouse's Full Name
First Name
Last Name
Spouse's Date of Birth
-
Month
-
Day
Year
Date
Spouse's Social Security Number (last 4 digits only)
Dependent Information
List all dependents you are claiming.
List your dependents
Income Information
Please answer the following about your 2026 income sources.
Did you receive W-2 wages in 2026?
*
Yes
No
Did you have self-employment or business income in 2026?
*
Yes
No
Did you receive interest or dividend income in 2026?
*
Yes
No
Did you receive unemployment income in 2026?
*
Yes
No
Did you receive Social Security or retirement income in 2026?
*
Yes
No
Did you receive any other income (rental, alimony, gambling, etc.) in 2026?
*
Yes
No
If yes to any income above, please upload your tax documents (W-2s, 1099s, etc.)
Upload a File
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2026 IRS Due Diligence Questions
Please answer all required due diligence questions for tax credits and compliance.
Are you claiming the Earned Income Tax Credit (EITC)?
*
Yes
No
Are you claiming the Child Tax Credit (CTC) or Additional CTC?
*
Yes
No
Are you claiming the American Opportunity Tax Credit (AOTC)?
*
Yes
No
Did you (or your spouse/dependents) live in the U.S. for more than half of 2026?
*
Yes
No
Can you provide documentation supporting eligibility for all claimed credits?
*
Yes
No
Did you pay for childcare in 2026?
*
Yes
No
If yes, please provide provider information and amount paid.
Banking Information
Provide your banking information for direct deposit of your refund or direct debit of any amount due.
Preferred method to receive refund or pay balance due
*
Direct Deposit to Bank Account
Paper Check by Mail
Apply refund to next year
Bank Name
Bank Routing Number (last 4 digits only)
Bank Account Number (last 4 digits only)
Type of Account
Checking
Savings
IRS Disclosure & Consent
Please review and acknowledge the IRS disclosure below.
IRS Disclosure and Consent: By submitting this form, you acknowledge that the information provided is accurate and complete to the best of your knowledge. You authorize Number Crunchers Accounting & Tax to prepare and file your 2026 tax return, and consent to the use of your information as required by IRS regulations. You have been provided with the IRS privacy policy and your rights as a taxpayer.
Signature (type or draw your signature to authorize preparation of your 2026 return)
*
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