Tax Preparation Client Intake Form
  • Tax Preparation Client Intake Form

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  • Thank You For Choosing Capital Financial Consultants

    To properly prepare your tax return, we will need to gather certain information from you. Please ensure that all required documents have been collected prior to submitting your information. If you have not already done so, we recommend reviewing our final checklist to confirm that you have all necessary items.
  • To ensure accurate filing and a fast refund, please provide the following for each taxpayer:

  • Income Documents

    • Forms W-2 – wages from all employers.
    • Forms 1099-INT – interest income.
    • Forms 1099-DIV – dividends.
    • Forms 1099-B – proceeds from broker or barter transactions.
    • Forms 1099-R – pensions and IRA distributions.
    • Schedules K-1 – from partnerships, S corporations, estates, and trusts.
    • Other income reporting statements, including all copies provided by the payer.

     Health Insurance Documents

    • Form 1095-A – health insurance purchased through a public exchange.
    • Form 1095-B – health insurance purchased outside a public exchange.
    • Form 1095-C – employer-provided health insurance coverage.

     Prior Year and Organizer

    • Last year’s tax returns – required for new clients.
    • Completed Individual Income Tax Organizer – Note: If you do not complete the organizer, you
    • must answer the “Yes” or “No” questions under “Questions — All Taxpayers.”
    • Property and Vehicle Records
    • Copy of closing statement – if you bought or sold real estate.
    • Mileage figures for automobile expenses, including total, commuting, and business mileage.
    • Payments and Deductions
    • Details of estimated tax payments made, if any.
    • Income and deductions categorized on a separate sheet – for business or rental activities.
    • List of itemized deductions categorized on a separate sheet – medical, taxes, interest, charitable, and miscellaneous deductions.
    • Copies of acknowledgment letters from charitable organizations for contributions made in 2024.

     Important Notes

    One form or set of documents is required per person per tax year for whom we are preparing taxes.
    Each taxpayer must submit their own information, as some areas require a digital signature.

    • Tax Payer Information 
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    • Format: (000) 000-0000.
    • Spouse Information 
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    • Format: (000) 000-0000.
    • Dependent Information 
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    • Rows
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    • Income, Deductions, and Work Related Expenses 
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    • Income

    • Deductions

      Please Provide All Documentation
    • Unreimbursed Employee Expenses

    • Earned Income Credit

      Additional Due Diligence
    • Areas of Emphasis:


      Approximately 60% of all errors in claiming the Earned Income Tax Credit (EITC) result from three primary areas:

      1. Dependent Eligibility: The child may not meet the age, residency, or relationship requirements.


      2. Filing Status: The taxpayer may incorrectly file as Single or Head of Household when they are actually married.


      3.Income and Expense Reporting: Mistakes can occur when reporting income or expenses. Special attention should be paid when answering these questions to ensure accuracy.

       

      Eligibility for the Earned Income Tax Credit (EITC)


      To qualify for the EITC, taxpayers must meet the following criteria:

      1. Have earned income during the tax year.
      2. Possess a valid Social Security Number.
      3. File as Single, Head of Household, or Married Filing Jointly (not Married Filing Separately).
      3. Not be a nonresident alien.
      4. Not be claimed as a qualifying child on another taxpayer’s return.
      5. Not file Form 2555 or Form 2555-EZ (foreign earned income).
      6.Have limited investment income for the year.

    • Unemployment Benefits, EDD

      Please have accurate amount to prevent IRS Delay for your refund
    • Itemized Deductions 
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    • Please answer all questions based on the tax year for which you are filing.

    • Rows
    • Business Information 
    • Business Information

      Please provide EIN, a business card, LLC Form, or Cash App statements.
    • Self Employment /Part-time business

      1099, independent Contractor, Uber, Lyft, etc
    • Business Income And Expenses

    • Rows
    • Acknowledgment & Signature 
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    • I confirm that all information I have provided is true, accurate, and complete to the best of my knowledge.

      I authorize Capital Financial Consultants to collect, use, and store my sensitive information, including personal and government-issued identification, for the purpose of preparing my tax return.

      By signing below, I confirm that I have read and understand both my responsibilities and the responsibilities of Capital Financial Consultants in preparing this tax return.

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    • Tax Refund Disbursement  
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    • Consent for Payment

      We value our relationship with our clients. We are in the business to provide you with the best service possible. We want to remind you that you are being provided a service and not a tax refund. You as a taxpayer have the option to pay your tax preparation fees by: cash, money order, credit card, electronic payment, or directly from your refund.

      If you choose to have the tax preparation fees taken from your refund and your taxes are intercepted, YOU ARE STILL RESPONSIBLE FOR THE TAX PREPARATION FEES!  By signing your return, you are agreeing to pay the tax preparation fees regardless of if your refund is released or not. 

      Upon our notification of your refund being intercepted, we will send you an invoice for payment. If payment is not received within 30 days of the invoice then we will proceed with ACH processing or collections if no bank account is held by the client. 

      NOTE: The Department of Treasury's Financial Management Services (FMS) can offset ANY UNPAID federal or government debt against your refund WITHOUT prior notice.

      Most commonly, the offset is taken for: Past due child support, Debts owed to a federal/ state agency, Unemployment debts owed to state, and/or past due federal student loans.

      ACH Authorization Form

      I, hereby authorize Capital Financial Consultants to initiate electronic debits to my bank account for the purpose of collecting payment for the services related to the preparation of my tax return. I understand and agree to the following terms:

      Payment for Tax Preparation Services:  I acknowledge that I am engaging Capital Financial Consultants for the professional service of preparing my tax return. Payment is not contingent upon the approval or funding of my tax refund.

      Billing Authorization:  In the event that my tax refund is not approved and funded within 30 days through a bank product with a third-party bank, I authorize Capital Financial Consultants to electronically debit my bank account for the full amount of the tax preparation fees as agreed upon. This debit will be initiated as soon as practicable after the 30-day period has lapsed.

      Bank Account Information: I have provided accurate and current information regarding my bank account for the purpose of this electronic debit authorization.

      Right to Revoke: I understand that I may revoke this authorization at any time by providing written notice to Keytaxcellent Services. Such revocation will not affect any fees or charges that have already been incurred.

      Record Keeping: Capital Financial Consultants will retain a copy of this authorization form, and I will receive written notice of any changes in the payment amount or schedule at least 10 days prior to the initiation of any debits.

      Before signing, you can edit and add forms. Please check your email for the edit link after cliking save, then submit.

      By signing below, I confirm that I have read and understand the terms of this ACH Authorization Form and agree to be bound by them.

    • Tax Return Preparation
      We will prepare your tax return based solely on the information you provide. In the event your return is audited, you are responsible for substantiating the items reported. Please review your completed tax return carefully before signing to ensure all information is accurate and complete.

      Unless otherwise stated, our services are limited to the preparation of your tax return and do not include auditing, review, or any other form of verification or assurance.


      Taxpayer Responsibilities
      You agree to provide complete and accurate information regarding all income and deductible expenses. If you receive additional information after we begin preparing your return, you must notify us immediately so it can be properly included.

      You affirm that all expense and deduction amounts are accurate and that you maintain the required written documentation to support them. In certain cases, we may request to review supporting documentation. You are responsible for retaining and providing written records for all items reported on your return if requested by the IRS or any state taxing authority. We can provide guidance regarding acceptable documentation.

      Before signing, you must carefully review the completed tax return to confirm its accuracy. All fees must be paid before your tax return is delivered to you or filed on your behalf. If this engagement is terminated prior to completion, you agree to pay for services rendered up to that point. A retainer is required for the preparation of late-filed returns.

      You are advised to retain copies of your tax return and all related tax documents. A fee may be charged if copies are requested at a later date.

      By signing below, you acknowledge that you have read, understand, and agree to the terms, obligations, and responsibilities outlined above.

      For joint returns, both taxpayers must sign.

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