Due Diligence Questionnaire for Tax Preparation

Due Diligence Questionnaire for Tax Preparation

Complete this form to help your tax preparer determine your eligibility for tax credits and ensure compliance with due diligence requirements. ALL QUESTIONS MUST BE FULLY AND ACCURATELY COMPLETED. IF A QUESTION DOES NOT APPLY TO YOU, ENTER N/A. INCOMPLETE OR INCORRECT INFORMATION WILL PREVENT G & M TAX SOLUTIONS FROM FILING YOUR TAX RETURN.
Taxpayer Full Name*

First NameLast Name
Last 4 digits of Taxpayer SSN*
Phone Number
Please enter a valid phone number.
Email
example@example.com
Date of Interview*

MonthDayYear
Date
EITC/CTC/ACTC/ODC (This section should be completed only if you are claiming a dependent, including a child or other individual, regardless of your filing status.
Did the dependent(s) live with you (the taxpayer) for over 6 months in the tax year?

YesNo
Is the dependent(s) that you are claiming your son, daughter, stepchild, foster child, brother, sister, stepbrother, stepsister, or a descendant of any of those?

YesNoOther
Is the dependent(s) that you are claiming for EITC purposes younger than you (the taxpayer)?

YesNoOther
Did anyone else live with you other than your dependent(s) in the tax year?

YesNoOther
Why is the parent not claiming the dependents? (WHERE ARE THE OTHER PARENT(S)
Did the dependent provide more than half of their own support?

YesNo
Was your dependent married anytime during the tax year?

YesNo
If you are single, where is the other parent?
Did you pay more than half of the costs to maintain your home during the tax year (e.g., rent, mortgage, utilities, groceries)?

YesNo
Were you unmarried or considered unmarried as of December 31 of the tax year?

YesNo
Did a qualifying person (such as a child or dependent relative) live with you for more than half of the tax year?

YesNo
Do you receive any financial aid for this child such as WIC, Medicaid, SNAP, listed on your health insurance policy, etc.?

WICMedicaidSNAPListed on health insurance policyOther
If you are separated/divorced, when did you last live in the same house?
Do you have joint custody of your child?

YesNo
How long did your child/children live in the other parent’s home during this tax year? (in months)
Did anyone else live in the home that provides financial support for your child/dependent(s)?

YesNo
If you live alone, who babysits while you work (for children 12 or younger)?
Do you receive any other type of supplemental, non-taxable income such as child support, welfare benefits, social security, etc.?

Child supportWelfare benefitsSocial securityOther
American Opportunity Tax Credit & Lifetime Learning Credit
Were you, your spouse, or your dependent enrolled in a degree or recognized credential program at least half-time for at least one academic period during the tax year?

YesNo
Do you have Form 1098-T from the school?

YesNo
Did you or the qualifying student pay qualified education expenses, such as tuition, fees, or course materials, during the tax year?

YesNo
Were any of the expenses paid with: Scholarships or grants? Employer-provided educational assistance? Veterans’ benefits? Student loans?

YesNo
Was the course taken to acquire or improve job skills?

YesNoIf yes explain
Has the qualifying student not yet completed the first four years of post-secondary education as of the beginning of the tax year?

YesNo
Has the Lifetime Learning Credit already been claimed for this student in the same tax year by yourself or someone else?

YesNo
If scholarships or grants were received, were they used to pay tuition and required fees?

YesNo
Has the qualifying student not already claimed the American Opportunity Tax Credit for more than four tax years?

YesNo
Are you aware the credit may be reduced or eliminated if your income exceeds IRS limits?

YesNo
Do you have records to support the education expenses paid (receipts, billing statements, account statements)?

YesNo
Upload all Educational Expenses

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Are you claiming any other education credit (American Opportunity Credit) for the same student this year?

YesNo
Have you been convicted of a felony?

YesNo
Did the student have to pay for books and other required materials?

YesNo
Did you pay out of pocket for the tuition? (this can be through personal funds or loans)

YesNo
SELF EMPLOYED (SCH C) QUESTIONS
Business Name (If Applicable)
Business Profession*
Employer Identification Number (EIN, if applicable)
Amount of Business Income*
List your business expenses and amounts*
How long have you been in business? (years)
Who maintains and tracks your business records?
Can you provide any documents that prove the existence of your business?

Yes, I can provide documentsNo, I cannot provide documents
Upload proof of business existence (if available)

Cancelof
How did you calculate your business income?
Do you have business expenses?

YesNo
How did you calculate your expenses?
Do you have a website, social media, or business email?
How do you advertise your business?
Do you have a business license?

YesNo
Did you receive any grants or loans for your business?

YesNo
Do you utilize any personal or business credit cards for your expenses?

Personal credit cardBusiness credit cardBothNeither
Can you explain why your Schedule C shows no expenses while claiming the EIC?
Do you maintain separate credit card and bank accounts for business and personal transactions?

YesNo
EITC/ACTC/CTC Taxpayers Claiming Their Own Children
Why isn’t the other parent claiming the child/children?
Do you have joint custody of your child?

YesNo
Did anyone else live in the home that provides financial support for your child/dependent(s)?

YesNo
How many months did the dependent(s) live in your home during the tax year?
If this is not your biological child, what is your relationship with the dependent?
Why are the parents not claiming the child?
What were the circumstances leading to the dependent(s) being placed in your home?
Do you receive any financial aid for this child such as WIC, Medicaid, SNAP, listed on your health insurance policy, etc.?

WICMedicaidSNAPListed on health insurance policyOther
Are you listed as the guardian for this dependent(s) on school records, medical records, daycare records, or place of worship records?

YesNo
If your dependent is over the age of 18 and disabled, what is the nature of the disability?
Has this dependent been declared disabled by a physician?

Yes, with documentationNo
Upload documentation of disability (if available)

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Is the dependent(s) expected to recover in the next year?

YesNo
Who cares for the disabled dependent while the taxpayer works?
Use this space to provide any additional notes or explanations.*
BY SIGNING BELOW, I CERTIFY THAT THE INFORMATION PROVIDED IS TRUE, CORRECT, AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
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Due Diligence Questionnaire for Tax Preparation

EITC/CTC/ACTC/ODC (This section should be completed only if you are claiming a dependent, including a child or other individual, regardless of your filing status.

American Opportunity Tax Credit & Lifetime Learning Credit

SELF EMPLOYED (SCH C) QUESTIONS

EITC/ACTC/CTC Taxpayers Claiming Their Own Children