QMS Management Group Intake Form
  • Client Engagement Letter

  • QMS Management Group

    Quintella Santinac, Tax Professional

    Email: qsantinac@qmsmanagementgroup.com

    Phone: 713-261-8034

     

  • Dear Valued Client,

    This letter is to detail the terms of our engagement with you, and to clarify the nature and extent of the services we will provide. 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.

  • Tax Preparation Checklist

    Please provide the following documentation:

    • All Forms W-2 (wages), 1099-INT (interest), 1099-DIV (dividends), 1099-B (proceeds from broker or barter transactions), 1099-R (pensions and IRA distributions), Schedules K-1 from partnerships, S corporations, estates and trusts, and other income reporting statements, including all copies provided by the payer.
    • Form 1095-A (for health insurance purchased through a public exchange),
    • Form 1095-B (for health insurance purchased outside of a public exchange), or Form 1095-C (for employer-provided health insurance coverage).
    • If you are a new client, provide copies of last year’s tax returns.
    • The completed Individual Income Tax Organizer. Note: If you choose not to fill out the organizer, you must at least answer the “Yes” or “No” questions under “Questions — All Taxpayers.”
    • Copy of the closing statement if you bought or sold real estate.
    • Mileage figures for any automobile expenses claimed, including total mileage, commuting mileage, and business mileage.
    • 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 for medical, taxes, interest, charitable, and miscellaneous deductions.
    • Copy of all acknowledgment letters received from charitable organizations for contributions made in 2020.


    Tax Return Preparation

    We will prepare your tax return based on the information you provide. If your return is audited, you will be responsible for verifying the reported items. Please review the return carefully before signing to ensure the information is correct. Unless otherwise stated, the services for preparing your return do not include auditing, review, or any other form of verification or assurance.

    Taxpayer Responsibilities

    You agree to provide us with all income and deductible expense information. If you receive additional information after we commence work on your return, you will contact us immediately to ensure that your completed tax returns contain all relevant information. You affirm that all expenses or other deduction amounts are accurate and that you have all required supporting written records. In some cases, we may ask to review your documentation. You must be able to provide written records of all items included on your return if audited by either the IRS or state tax authority. We can provide guidance on what evidence is acceptable.

    Before signing, carefully review the return to ensure the information is correct. Fees must be paid before your tax return is delivered to you or filed on your behalf. If you terminate this engagement before completion, you agree to pay a fee for work completed. A retainer is required for the preparation of late returns.

    It is advisable to keep a copy of your tax return and any related tax documents. A fee may be assessed if you request a copy in the future.

    By signing below, you acknowledge reading, understanding, and accepting your obligations and responsibilities.

    For a joint return, both taxpayers must sign.

  • Thank you for taking the time to complete our intake package.

    For our new clients, this information is critical to ensure an accurate filing of your tax returns. We request that new clients submit at least prior year tax return (preferably two), to be used as comparison for your upcoming filing.

    For our existing clients, while we may have some of this information from past engagements, we kindly request you provide it again so we can make sure our records are 100% accurate and up to date. You will have the ability to notate if certain sections are unchanged from your prior year filing, and in those cases you will not need to re-enter information. IRS compliance is crucial, and for those who have worked with us before you know that we work extrememly hard to get you every dollar that you deserve.

    IMPORTANT: We have included a checklist of documents that are most commonly needed. You can save and return at your leisure if you need to gather some of your documents. This is meant to add to the convenience that our tax office provides.  Upon completion of ALL parts of this form, you must click the "SUBMIT" button at the bottom of the form to transmit to our office. Closing your browser before clicking "SUBMIT" will delete all info without sending it to us. You will receive a confirmation email after submission to ensure that we received your info.

    Please also note that our firm will ask for a valid government-issued photo identification during your engagement to comply with federal and state identity theft protection efforts.

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  • You understand that by submitting this client intake sheet you are consenting to QMS Management Group transmitting your tax return. By signing this form you agree!

  • TAX INTAKE FORM

    In order for us to file your federal and state return, we need the following information. The information you provide to us will remain confidential. We value you as our client and promise not to share your information with any third-party vendors.
  • Are you a new or returning client?
  • Tax Year
  • Filing Status
  • QMS Management Group

    Quintella Santinac, Tax Professional

    Email: qmsmanagementgroup@gmail.com

    Phone: 713-261-8034

     

     

  • Would you like to request a Refund Advance Loan? (additional fees apply)
  • Format: (000) 000-0000.
  • Tax Payer's Date of Birth
     - -
  • Did you file a 2024 Tax Return?
  • Can someone claim you as dependent?
  • Are you and/or your spouse disabled?
  • What is your marital status as of December?
  • Did you and your spouse live apart during the year?
  • If yes, did you live together at any time after June 30, 2024?
  • Spouse's Date of Birth
     - -
  • Format: (000) 000-0000.
  • Rows
  • Income

  • Please select all forms of Income that apply
  • Deductions

    Please Provide All Documentation Needed
  • Adjustments
  • Work-Related Expenses

  • Itemized Deductions
  • Health Insurance Questionnaire

  • Earned Income Credit

    Additional Due Diligence
  • Areas of Emphasis


    Around 60% of all mistakes in EITC are results of 3 main areas:

    1. The child might not meet the age, residency, or relationship requirement.

    2. The case might be that someone is filing as single or HOH when he/she is actually married.

    3. A mistake might arise when reporting income or expenses. Special attention has to be paid when the client is answering these questions. 


    The people who are eligible for EITC:


    1. Have earned income
    2. Have a valid Social Security Number
    3. Are filing separately and not as married
    4. Are not a nonresident alien
    5. Are not a qualifying child of another person
    6. Are not filing Form 2555 or Form 2555-EZ
    7. Have limited investment income

  • Please select if ID Number is a SSN, ITIN, or EIN
  • Unemployment Benefits, EDD

    Please have accurate amount to prevent IRS Delay for your refund
  • Did you receive EDD?
  • BUSINESS INFORMATION

    Please provide EIN, a Business Card, LLC Form, or Cash App Statements
  • Schedule C- Self Employment/ Side Business

    1099 Independent Contractor- Uber, Lyft etc.
  • Schedule C- Business Expenses

  • Rows
  • Are you trying to buy a new home within the next year?
  • Did you pay over half the expenses of maintaining your residence for the entire year?
  • Are you on any Government Assistance?
  • Did you support a child or a family member for more than 6 months out of the year?
  • Are there any dependents in daycare? If yes, please upload the form you received from your daycare provider.
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  • If requested by the IRS, do you have documentation (i.e. receipts, records) to substantiate your eligibility for the Child Tax Credit, Earned Income Tax Credit and/or Head of Household Filing Status?
  • Are you self employed or do you own a business?
  • Did you own livestock or participate in trail ride groups?
  • Did you have health insurance in 2025?
  • Were you or any of your dependents in college in 2025?
  • Have you ever been denied the Earned Income Tax Credit (EITC)?
  • Do you have a 1098-T Form from a college for either you or your dependents?
  • Did you trade any Virtual Currency?
  • Do you own any vehicle?
  • Did you own or rent your home in 2025?
  • Are you interested in obtaining a cash advance?
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  • PLEASE READ IF CLAIMING A DEPENDENT

    TIEBREAKER RULES: To determine which person can treat the child as a qualifying child, the following tiebreaker rules apply:

    If only one of the persons is the child’s parent, the child is treated as the qualifying child of the parent.
    If the parents do not file a joint return together but both parents claim the child as a qualifying child, the IRS will treat the child as the qualifying child of the parent with whom the child lived with for the longer period of time during the year. If the child lived with each parent for the same amount of time, the IRS will treat the child as the qualifying child of the parent who had the higher adjusted gross income (AGI) for the year.
    If no parent can claim the child as a qualifying child, the child is treated as the qualifying child of the person who had the highest AGI for the year.
    If a parent can claim the child as a qualifying child but no parent does claim the child, the child is treated as the qualifying child of the person who had the highest AGI for the year, but only if that person’s AGI is higher than the highest AGI of any of the child’s parents who can claim the child.

  • Payment of Tax Refund Disbursement

  • How would you like to receive your tax refund?
  • Would you like Audit Protection? (Protected for 3 years)*
  • Would you like Identity Theft Protection for the year?*
  • Refund Advance Loan Details

    Approval rate of 79%. Your refund history is reviewed from previous years. 4 out of 5 of clients are approved. 

    **Loans over $1000, have an 36% interest fee attached.

    The maximum amount for a Refund Advance Loan is $7000. If approved for a Refund Advance Loan greater than $1,250, you will be charged interest. The amount of interest you are charged depends on how many days it takes to repay the advance from your tax refund. In other words — if your tax refund is processed and deposited by the IRS or State quickly, you’ll pay less than if your tax refund takes longer to be released. Interest charges are capped at 60 days. So, the charges to you will stop at 60 days if your refund is delayed.

    **DISCLAIMER: DESPITE APPROVAL ODDS, REFUND ADVANCES ARE NOT GUARANTEED.  THE REFUND BANK HAS THE OPTION TO APPROVE THE AMOUNT REQUESTED, APPROVE THE APPLICATION FOR A LESSER AMOUNT, OR DENY THE APPLICATION**

  • Would you like to apply for a refund advance loan?*
  • Bank Information

  • Choose banking type
  • 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 QMS Management Group 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 QMS Management Group 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 FreshStart Tax Solutions 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 QMS Management Group. Such revocation will not affect any fees or charges that have already been incurred.

    Record Keeping: QMS Management Group 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.

  • Date Signed*
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  • Date Signed
     - -
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