Please Select Your Preparer, This Ensure your information is routed to the correct Preparer
*
Please Select
Chenise Morgan -
Veronica Mahnke -
Jessica Whalen -
Demetria Mudd -
Alexis Mcafee -
Jaquash Johnson -
Alicia Reeves-
Client Selection
AFFLUENT CAPITAL ADVISORS
CLIENT TAX PREPARATION INTAKE & DUE DILIGENCE PACKET
SECTION 1: CLIENT DOCUMENT CHECKLIST (REQUIRED)
Please provide all applicable documents before your tax return can be prepared:
Identification & Verification
Government-issued Photo ID (Driver's License or State ID)
Social Security Card for Taxpayer, Spouse, and All Dependents
Proof of Residency (Lease agreement, mortgage statement, or utility bill)
Birth Certificates or School Records for Dependents
Immunization or Medical Records (if applicable)
Form 1095-B (Health Coverage)
File Proof Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Income Documents
W-2 Forms (All Employers)
1099 Forms (NEC, MISC, INT, DIV, G)
Unemployment Statements
Social Security Benefit Statements
Self-Employment Income Records
Cash Assistance or Other Government Assistance Statements
File Proof Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Prior Year Information
Last Year's Tax Return (if available)
Prior Tax Preparer Fees
Client Acknowledgement:
I confirm that all documents provided are accurate and complete.
Client Initials:
Date:
Back
Next
Save
AFFLUENT CAPITAL ADVISORS
Complete Expanded Client Onboarding & Tax Intake Packet (All 50 States Compliant)
WELCOME & CLIENT GUIDE
Welcome to Affluent Capital Advisors. Our goal is to provide accurate, compliant, and professional tax preparation services nationwide. This packet collects all information required to prepare your federal and state tax returns and satisfies IRS due diligence requirements. Please complete all applicable sections.
What to Expect
Once this packet and required documents are submitted, your tax return will be reviewed, prepared, and presented for your approval prior to electronic filing. You will be notified of any missing information.
CLIENT INFORMATION
Legal Name, contact information, address, filing status, and identification details for the taxpayer and spouse.
DEPENDENTS & HOUSEHOLD INFORMATION
List all dependents you intend to claim. You must provide accurate Social Security numbers, dates of birth, relationship, residency details, and support information. IRS documentation may be requested.
INCOME INFORMATION
Disclose all sources of income including W-2 wages, self-employment income, unemployment, Social Security, retirement income, government assistance, and any other taxable income. Failure to disclose income may result in penalties.
SELF-EMPLOYMENT & BUSINESS INCOME (IF APPLICABLE)
Complete this section only if you operated a business or received 1099 income. You must report all gross receipts and ordinary business expenses. Maintain records for a minimum of seven (7) years.
DEDUCTIONS & CREDITS
Report deductible expenses including medical, education, childcare, charitable contributions, and housing costs where applicable. Credits such as the Earned Income Credit require additional verification.
Page 2 of 8
Back
Next
Save
HEALTHCARE COVERAGE
Indicate health insurance coverage for yourself, spouse, and dependents. Some states impose coverage requirements and penalties.
DOCUMENT UPLOAD CHECKLIST
Upload all required documents including government-issued identification, Social Security cards, income statements, prior-year tax returns, and supporting documentation for dependents and businesses.
FEES & BILLING (FORM-BASED PRICING)
Affluent Capital Advisors charges tax preparation fees based on the number and type of tax forms prepared. Fees are disclosed in advance and must be approved prior to electronic filing. No returns are filed without client authorization.
CLIENT AUTHORIZATIONS & CONSENTS
By signing this packet, you authorize Affluent Capital Advisors to prepare and electronically file your federal and applicable state tax returns, acknowledge form-based pricing, and consent to the use of tax return information as permitted by law.
GOVERNING LAW & COMPLIANCE
This agreement is governed by applicable federal tax law and the laws of the client's state of residence. Affluent Capital Advisors complies with IRS regulations and state revenue agency requirements nationwide.
SIGNATURES
Client, spouse (if applicable), and preparer signatures are required to finalize this engagement.
Back
Next
Save
This Audit Protection and Due Diligence Packet is designed specifically for Affluent Capital Advisors. It ensures your team collects the necessary substantiation to protect both the firm and the taxpayer in the event of an IRS inquiry, particularly regarding the Earned Income Tax Credit (EITC) and Schedule C businesses.
1. Client Information & Residency Sheet
Purpose: To establish identity and physical presence for the tax year.
Taxpayer Name:
SSN:
Spouse Name:
SSN:
Physical Address:
City/State/Zip:
Residency Proof (Check at least one provided):
Utility Bill (Electric, Water, Gas)
Lease Agreement / Mortgage Statement
Landlord Statement on Letterhead
School Records (for dependents)
Medical Records (for dependents)
2. Dependent Due Diligence Checklist
Purpose: To verify eligibility for EITC, Child Tax Credit, and Head of Household status.
Purpose: To verify eligibility for EITC, Child Tax Credit, and Head of Household status.
Dependent Name
Relationship
Months Lived with You
Proof of Residency Provided
1
2
Support Questionnaire:
1. Did the dependent live with you for more than half the year?
Yes
No
2. Did you provide more than 50% of the financial support for this dependent?
Yes
No
3. Are you receiving assistance (TANF/FIA, Food Stamps/SNAP, WIC)?
Yes
No
If Yes, please list program:
3. Income & Expense Worksheet (Schedule C)
Purpose: To substantiate self-employment income and prevent "income boosting" or "under-reporting."
Business Name:
Type of Work:
Total Gross Receipts: $ (Must provide 1099s, bank statements, or a detailed ledger/log book)
Common Business Expenses:
Advertising:
Supplies:
Travel/Auto:
Equipment:
Back
Next
Save
Other:
Low Income Clarification: If your total household income is less than $10,000 for the year, please explain how you met your basic living expenses (Rent, Food, Utilities):
4. Healthcare Coverage & Consent Form
Healthcare Verification:
Did you and your dependents have qualifying health coverage for the full year?
Yes
No
If you purchased insurance through the Marketplace (Obamacare), do you have Form 1095-A?
Yes
No
Consent to Use of Tax Return Information:
I,
Tax Payers Information
hereby give Affluent Capital Advisors consent to use my tax return information for the purpose of tax preparation and to provide me with additional financial services (including the Success Packet/Credit Repair) as requested.
Signature:
Date:
-
Month
-
Day
Year
Date
5. Due Diligence Questionnaire (Internal Use)
To be completed by the Tax Preparer at Affluent Capital Advisors.
Did the taxpayer provide original Social Security cards for all dependents?
Does the taxpayer's story seem consistent?
Did the taxpayer provide a log or ledger for Schedule C income?
If the taxpayer has a high EITC but very low income, did you ask how they paid their bills?
Preparer Notes:
6. Audit Protection Checklist (Final Review)
Ensure these are in the client's physical or digital folder:
Signed Engagement Letter
Copies of Government-issued IDs
Copies of SSN Cards (All parties)
Residency proof (Utility bill or School record)
Schedule C Worksheet (Page 1, 2, and 3)
Signed Consent to Use Information
Would you like me to format the Schedule C Worksheet (Pages 2 and 3) specifically to break down more complex expenses like Home Office or Vehicle Mileage?
Back
Next
Save
Affluent Capital Advisors
Client Intake & Taxpayer Information Form
I. Basic Information
Full Name (as shown on SSN Card):
Date of Birth:
-
Month
-
Day
Year
Date
Social Security Number:
Primary Phone:
Email Address:
example@example.com
Home Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Filing Status:
Single
Married Filing Joint
Married Filing Separate
Head of Household
Qualifying Surviving Spouse
Driver's License ID Number:
Driver's License Issuance Date:
-
Month
-
Day
Year
Date
Driver's License Expiration Date:
-
Month
-
Day
Year
Date
Occupation:
Spouse Information (If Applicable)
Spouse Full Name:
If none of this applies to you Skip to (II. Dependents )
Spouse Social Security Number:
Spouse Phone:
Spouse Email:
example@example.com
Spouse Driver's License ID:
Spouse DL Issuance Date:
-
Month
-
Day
Year
Date
Spouse DL Expiration Date:
-
Month
-
Day
Year
Date
Spouse Occupation:
II. Dependents
II. Dependents
Full Name
Date of Birth
Relationship
SSN
Months in Home
1
2
3
4
5
Type a question
Type a question
Back
Next
Save
III. Income Sources (Check all that apply)
W-2 Income (Employment)
1099-NEC/MISC (Self-Employment, Contract Work, Gig Work)
1099-INT/DIV (Interest or Dividends)
1099-R (Retirement or Pension Distributions)
1099-G (Unemployment or State Refund)
1099-S (Sale of Real Estate)
Digital Assets - Cryptocurrency/NFT Activity:
Yes
No
IV. Life Events & Potential Deductions
Education - Paid College Tuition or Student Loan Interest?
Yes
No
Home Ownership - Paid Mortgage Interest or Property Taxes?
Yes
No
Health Insurance - Marketplace (Form 1095-A)?
Yes
No
Charity - Donations Over $500?
Yes
No
Childcare - Paid Daycare So You Could Work?
Yes
No
If YES, Do You Have Provider EIN/SSN and Address?
Yes
No
V. Banking Information for Refund or Payment
Bank Name:
Account Type:
Checking
Savings
Routing Number:
Account Number:
I certify that the banking information provided above belongs to me and is authorized for use on my tax return. I understand this certification is required to protect Affluent Capital Advisors from any accusations of fraud or unauthorized use of bank account information.
I certify that the address provided above is correct and should be used on my tax return.
Taxpayer Signature:
Date:
-
Month
-
Day
Year
Date
Tax Preparer Signature:
Date:
-
Month
-
Day
Year
Date
Back
Next
Save
Earned Income Credit (EIC) Eligibility CertificationForm
ITIN / SSN:
Taxpayer Printed Name:
I certify that I am eligible and qualified to claim the children listed on my tax return. My tax preparer has asked all necessary questions to ensure that I am qualified for the Earned Income Credit (EIC). I understand that I am responsible for providing accurate and truthful information regarding my eligibility. I agree that I will not hold Affluent Capital Advisors and/or my tax preparer accountable for any audits or general information that may be requested by the Internal Revenue Service (IRS) as a result of information that I have provided.
Taxpayer Signature:
Date:
Spouse Signature (If Applicable):
Date:
Tax Preparer Signature:
Date:
Back
Next
Save
Due Diligence & Dependent Support Questionnaire
Taxpayer Information
Taxpayer Name:
Spouse Name (If Applicable):
Tax Year:
Date:
1. Income & Household Support
If your total income is less than $10,000 per year, explain how you provided support for yourself and your dependent(s) for the entire year:
2. Government Assistance
Are you receiving any government or public assistance?
Food Stamps (SNAP)
WIC
Cash Assistance (FIA/TANF)
Housing Assistance
Other Assistance Program
Program Type & Monthly Amount:
3. Outside Help for Dependent Care
Do you receive any outside help caring for dependents?
YES
NO
If YES, explain:
4. Disabled Dependent Support
Do you receive SSI or disability benefits for the dependent?
YES
NO
Monthly SSI/Disability Amount:
Explain what support you provide:
Back
Next
Save
Residency & Support Certification
Dependent(s) lived in my home more than six months.
I provided more than half of the dependent(s) financial support.
No other individual can claim these dependent(s).
Information provided is true and accurate to the best of my knowledge.
Taxpayer Certification & Signature
Taxpayer Signature:
Date:
-
Month
-
Day
Year
Date
Spouse Signature (If Applicable):
Date:
-
Month
-
Day
Year
Date
Tax Preparer Due Diligence Statement
Preparer Name:
Preparer Signature:
Date:
-
Month
-
Day
Year
Date
Back
Next
Save
Healthcare Coverage Verification Form
Print Taxpayer Name:
I certify that I currently:
Have Medicaid Insurance
Do Not Have Medicaid Insurance
My dependent(s) listed on my 2026 tax return:
Have Medical Insurance
Do Not Have Medical Insurance
I understand that there may be a penalty if I do not have healthcare insurance. I agree that I will not hold Affluent Capital Advisors and/or my tax preparer accountable for any audits or general information that may be requested by the Internal Revenue Service because I did not disclose correct or complete information.
Taxpayer Signature:
Date:
-
Month
-
Day
Year
Date
Spouse Signature (If Applicable):
Date:
-
Month
-
Day
Year
Date
Tax Preparer Signature:
Date:
-
Month
-
Day
Year
Date
Back
Next
Save
Consent to Use of Tax Return Information
Print Name of Tax Preparer:
Federal law requires this consent form be provided to you. Unless authorized by law, we cannot use 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 to engage our tax return preparation services. If we obtain your signature on this form by conditioning our tax return preparation services on your consent, your consent will not be valid. Your consent is valid for only the amount of time that you specify. If you do not specify the duration of your consent, your consent is valid for one year from the date of signature. For your convenience, we have entered into an arrangement with a company to offer electronic refund products. To determine whether these services may be of interest to you, we would need to use your tax return information. If you would like us to use your tax return information to determine whether these services are relevant to you while preparing your return, please sign and date this consent form below. By signing below, you authorize us to use the information you provided to us during the preparation of your tax return to determine whether to offer you an opportunity to apply for electronic refund products.
Print Name of Taxpayer:
Taxpayer Signature:
Date:
-
Month
-
Day
Year
Date
Print Name of Taxpayer Spouse (If Joint Return):
Spouse Signature:
Date:
-
Month
-
Day
Year
Date
Back
Next
Save
If you believe your tax return information has been disclosed or used improperly in a manner unauthorized or without your permission, you may contact the Treasury Inspector General for Tax Administration (TIGTA) by telephone at 1-800-366-4484 or by email at complaints@tigta.treas.gov.
As the final piece of your professional toolkit, here is the Business Expense Worksheet. This is designed to be given to clients who have a "side hustle," are independent contractors, or own a small business. Your students should use this to ensure the client has done their own accounting before the tax interview.
AFFLUENT CAPITAL ADVISORS
Schedule C: Business Income & Expense Worksheet
Business Name:
Profession:
I. BUSINESS INCOME
I. BUSINESS INCOME
Total Amount
Gross Receipts/Sales (Total income before expenses)
Other Income (1099-K, 1099-NEC, or Cash)
II. COMMON BUSINESS EXPENSES
Please provide the yearly total for each category. You must keep receipts/logs for all items listed.
Please provide the yearly total for each category. You must keep receipts/logs for all items listed.
Yearly Total
Examples
Advertising
Commissions & Fees
Contract Labor
Insurance
Legal/Professional
Office Expense
Rent/Lease
Supplies
Travel
Meals
Utilities
Category
Yearly Total
Examples
1
Back
Next
Save
III. VEHICLE & HOME OFFICE (Audit Hot-Spots)
Vehicle Information:
Total Miles Driven in 2025:
Business Miles (included in total):
Note: You must have a mileage log to support these numbers.
Home Office:
Square Footage of Office Area:
Total Square Footage of Home:
IV. CERTIFICATION
I certify that the amounts listed above are true and that I possess the receipts and logs to substantiate these deductions in the event of an IRS audit.
Client Signature:
Date:
-
Month
-
Day
Year
Date
Back
Next
Save
SCHEDULE C WORKSHEET
Name of Business
How much did you spend on the following for the year?
How much did you spend on the following for the year?
Office Expenses
Rent or Home Office
Advertising
utilities
Payroll (Employee Salaries)
Auto Expenses
Professional Fees
Travel
Entertainment (Including Dining)
Business Licenses, permit Fees, Membership Dues
Educational Expenses (related to business)
Moving Expenses
Software
Texes
Charitable Contributions
Parking Fees & Public Transportation Costs
Business Supplies
Back
Next
Save
Schedule C Income Sheet
How Much money did you make for ? (Write how much money you made per month.)
January
February
March
April
May
June
July
August
September
October
November
December
Total Income For
Signature
Preview PDF
Save
Continue
Continue
Should be Empty: