Client Intake Form
  • Client Intake Form

  • This questionnaire collects the information needed to prepare your tax return accurately and in compliance with IRS requirements.

    Some sections may not apply to you. Later questions will automatically adjust based on your answers.

    Please answer each question carefully. You may save your progress and return later if needed.

  • Taxpayer Identity Informattion

  • Are you a new or returning client of The Tax Lady LLC?*
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  • Format: (000) 000-0000.
  • Has the IRS ever issued you an Identity Protection PIN (IP PIN)?*
  • Household & Marital Facts

  • The questions on this page help us determine your filing status and household situation.

    Please answer based on what actually happened during the year. We will apply the tax rules for you.

  • What was your marital status on December 31 of the tax year?*
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  • Did you and your spouse live together at any time during the year?
  • Did you live separately from your spouse for the last 6 months of the year?
  • Who paid most of the household expenses (housing, utilities, food)?*
  • Note: Household support can include help from another person or government assistance programs such as housing assistance, SNAP/food stamps, TANF/Families First, SSI, or disability benefits.

  • Quick Questions About Your Year

  • The next few questions help us show you only the sections that apply to your situation.

    Please select all that apply. If you’re unsure, choose the option that best fits — we can clarify later.

  • Will you be claiming any dependents this year?
  • How many dependents did you have during the year?
  • Which types of income did you have this year? (Select all that apply)*
  • Which of the following applied to you this year? (Select all that apply)
  • Do you have documents or records to support your income and expenses?
  • Dependent 1

  • This section collects information about any dependents you may claim.

    Please answer based on what actually happened during the year. If you’re unsure about an answer, choose the option that best fits — we’ll review everything together.

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  • Did this dependent live with anyone else during the year?*
  • Who provided more than half of this dependent’s financial support?*
  • Did this dependent attend school or daycare during the year?
  • Is this dependent permanently or totally disabled?
  • Is there anyone else who could attempt to claim this dependent?*
  • Has this dependent ever been claimed by someone else in a prior year?
  • Dependent 2

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  • Did this dependent live with anyone else during the year?*
  • Who provided more than half of this dependent’s financial support?*
  • Did this dependent attend school or daycare during the year?
  • Is this dependent permanently or totally disabled?
  • Is there anyone else who could attempt to claim this dependent?*
  • Has this dependent ever been claimed by someone else in a prior year?
  • Dependent 3

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  • Did this dependent live with anyone else during the year?*
  • Who provided more than half of this dependent’s financial support?*
  • Did this dependent attend school or daycare during the year?
  • Is this dependent permanently or totally disabled?
  • Is there anyone else who could attempt to claim this dependent?*
  • Has this dependent ever been claimed by someone else in a prior year?
  • Dependent 4

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  • Did this dependent live with anyone else during the year?*
  • Who provided more than half of this dependent’s financial support?*
  • Did this dependent attend school or daycare during the year?
  • Is this dependent permanently or totally disabled?
  • Is there anyone else who could attempt to claim this dependent?*
  • Has this dependent ever been claimed by someone else in a prior year?
  • Dependent 5

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  • Did this dependent live with anyone else during the year?*
  • Who provided more than half of this dependent’s financial support?*
  • Did this dependent attend school or daycare during the year?
  • Is this dependent permanently or totally disabled?*
  • Is there anyone else who could attempt to claim this dependent?
  • Has this dependent ever been claimed by someone else in a prior year?
  • Income Details

  • This section collects information about income you received during the year.

    Please list all sources of income, even if you are missing documents. We will review and clarify details as needed.

  • Did you work for an employer and receive a W-2 during the year?*
  • Did you receive any 1099 forms (1099-NEC, 1099-MISC, etc.)?
  • Did you receive any of the following benefits during the year? (Select all that apply)
  • Did you receive income from any of the following? (Select all that apply)
  • Self Employment (If Applicable)

  • Complete this section only if you earned income from self-employment, side work, gig work, or contract services during the year.

    Answer based on how you actually operated during the year. If records are incomplete or estimates are used, explain as best you can.

  • Did you operate under a business name or EIN?
  • How were you paid for your services? (Select all that apply)
  • Did you keep records of your business income and expenses?
  • Which types of expenses did you have related to this work? (Select all that apply)
  • Did you use a vehicle for business purposes?
  • Did you maintain a separate business bank account?
  • Did your business operate at a loss for the year?
  • Credits & Life Events

  • This section helps us identify life events or expenses that may affect your tax return.

    Please select anything that applied to you during the year. If you’re unsure, it’s okay to select it — we’ll review eligibility together.

  • Did you pay for childcare so you could work or attend school?
  • Did you or anyone in your household attend school or training during the year? (Select all that apply)
  • Did anyone in your household have health insurance through the Marketplace (Form 1095-A)?
  • Which of the following applied to you during the year? (Select all that apply)
  • Did you experience any major life changes during the year? (Select all that apply)
  • Documentation & Due Diligence

  • This section helps us document the information and records used to prepare your tax return.

    Missing or incomplete documents do not prevent us from preparing your return, but explanations may be required under IRS rules.

  • Which best describes the documentation you have available for your income?*
  • Which best describes the documentation you have available for expenses or deductions claimed?
  • Has the IRS ever disallowed or adjusted credits, dependents, or income on a prior tax return?
  • Do the income and expense amounts you provided reasonably reflect your work and household situation?
  • Engagement, Consents, & Authorization

  • This section confirms your authorization for The Tax Lady LLC to prepare your tax return and outlines important acknowledgments regarding the information you provided.

    Please review each item carefully before continuing.

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