Virtual Tax Preparation Intake
Please provide your information to help us prepare your tax return efficiently.
I am a
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New Client
Returning Client
How did you hear about us?
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Filing Status
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Single
Head of Household
Married Filing Separate
Married Filing Joint
Qualifying Widower
Taxpayer Information
Full Name
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First Name
Last Name
Social Security Number
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Date of Birth
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Month
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Day
Year
Date
Home Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Email Address
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Marital Status
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Single
Married
Head of Household
Widowed
Other
Do you have any dependents to claim?
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Yes
No
Dependent information here
Did your dependents live with you for more than 6 months during the tax year?
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Yes
No
Can any one of your dependents be claimed on someone else tax return?
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Yes
No
If claiming a dependent, please indicate what kind of financial support proof you have?
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Bank Statement
Grocery/Clothing Receipts
Medical Records
Other
If claiming a dependent, please indicate what kind of proof of residency you have?
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Lease Agreement
School Records/Transcript
Medical Records
Other
Did any of your dependents work?
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Yes
No
Employment Status
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Employed (W-2)
Self-employed (1099)
Unemployed
Retired
Other
Occupation
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Did you have any of the following income sources in the past year? (Select all that apply)
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Wages (W-2)
Self-employment (1099)
Unemployment benefits
Retirement income
Investment income
Rental income
Other
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Spouse Information
Name
First Name
Last Name
Date of Birth
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Month
-
Day
Year
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Social Security #
Occupation
Does anyone who will be listed on this return have an ITIN or Lack of Social Security Number
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Yes
No
Are you a dependent of another person that files their taxes
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Yes
No
Did you or any household member have Market Place Health Insurance (Obama Care/Affordable Care Act)
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Yes
No
Did you or any household member or dependent attend a university, community college, or career scholarship and have form 1098-T for eligible expenses
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Yes
No
Which if any of the following applied to you or your spouse check all that apply
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I and or my spouse gave charitable donations tithes or contributions to a qualified community or religious organization
I had medical expenses over the standard reduction threshold of 12,400 or more in plan to itemize
I paid student loan interest and received a 1098 E
I had eligible medical expenses I paid for energy efficient or solar improvements
I sold and or purchased a home or building
I served in the military and had to relocate
I paid or received alimony
I contributed to a retirement plan IRA Sep or SIMPLE
I contributed to a health savings account HSA
File Upload-Attach supporting documents related to the above tax details such as W2's, 1099-NEC, 1098 E student loan, tithes, charitable contributions, etc....
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Browse Files
Drag and drop files here
Choose a file
Cancel
of
File Upload-Attach driver license and Social Security cards and BirthCertificates for all dependents
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Browse Files
Drag and drop files here
Choose a file
Cancel
of
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Tax Related Questions
Did you receive any of the following earned or unearned income
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W2 employee income
1099--NEC, 1099-MSC, 1099-K
Business or self-employment income
Unemployment income 1099-G
Social Security benefits SSA-1099
Retirement income 1099-R, RRB-1099-R
Investments such as interest and dividend 1099-INT, 1099-DIV
Gambling wins and losses
Royalties of any kind
Rental property income
Other income not listed
Did you have any expenses for childcare
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Yes
No
Please provide daycare or caregiver name, address, phone number, EIN/TAX ID/SSN#
Do you own a home and did you pay property taxes
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Yes
No
Do you have a mortgage interest
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Yes
No
Are you a victim of identity theft
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Yes
No
Has your tax refund ever been taken by the IRS for owing a past due debt?
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Yes
No
Do you have any IRS or Financial debt that would prevent you from getting your tax refund?
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Yes
No
If you are due a refund please provide bank information for direct deposit
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Profit and Loss Statement
Are you self employed?
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Yes
No
What is your Company Name, EIN# and Type of Business?
What was your Total Annual Income (Gross Sales and Receipts)?
Business Expenses
Please provide any additional information or questions you may have for your tax preparer.
Taxpayer Acknowledgment Statement
Date
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Month
-
Day
Year
Date
Signature
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Date
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Month
-
Day
Year
Date
Signature
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