QBPage_Federal Income Tax Extension Request Form

Extension Request Form

(for new clients)
- Name*
  
  First NameLast Name
- Birth Date (mm/dd/yyyy)
  
  MonthDayYear
- Social Security Number
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Email
  example@example.com
- Mailing Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Occupation
- YesNo
- I expect a refundI may need to pay the IRS
- Enter the amount of any 2025 federal tax payments you already made
- Enter the amount you expect to get as a refund when you file your return
- Additional comments or things you wish to discuss with the tax preparer:
- By signing below, you acknowledge that:
  - All information entered here is accurate and true
  - You understand your responsibilities as the tax client
  - Understand our responsibilities as the tax preparer, including that information submitted to us will be accepted as true and accurate as entered and used to prepare and file an extension
- Date Signed
  
  MonthDayYear
  Date
- Taxpayer Signature
- My Products
  prevnext( X )
  
  Federal Income Tax Extension Filing
  $60.00 Quantity
  
  Total
  
  $0.00
- Payment Methods
  
  Fastlane Checkout
  
  Choose from one of the PayPal options to make your payment.
  
  Contact Info
  
  Payment Info
- Should be Empty: