Tax Strategy Consultation Intake Form
Please fill out this form to help us understand your tax situation and goals. Have your relevant documents ready for upload if applicable.
Client Information
Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Filing Status
*
Please Select
Single
Married Filing Jointly
Married Filing Separately
Head of Household
Qualifying Widow(er)
Other
State of Residence
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
Other
Appointment Details
Preferred Consultation Time
*
Referral Source
Please Select
Search Engine
Social Media
Friend or Colleague
Current Client
Professional Referral
Website
Other
Income Profile
Primary Income Type
*
W-2
Self-Employed
Business Owner
Investor
Estimated Annual Income Range
*
Please Select
Under $50,000
$50,000–$99,999
$100,000–$249,999
$250,000–$499,999
$500,000+
Do You Have Multiple Income Streams?
*
Yes
No
Tax Situation
Last Year Tax Filing Status
*
Please Select
Single
Married Filing Jointly
Married Filing Separately
Head of Household
Qualifying Widow(er)
Other
Approximate Tax Liability (Last Year)
Do You Currently Work With a CPA or Tax Advisor?
*
Yes
No
Any Prior Audits or Notices?
*
Yes
No
If Yes, Please Describe Any Audits or Notices and Your Biggest Tax Concerns
Deductions & Strategies
Current Deductions Used
*
Retirement Contributions
HSA
Business Expenses
Real Estate
Depreciation
Credits
Other
Interest in Advanced Tax Strategies
Entity Structuring
Cost Segregation
Tax Deferral
Income Splitting
Bonus Depreciation
Opportunity Zones
Other
Assets & Investments
Real estate holdings
Primary residence
Rental property
Vacation home
Land
Commercial property
Other
Retirement accounts
Brokerage accounts
Business ownership
Goals
Desired Outcomes
*
Reduce taxes
Restructure income
Plan for business exit
Improve cash flow
Retirement tax planning
Optimize investment taxes
Other
Urgency Level
*
Low urgency
1
2
3
4
5
6
7
8
9
High urgency
10
1 is Low urgency, 10 is High urgency
Submit
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