Tax Preparation Intake Form
Kiara O’Neal
Client Profile
Your Information
Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Social Security Number
*
SSN
Are you a new or returning client?
NEW CLIENT
RETURNING CLIENT
Which year are you filing?
2026
2025
2024
2023
Filing Status (If your Married, please fill out different forms)
*
Single
Married Filing Jointly
Married Filing Separately
Head of Household
Qualifying Widow(er)
Primary Source(s) of Income
*
Employment (W-2)
Self-Employment
Retirement/Pension
Investments
Other
Home Address
*
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
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Have you ever been issued an Identity Protection PIN (IP PIN) by the IRS?
*
Yes
No
If yes, please list your 6-digit IP PIN below:
Do you have insurance through the Affordable Care Act (The Marketplace)?
*
Yes
No
Are you a business owner? (If yes, I will be contacting you for more information.)
*
Yes
No
What is your occupation?
*
If unemployed enter N/A
Can someone else claim you as a dependent?
*
Yes
No
Document Uplaod
Upload Your Required Documents To Process Your Return.
Please upload your Social Security Card.
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Please upload your valid unexpired Driver’s License, State ID, or Passport.
*
Upload a File
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Choose a file
Cancel
of
Please upload all W-2 forms received from your employers for this tax year.
Upload a File
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Choose a file
Cancel
of
Please upload Health Insurance Form (1095-A, 1095-B, 1095-C)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Please upload all additional income forms you received, including but not limited to: Form 1099-INT, Form 1099-DIV, Form 1099-NEC, and Form 1099-MI, 1099-K
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Please upload 1098-T to determine if you qualify for any education credit
Upload a File
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Choose a file
Cancel
of
Please upload your profit/expense summary or receipts for the year. Include records such as: Bank statements, Supplies and materials, Mileage or vehicle expenses, Business rent or utilities, Advertising and marketing costs, summary of Income, Spreadsheets
Upload a File
Drag and drop files here
Choose a file
For Self-Employed
Cancel
of
Dependent Information
Tell Us About Your Qualifying Dependents
If you have dependents, did they live with you the full year?
Yes
No
Dependent 1 Name, DOB, Relationship, if applies IP PIN
First & Last Name, DOB mm/dd/yyyy, Relationship ex: daughter,son,etc., 6 digit IP PIN
Please upload Dependent 1 Birth Certificate and Social Security Card
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Dependent 2 Name, DOB, Relationship, if Applies IP PIN
First & Last Name, DOB mm/dd/yyyy, Relationship ex: daughter,son,etc., 6 digit IP PIN
Please upload Dependent 2 Birth Certificate and Social Security Card
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Dependent 3 Name, DOB, Relationship, if Applies IP PIN
First & Last Name, DOB mm/dd/yyyy, Relationship ex: daughter,son,etc., 6 digit IP PIN
Please upload Dependent 3 Birth Certificate and Social Security Card
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Dependent 4 Name, DOB, Relationship, if applies IP PIN
First & Last Name, DOB mm/dd/yyyy, Relationship ex: daughter,son,etc., 6 digit IP PIN
Please upload Dependent 4 Birth Certificate and Social Security Card
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Direct Deposit
Please list information to receive direct deposit.
Name of Bank
*
Routing Number
*
Account Number
*
Account Type
*
Checkings
Savings
Back
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Do you have any specific questions or notes for your tax preparer?
Referral Agent Name & Number
Please list who referred you
Would you like to sign up for the Credit Repair Program? (I will contact you to start the process.)
Yes
No
Would you like a refund advance loan?
Yes
No
Signature
By signing below, I acknowledge and agree that if my tax refund is reduced, delayed, intercepted, or offset by the IRS, U.S. Department of Education, child support enforcement agency, state or federal agency, or any other authorized entity, I remain responsible for all applicable tax preparation and filing fees owed to Scale Wealth Financial Services. I also understand that if my refund is issued by paper check, mailed directly to me, or otherwise not received through the anticipated refund disbursement method, any outstanding fees remain my responsibility. Any unpaid balance must be paid in full within 30 days of receiving notice from Scale Wealth Financial Services. Failure to pay the outstanding balance may result in reasonable collection efforts and/or legal action to recover amounts owed, as permitted by applicable law. By signing below, I confirm that I have read, understand, and agree to these terms.
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