Tax Preparation Inquiry Form
Complete this intake to share your details, income, and eligibility for senior tax support.
Tax Intake Form
Full Name
*
First Name
Last Name
How did you hear about us?
*
Please Select
Referral
Online search
Social media
Advertisement
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
Prior years filed
*
Income sources
*
W-2 wages
Self-employment
Business income
Rental income
Interest or dividends
Retirement income
Unemployment income
Social Security
Investments or crypto
Other
Other
Did you have a business this year?
*
Yes
No
Do you have rental income?
*
Yes
No
Do you have any investments or cryptocurrency activity?
*
Yes
No
Are you age 65 or older?
*
Yes
No
Do you receive Social Security or pension income?
*
Yes
No
Do you want to discuss senior-specific deductions or credits?
*
Yes
No
Do you own an LLC or S-Corp?
*
Yes
No
When do you need this completed?
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Additional information
Confirmation
*
To the best of my knowledge, I confirm that the information provided is true and complete.
Submit
Should be Empty: