CLIENT TAX PREPARATION QUESTIONNAIRE
  • CLIENT TAX PREPARATION QUESTIONNAIRE

    Thank you for choosing JRTC Financial Services to make your tax season seamless and stress-free. Please ensure all the information you provide is accurate and truthful.
  • Thank you for taking the time to complete the Client Tax Questionnaire. This questionnaire may take up to 30 minutes to complete.

    Please be sure to organize all of your tax documents prior to completing the form. Please make sure to submit the requested documents below with your questionnaire. Any required documents not submitted will hold up the return process. If you have any questions please feel free to call or text JRTC Financial services @ 945-289-0079.

    Please submit copies of all required documents from the list below:

    • Taxpayers Drivers License + Social Security Card
    • Spouse Drivers License + Social Security Card *if applicable
    • All Dependents Social Security Cards *if applicable
    • Income Documents

    Other documents as applicable:

    • Childcare Receipts
    • Childcare Name + EIN
    • Form 1098T - College Receipts
    • Form 1099G - Unemployment
    • Form 1098 - Mortgage Lender
    • Form 1095A - Health Insurance Marketplace Statement
    • Form 1098E - Student Loan Interest Statement

    IMPORTANT: AFTER THE COMPLETION OF ALL APPLICABLE PARTS OF THIS FORM, IT MUST BE CLICKED THE "SUBMIT" BUTTON AT THE BOTTOM OF THE FORM TO SEND THIS INFO TO THE OFFICE. IT SHOULD BE NOTED THAT AFTER CLICKING THE SUBMIT BUTTON, THE CONFIRMATION EMAIL WILL BE SENT.

    **Please also note that to comply with federal and state identity theft protection efforts our firm will ask for a valid state-issued photo identification card during your engagement.**

    WE ARE NO LONGER PROVIDING ESTIMATES!! It is now tax season, and we strongly recommend the use of filing with your W2!!

  • CLIENT GENERAL INFORMATION

  • **If you received a holiday loan from H & R Block, we are unable to proceed with your tax return. Please answer honestly. If it is discovered that a loan was received and not disclosed, we will proceed with legal actions as necessary. Thank you for your understanding and cooperation.**

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  • DEPENDENT INFORMATION

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  • CHILD CARE EXPENSE INFORMATION

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  • TAX RELATED QUESTIONS & INFORMATION

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  • SELF EMPLOYMENT OR BUSINESS INCOME

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  • REFUND OPTIONS

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    • DUE DILIGENCE QUESTIONNAIRE 
    • The United States Congress have, as a reaction to the substantial tax fraud resulting from their original error of choosing to distribute federal social welfare program benefits via the tax return, placed new excessive inappropriate “due diligence” requirements on paid tax return preparers whose clients are claiming certain tax credits. This added to the excessive and inappropriate requirements previously implemented by the Internal Revenue Service, the IRS has forced tax preparers to, in many cases, become Social Workers and verify that their clients qualify to receive certain credits i.e. EIC, CTC, ACTC and now HOH.

      We preparers are not compensated by the IRS or the government for doing their job for them but must pass the costs of this required additional work on to our taxpayer clients.

      You will be claiming an Earned Income Credit, Child Tax Credit, Additional Child Tax Credit, HOH, and/or an American Opportunity Credit on your tax return. Because of this you must complete, sign, and return this questionnaire to me. I will keep the original signed copy of this questionnaire with my file copy of your tax return and will include a photocopy of the completed questionnaire in the package I send you with the finished returns.

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    • ATTESTATION AND DISCLAIMER + SIGNATURE 
    • JRTC FINANCIAL SERVICES is not responsible if the taxpayer provides us with incorrect information (i.e. social security numbers for self, spouse, or dependents, last names, birth dates). This may delay your refund. JRTC FINANCIAL SERVICES is not responsible for any IRS audits. All information obtained from the taxpayer and/or spouse must be presentable if the IRS audits your tax return. JRTC FINANCIAL SERVICES is not responsible for any incorrect tax figures provided by the taxpayer and/or spouse. If your tax figures change you will need to do an Amendment. Prices Vary. If you have any federal or government debts (i.e. school loans, child support, DPP, DFCS, etc….) there is a chance that your refund will be applied towards your debt.

      You can call the offset department at 1-800-304-3107 or 1-800-829-7650 to see if your refund will be partially or fully taken. If your refund is fully taken you are responsible for paying the preparation fees. JRTC FINANCIAL SERVICES provides the taxpayer with ONE complimentary copy of their tax return. Should you need any additional copies, there is a $15 fee per copy (federal and state included).

      JRTC FINANCIAL SERVICES is not responsible for any discussions or changes the IRS or bank may make on disbursement dates, filing status or any other required information from the IRS. JRTC FINANCIAL SERVICES is not responsible for any IRS glitch problems or IRS problems that may cause a delay in your tax refund. We DO NOT reimburse any bank fees in the event of this occurrence.

      The information contained in this office or on this website is of a general nature. It should not be construed as legal advice nor should it be acted upon in your specific situation without further details and/or professional assistance. Any use of the information contained in this office or on our website is done so at the risk of the user, and JRTC FINANCIAL SERVICES is not responsible for the result or outcome of its use. JRTC FINANCIAL SERVICES does not guarantee and is not liable for the truthfulness, accuracy, effectiveness, or any resulting effects of the use of any information contained in this office or on the website.

      It is advised and it is the responsibility of the visitor of this office or website to seek proper instruction and/or seek professional assistance in all matters regarding taxes and the IRS. JRTC FINANCIAL SERVICES is thus held harmless, release of, and users of the information contained in this office or on this website assume full responsibility for, any violation of Tax laws and/or IRS procedure, and any other legal liability resulting from the use of any information contained in this office or on this web site. I attest that all information contained in this income tax return was obtained from the taxpayer or spouse and is true and correct to the best of his/her knowledge.

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    • Consent To Use

      Federal law requires this consent form to be provided to you (“you” refers to each taxpayer, if more than one). Unless authorized by law, we cannot use your tax return information for purposes other than the preparation and filing of your tax return without your consent. You are not required to complete this form to engage our tax return preparation services. If we obtain your signature on this form by conditioning our tax return preparation services on your consent, your consent will not be valid. Your consent is valid for the amount of time that you specify. If you do not specify the duration of your consent, your consent is valid for one year from the date of signature. For your convenience, we have entered into an arrangement with certain companies to offer an Electronic Refund Disbursement Service and/or Loan product. To determine whether these offerings may be of interest to you, we will need to use your tax return information. If you would like us to use your tax return information to determine whether these offerings are relevant to you while we are preparing your return, please sign and date this consent to the use of your tax return information. By signing below, you authorize us to use the information you provide to us during the preparation of your 2022 tax return to determine whether to offer you an opportunity to apply for the Electronic Refund Disbursement Service and/or Loan product.

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    • Consent to Disclosure Of Tax Return Information

      Federal law requires this consent form to be provided to you (“you” refers to each taxpayer, if more than one). Unless authorized by law, we cannot disclose your tax return information to third parties for purposes other than the preparation and filing of your tax return without your consent. If you consent to the disclosure of your tax return information, Federal law may not protect your tax return information from further use or distribution. You are not required to complete this form to engage our tax return preparation services. If we obtain your signature on this form by conditioning our tax return preparation services on your consent, your consent will not be valid. If you agree to the disclosure of your tax return information, your consent is valid for the amount of time that you specify. If you do not specify the duration of your consent, your consent is valid for one year from the date of signature. You have indicated that you are interested in utilizing the Electronic Refund Disbursement Service and/or Loan product from Refund Advantage or Santa Barbara Trust. To provide you with the opportunity to apply for and/ or receive the Electronic Refund Disbursement Service and/or Loan product, we must disclose all of your tax return information to Refund Advantage. You may request a more limited disclosure of tax return information, but you will not be eligible to submit an application for the Electronic Refund Disbursement Service and/or Loan product. If you would like us to disclose your tax return information to Refund Advantage for this purpose, please sign and date your consent to the disclosure of your tax return information.

      By signing below, you authorize us to disclose to the designated bank all of your tax return information so that it can evaluate and process your application for the Electronic Refund Disbursement Service and/or Loan product. You understand that if you are not willing to authorize us to share your tax information with our designated banks, you will not be able to obtain the Electronic Refund Disbursement Service and/or Loan product, but you can still choose to have your tax return prepared and filed by us for a fee. If you believe your tax return information has been disclosed or used improperly in a manner unauthorized by law or without your permission, you may contact the Treasury Inspector General for Tax Administration (TIGTA) by telephone at 1-800-366-4484, or by email at complaints@tigta.treas.gov.

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    • CONSENT FOR PAYMENT


      We here at JRTC Financial Services, value the relationship we have with all of our clients. We are in the business to provide you with the absolute best service you can have. With saying that, we would like to remind you that we are providing you a service NOT a refund. You as a taxpayer have the choice to pay your tax preparation fees by one of the following: cash, check, money order, credit card, or directly from your refund*. *If you choose to have the tax preparation fees taken from your refund and for whatever reason your taxes are intercepted, YOU ARE STILL RESPONSIBLE FOR THE TAX PREPARATION FEES! Please contact us immediately at our office for payment or payment arrangements. By signing your return you are agreeing to pay the preparation fees regardless if your refund was received or not. After 3 months from the date the refund was scheduled to arrive if no payment or arrangement is made, we will be forced to put your account into collections. We hope we never have to go this route so please keep open communication with us so we can work with you! Thank you!

      Warm Regards,

      Jaquita Rideaux
      Owner for JRTC Financial Services

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