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Express Tax Professionals Client Intake Form 2026

Express Tax Professionals Client Intake Form 2026

231-22 Suite B Merrick Blvd, Laurelton NY 11413 (718) 807-7991
  • 1

    Thank you for choosing Express Tax Professionals to assist with the preparation of your income tax return.


    Please be advised that federal law requires professional tax preparers to retain copies of certain identifying documents as part of our compliance and identity verification obligations.


    Any identifying documents provided, along with copies of your tax return and supporting records, are maintained securely and protected using appropriate administrative, technical, and physical safeguards.


    If you have any questions regarding our record retention or data security practices, please feel free to discuss them with a member of our team.

     

    Sincerely,

    Express Tax Professionals

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  • 2

    NYC Tax Preparer Disclosure Notice (Required by NYC Consumer Protection Law)
    Express Tax Professionals is a tax preparation company operating in New York City. Under New York City Administrative Code §20-741, tax preparers must provide taxpayers with clear disclosures about your legal rights, privacy protections, and how your information is handled.


    Please read carefully before completing this form and before any tax preparation begins.


    You will receive:
    ✔ The NYC Consumer Bill of Rights Regarding Tax Preparers
    ✔ Our Privacy & Data Security Policy
    ✔ Our Fee Disclosure & Consent Authorization

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  • 3
    Protecting your personal information is required by law. Federal Trade Commission regulations require professional tax preparers to create, implement, and enforce security measures to safeguard taxpayer data. As part of our security and identity verification process, we are required to verify your email address, mobile phone number, identity, and electronic signatures in connection with the information submitted through this form. Please complete this form accurately and in full. Providing incomplete or inaccurate information may delay processing.
    Yes, I Agree
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    • Yes, I Agree
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  • 4

    The taxpayer must personally complete and submit this form, as digital signatures are required during this process. 

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  • 5
    Please Select
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    • Yes, I have reviewed the checklist and I am ready to proceed
    • No, I need to review the checklist first
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  • 6

    Before continuing, please review our Tax Preparation Document Checklist to ensure you have all required information and documents available. Incomplete submissions may delay processing. 

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  • 7
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  • 8

    New clients who we do not know personally are required to confirm ID, via government issued photo ID. Please have this available to submit if we do not know you personally.

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  • 9
    Please Select
    • 2025 (Current Tax Year)
    • 2024 (Prior Tax Year)
    • 2023 (Prior Tax Year)
    • 2022 (Prior Tax Year)
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  • 10
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    /
    Pick a Date
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  • 13
    Please Select
    • Please Select
    • No
    • Yes
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  • 14
    Please Select
    • Please Select
    • Single
    • Head of Household
    • Married Filing Jointly
    • Married Filling Separate
    • Qualifying Surviving Spouse
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  • 15
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  • 16
    Please Select
    • Please Select
    • Yes
    • No
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  • 17
    Please Select
    • Please Select
    • No
    • Yes
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  • 18
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  • 19
    • Please Select
    • Alabama
    • Alaska
    • Arizona
    • Arkansas
    • California
    • Colorado
    • Connecticut
    • Delaware
    • District of Columbia
    • 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
    Please Select
    • 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
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  • 20
    This number may be used for identity verification, filing updates, and time-sensitive questions related to your return. `
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  • 21
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  • 22
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  • 23
    /
    Pick a Date
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  • 24
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  • 25
    Dependent eligibility will be determined based on IRS rules. Providing inaccurate information may delay processing.
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  • 26
    Dependent
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  • 27
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  • 28
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  • 29
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  • 30
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  • 31
    Please Select
    • Please Select
    • Yes
    • No
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  • 32
    Please Type Yes or No
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  • 33
    Please Select
    • Please Select
    • No
    • Yes
    • Not Sure
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  • 34
    Please Select
    • Please Select
    • No
    • Yes
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  • 35
    Direct deposit information is used only if you request us to assist with e-filling setup. The IRS issues refunds directly to taxpayers.
    Yes
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    • Yes
    • No
    • Not applicable
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  • 36
    Please Select
    • Please Select
    • Personal Checking Account
    • Personal Savings Account
    • Business Checking Account
    • Business Savings Account
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  • 37
    If applicable
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    • Yes
    • No
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  • 38
    One Big Beautiful Bill New Law Questions:
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  • 39
    Upload all relevant U.S. tax documents including income statements, receipts, and supporting records. Multiple files may be uploaded at once. Photos are acceptable if clear and legible. **FILE UPLOAD INSTRUCTIONS** Please take one (1) clear, legible picture for each tax and identification document. List of documents: Photo ID for you and your spouse (if applicable). Social Security Cards, for you, your spouse and any dependents. Birth Certificates for any dependents. Voided Check (if applicable - for direct deposit) Income Statements (W2, 1099-NEC/K) Unemployment Income 1099-G Any other tax documents or letters you received.
    Drag and drop files here
    Select files to upload
    Cancelof
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  • 40
    Please Select
    • Please Select
    • Yes
    • No (I will upload again)
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  • 41
    Examples: missing documents, amended returns, prior-year issues, life changes, notices from the IRS, or special filing requests.
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  • 42
    Priority processing provides expedited preparation within 3 business days for an additional $25 per return. Standard processing time is 7–14 business days, depending on complexity and document completeness.
    Please Select
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    • Yes - Please add priority processing ($25)
    • No - I am OK with standard processing (1-2 week ) turnaround time
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  • 43
    Audit & Tax Support Protection includes assistance with IRS correspondence related to this return, including basic inquiries, notices, and document requests. This service does not include full audit representation, appeals, or tax court proceedings. *This is not audit insurance, but support."
    Please Select
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    • Yes - I am aware of what this covers and want this coverage - $50 - Single return / $75 - Married filing jointly
    • No - I am aware of what this covers and do not want the coverage
    • Unsure - I will decide after my taxes are prepared and before they are Efiled
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  • 44
    I authorize Express Tax Professionals to communicate with the Internal Revenue Service (IRS) only to obtain information related to the preparation and filing of my tax return, including transcript requests and notice clarification. This authorization does not grant power of attorney and does not permit representation in an audit, appeal, or tax court proceeding.
    Yes, I authorize limited disclosure
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    • Yes, I authorize limited disclosure
    • No, I do not authorize disclosure
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  • 45
    Yes, I authorize limited disclosure
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    • Yes, I authorize limited disclosure
    • No, I do not authorize disclosure
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  • 46

     

    Authorization to Disclose Federal and State Tax Return Information 
    (IRC §7216 Required Disclosure)

    Federal law requires this consent form before we can disclose your tax return information to a third party.

    By checking “I Agree” and signing below, you authorize Express Tax Professionals to disclose your tax return information to your designated representative for the limited purposes described below.

    INFORMATION THAT MAY BE DISCLOSED
     
    Your tax return information may include, but is not limited to: 

    • Information provided by you for the preparation of your federal and state income tax returns
    • Information contained on your filed or draft tax returns (including Forms W-2, 1099, Schedule C, Schedule E, and related schedules)
    • Adjustments to income, deductions, and tax credits
    • Refund amounts or balances due
    • Estimated tax payments
    • Filing status
    • Address and contact information
    • Direct deposit or electronic funds withdrawal information solely for tax filing purposes
        

    PURPOSE OF DISCLOSURE 
      
    The purpose of this disclosure is to allow your designated representative to assist with the preparation, review, filing, and discussion of your income tax return.

     

    LIMITATIONS

    Your representative may NOT:

    •  Sign or file a tax return on your behalf unless separately authorized under IRS Form 2848
    • Make changes to your tax return without your approval
    • Represent you before the IRS or any state taxing authority unless separately authorized
    • Access your tax information after this authorization is revoked
       

    DURATION OF AUTHORIZATION

    This authorization will remain in effect until the earliest of:
    (1) Completion of the tax services requested,
    (2) Revocation by you in writing, or
    (3) One (1) year from the date of signature below.

    REVOCATION RIGHTS 

    You may revoke this authorization at any time by providing written notice to Express Tax Professionals.


    Revocation will not affect disclosures made prior to the revocation.

     

    IRS WARNING
     

    Once your tax return information is disclosed to a third party, federal law may no longer protect that information from further disclosure.

     

    CLIENT RESPONSIBILITIES 
     
    You are responsible for reviewing all tax information prepared on your behalf and for notifying us immediately of any changes or errors.


    You are responsible for maintaining copies of your tax records as required by law.

     

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  • 47

    Firm Authorization & Consent

    By submiting this form, you authorize Express Tax Professionals to prepare and electronically file your federal and applicable state income tax return(s) based solely on the information you provide.

    This authorization permits us to communicate with the Internal Revenue Service (IRS) and applicable state taxing authorities only regarding the processing, acceptance, or rejection of your tax return(s), and to request clarification or missing information necessary to complete your return.

    This authorization does not grant legal representation before the IRS or any state taxing authority.
    Representation rights require a separate, properly executed IRS Form 2848 (Power of Attorney).

    This authorization applies only to the tax year(s) covered by this submission and may be revoked at any time in writing.

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  • 48
    Virtual Consent Disclosure: If you agree to have your tax return prepared and your tax documents handled by Express Tax Professionals, your signature and/or agreement is required on this document. Signing this document means that you are agreeing to the procedures of preparing a tax return for you virtually and/or in your absence. 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 three (3) years from the date of signature. 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 e-mail at complaints@tigta.treas.gov.
    Yes I agree and I understand
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    • Yes I agree and I understand
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  • 49
    By providing Express Tax Professionals your phone number and email address, you consent to receive informational and promotional text messages and emails from us. Message and data rates may apply for SMS. You can unsubscribe from either or both communication channels at any time by following the instructions in the messages. Your privacy is important to us; we won't share your information with third parties. PLEASE TYPE I AGREE IN THE FIELD BELOW
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  • 50
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  • 51
    By signing below, I certify under penalties of perjury that the information provided in this form and all supporting documents is true, correct, and complete to the best of my knowledge. I authorize Express Tax Professionals to prepare my federal and applicable state income tax return(s) based solely on the information I have provided. I understand that I am responsible for reviewing my completed tax return for accuracy before filing and that I remain legally responsible for the contents of my return, even if prepared by a tax professional. I consent to the use of an electronic signature, which shall have the same legal effect as a handwritten signature.
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