• Due Diligence Form

    Due Diligence Form

    KeeTeeTLC@gmail.com call/text: 516.324.9893 text only: 516.980.9107

  • Thank you for taking the time to complete our intake process. This is one step of quick questions needed, You can start here or come back to complete later. You can start in The Client Portal section of the app to register and upload docs, thats your intake form. If you do not fill this out or are not sure if you are required to, we will send you the link to it prior to you signing your complete tax return.

    For our new clients please be aware that this information is critical to ensure an accurate filing of your tax returns. We request that new clients submit at least prior year tax return (preferably two), to be used as comparison for your upcoming filing.

    For our existing clients, while we may have some of this information from past engagements, we kindly request you provide it again so we can make sure our records are 100% accurate and up to date.  IRS compliance is crucial, and for those who have worked with us before you know that we work extrememly hard to get you every dollar that you deserve.

     

    ***We use industry-leading technology Secured Socket Layer (SSL) to keep your information safe. All sensitive information is securely transmitted, encrypted, and can not be compromised.

  • Tax Credit Due Diligence Questionnaire

  • We ask that you complete this due diligence questionnaire to ensure you are eligible to claim at least one of several valuable tax credits.  While the questions may seem to be a little intrusive, they are questions that we are required to ask under the due diligence requirements of the new tax laws.  We will keep your responses and documents on file, in the event the IRS should ever ask for them. Please complete them in as much detail as possible.  Upload what you have, If you do not have please skip and answer the question that are required. If you are a new client Social Security Cards OR last year taxes(first two pages of the 1040) is required. You can come back to upload it. A link will be emailed to you to contiue where you stopped (click Save when you need to stop and follow directions)

     

  • I/we, or my child(ren), have documentation to substantiate the credit(s) being claimed (you are responsible for keeping this documentation and providing it to the IRS if you are audited or questioned)*
  • Was the Earned Income Credit (EIC/EITC), Child Tax Credit (CTC), Additional Child Tax Credit (ACTC), or American Opportunity Tax Credit (AOTC) claimed by you disallowed (did not let you get it) or reduced by the IRS on a past tax return?*
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  • Client Status

  • Are you a new or returning client?*
  • How did you find us?*
  • Are you interested in other services we offer?*

  • TLC Tax Luv

    Lekycia Woodhouse

    Tax Practitioner

    Email: info@tlcmservice.com

  • New Client Prior Tax Returns

    Please upload your most recent tax return to our NEW Secure Client Portal. See Page for Access in App or use the Link provided once Client Intake form is Completed.

  • Household Demographic Info

  • Taxpayer Information

  • Date of Birth*
     - -
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Filing Status Due Diligence

  • What was your marital status as of December 31st of the tax year?*
  • Have you ever been married?*
  • Date of Marriage*
     - -
  • Are you divorced?*
  • Can you provide a copy of your divorce decree if requested by the IRS?*
  • Have you remarried?*
  • Can you provide a copy of a separate maintenance agreement, or any other document that shows separation if requested by the IRS?*
  • Is this the same marital status from your last tax return?*
  • Will you and your spouse be filing a joint return?*
  • As of December 31st, were you a US citizen or resident alien?*
  • Did you live in the United States the entire year?*
  • Are you claiming dependents on your tax return?*
  • Did you pay more than half the cost of keeping up a home in which you lived, or the cost of keeping up a home for a parent that did not live with you?*
  • Please check ALL income statements that apply*

  • Spouse's Demographic Information

  • Date of Birth*
     - -
  • Format: (000) 000-0000.
  • Please check ALL that apply*
  • Please check ALL income statements that apply*

  • Government Assistance

  • Do you receive any form of government assistance?*
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  • Dependent Claims & Rules

  • Is there anyone else living in your household that helps provide support for your dependents?*

  • Earned Income Credit

    You may not claim the Earned Income Credit if you have not lived with the child for over half the year, even if you have supported the child. If your are single you may qualify. 

  • TIEBREAKER RULES: To determine which person can treat the child as a qualifying child, the following tiebreaker rules apply:

    If only one of the persons is the child’s parent, the child is treated as the qualifying child of the parent.
    If the parents do not file a joint return together but both parents claim the child as a qualifying child, the IRS will treat the child as the qualifying child of the parent with whom the child lived with for the longer period of time during the year. If the child lived with each parent for the same amount of time, the IRS will treat the child as the qualifying child of the parent who had the higher adjusted gross income (AGI) for the year.


    If no parent can claim the child as a qualifying child, the child is treated as the qualifying child of the person who had the highest AGI for the year.


    If a parent can claim the child as a qualifying child but no parent does claim the child, the child is treated as the qualifying child of the person who had the highest AGI for the year, but only if that person’s AGI is higher than the highest AGI of any of the child’s parents who can claim the child.

  • Dependent Information

  • Dependent Info #1

  • Date of Birth*
     - -
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  • Is this dependent a U.S. citizen, U.S. national, or U.S. resident alien?*
  • Is this dependent married?*
  • Are they filing a joint return with their spouse?*
  • Does this dependent provide more than half of their own support?*
  • Can this dependent be claimed on anyone else's return?*
  • Is your dependent's last name different from yours?*
  • Are both biological parents of this dependent listed on this return?*
  • Does the dependent's parent(s) provide any financial support or assistance?*
  • Please select any that apply to this dependent:*
  • Are you listed as the guardian for this dependent(s) on school records, medical records, daycare records, or place of worship?*
  • Who watched this child while you worked?*
  • Has the dependent been declared disabled by a physician?*
  • Does this dependent receive social security disability benefits?*
  • If available, Social Security Award Letter/1099-SSA*
  • Has this dependent, or someone claiming the dependent, received the Hope Scholarship Credit or American Opportunity Credit on 4 prior tax returns?*
  • Was the student convicted, before the end of the tax year, of a felony for possession or distribution of a controlled substance?*
  • Was the student enrolled at least part-time?*

  • Child/Dependent Care Provider Information

  • Did you pay an individual or a business for child/dependent care?*
  • If available, I will upload childcare/dependent care receipts in the Client Portal*
  • Do you have another dependent to claim?*

  • Dependent #2 Info

  • Date of Birth
     - -
  • Is this dependent married?*
  • Are they filing a joint return with their spouse?*
  • Is this dependent a U.S. citizen, U.S. national, or U.S. resident alien?*
  • Does this dependent provide more than half of their own support?*
  • Can this dependent be claimed on anyone else's return?*
  • Is your dependent's last name different from yours?*
  • Are both biological parents of this dependent listed on this return?*
  • Does the dependent's parent(s) provide any financial support or assistance?*
  • Please select any that apply to this dependent:*
  • Are you listed as the guardian for this dependent(s) on school records, medical records, daycare records, or place of worship?*
  • Who watched this child while you worked?*
  • Has the dependent been declared disabled by a physician?*
  • Does this dependent receive social security disability benefits?*
  • Are you listed as the Social Security Representative payee for this dependent?*
  • If available, I will upload Social Security Award Letter/1099-SSA*
  • Has this dependent, or someone claiming the dependent, received the Hope Scholarship Credit or American Opportunity Credit on 4 prior tax returns?*
  • Was the student convicted, before the end of the tax year, of a felony for possession or distribution of a controlled substance?*
  • Was the student enrolled at least part-time?*

  • Child/Dependent Care Provider Information

  • Did you pay an individual or a business for child/dependent care?*
  • Do you have another dependent to claim?*

  • Dependent #3 Info

  • Date of Birth*
     - -
  • Is this dependent a U.S. citizen, U.S. national, or U.S. resident alien?*
  • Is this dependent married?*
  • Are they filing a joint return with their spouse?*
  • Does this dependent provide more than half of their own support?*
  • Can this dependent be claimed on anyone else's return?*
  • Is your dependent's last name different from yours?*
  • Are both biological parents of this dependent listed on this return?*
  • Does the dependent's parent(s) provide any financial support or assistance?*
  • Please select any that apply to this dependent:*
  • Are you listed as the guardian for this dependent(s) on school records, medical records, daycare records, or place of worship?*
  • Who watched this child while you worked?*
  • Has the dependent been declared disabled by a physician?*
  • Does this dependent receive social security disability benefits?*
  • Are you listed as the Social Security Representative payee for this dependent?*
  • If available, I will upload Social Security Award Letter/1099-SSA*
  • Has this dependent, or someone claiming the dependent, received the Hope Scholarship Credit or American Opportunity Credit on 4 prior tax returns?*
  • Was the student convicted, before the end of the tax year, of a felony for possession or distribution of a controlled substance?*
  • Was the student enrolled at least part-time?*

  • Child/Dependent Care Provider Information

  • Did you pay an individual or a business for child/dependent care?*

  • Additional Household Info

  • Are there other people living in the home that are not reported on the tax return?*
  • Is/Are these people listed above related to your dependents?*

  • Identity Protection

  • Has anyone listed on your tax return been issued an IRS Identity Protection PIN?*
  • I will upload the IRS Identity Protection Pin Letter in Client Portal*

  • Self-Employment/Business Income

  • Are you filing business/self-employment/side job/cash job income?*

  • Business Owner Worksheet

  • Does your business have an EIN?*
  • Would you like assistance applying for an EIN?*
  • Have you completed the business filing for this business?
  • Is your business registered with the Secretary of State (LLC) or your county (DBA)?*
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  • Is your business home-based?*
  • Do you have separate banking accounts for personal and business transactions?*
  • Have you been issued a 1099-NEC, 1099-K, or any other document to support the income?*
  • How do you keep track of your business income and expenses? (Select all that apply)*
  • How do you receive payment from customers/clients? (Select all that apply)*

  • Business Income Information

  • Do you have inventory at the beginning of the year that you sell throughout the year?*
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  • Did you make payments to independent contractors that require you to issue a 1099?*
  • Have you already filed the required 1099 forms?*
  • Do you need help filing the required 1099 forms for this business?*
  • Rows
  • Do you use a vehicle to conduct business functions?*
  • Do you have evidence to support business mileage?*
  • Is this evidence written?*
  • What type of evidence do you have?*
  • Rows
  • What documents do you have to substantiate your business?*
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  • Do you have an additional business to report?*

  • Education Credits & Deductions

  • Did the taxpayer go to college during the tax year and received a 1098T*
  • Have you, or someone who previously claimed you as a dependent, received the Hope Scholarship Credit or American Opportunity Credit on 4 prior tax returns?*
  • I will upload educational expense documents (i.e. 1098-T, school expense receipts, etc.)*
  • Were you convicted, before the end of the tax year, of a felony for possession or distribution of a controlled substance?*
  • Were you enrolled at least part-time?*
  • Did your Spouse go to college during the tax year and received a 1098T*
  • Has your spouse, or someone who previously claimed your spouse as a dependent, received the Hope Scholarship Credit or American Opportunity Credit on 4 prior tax returns?*
  • Has your spouse been convicted, before the end of the tax year, of a felony for possession or distribution of a controlled substance?*
  • Was your spouse enrolled at least part-time?*
  • I will upload educational expense documents (i.e. 1098-T, school expense receipts, etc.)*
  • Did you, your spouse, or a dependent purchase health insurance via HealthCare.gov or a State Marketplace?*
  • I will upload 1095A, B, C etc documents listed above in Client Portal*
  • Please select ALL that apply:*

  • Stimulus & Child Tax Credit Payments

  • Please make sure this information is accurate. If what you report differs from what the IRS has on file, your refund will be delayed 8-10 weeks and there is nothing our office can do to expedite processing. Attach a photo of your IRS notice or a screenshot of your Tax Record from the IRS online account.


    If you have not yet set up an account using idME, please do so: https://www.irs.gov/payments/your-online-account

  • Did you receive the first stimulus payment issued by the IRS($1200 for you and $600 for dependents)?*
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  • Did you receive the second stimulus payment issued by the IRS($600 for you and $600 for dependents)?*
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  • Did you receive the third stimulus payment issued by the IRS ($1400 for you and dependents)?*
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  • Did you receive advance child tax credit payments in 2021?*
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  • Additional Info

  • Do you know of any potential offsets/garnishments to your tax refund?*
  • What type of offset/garnishment do you have?*

  • Do you have a IRS idME aacount?

    If you have not yet set up an account using idME, please copy this link and do so once you submit this form: https://www.irs.gov/payments/your-online-account

  • COVID-19 Impact

  • Were you unable to work, or did you have to provide care for your children/dependents due to COVID-19 (i.e. school closure, quarantining, closures due to local/state regulations, unable to work due to lack of childcare, etc.)*
  • What care did you receive or provide as an impact of COVID? (Select ALL that apply)*
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  • Financial Information

  • Refund Bank Products

    You are not required to use a refund bank product for disbursement. You may choose to pay your preparation fees upfront to avoid the costs associated with using a refund bank transfer. These fees are for the refund bank transmission and service bureau. They are not included in your quoted tax preparation fees.

    Document Prep Fee: $10.00

    Bank Fee: $39.95

    Electronic Filing Fee : $15

    Service Bureau Fee: $50

     

     

  • Optional Fees

    Audit Protection: $52

    Defend My ID: $39.95

  • Based on this information, would you like to have preparation fees withheld from your refund, or would you like to pay upfront for tax preparation?*

  • Refund Advance Loan Details

    Approval rate of 79%. Your refund and loan history is reviewed from previous years. 4 out of 5 of clients are approved. 

    **Loans over $1000, have an 36% interest fee attached.

    The maximum amount for a Refund Advance Loan is $7,000. If approved for a Refund Advance Loan greater than $1,000, you will be charged interest. The amount of interest you are charged depends on how many days it takes to repay the advance from your tax refund. In other words — if your tax refund is processed and deposited by the IRS or State quickly, you’ll pay less than if your tax refund takes longer to be released. Interest charges are capped at 60 days. So, the charges to you will stop at 60 days if your refund is delayed.

    **DISCLAIMER: DESPITE APPROVAL ODDS, REFUND ADVANCES ARE NOT GUARANTEED.  THE REFUND BANK HAS THE OPTION TO APPROVE THE AMOUNT REQUESTED, APPROVE THE APPLICATION FOR A LESSER AMOUNT, OR DENY THE APPLICATION**

  • Would you like to apply for a refund advance loan?*
  • How much would you like to apply for?*

  • If you apply for a refund advance loan, the deposit method you choose for the refund advance will be the same method used for your refund deposit. The method can't be changed in the event the loan application is denied.

  • How would you like your advance and/or refund disbursed?*

  • Bank Account Information

    Please ensure that your bank information is correct. Once transmitted, your banking information can't be changed by your tax preparer or the refund bank. Any returned payment due to incorrect bank information, will be issued as a paper check, and result in a delay of your refund being disbursed.
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  • Bank Product Verification

  • Since you have opted to have fees withheld from your refund, the refund bank requires bank verification responses. Please select the bank verification information that you would like to have submitted. 

  • Would you like to receive a text message when bank funding occurs?*

  • Attestations & Disclaimers

  • Consent To Use


    Federal law requires this consent form 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 tax return to determine whether to offer you an opportunity to apply for the Electronic Refund Disbursement Service and/or Loan product.

  • Consent To Use


    Federal law requires this consent form 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 tax return to determine whether to offer you an opportunity to apply for the Electronic Refund Disbursement Service and/or Loan product.

  • Consent for Payment
    Tender-Lee Care Money Management, LLC dba TLC Tax Luv is not responsible in the event the taxpayer omits or provides incorrect information (i.e. social security numbers, names, dates of birth, etc.).  These errors may delay your refund. Tender-Lee Care Money Management, LLC dba TLC Tax Luv does not control whether or not the IRS randomly selects your return for an audit, however all clients are welcome to purchase Audit Protection and we will always keep all necessary documents on file to dispute an audit on your behalf.  All information obtained from the taxpayer and/or spouse must be submitted if the IRS audits your tax return. 

    Tender-Lee Care Money Management, LLC dba TLC Tax Luv is not responsible for any incorrect tax figures provided by the taxpayer and/or spouse.  If your tax figures change you will need to submit an amendment.  Tender-Lee Care Money Management, LLC dba TLC Tax Luv offers amendment preparation for an additional fee.  If you have any overdue debts (i.e. school loans, child support, DPP, DFCS, etc….) that are scheduled to offset your refund, you will be required to pay your tax preparation fees upfront.  You are able to call the IRS offset department at 1-800-304-3107 or 1-800-829-7650 to check the status of any scheduled offsets. If you are unaware of a potential offset and your refund is completely garnished, your prep fee will be drafted from the bank account you have on file with our office. 

    Tender-Lee Care Money Management, LLC dba TLC Tax Luv is not responsible for any changes the IRS or receiving bank may make on disbursement dates.  Tender-Lee Care Money Management, LLC dba TLC Tax Luv is not responsible for any glitch issues that the IRS experiences that may cause a delay in receiving your tax refund. We DO NOT reimburse any bank fees in the event of this occurrence.

  • MUTUAL NON-DISPARAGEMENT
    Tender-Lee Care Money Management, LLC DBA TLC Tax Luv agrees to refrain from any disparagement, defamation, libel, or slander of any of the Releasees, and agrees to refrain from any tortious interference with the contracts and relationships of any of the Releasees. Client agrees to refrain from any disparaging statements about Tender-Lee Care Money Management, LLC DBA TLC Tax Luv. Any instances of this found by Tender-Lee Care Money Management, LLC DBA TLC Tax Luv will result in a $1000 penalty per occurence payable by the client to Tender-Lee Care Money Management, LLC DBA TLC Tax Luv.

  • Clerical/Banking Errors
    Tender-Lee Care Money Management, LLC dba TLC Tax Luv tries its best to ensure that all client information is entered correctly. In the event a clerical error is dicovered that causes an incorrect deposit into your account, you give Tender-Lee Care Money Management, LLC dba TLC Tax Luv permission to debit your account for the amount of the deposit to reverse this error. 

  • Consent & Agreement

    By submitting this application, I acknowledge and agree to provide my personal information, including but not limited to my full name, date of birth, social security number, current address, banking information, and any other necessary details. I understand that this information is required for verification purposes, accurate tax return preparation, and to ensure the timely processing of any refunds, credits, or payments I may be eligible to receive.

     I confirm that all the information provided is accurate and up-to-date. I further consent to the use of this information solely for the purposes outlined above and acknowledge that it will be handled with the utmost confidentiality and in compliance with applicable laws.

     

  • Oops! It looks like you answered "No" to a required field. We’re excited to prepare your taxes, but this question must be answered "Yes" to continue with our client intake form. If you have any concerns or need assistance, please don’t hesitate to give us a call at 516-324-9893. We're here to help!
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