Due Diligence Questionnaire 2024

EIC Questionnaire

You are being supplied with this questionnaire because you have claimed one of these credits in the past or you have indicated that you will be claiming one of them this year.

The questionnaire is designed to assist us in qualifying you for some valuable refundable tax credits. While the questions may seem to be a little intrusive at times, they are questions that we are required to ask under the Due Diligence Requirements of the new Tax Laws.
Filing Status

Single (Not Married)Head Of HouseholdMarried Filing JointlyMarried Filing SeparatelyWidow(ed)
Name
*Head of Household can ONLY be claimed by taxpayers with a Qualified Dependent AND who are:

1. Single and paying more than 1/2 cost of keeping up a home (complete worksheet below)

OR

2. Married but did not live with your spouse AT ANY TIME in the last 6 months of the year

OR

3. Divorced or LEGALLY separated
1) Are you legally married as of 12/31/2024?

YesNo
2) Have you ever been disallowed the EITC/AOTC/CTC? If so, when?
3) Will the other parent of the child/children be claiming the child on their tax return?

YesNo
4) Did anyone else live in the home that provides financial support for your child/dependent(s)?

YesNo
5) Do you have full custody of your dependent(s)? Also, can you provide documented proof to the IRS if requested?

YesNo
6) How many months did the dependent(s) live in your home during the tax year?
7) Can anyone else claim your dependent(s) as a dependent on their tax return?

YesNo
Not Your Biological Child Section:

Please ONLY answer these questions in this section if the child/children on your return is NOT your biological child.
1) If this is not your biological child, what is your relationship to the dependent?
2) Did the dependent live in your home for more than 6 months?

YesNo
3) Who are the biological parents?
4) Where are the biological parents?
5) Are you listed as the guardian for this dependent(s) on school records, medical records, daycare records, or place of worship records?

YesNo
College Students ONLY:

Please complete this section ONLY if you or your dependent is in college.
1) Which college did the student attend?
2) Did the student attend at least half time?

YesNo
3) Did this student receive a tuition statement from the school? Form 1098-T?

YesNo
4) How many tax years have you claimed the American Opportunity Tax Credit?
5) Does the student have any drug related felonies?

YesNo
CAN YOU, THE TAXPAYER, PROVIDE SCHOOL/MEDICAL/DAYCARE/PLACE OF WORSHIP/BIRTH CERTIFICATES UPON REQUEST FROM THE IRS?

YesNo
I, the taxpayer has provided all answers to the above questions to be true and correct to the best of the taxpayer's knowledge. Taxpayer has been informed that claiming a dependent for EITC/CTC/AOTC/HOH or other can result in an audit, fines and penalties if information provided to preparer is incorrect.
Signature of taxpayer

Clear
Date

MonthDayYear
Date
Should be Empty:

EIC Questionnaire

Not Your Biological Child Section:

College Students ONLY:

Please complete this section ONLY if you or your dependent is in college.