Individual Tax Intake Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Individual Tax Intake FormPlease complete this form with as much detail as possible to help us accurately file your business income taxes. If you have any questions while completing this form, please don't hesitate to contact our office.Today's Date *Filing Status *Single Filing StatusMarried Filing JointlyMarried Filing SeparatelyHead of Household (HOHQualifying Widow (er) with Dependent ChildFirst Name *Last Name *Date of Birth *Social Security Number *As part of the process for preparing and filing your federal tax return, we want to remind you that providing Social Security Numbers (SSNs) is required by the IRS.Point of Contact Phone Number *Point of Contact Email Address *Home Address Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeIf mailing address is the same, skip this sectionIf Filing Jointly, Add Spouse's InformationSpouse's First NameSpouse's Last NameDate of Birth Social Security Number As part of the process for preparing and filing your federal tax return, we want to remind you that providing Social Security Numbers (SSNs) is required by the IRS.Point of Contact Phone Number Point of Contact Email Address Home Address Address (If Different From Spouse)Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeIf mailing address is the same, skip this sectionRequirements to Claim Dependents on Your Tax ReturnTo claim someone as a dependent on your tax return, you must meet certain IRS requirements based on the person's relationship to you, age, residency, and financial support. Relationship - Must be your child, stepchild, foster child, sibling, stepsibling, or a descendant of any of them. Must be under 19 at the end of the year, or under 24 if a full-time student. No age limit if permanently disabled. Must have lived with you for more than half of the year. The child must not have provided more than half of their own support. The child cannot file a joint return with another person unless it's to claim a refund. No Double Claims – Only one taxpayer can claim a dependent per tax year. The dependent must be a U.S. citizen, U.S. resident alien, U.S. national, or a resident of Canada or Mexico.Dependent #1 First & Last NameDependent's Date of Birth Dependent's Social Security Number As part of the process for preparing and filing your federal tax return, we want to remind you that providing Social Security Numbers (SSNs) is required by the IRS.Dependent in School or College? YesNoAdditional DependentsDependent #2 First & Last NameDependent's Date of Birth Dependent's Social Security Number As part of the process for preparing and filing your federal tax return, we want to remind you that providing Social Security Numbers (SSNs) is required by the IRS.Dependent in School or College? YesNoDependent #3 First & Last NameDependent's Date of Birth Dependent's Social Security Number As part of the process for preparing and filing your federal tax return, we want to remind you that providing Social Security Numbers (SSNs) is required by the IRS.Dependent in School or College?YesNoAdditional DependentsDependent #4 First & Last Name Dependent's Date of Birth Dependent's Social Security Number As part of the process for preparing and filing your federal tax return, we want to remind you that providing Social Security Numbers (SSNs) is required by the IRS.Dependent in School or College? YesNoBanking InformationPlease complete this section if you would like your refund or payment to be directly deposited into your financial institution. Providing your bank account details will ensure faster and secure processing of your funds. Thank you!Name of Financial InstitutionChecking/Savings Account NumberBank's Routing Number Banking Institution AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDocument Submission Message!!!!!Ensure you have your documents ready in one of the following formats: Scanned Copy, JPEG, or PDF format for upload. If any documents are missing, a member of our team will notify you promptly to assist in completing the submission process.Upload Current Drivers License Click or drag a file to this area to upload. Joint Filer's Current Drivers License Click or drag a file to this area to upload. Upload Social Security Card Click or drag a file to this area to upload. Joint Filer's Social Security Card Click or drag a file to this area to upload. Upload W-2 Forms Click or drag a file to this area to upload. Joint Filer's W-2 Forms Click or drag a file to this area to upload. If of Forms Upload 1099 Form Click or drag a file to this area to upload. Upload Additional Forms Click or drag a file to this area to upload. Upload Additional Forms Click or drag a file to this area to upload. Upload Additional Forms Click or drag a file to this area to upload. Name of the Person Who Referred YouSubmit