Client Intake Form If you are a new client, we need a copy of your driver’s license and tax information for all family members, including complete names, DOB & SS#s Name/Spouse/partner full name (if filing jointly) Your email Address City State ZIP Phone Year of Tax returns 20192020202120222023 Are you a new client? YesNo Referred by Have you or your spouse been a victim of Identity Theft and have you been contacted by the IRS? Please include the 6-digit PIN issued by the IRS. SELECT YES/NO, ANSWERS WILL ASSIST US IN PROPER COMPLETION OF YOUR TAX RETURN Did you have healthcare coverage for you, your spouse, and any dependents? YesNo Please provide copies of all 1095’s received. Has your marital status changed? YesNo Are you legally married? YesNo Has there been any change of dependents? YesNo Have you taken any classes in 2023? YesNo Have you made any contributions to charities? YesNo Did you or your spouse pay any student loans? YesNo Did you buy or sell any property in 2023? YesNo Did you make any energy improvements to? YesNo Please provide copies of all closing documents/HUD statements. Did you have any lottery winnings? YesNo Did you have a cancellation of any debts? YesNo Did you sell any investments in 2023? YesNo Did you buy or sell any crypto currency? YesNo Did you pay or receive any alimony in 2023? YesNo Did you pay any childcare expenses? YesNo Did you or a child attend college? YesNo If YES, please provide a 1098-T and an Expense report/Bursar report Did you or your spouse incur any casualty or loss as a result of a federally declared disaster? YesNo Did you receive any unemployment in 2023 (have you included a copy of the 1099)? YesNo How do you want to file? Electronically FileMail Your Own There are two ways to receive your refund:CHECK BY MAILDIRECT DEPOSIT