Please use your last years return as a reference (let us know if you need a copy)
First & Last (required)
Not required if already on file
Can you receive text messages at this number?
New Bank's Account & Routing Number?
Please provide new bank account & routing number (if changed or missing from last years tax return) otherwise leave blank
Please provide new address below, if different than last years tax return (otherwise leave blank)
Was move work related?
If so, and your new principal workplace is at least 50 miles farther from your old home than your old workplace was. Please complete the Work Related Move worksheet on my website
Changes to marital status?
Please explain if your marital status changed from last years tax return (otherwise leave blank)
Changes to Occupation?
Please update any changed from last years tax return (otherwise leave blank)
If you received any alimony, how much?
If you paid any alimony, how much & to whom (do not provide social security numbers here)
Please explain any changes in dependents (otherwise leave blank)
Did you have any child or other dependent care expenses
If so, please complete Child & Dependent Care worksheet
Contributions to IRA, SEP, HSA, MSA, 529 plan, etc.
Please explain any contributions you made, or would like to make. (otherwise leave blank) if you would like the maximum deduction, say MAX. We will calculate your maximum deduction. Numbers can be reviewed & adjusted prior to filing.
Did you incur a loss due to damaged or stolen property? If so, please explain (otherwise leave blank)
Did you receive any disability income? if so, please include all forms reporting taxable portions with your tax papers (note:only taxable disability will be reported on 1099 forms) if you did not receive a 1099 type tax form it is most likely not taxable.
Did you purchase health insurance through the ACA exchange, Covered CA, ETC.
Covered CA, or other states ATC Exchange.
Health Insurance less than 12 months
Please explain if you & your dependents did not have health insurance for the full 12 months (otherwise leave blank)
Did you purchase or sale any real estate? If so, please provide escrow closing statement with your tax papers. If you rented out any real estate, please complete Rental Worksheet
Sales tax on large purchases
Did you pay sales tax on any large items? if so, please complete the Itemized deductions worksheet
Job hunting expenses
Did you have any Job hunting expenses? if so, please list below
Did you receive any 1099-misc non-employee compensation forms? if so, please send all 1099 forms with your tax papers. Also either complete our Business P&L Worksheet or send us your P&L, if using QuickBooks we will also need a Balance Sheet (Note:most corporations are exempt from receiving 1099 forms)
Other Income not reported on 1099 forms
Do you have any additional income that wasn't included on a 1099 or any other tax form that you would like to report? If so, please explain below
Please add any additional notes here to help us prepare a complete return
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