1. TAXPAYER PERSONAL INFORMATION
2. SPOUSE INFORMATION (IF APPLICABLE)
(List each dependent below For each dependent include:
Relationship Months lived with you
Disabled? Yes/No Full-time student? Yes/No
Check all income types you received this tax year:
Unemployment (1099-G) Social Security (SSA-1099)
Capital Gains / Stocks / Crypto
Upload or provide copies of all
5. SELF-EMPLOYMENT / BUSINESS DETAILS
(If you were self-employed or had
Did you track mileage? Yes/No If yes, enter mileage:
Charitable Donations Retirement Contributions
7. BANKING INFORMATION (FOR REFUND DIRECT DEPOSIT)
Account Type: Checking / Savings
Upload a photo of the ID + Social Security Card.
Did you receive Earned Income Credit last year? Yes/No Did you receive Child Tax Credit payments? Yes/No Did you receive any IRS letters?
Is there anything else we should know about your tax situation?
I certify that the information provided is true and correct to the best of my knowledge.