CW's Services - Tax Intake Form

Tax Filing Year*

Email*

Date Form Being Completed?*

Are you a a new or returning client?*

New Client

Returning Client

Promo or Discount Code (Optional)

Please provide the name of the person who referred you or provide the place where you saw our business.

How will you provide documents*

Upload to this Form

Upload to Client Portal

Upload to Taxes To Go

First Name*

Middle Initial

Last Name*

Suffix

Taxpayer's social security*

Taxpayer's Date of Birth*

Taxpayer's Occupation*

Do Any Of The Following Apply

Phone*

Primary Taxpayer - Please Check Any That Apply

Taxpayer can be claimed as a dependent on someone else's return.

Taxpayer was over age 18 and a full-time student at an eligible educational institution.

Taxpayer is permanently and totally disabled

Taxpayer is blind.

Taxpayer is deceased.

Taxpayer has received, sold, sent, exchanged, or otherwise acquired financial interest in virtual currency during the current tax year.

Taxpayer prefers to receive written communications from the IRS in a language other than English.

Taxpayer prefers to receive written communications from the IRS in an accessible format.

Home Address (Please include City, State & Zip Code)*

Did you live here all year?*

Do you have a spouse?*

Spouse First Name, Middle Initial & Last name

Spouse's Date of Birth*

Spouse Social Security Number

Spouse Occupation

Spouse Email Address

Spouse - Please Check Any That Apply

Spouse can be claimed as a dependent on someone else's return.

Spouse was over age 18 and a full-time student at an eligible educational institution.

Spouse is permanently and totally disabled

Spouse is blind.

Spouse is deceased.

Spouse has received, sold, sent, exchanged, or otherwise acquired financial interest in virtual currency during the current tax year.

Spouse prefers to receive written communications from the IRS in a language other than English.

Spouse prefers to receive written communications from the IRS in an accessible format.

Did you work in different states this tax season?*

Please provide the following: 1. States you worked in? 2. Timeframe you worked in those states?

Have you ever been audited by the IRS?*

Please provide the year(s) of audit and what were the outcomes of the audits

I am also claiming a deceased Spouse, Child or Relative

Upload a copy deceased child/relative death certificate

For new clients, upload a copy of previous year(s) tax return, including Schedule C if filed Self-employment

How Many Dependents Will You Be Claiming?*

Dependent #1 (Please provide the following information 1. Dependents First and Last Name 2. Full Social Security Number 3. Date of Birth 4. Relationship to Taxpayer 5. How many months did the dependent stay with taxpayer during Tax Year

Dependent #1 - Please upload proof of identity for dependent

Dependent #2 (Please provide the following information 1. Dependents First and Last Name 2. Full Social Security Number 3. Date of Birth 4. Relationship to Taxpayer 5. How many months did the dependent stay with taxpayer during Tax Year

Dependent #2 - Please upload proof of identity for dependent

Dependent #3 (Please provide the following information 1. Dependents First and Last Name 2. Full Social Security Number 3. Date of Birth 4. Relationship to Taxpayer 5. How many months did the dependent stay with taxpayer during Tax Year

Dependent #3 - Please upload proof of identity for dependent

Dependent #4 (Please provide the following information 1. Dependents First and Last Name 2. Full Social Security Number 3. Date of Birth 4. Relationship to Taxpayer 5. How many months did the dependent stay with taxpayer during Tax Year

Dependent #4 - Please upload proof of identity for dependent

Have you ever been disallowed the Earned Income tax Credit, The additional child Tax credit, or the Child tax credit*

Upload ID/DL (for anyone over 18 years old on this filing (PREVIOUS CLIENTS ONLY UPLOAD DOCUMENTS THAT HAVE CHANGED)*

Upload Social Security Card (for all listed on this filing) - PREVIOUS CLIENTS ONLY UPLOAD DOCUMENTS THAT HAVE CHANGED)

Did you pay for day care expenses (including preschool) to allow you to work or attend school full time?*

Yes

No

Please upload a copy daycare statement

Is anyone on this return Disabled?*

Who is disabled?

Does Taxpayer, Spouse or Any Dependents get an IP (Identity Protection) Pin letter from the IRS every year?*

Please upload a copy of IP Pin Notice/Letter from the IRS here

Please provide the PIN number and the person associated with the PIN Number

Did you pay for tax preparation last year (new clients only)? List deductible fees paid.

Did you make estimated tax payments during 2022 (that were not included in your W-2)?*

Yes

No

Provided the estimated tax payments ($) made for each quarter (Jan, Apr, Jun & Sept)

Do you owe or have you owed the IRS?**

Will you want any of the following Bank Products? (Choose All That Apply ) ** Please note all bank products must go through an approval process and will require a written authorization Form 7216 Bank Consent to Disclosure of Tax Return Information*

No Bank Products

Tax Refund Advances

Deduct Tax Preparation Fee from your Refund (addt'l fees apply)

7216 Bank Consent to Disclosure of Tax Return Information

Form 7216

7216 Bank Consent to Disclosure of Tax Return Information

Requesting Bank Products that include but are not limited to: Rapid Refunds, Withdrawing Tax Preparation fees from tax returns and other banking products require consumer consent of information disclosure

Federal law requires this consent form be provided to you (“you” refers to each taxpayer, if more than one). Unless authorized by law, we cannot use, without your consent, your tax return information for purposes other than the preparation and filing of your tax return. You are not required to complete this form. Our need to disclose your tax return information to another a 3rd party - Refund Advantage affects the tax return representation service(s) that we provide to you and its (their) cost, we may decline to provide you with the tax return preparation service or change the terms (including the cost) of the tax return preparation services that we provide to you. Your consent is valid for the amount of time that you specify. If you do not specify the duration of your consent, your consent is valid for one year.

In order to process your return, we must disclose all of your tax return information to Refund Advantage. For your convenience, we have entered into agreements with a bank to provide qualifying taxpayers with the opportunity to apply for a (bank product) Refund Transfer (RT), or Electronic Refund Check or Electronic Refund Deposit. To determine whether these products may be available to you, we will need to use your tax return information by analyzing it and calculating the amount of your anticipated refund.

By signing below, you (including each of you if there is more than one taxpayer) authorize us to disclose to Refund Advantage all of your tax return information.

How would you like to received your refund?*

Check from IRS

Direct Deposit

I have a Tax Obligation and will not be receiving a refund

Bank Institution Name*

Select the type of account:*

Address To Mail Check*

Routing/Transit Number*

Account Number*

Prepaid Card - Routing Number

Prepaid Card - Account Number

Please upload all W2's HERE - You can upload multiple files

Did you receive bank interest income this year?*

Yes

No

upload 1099-INT(s)

Did you receive dividend income this year?*

Yes

No

Upload 1099-DIV(s)

Did you sell stocks or have any stock options?*

Yes

No

Upload 1099-B(s)

Did you receive non-employee income (independent contractor) or miscellaneous income this year?*

Yes

No

Upload 1099-NEC/MISC(s)

Did you receive a distribution from a retirement plan?*

Yes

No

Upload 1099-R(s)

Did you receive Social Security Benefits?*

Yes

No

Upload 1099-SSA(s)

Are you a shareholder or a beneficiary from an S-Corp, Partnership, or Trust?*

Yes

No

Upload K-1(s)

Did you receive Unemployment Compensation or Disability Income?*

Yes

No

Upload 1099-G(s)

Did you have any gambling winnings?*

Yes

No

Upload 1099/W2-G(s)

Teachers for grades K-12: Did you use personal money for school supplies? List the amount spent.

Did you, your spouse, or a dependent incur any tuition expenses that are required to attend a college, university, or vocational school? (If so, please upload form 1098-T and other college related documents below)*

Upload 1098T, Receipts (including books & other required school fees)

How many tax years have you claimed the American Opportunity Tax Credit?

Were they seeking a degree?

Did all students attend at least half time?

Were you ever charged with drug related felonies?

Did you pay interest on a student loan?*

Yes

No

Form 1098-E - Student loan interest

Did you make a contribution (Not employer) to a HSA (not FSA) account? *

Yes

No

Upload Form 5498

Did you make a withdrawal from a HSA (not FSA) account?*

Yes

No

Upload 1099-SA

Do you have any assets in a foreign county? **Note: All foreign questions have a high penalty ($10,000) if not disclosed to the IRS. List each asset and value.

Note: Deductible medical expenses must exceed 7.5% of your adjusted gross income. Example: If your income is $100,000 and you paid $7,501 of medical expenses out of your pocket, you will only be able to deduct $1.

Yes

No

List total cost (medical and dental, x-rays, eye glasses, hospital cost, chiropractor, nursing home)

Did you contribute cash or check to charity?

Yes

No

If yes, list charity name(s) and amounts(s):

Did you pay mortgage interest and real estate taxes on your personal residence (NOT rental property)? Please provide Mortgage Statement (Form 1098), Property Tax form(s)

Did you receive health insurance through the Market Place?*

Please upload 1095-A: Health Insurance Marketplace Statement

If you did not have insurance for the full year, please provide the months you did not have health coverage

Jan

Feb

Mar

Apr

June

July

Aug

Sept

Oct

Nov

Dec

Did you have health insurance coverage for all 12 months of the tax year, for which we are preparing tax returns? (please note that coverage for just one day of a month is considered coverage for the entire month)

Did you purchase any qualified residential energy efficient items, such as solar, wind, central air conditioning, furnace, or water heater? Please list item(s) & amount paid.

Did you or your spouse make any gifts to an individual or a trust that totaled more than $15,000? If yes, list amount and recipient

Are you self employed or a business owner?*

What type of Business do you have?

Please Provide Your Business EIN Number

How long have you been in business?

Business Address (Include City, State & Zip Code)

Did you have a vehicle you used for your business purposes?

Do you have a separate personal vehicle?

Do you have a Profit and Loss Statement for your business?

Please upload your Profit and Loss Statement

Please Upload any Additional Tax Forms that you have Received

If your child is over the age of 18 and disabled, what is the nature of the disability?

Client Engagement Letter

Review & Sign- Client Engagement Letter

Client Engagement Letter

Tax Preparation & Services
Thank you for choosing CW's Services to assist you with filing your taxes. This letter confirms the terms of the engagement and outlines the nature and extent of the services we will provide.

We will prepare your federal and state* income tax returns (*if applies) . We will depend on you to provide the information we need to prepare complete and accurate returns. We may ask you to clarify some items but will not audit or otherwise verify the data you submit. The Questionnaire/Organizer enclosed is to help you collect the data required for your return. The Questionnaire/Organizer will help you avoid overlooking important information. By using it, you will contribute to the efficient preparation of your returns and help minimize the cost of our services.

We will perform accounting services only as needed to prepare your tax returns. Our work will not include procedures to find defalcations or other irregularities. Accordingly, our engagement should not be relied upon to disclose errors, fraud, or other illegal acts, though it may be necessary for you to clarify some of the information you submit. We will inform you of any material errors, fraud, or other illegal acts we discover.

The law imposes penalties for underpayment of taxes and failure to make estimated tax payments or when the taxpayer (s) do not pay enough taxes. Call us if you have concerns about such penalties.

Should we encounter instances of unclear tax law, or of potential conflicts in the interpretation of the law, we will outline the reasonable courses of action and the risks and consequences of each. We will ultimately adopt, on your behalf, the alternative you select. Moreover, we cannot be responsible for issues arising from any income, expenses or other information not provided to us at the time of tax preparation or prior to the filing of your returns.

The charges for our services are set at a flat rate for specific services. If your taxes are more complex, extra fees apply to compensate for the additional time spent by our professional staff to perform the work, and costs incurred for related supplies and expenses, including copy charges, and computer processing charges. You will be given a full break down with the total of Tax Preparation charges and Refund Advance Fees (If applied and approved) before the return is submitted. PLEASE NOTE. If you change your mind and choose not to allow us to file your return and we have fully completed it, there will be a charge of $100.00 that will be due immediately! Should a situation arise where services have been rendered but payment is not received and our firm is forced to or elects to seek legal assistance to collect fees due to us, please note that you may be asked to reimburse our firm for the legal costs to collect any outstanding balance due.

Invoices are due and payable upon presentation unless you have opted to have your preparation fee taken from your Tax Refund. All accounts that had their tax preparation fees requested to be taken from their refund and end up not getting funded (Due to audit, offset, etc.), getting a mailed check from the IRS, or any other situation what causes your fees to not get paid, thirty (30) days after said issue all fees are subject to interest charges to the extent permitted by state law.

Please note that this engagement, and this firm’s services, include but are not limited to general and annual income tax related services. Unless specifically requested by you and agreed upon in writing we do not provide any services related to payroll tax, sales tax, excise tax, and personal or real property tax. Nor can we be relied upon to determine or report your compliance, or lack thereof, with any Federal, State, or Local business-related laws, health care or human resources regulations, retirement plan compliance or any business, property, or professional permitting/licensing.

Tax Return Completion
We will return your original records to you at the end of this engagement if you have provided original records to us and not copied, scanned or pictures.

You should retain all documents, cancelled checks and other data that form the basis of income and deductions and other tax return forms, schedules, elections and disclosures. Such documents include but are not limited to, proper records to support deductions claimed for meals, entertainment, travel, business gifts, charitable contributions, and vehicle use (if applicable), as well as bank and credit card statements. These records will be necessary to prove the accuracy and completeness of the returns to taxing authorities, should your returns be selected for examination. We recommend keeping all documents and copies of your returns for a minimum of five years after you file your tax returns or after their due date, whichever is later.

Upon completion of your returns and after you have paid your tax preparation fees (Or agreed to have them taken from your refund) we will provide you with a copy of your returns as well as the e-file signature authorizations and any applicable payment vouchers to complete your tax filing. You should review the completed returns carefully. If you see anything that requires changing, please bring it to our attention immediately and we will either explain the matter to you or correct it without delay and provide you with new, corrected copies. If you are satisfied with the returns and see no issues, please sign, and date the e-file signature authorizations and return them to this office immediately. Please note that all taxing authorities prohibit us from transmitting your tax returns without signed authorization from you. Please also note that if your returns can not be e-filed we will provide you with paper copies to sign and mail to the taxing authorities.

By signing this engagement, you are agreeing to compensate
for services you have requested. In the event you terminate the engagement prior to the completion of your tax accounting work, CW's Services reserves the right to invoice you for any out-of-pocket expenses, time at our hourly rate, or other expenses that were incurred during this engagement. If you sought in person consultation services, received advisory services by phone or email, sought representation work or received any tax accounting services, by signing this engagement letter you are agreeing to compensate CW's Services for these services, even if you terminated the engagement prior to our firm completing the work requested or required.

Tax Representation
Please be advised that if you receive any correspondence from a taxing authority that pertains to a tax return prepared by this firm, we will be happy to address this matter on your behalf. Included in the cost of your tax preparation is 30 minutes of correspondence work per tax year at no additional charge. During that 30-minutes we will assess your situation and apprise you of the course of action we believe is best to take. If we can also compose and send off a reply to the appropriate taxing authority, then we will certainly do so. If the matter or issue will involve more than 30 minutes of work, each additional hour (or fraction thereof) will be billed at a standard hourly rate of one hundred and fifty dollars ($150) per 60-minute hour. When possible, we will do our best to inform you if we believe your issue will require more than 30 minutes to handle, however there may be a situation when we are unable to inform you in advance. Even if we are unable to inform you, the standard hourly rate listed above will apply and is payable upon completion of this work. At any time in the process, you may choose to have us cease our work in connection with your correspondence, but we will require said request in writing with your name and signature included. If, during the course of this work, it becomes apparent the correspondence received was due to an error or omission by this office there will be no charge for handling the correspondence regardless of the time involved. Please note that except in cases where our office is deemed at fault, a flat $50 dollar handling charge will be assessed for all matters where our assistance is requested in handling any such correspondence from any taxing authority. This charge is not included in your annual tax preparation fees and is payable upon completion of our work in connection with said correspondence.

Please also note that audit/examination representation work is not included in the tax preparation fee and is considered a different engagement with a separate fee structure. If you have any questions regarding the specifics of audit/examination representation please feel free to ask any time before, during or after your appointment. Again, if your returns are audited or examined by any taxing authority, for any reason, the fee you paid for their preparation does not include the costs to represent you with regard to any audit or examination.

CW's Services takes your privacy and personal information very seriously. We will take whatever steps are necessary to safeguard that information and will never sell or disclose said information to anyone outside the firm for any reason. Please note that while we will protect your confidential information, our firm, from time to time, will need to utilize some of your information for internal purposes not related directly to your current year tax preparation. An example of this usage would be mailing you a newsletter or holiday card to your confidential home address or perhaps a personal phone call to wish you or a member of your family greetings or a happy birthday. By signing this letter, you agree to allow our staff limited access to your information for such informal, non-tax preparation related situations.

Please also note that in an effort to help combat the increasing threat of identity theft and to ensure the returns filed by our firm are accurate, true, and pertain to the proper client or taxpayer, CW's Services reserves the right to request, as condition of our providing services, certain documents to verify your identity and the identity of others you may be listing on your tax returns. This is for your protection and for the protection of your spouse and/or dependents and these documents will be safeguarded to the best of our ability and in accordance with our document protection procedures. Such documents requested by our firm may include but are not limited to; government issued photo identification, Social Security Cards, birth certificates, or visa and immigration related documents.

2024 New filing requirement: Beneficial Owner Information (BOI)

Due by Jan. 1, 2025, entities that existed prior to Jan. 1, 2024, will be required to file ownership information reports showing details of who or what entity owns the business entity. In addition, any changes in ownership during the year will need to be updated within 30 days after the ownership change. Entities created after Dec. 31, 2023, will need to file their initial report within 90 days after formation during 2024. Beginning in 2025, the initial report will be due within 30 days.

For all entities, any changes in previously reported information, including corrections or actual ownership changes, must be filed within 30 days. There are significant penalties for failure to timely file as required. Fortunately, this is not an annual filing. After the initial report is filed, only changes or corrections are required to be reported.

For purposes of clarification, you are responsible for filing the reports. If you wish for our assistance in any way, you will need to contact us and engage us in writing to do so.

If you agree with the terms of our engagement as described in this letter, please sign below. Please be aware that by signing below and giving us your income tax information, you expressly agree to the terms of this engagement letter. We want to thank you for putting your trust in CW's Services and look forward to a long and mutually satisfying relationship.

Warm Regards,

CW's Services

Consent To Use Of Tax Return Information

Review & Sign - Consent To Use Of Tax Return Information

Consent To Use Of Tax Return Information

Federal law requires this consent form be provided to you. Unless authorized by law, we cannot use, without your consent, your tax return information for purposes other than the preparation and filing of your tax return. However, federal law also prohibits us from revealing any personal or financial information to any third party. Therefore as a matter of fact, we will never reveal your financial or personal information in any way, to anyone, unless you specifically request we do so, and provide in writing to us the specific person or persons to whom you wish that disclose to be made, which is done on a wholly separate consent form from this. For the purposes of this consent form please note we are seeking consent only to satisfy requirements set forth by federal law so we may speak with you on the phone, send you email correspondences of any kind, send you mailings, newsletters, email reminders, holiday and occasional cards and greetings, and reminders of upcoming deadlines, etc.

You are not required to complete this form. If we obtain your signature on this form by conditioning our service on your consent, your consent will not be valid. Your consent is valid for the amount of time that you specify. If you do not specify the duration of your consent, your consent is valid for a period of three years from the date you have signed the consent.

The undersigned hereby consents to the use; by CW's Services, its owner, employees, and staff; of any and all tax return information pertaining to:

Direct questions, inquiries or requests you make regarding your tax returns, situation, or issues.
Requests you make for copies of your documents, figures, numbers, or information.
Upon your direct request in order to connect you with another professional in another field or profession so you may gain further information on a certain topic not available or in the realm of expertise of this firm.
Notification of important tax law changes.
Notification of changes or information that will impact our engagement, such as a change of firm website address, email address, physical location, or other such contact, biographical or geographical information.
Other reasonable business purposes including but not limited to: appointment reminders, holiday mailings, birthday greetings and other informational mailings.

The tax information may not be disclosed or used by CW's Services, its owner, employees, or staff, for any purpose other than that which is permitted by this consent document.

If you believe your tax return information has been disclosed or used improperly in a manner unauthorized by law or without your permission, you may contact the Treasury Inspector General for Tax Administration (TIGTA) by telephone at 1-800-366-4484 by email at complaints@tigta.treas.gov.

Warm Regards,

CW's Services

Consent To File Tax Return Electronically

Review & Sign - Consent To File Tax Return Electronically

Consent To File Tax Return Electronically

We are in the process of completing your tax return and are preparing to transmit it to the IRS. Because we are virtually preparing your tax return and before we can transmit your tax return, we will need permission from you to electronically sign your tax return.

To grant us permission purpose, please sign below

Once we received your authorization, we will complete your tax return and provide you copies of your signed and completed tax return.

Please let me know if you have any questions or concerns.

Thanks so much!

CW's Services

Tax Intake Form

Dependent Information

Upload Requested Documents

7216 Bank Consent to Disclosure of Tax Return Information

Client Engagement Letter

Consent To Use Of Tax Return Information

Consent To File Tax Return Electronically