Remote Filing Home 9 Remote Filing VERSIÓN EN ESPAÑOL "*" indicates required fields SELECT A LOCATION:*AllapattahBrickellCharlotteDoralEurekaFlaglerHialeahHialeah GardensHomesteadLittle HavanaMiami GardensTamiamiThe FallsLouisvilleWestchesterWestchester HeadquartersHOW DID YOU HEAR ABOUT TAX PROS?BULLETINEMAILFACEBOOKFLYERINSTAGRAMINTERNETNEWSPAPERRADIORETURNING CLIENTTWITTERTVOTHEROTHER: REFERRED BY: First Last TAXPAYER NAME:* First Initial Last DATE OF BIRTH:* MM slash DD slash YYYY EMAIL:* MOBILE:*MOBILE PROVIDER:AT&TBOOST MOBILECRICKETMETRO PCSSPRINTT-MOBILEVERIZONOTHEROTHER: TAXPAYER ADDRESS:* CITY:* STATE:*AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZIP CODE:* HAVE YOU OR YOUR SPOUSE EVER BEEN A VICTIM OF IDENTITY THEFT? YES NO TAXPAYER IP PIN: TAXPAYER IP PIN: FILING STATUS*HEAD OF HOUSEHOLDMARRIED FILING JOINTLYMARRIED FILING SEPARATELYSINGLEWIDOW(ER)ARE YOU OR YOUR SPOUSE DELINQUENT ON CHILD SUPPORT / STUDENT LOANS / SBA LOANS OR ANY OTHER FEDERAL LOAN PAYMENTS?*YESNODO YOU OR YOUR SPOUSE HAVE ANY DEBT WITH THE IRS?*YESNODO YOU HAVE MEDICAL HEALTH INSURANCE COVERAGE?*YESNOINITIALS:* INSURANCE TYPE:*MARKETPLACE HEALTHCARE PLANINSURANCE BY EMPLOYER (1095-B or C)PRIVATE HEALTH INSURANCE PLANMEDICARE / MEDICAID EIC QUESTIONNAIRE IF YOU ARE FILING SINGLE, MARRIED, HEAD OF HOUSEHOLD AND ARE CLAIMING THE EARNED INCOME CREDIT (EIC), PLEASE COMPLETE THE BELOW.DO YOU HAVE DEPENDENTS? YES NO ARE YOU MARRIED? YES NO Have you lived apart from your spouse in the past 12 months? YES NO For how many months were you living apart? DID YOU PAY 50% OR MORE OF THE HOUSEHOLD EXPENSES?YESNOWHO ARE YOU CLAIMING? LIST ALL DEPENDENTS BELOW: LIST YOUR DEPENDENTS: NAME OF DEPENDENTS: DATE OF BIRTH: RELATIONSHIP: MONTHS LIVING IN YOUR HOME: IDENTITY THEFT (IP PIN) Actions Edit Delete There are no Dependents. Add Dependent Maximum number of dependents reached. (List Youngest to Oldest)INCOME:W2 FORM (WAGE STATEMENT(S)OWN RENTAL PROPERTYBUY / SELL HOMES1099sRECEIVED INTERESTBUY / SELL STOCKS OR BONDSIRAsGAMBLING / LOTTERYBUY / SELL VEHICLESUNEMPLOYMENTPENSION / RETIREMENT INCOMEFARM INCOMESOCIAL SECURITY INCOMEOTHERTIPS / OTHER INCOME - $: SELF EMPLOYED - $: DEDUCTIONS:CHARITY / RELIGIOUS CONTRIBUTIONSPROPERTY TAXESMORTGAGE INTERESTMORTGAGE / CLOSING POINTSCASUALTY OR THEFT (HURRICANE)MEDICAL EXPENSESSTUDENT LOAN INTEREST (1098-E)EDUCATION EXPENSES - $: OTHER: WOULD YOU LIKE YOUR REFUND DIRECTLY DEPOSITED INTO YOUR BANK ACCOUNT?YESNOI declare that this information is true and correct to the best of my knowledge. I accurately listed all the amounts and sources of income I received during this tax year. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. BY SIGNING BELOW, I FULLY UNDERSTAND AND AGREE TO THE SERVICES BEING RENDERED BY TAX PROS.TAXPAYER SIGNATURE:* DATE:* MM slash DD slash YYYY SPOUSE SIGNATURE:* DATE: MM slash DD slash YYYY Upload additional documents (Driver’s License, W-2, etc.) Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 60 MB. CAPTCHA
VERSIÓN EN ESPAÑOL
VERSIÓN EN ESPAÑOL