2023 TAX PREPARATION DETAIL
We will need all this information to prepare your taxes.
If possible fill this out and bring with you or email it to us at Bill@ReynoldsCares.com
If Prior Customer and you have prefilled form - Update Client Profile on reverse and skip to lower half of this form (Part B)
New Customers- Pick up Last year’s return and State refund information $$ __________.
Referred by?____________
First name and Initial Last Name Date of Birth SS#
Full Name of Taxpayer: _____________ _____________ __/ __/___ ____-____-____
Spouse Name: ____________ _____________ __/___/___ ____-____-_____
Mailing Address (where you want the check sent) Phones: (where we can reach you now) define pls:
POB or Street: ____________________ Cell: ______________Text Y/N_ Home: _______
City/Zip:___________________ Email:_______________________________
Marital Status: _________________, legally? ___ #of mths lived with spouse in ‘2023?_____
Occupation: ___________________, Spouse Occupation: _______________________
Dependents: Please photo SS Cards and list birth dates and months lived at home
Name(first,initial, and last name) DOB Social Security # Relationship #mths in home in 2023 W2 Income F/T College?
_________________________ __/__/__ ____-___-_____ _________ _____ $_______ _______
_________________________ __/__/__ ____-___-_____ _________ _____ $_______ _______
_________________________ __/__/__ ____-___-_____ _________ _____ $_______ _______
_________________________ __/__/__ ____-___-_____ _________ _____ $_______ _______
_________________________ __/__/__ ____-___-_____ _________ _____ $_______ _______
Any Child over 18 needs to be a full-time student for EIC benefits
Part B: Fill out for ALL Customers.
Pick up W2 Forms etc: (confirm “Is this the only place you worked last year?”) # places worked:____
Number of W2s attached: ______, 1099s_______, 1095A/B/C______, Other_____________
Health Ins?_____, Marketplace?______ From Job? ____
Any Cryptocurrency Income:_____
Any Interest received from Bank Accts? Y/N__ $_______
Any W2s from other States??_____ IF SO-DATE moved into NY?_____________
ASK: Did you/spouse receive ANY other income?
Lottery______; Unemployment: _______, SSI: ______, Pension: _____, Rental Etc:____.
Any working or income from dependents? _____, $$_______, W2s?_____.
Do you support or help out your parents? ________
If a long form last year, did you itemize?___ If so LIST
Do you Own or Rent? ____ How much is your mthly rent? ____
Are you a Fire Dept or Ambulance Volunteer? _________
Name of Department and address: ___________________
ASK: Give any $$ to charities or churches? ______< how much________
Bags of clothes to charities in 2023?________-
Ask: $$ paid to daycare or Babysitters$__________
How many kids were watched: ____ Names: ______________________________
Name of sitter Full address SS# or TIN number
Name /Address of College: ___________________________EIN#_____________________
$$ Tuition Paid OR LOAN Incurred & Name of Child: ______________________________
E-File last year? _______, Did you pick up check in tax preparer’s office? __________
Please forward legal ID copy:
DMV Lic:_______________________, US Passport/Resident Alien ID:________
ID Issue Date: _______/Expiration Date: _______ State Issued: ________________
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