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Tax Forms
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Our Services
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Contact Us
Tax Forms
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Online Tax Forms
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DIVINE TAX SOLUTIONS
TAX PREPARATION INTAKE FORM
FILING STATUS:
SINGLE
MARRIED FILING JOINT
MARRIED FILING SINGLE
HEAD OF HOUSEHOLD
QUALIFYING WIDOWER
ADDRESS:
STREET:
CITY:
STATE/ZIP:
COUNTY:
SCHOOL CODE (IF APPLICABLE):
TAXPAYER
SSN #:
DATE OF BIRTH:
LAST NAME:
FIRST NAME:
MI:
CONTACT INFORMATION:
PHONE:
EMAIL:
OTHER INFORMATION:
OCCUPATION:
DEPENDENT OF OTHERS:
YES
NO
LEGALLY BLIND?
YES
NO
DATE OF BIRTH (IF APPLICABLE):
TAXPAYER 2
SSN #:
DATE OF BIRTH:
LAST NAME:
FIRST NAME:
MI:
CONTACT INFORMATION:
PHONE:
EMAIL:
OTHER INFORMATION:
OCCUPATION:
DEPENDENT OF OTHERS:
YES
NO
LEGALLY BLIND?
YES
NO
DATE OF BIRTH (IF APPLICABLE):
DEPENDENTS:
First/Middle/Last Name
DATE OF BIRTH:
SOCIAL SECURITY NUMBER
RELATIONSHIP
First/Middle/Last Name
DATE OF BIRTH:
SOCIAL SECURITY NUMBER
RELATIONSHIP
First/Middle/Last Name
DATE OF BIRTH:
SOCIAL SECURITY NUMBER
RELATIONSHIP
First/Middle/Last Name
DATE OF BIRTH:
SOCIAL SECURITY NUMBER
RELATIONSHIP
First/Middle/Last Name
DATE OF BIRTH:
SOCIAL SECURITY NUMBER
RELATIONSHIP
First/Middle/Last Name
DATE OF BIRTH:
SOCIAL SECURITY NUMBER
RELATIONSHIP
If you believe your tax information has been disclosed or used improperly in a manner unauthorized by law or with out your permission, you may contact the Treasury Inspector General for Tax Administration (TIGTA) be telephone at (800) 366-4484, or by email atcomplaints@tigta.treas.gov
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DIVINE TAX SOLUTIONS
CONSENT TO USE RETURN INFORMATION
Federal law requires this consent formbeprovided 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. If we obtain your signature on this form by conditioning our services 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 one year. If you do not consent, then youmay still have your tax return prepared and electronically filed by us for a fee. For your convenience, we have entered into arrangements with a bank to provide qualifying taxpayers with the opportunity to apply for a Refund Anticipation Loan (RAL), or a Preferred Electronic Refund Check (PERC) or an Electronic Refund Deposit (ERO). To determine whether these productsmay be available to you, wewill need to use your tax return information by analyzing it and calculating the amount of your anticipated refund. If you would like usto use your tax return information to determine whether theseproductsmay be available to you while wearepreparing your return, please sign and date this consent to the use of your tax returninformation. By signing below, you (including each of you if there ismore than one taxpayer) authorize us to use the information youprovide to usduring thepreparation of your 2020 tax return to determine whether to present you with the opportunity to apply for these products and services.
TAXPAYER NAME (PRINT ONLY)
TODAYS DATE:
Sign below
*
Clear
Signature 1
JOINT TAXPAYER NAME (PRINT ONLY)
TODAYS DATE:
Sign below
*
Clear
Signature 2
If you believe your tax information has been disclosed or used improperly in a manner unauthorized by law or with out your permission, you may contact the Treasury Inspector General for Tax Administration (TIGTA) be telephone at (800) 366-4484, or by email atcomplaints@tigta.treas.gov
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DIVINE TAX SOLUTIONS
CONSENT TO DISCLOSURE OF TAX RETURN LNFONNATION
(Printed name of Tax Preparer)
(''we," "us" and "our) Federal law requires this consent formbe provided to you ("you" refers to each taxpayer, ifmore than one). Unless authorized by law, wecannot disclose, without your consent, your tax return information to third parties for purposes other thanthepreparation andfiling of your tax return. If you consent to thedisclosure of your tax return information, Federal lawmay notprotect your tax return information fromfurther use or distribution. You are not required to complete this form. If weobtain your signature onthis form byconditioning our services onyour consent, your consent willnotbevalid. If youagree to the disclosure of your tax return information, 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 tax return, wemust disclose all of your 2020 tax return information to Divine Tax Solutions, LLC that we utilize in order to provide certain services. If you willallow us to disclose your 2020 tax return information to Divine Tax Solutions, LLC for this purpose, sign and date your consent to the disclosure of your tax return information. By signing below, you (including each of you if there is more than one taxpayer) authorize us to disclose to Divine Tax Solutions, LLC all of your 2020 tax return information. If you are not willing to authorize us to share your tax information with the other firms, you can still choose to have your tax return prepared and filed by us for a fee.
TAXPAYER NAME (PRINT ONLY)
TODAYS DATE:
Sign below
*
Clear
Signature 3
JOINT TAXPAYER NAME (PRINT ONLY)
TODAYS DATE:
Sign below
*
Clear
Signature 4
If you believe your tax information has been disclosed or used improperly in a manner unauthorized by law or with out your permission, you may contact the Treasury Inspector General for Tax Administration (TIGTA) be telephone at (800) 366-4484, or by email atcomplaints@tigta.treas.gov
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