Client Intake - Elite 8 Financial

Privacy Notice:
As tax advisors, we have always protected the right to privacy and will continue to do so. The law now requires us to inform you of our policy regarding privacy.

We receive and collect nonpublic personal information from various forms and statements that you provide. We do not disclose such information unless you instruct us to do so, except as required by law. We maintain physical, electronic, and procedural safeguards that comply with Federal regulations to guard your nonpublic personal information.

We retain records relating to professional services that we have provided so that we are better able to assist you with your tax and financial needs, and to comply with professional guidelines. Please do not hesitate to call us if you have any questions. Your privacy, our professional ethics and the ability to provide you with quality financial services are very important to us.

Financial Liability:

All first time clients must have a credit card on file at the time of services if electing to use a bank product or service with other deferred payment options. All payments are due as invoiced unconditioned by outcome of engagement. Any deferred payment arrangements not paid on time or bank products intercepted by third party debt, will result in an attempt to charge the credit card on file. If credit card payment is not accepted there will be a $25 fee assessed along with a 5% late fee charge.

If payment is not made within thirty (30) days of fees being assessed the liability will be assigned to collections, and a collection fee of $150 will be assessed to the account in addition to the late fee penalty charge of 5%. Client will assume all court cost, legal and administration fees if collection of balance has to go to court.

hereby agree to engage Elite 8 Tax & Financial Services for the services described as invoiced and accept the terms and conditions of the Financial Liability Statement.

Client Signature

Date

Client Signature

Date

Client Tax Intake/Checklist Tax Year

Client Name

Spouse Name

SSN#

Spouse SSN#

D.O.B.

Spouse D.O.B.

Address

Day Phone

City

State

Zip Code

Alt Phone

Client Email

Spouse Email

Did you change your name, address or marital status in the current tax year?

List ALL Dependants

Can you or your spouse be claimed as a dependent on someone else’s tax return this year?

Occupation

Spouse Occupation

Income Checklist

Please provide the following documents/information if applicable in your personal portal:

W2 forms for wages salaries and tips

Forms 1099 for interest, dividends and pension payments

K-1 forms from partnerships, S corporations, estates, and trusts

Self-employment income and expense summary

Rental Income and expense summary

Brokerage statements showing investment transactions

Forms showing unemployment compensation and social security benefits received

5498 forms for IRAs

Attach a list of any other income from any other source

Healthcare

Did EVERYONE on this tax return have health insurance ALL 12 MONTHS last year?

If YES, was your insurance purchased through a state exchange or marketplace?

If NO, were you exempt?

IF PURCHASED THROUGH MARKETPLACE FORM 1095A IS REQUIRED TO COMPLETE THE RETURN. PLEASE UPLOAD TO YOUR SECURE PORTAL.

Have you sold or traded crypto currency in the tax year engaged?

INTERVIEW SHEET

To prevent any delays in processing your engagement, please complete all questions accurately and sign below.

1. Do you have any student loans in default, arrearages in child support or any other third party debt that may be intercepted through tax funds?

2. Do you have any prior year unresolved tax debt or installment agreement not in compliance?

3. Do you have any prior year unfiled taxes?

If yes will you be filing them now?

4. Did you have health insurance in the year for which you are filing?

5. Are you a Business Owner?

6. Was the current year the first year in business for which you are filing a return?

7. What is your business entity ? (Sole Prop, LLC, S-Corp etc.)

8. Check one.

9. Did you have employees?

If yes did you timely issue W2’s or 1099’s?

10. Are you in need of a bookkeeper?

Do you need payroll services?

11. Do you have Life Insurance for yourself and all dependents?

12. List two (2) people that could use our services

____________________, affirm that I have completed all areas of the intake forms provided by Elite 8 Tax & Financial Services. I further affirm that I have submitted all material income statements, expenses, identifying documentation and supporting evidence to accurately execute my engagement and hold Elite 8 Tax & Financial Services, it’s agents, assigns and third parties to this engagement harmless of any adverse actions by any governing agency as a result of any errors and omissions due to failure to submit any material documents. I understand that if any additional work must be performed as a result of my negligence, omission or misrepresentation that I will be responsible for the additional cost and Elite 8 Tax & Financial Services has the right to recapture any prior discounts or special offers. I acknowledge Elite 8 Tax & Financial Services reserves the right to refuse any additional work required due to misrepresentation, negligence or omission of any material documentation necessary to accurately complete my engagement. Notwithstanding anything contained herein, both contractor and client agree that regardless of where the client is domiciled and regardless of where this Agreement is physically signed, this Agreement shall have been deemed to have been entered into at Accountant’s office located in Collin County, Texas, USA, and Collin County, Texas, USA, shall be the exclusive jurisdiction for resolving disputes related to this Agreement. This Agreement shall be interpreted and governed in accordance with the Laws of Texas.

Client Signature

Date

Client Signature

Date

Authorization for Credit Card Use

PRINT AND COMPLETE THIS AUTHORIZATION AND RETURN. All information will remain confidential

Cardholder Name*

Billing Address

Credit Card Type:

Visa

Mastercard

Discover

Amex

Card Number*

Expiration Month*

Expiration Year*

CVC*

Amount to Charge:

Check if recurring payment.

Check if applying for refund product. (If this authorization is for use with a bank refund application, your card will not be charged unless your anticipated refund is offset by the IRS.)

I authorize Elite 8 Tax & Financial Services to charge the amount listed above to the credit card provided herein. I agree to pay for this purchase in accordance with the issuing bank cardholder agreement.

Client Signature

Date

Print Name

Return the completed and signed form to the following:

Elite 8 Tax & Financial Services
2150 S. Central Expressway Suite 200
McKinney TX. 75070

HEAD OF HOUSEHOLD (H/H) ELIGIBILITY

You may file Head of Household if you can answer YES to ALL the following questions. (See Publication 17, Chapter 2 & 3)

You are unmarried, or are considered unmarried on the last day of the year.

You paid more than half the cost of keeping up a home for the year.

A qualifying person (see definition below) lived with you in the home for more than half the year (except for temporary absences, such as school), and you can claim an exemption for him/her except as noted under Category 3 below.

A qualifying person is your (See Table 2-1, Publication 17)

A qualifying relative such as a parent, grandparent, brother, sister, stepbrother, stepsister, stepmother, stepfather, mother-in-law, father-in-law, half-brother, half-sister, son-in-law, daughter-in-law, uncle, aunt, nephew, or niece who is related to you by blood and lived with you for the entire year.
Child, grandchild, stepchild, or adopted child. (Note: Is a qualifying child even if you cannot claim an exemption for the child)
Eligible foster child. (Note: For eligibility for dependency only a foster child is a child who is in your care, that you care for as your own child, and who lived with you the entire year. It does not matter how the child became a member of the household.

EARNED INCOME CREDIT (EIC) ELIGIBILITY

You may claim the EIC if you can answer YES to ALL 4 tests below. (See Publication 17 Chpt 36)

Section Title

Relationship Test

Your child/children is/are one of the following; a son, daughter, adopted child, stepchild, grandchild, or eligible foster child, or is your brother, sister, stepbrother, stepsister or the child or grandchild of of your brother, sister, stepbrother, or stepsister, and you care it/them as you would your own child.

Section Title

Age Test

Your child/children is/are under 19 years of at the end of the year, or is under 24 years of age at the end of the year and is a full-time student, or was permanently and totally disabled at any time during the tax year, regardless of age.

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Residency Test

Your child/children lived with you for more than half the year (or the whole year if an eligible foster child)

Your home is in the United States.

Section Title

Qualifying Child of Another Test

If your child/children is/are the qualifying child/children of another individual, you are the only person claiming the credit for that/those child/children during the tax year. (Note: If the answer to this test is NO, refer to the tiebreaker rule. You may still be able to take the credit.

ADDITIONAL EIC DUE DILIGENCE

If you are claiming this child only, why is the other parent not claiming the child?

Can you provide copies of the dependents Birth Certificate or Social Security card?

Does the other parent live in same residence as the Mother/Father that is claiming the child?

If it is a Niece, Nephew, Brother or Sister that is being claimed, and Mother/Father live at the same address, why are they not claiming them?

If it is a Niece, Nephew, Brother or Sister, and the parent is not claiming them then the IRS may ask for documentation, do you have any proof the children lived with you, such as school or doctor records?

Who is keeping the child while you are at work?

Client Signature

Date

(By signing this form, I attest that all information included/ attached if correct and I am responsible for any errors/omissions and resulting consequences thereof)

COMPLETE THE FOLLOWING FORM ONLY IF YOU ARE RECEIVING A REFUND AND INTEND TO PAY FOR SERVICES FROM YOUR TAX RETURN

ELITE 8 TAX & FINANCIAL SERVICES

CONSENT TO USE AND DISCLOSURE OF TAX RETURN INFORMATION

Federal law requires this consent form be provided to you. Unless authorized by law, we cannot use or disclose your tax return information to third parties for purposes other than the preparation and filing of your tax return without your consent. If you consent to the use and disclosure of your tax return information, federal law may not protect your tax return information from further use or distribution.

You are not required to complete this form to engage our tax return preparation services. If we obtain your signature on this form by conditioning our tax return preparation services on your consent, your consent will not be valid. If you agree to the use and 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 from the date of signature.

For your convenience, we have entered into arrangements with certain financial institutions and their partners regarding the provision of settlement products, card services and related banking services. You have indicated that you are interested in obtaining and applying for a refund settlement product, NetSpend Visa® Prepaid Card, and other banking services. To apply for and obtain any of these products or services, we must forward your tax return information to these companies, financial institutions and/or their affiliates.

If you would like us to disclose your tax return information to the companies and financial institutions providing these services, please check the corresponding box(es) for the services in which you are interested, and sign and date your consent to the disclosure. You understand that if you are not willing to authorize us to share your tax information with certain financial institutions, including their affiliated companies, you will not be able to obtain a refund settlement product form them, but you can still choose to have your tax return prepared and filed by Elite 8 Tax & Financial Services for a fee at time of service.

I, the taxpayer signing this consent, authorize Elite 8 Tax & Financial Services to use the information I provide during the preparation of my tax return to determine whether I am eligible for refund settlement products, card services and related banking services.

I, the taxpayer signing this consent, authorize Elite 8 Tax & Financial Services to disclose all of my tax return information to ensure that any refund settlement products, card services, and related banking services that I request, obtain or apply for can be issued, processed delivered and verified.2

I, the taxpayer signing the consent, authorize Elite 8 Tax & Financial Services to disclose to certain financial institutions, my mailing and email address for the purpose of marketing the NetSpend Visa® Prepaid Card.

Taxpayer Signature

Date

Taxpayer Spouse Signature

Date

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, or by email at complaints@tigta.treas.gov

Privacy Notice

Client Tax Intake/Checklist

Interview Sheet

Authorization for Credit Card Use

Internal Revenue Code Section 6695(g)

EARNED INCOME CREDIT (EIC) ELIGIBILITY

CONSENT TO USE AND DISCLOSURE OF TAX RETURN INFORMATION

Elite 8 Client Intake

Income Checklist

Healthcare

IF PURCHASED THROUGH MARKETPLACE FORM 1095A IS REQUIRED TO COMPLETE THE RETURN. PLEASE UPLOAD TO YOUR SECURE PORTAL.

INTERVIEW SHEET

Authorization for Credit Card Use

Section Title

Section Title

Section Title

Section Title

CONSENT TO USE AND DISCLOSURE OF TAX RETURN INFORMATION