Refund Estimate Request Complete the form below to get a refund estimate! Your name Social Security Number Your Address City State/Province Zip/Postal Code Country Email Address Phone Number Date of Birth ID Expiration Date Occupation Spouse's Name Spouse's Social Security Number Spouse's Email Address Spouse's Phone Number Spouse's Date of Birth Marital Status Never MarriedMarriedLegally SeparatedDivorcedWidowed List the first name and age of all dependents Ex. Jane, 03/12/2003 Did you pay any childcare expenses for dependents under the age of 13? This includes the total cost of daycares, babysitters, camps, sports programs, and other childcare providers. YesNo What is the total amount of childcare expenses you paid this year? Type of Income (check all that apply) Employed W-2Household Employee W-2, HSH IncomeSelf-Employed 1099,Business Income, Rental Income,etcFixed Income (Unemployment, Social Security, Disability, Pension, etcRaditional Investment Income Interest, Dividends, Distributions, etc.Digital Investment Income (Crypto, Foreign Exchange, NFT, DeFi, etcNo income What is your total amount of income, from each source, for 2021? List the source, type of income, and amount of income from each source. If federal taxes were withheld, please include the amount of tax withheld. If self-employed, include estimated amount of expenses as well. Did you receive any Advance Child Tax Credit payments between July 1, 2021 and December 31, 2021? YesNo Please enter the total amount of your Advance Child Tax Credit payments Did you receive the 3rd Stimulus Payment? YesNo Please enter the amount of your 3rd Stimulus Payment: Were you diagnosed with COVID-19 at any point during the period between December 31, 2020 and April 1, 2021? YesNo Was your child's school closed due to a COVID related mandatory state shut down at any point during the period between December 31, 2020 and April 1, 2021? YesNo Was your child's school closed due to a COVID related mandatory state shut down at any point during the period between December 31, 2020 and October 1, 2021? YesNo If you responded yes to any of the above COVID-19 questions, please list the specific dates to which each applies: Did you attend a University, College, or Technical School at any point in 2021? YesNo Additional Info Preferred Tax Preparer Olivia DavisChristy GreathouseKatrina OliverAny How did you hear about us? GoogleCraigslistInstagram/FacebookDirect Referral (Enter Name Below)Other (Enter Name Below) Please tell us who referred you: Submit Form
