Document Checklist (Items Needed To Start Your TAXES)

PERSONAL INFORMATION:

CURRENT ADDRESS
PICTURE I.D. (Valid)
State Driver’s License/State I.D./Passport
SOCIAL SECURITY CARD
*(For Taxpayer, Spouse and Dependents)
DATE OF BIRTH & RELATIONSHIP (too Taxpayer)
PROOF OF RESIDENCY (as HEAD of HOUSEHOLD)
PROOF OF DEPENDENT(s) RESIDENCY

INCOME DOCUMENTS: (Only if it Applies to you)

W2’s
1099’s
1095A (For client or dependent (s) that have Marketplace Insurance)
1098T (For client or dependent (s) that went to College)
1098 Mortgage Statement (End of the year statement)
MISCELLANEOUS & OTHER INCOME TAX DOCUMENTS
- SSA (Social Security Benefits)
- SELF EMPLOYMENT INCOME
  (Fill out Expense Sheet)
  (All Business Expenses/Receipts Totals)
- UNEMPLOYMENT

"*" indicates required fields

1Personal Information

2Filing Information

3Dependents

4Income

5Forms

6Disclosures & Signature

Name

First Last

SS#

Date Of Birth

MM slash DD slash YYYY

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

What is Your Filing Status?

Single

Married Filling Joint

Married Filling Separate

Head Of Household

Widow(er)

Spouse Name

First Last

Spouse SS#

Spouse Date Of Birth

MM slash DD slash YYYY

Spouse Phone Number

What is your job title?

Do you owe the IRS?

Yes

Do you owe a Student Loan?

Yes

Do you owe Child Support?

Yes

Did you have Healthcare.gov/Marketplace insurance?

Yes

Did you go to college last year?

Yes

Identity Protection PIN (If Applicable)

Where did you go to college?

Did your address change from last year's Tax Return?

Yes

Are you claiming any dependent child(ren)?

Yes

The child(ren) you are claiming are they yours?

Yes

If NO how are you related?

Where are the parent(s)?

Are you the legal guardian?

Yes

Can Someone else claim child(ren)?

Yes

How long at your residence?

Can you prove this is true if necessary?

Yes

What proof do you have?

Please list dependent(s) information below

Click the plus sign to add multiple dependents

Dependent Full Name

Dependent SS#

Dependent D.O.B.

Did you receive unemployment last year?

Yes

What type and/or name of said business?

Do you have a NON-W2 income?

Yes

What type of income and monthly amount?

Do you have business expenses?

Yes

How do you want your money?

Check

Direct Deposit

Card

Routing Number

Account Number

Valid Picture I.D./DL

Max. file size: 128 MB.

Picture - Social Security Card

Max. file size: 128 MB.

Picture - Social Security Card

Max. file size: 128 MB.

Lease Agreement Picture

Max. file size: 128 MB.

Mortgage Statement Picture

Max. file size: 128 MB.

Utility Statement Picture

Max. file size: 128 MB.

Other Picture

Max. file size: 128 MB.

W-2's Picture(s)

Drop files here or

Max. file size: 128 MB.

1099's Picture(s)

Drop files here or

Max. file size: 128 MB.

Unemployment Income Picture

Max. file size: 128 MB.

SSA (Social Security Benefits) Picture

Max. file size: 128 MB.

Self Employment Income (business expenses/receipts & documentation) Picture

Drop files here or

Max. file size: 128 MB.

College (1098-T) Form *Income*

Max. file size: 128 MB.

All other forms of income (any & all other tax documentation)

Drop files here or

Max. file size: 128 MB.

Federal law requires this consent form be provided to you (“you” refers to each taxpayer, if more than one). Unless authorized by law, we cannot disclose, without your consent, your tax return information to third parties for purposes other than the preparation and filing of your tax return. If you consent to the disclosure of your tax return information, Federal law may not protect your tax return information from further use or distribution.*

I Agree

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 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.*

I Agree

You have indicated that you are interested in having your refund processed by Sunrise Banks N.A. of Saint Paul, MN (“BANK”). In order to have your refund processed by BANK, we must disclose all of your current tax year tax return information to BANK. You may request a more limited disclosure of tax return information, provided that you authorize disclosure of all of the information required by BANK to consider your application.*

I Agree

If you would like us to disclose your current tax year tax return information to BANK for this purpose, please sign and date your consent to the disclosure of your tax return information.*

I Agree

By signing below, you (including each of you if there is more than one taxpayer) authorize us to disclose to BANK all of your current tax year tax return information so that BANK can evaluate and process your application. You understand that if you are not willing to authorize us to share your tax information with BANK, you will not be able to obtain this service from BANK, but you can still choose to pay us directly to have your tax return prepared and filed.*

I Agree

Federal law requires this consent form be provided to you (“you” refers to each taxpayer, if more than one). Unless authorized by law, we cannot use your tax return information for purposes other than the preparation and filing of your tax return without your consent.*

I Agree

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. 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.*

I Agree

For your convenience, we have entered into an arrangement with Sunrise Banks N.A. (“BANK”) to provide qualifying taxpayers with the opportunity to apply for refund processing services offered by BANK. To determine whether these services may be available to you, we will need to use your tax return information by analyzing it and calculating the amount of your anticipated refund.*

I Agree

If you would like us to use your tax return information to determine whether these services may be available to you while we are preparing your return, please sign and date this consent to the use of your tax return information.*

I Agree

By signing below, you (including each of you if there is more than one taxpayer) authorize us to use the information you provide to us during the preparation of your current tax year tax return to determine whether to present you with the opportunity to apply for refund processing services from BANK.*

I Agree

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 [email protected].*

I Agree

*** By signing this document YOU acknowledge and agree with all services and fees discussed. ****

I Agree

By signing you attest that you are sound mind and body, and I swear under perjury of law that I have read and agree upon the stated document above. By signing this document, I agree that everything is true and correct to the best of my knowledge.*

I Agree

Printed Name of Taxpayer*

Signature*

Date*

MM slash DD slash YYYY

Printed Name of Joint Taxpayer

Signature*

Date

MM slash DD slash YYYY

Would you like to subscribe to our newsletter?

Yes

Name

This field is for validation purposes and should be left unchanged.

Document Checklist (Items Needed To Start Your TAXES)

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