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To get started on your return right now, fill out as much of the information on the form below as possible. When you are done click on the Submit Form button at the bottom of the page.  If you prefer, download the Microsoft Word or Adobe Acrobat versions to submit.  IMPORTANT:  After you submit your information, you must fax us a copy of your W2's, 1099's, and any other documents that identify income.

By clicking on the "Instructions" button below, you will open a new window that provides information for each block of the form.  If the instructions do not provide enough information for you to complete the block, you may either leave a note in the "Remarks" section at the bottom of the form, or contact us using the information on the Contact page.  If you have any concerns about the privacy of your information, please visit our privacy policy page.  Keep in mind that this is just to get us started.  We will need to contact you to get specific details of information, particularly in those instances where you may be eligible for additional deductions.

As an alternative to filling out the form online, you may download Microsoft Word and Adobe Acrobat versions of the form.  The Microsoft Word form can be filled out and e-mailed to us or either form can be printed and faxed to our office.
 


Word


Acrobat
Personal information:

Your First Name

 M.I.
 Your Last Name
 Jr, Sr, etc.
 SSN or ITIN
 Date of birth:

Spouse First Name

 M.I.
 Spouse Last Name
 Jr, Sr, etc.
 SSN or ITIN
 Spouse date of birth:
Please select the filing status you would like to use:
Single Married Filing Jointly Married Filing Separately
Head of Household Qualifying Widow(er)  
Your address and telephone number:
Address:
 Apt. No.: Best way to contact you?
 Your email address:
City:
 State:
 Zip Code:
 Home Phone:
Work information:
Your Occupation:
 Your Work Phone:
 Extension:
 May we call you at work?
Yes   No
Spouse Occupation:
 Spouse Work Phone:
 Extension:
 May we call you at work?
Yes   No
Dependent information (if you have more than four, send info in remarks section):
Dependent Number 1:

First Name

 M.I.
 Last Name
 Suffix
 SSN or ITIN
 Date of Birth:
 Relationship:

Number of months lived with you?

Daycare:
Yes No
Dependent Number 2:

First Name

 M.I.
 Last Name
 Suffix
 SSN or ITIN
 Date of Birth:
 Relationship:

Number of months lived with you?

Daycare:
Yes No
Dependent Number 3:

First Name

 M.I.
 Last Name
 Suffix
 SSN or ITIN
 Date of Birth:
 Relationship:

Number of months lived with you?

Daycare:
Yes No
Dependent Number 4:

First Name

 M.I.
 Last Name
 Suffix
 SSN or ITIN
 Date of Birth:
 Relationship:

Number of months lived with you?

Daycare:
Yes No
Daycare Provider Information (if you used more than 2 providers, include info in the remarks section):
Daycare Provider 1:
Name:
 		SSN or EIN:
 		Total Amount Paid:
Address:
 		City:
 		State:
 		Zip Code:
Daycare Provider 2:
Name:
 		SSN or EIN:
 		Total Amount Paid:
Address:
 		City:
 		State:
 		Zip Code:
Deductions:
Alimony (Spousal Support):
Did you or your spouse pay alimony?  Yes    No If yes, total amount paid:
Enter the SSN of persons to whom alimony was paid:
Other:
Did you have expenses for post-high school education for someone in your family?  Yes    No
Did you or your spouse make a contribution to an IRA?    Yes    No
Did you have any personal or business losses or damage as a result of casualty or theft?    Yes    No
Itemized Deductions (enter dollar amounts for all that apply):
Taxes You Paid:  
State/ Local:
Property (Main Home):
Property (Other Real Estate):
Personal Property:
Interest You Paid:  
Mortgage (Combine interest from all mortgages):
Mortgage Points:
Charitable Contributions:  
Cash (Cash, Check or Credit Card):
Non-cash:
Medical Expenses:  
Prescription Medicine
Doctors, Dentists
Fees for Hospitals, Clinics
Lab and X-ray Fees
Long-Term Care
Eyeglasses and Contact Lenses
Medical Equipment and Supplies
Health Insurance Premiums
Other (explain in remarks)
Vehicle Expenses:
Business Miles Driven
Personal Miles Driven
Total Miles Driven
Vehicle Information
Vehicle Make and Model (i.e. Chevy Blazer)
Type of Vehicle
Date Vehicle Placed in Service (i.e. 07/23/2003)
Business Travel Expenses:  
Parking and Local Transportation  
Travel Away from Home  
How many nights did you spend away from home for business?
Meals and Entertainment
Other Business Related Expenses:  
Education
Professional Publications
Licenses
Clothing and Equipment
Dues for Professional Organizations
Other (explain in remarks)
Remarks:


DO NOT FORGET:  You must fax us a copy of your W2's, 1099's, and any other documents that identify income.  The fax number is on our contact page.