Latinos Fast Tax Refund

3302 W. Walnut St Suite #D, Garland, TX 75042

Free Estimates • IRS Solutions • ITIN Renewal

Tax Intake Form

Please complete this form with accurate information so we can prepare your tax return.

This form may collect sensitive tax information. Please only submit this form if you are comfortable sending this information electronically.

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Taxpayer Information

Tax year or years of declaration *

Marital status *

Is this your first time doing taxes at this office? *

YesNo

Full name of taxpayer *

Date of birth *

Social Security Number or ITIN *

Occupation

Email *

Spouse Information

Full name of spouse

Date of birth

Social Security Number or ITIN

Occupation

Spouse email

Address & Contact Information

Current address *

Apartment / Suite Number

City *

State *

ZIP code *

County

Home phone

Cell phone *

Work phone

Other phone

Dependents Information

Dependent 1

Full name

Date of birth

Current age

Social Security Number or ITIN

Relationship

Months lived with you

Bank / Direct Deposit Information

Only provide banking information if you want your refund deposited directly into your bank account.

Routing number

Bank account number

Account type

CheckingSavings

Tax Questions

Did you do your taxes last year? *

YesNo

Do you owe child support? *

YesNo

Additional tax notes

Income Tax Return Preparation Agreement

Consent & Signature

I confirm that the information I provided is legal, correct, and true to the best of my knowledge. *

I authorize Latinos Fast Tax Refund to use this information to prepare and submit my tax return. *

I agree to be contacted by phone, text message, or email regarding my tax return or related services. *

Taxpayer signature *

Taxpayer signature date *

Spouse signature

Spouse signature date