Taxpayer Information Sheet

Current Taxpayer Information Sheet Method of payment ‪ ash ‪ heck ‪ redit Card Fee Collect C C C Payment is due when service is rendered. Please document any changes below, or check here  if no changes to be made. Please sign the back. Date_____________________________________________________________________ Primary SSN _____________________________________________________________ Primary Taxpayer_________________________________________________________ Spouse Name _____________________________________________________________ Spouse SSN ______________________________________________________________ Address__________________________________________________________________ Apt: ___________ City:___________________ State: __________Zip code___________ Phone (day)_______________________________________________________________ Phone (eve)_______________________________________________________________ Primary Taxpayer Birth Date_______/_______/______ Spouses Birth Date ________/________/______ Primary Taxpayer Occupation_______________________________________________ Spouse Occupation________________________________________________________ Return Type: (Check all that apply)  1120S  1120  1065  1040  990  1041  E-file Marital Status: ‪ arried ‪Single ‪Married Filing Separate ‪ ead of Household M H Can someone else claim you as a dependant? YES NO Dependents Name: Birth Date: SSN: Relationship: Months lived in home: Name: Birth Date: SSN: Relationship: Months lived in home: Child Care ‪ es‪No Y Name: Birth Date: SSN: Relationship: Months lived in home: Child Care ‪ es‪No Y Child Care ‪ es‪No Y Please continue on back Childcare information Provider’s‪Name: Provider’s‪‪ SN ‪ IN: S E Provider’s‪Address: Amount Paid to Provider: $ Do you want to file electronically? YES Direct Deposit Information: Bank Routing #: Account #: Bank Name: C ‪ hecking ‪Savings NO Itemized Deductions Worksheet List amounts for items you have- Keep receipts for your deductions Unreimbursed medical or dental: Real estate Taxes: Mortgage Interest: Charitable Contribution: Unreimbursed employee expenses: Tax Preparation: Did you buy or sell a personal residence? ‪ ES‪NO Y Purchase Price Sale Price Y N ‪ es ‪ o Date Purchased: Date sold: Selling cost: Did you live in home at leased 24 months total? Did you sell any stock, real estate, business autos or business equipment? ‪ ES‪ O Y N What type of asset: Date Purchased: Purchase amount: Date sold: Sale Price: I certify that I have made full disclosure of all income, expenses, and related supporting information to Alron Enterprises Inc. the preparer of this return. Therefore, if an assessment of additional taxes, fines, penalties, or interest is levied due to my failure to produce or provide such supporting information to Alron Enterprises, Inc. or one of their examining agents, I shall hold Alron enterprises, Inc. their preparer, agents or employees harmless for such failure. Subsequently, the undersigned agrees that they shall be solely responsible for the payment of any and all taxes, penalties, fines, and/or interest, which may be assessed against me, or the preparer of this return. I further certify that I have in my possession all supporting documents, receipts, and other such contemporaneous records related to the substantiation of the expenses deducted off this tax return and related expense categories. Signature______________________________________________________Date: __________