Tax Filing Information Worksheet

Full Name

First NameLast Name

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Current Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Filing Status

Do you have any dependents to claim?

Dependent Information (if any)

Which types of income did you receive this year? (Select all that apply)

Please list and describe your income sources (amounts, employers, payers, etc.)

Did you have any of the following deductions or credits? (Select all that apply)

Please provide any additional notes, questions, or special circumstances for your tax filing.