New Client Information Sheet

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New Client Information Sheet:
Your Legal Name: _____________________________________________ Date of Birth: ________________
Social Security Number: ________________________________________ Occupation: __________________
Spouse Legal Name: ____________________________________________Date of Birth: ________________
Social Security Number: _________________________________________Occupation:___________________
Current Address: ___________________________________________________________________________
nd
Best Contact Phone Number: ______________________________2
number_________________________
Best Email Address: _________________________________________________________________________
Dependent Information:
You must have provided more than 50% of their total
support!
First Name and Last Name
Social Security
Date of Birth
Relationship
Months
College
(if different)
Number
to You
in Home
Expenses
Check if you have any of the following or if it applies to your tax situation:
 W2
 Unreported Tips
 K-1’s
 Farm Income
 Foreign Income
 Interest
 Dividends
 Investment Income or Losses
 State Refund
 Unemployment Income
 Educational Expenses
 IRA or SEP?
 Moving Expenses
 Alimony (Paid or Received)
 Student Loan Interest
 Sell a Home
 Unreimbursed Employee Expenses
 Social Security Income

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