Over 29 Years of Experience and Services.
Newark, NJ 07106

Federal Information Worksheet


Taxpayer Information

Spouse Information



Dependent Information

Information for the Earned Income Credit Only


Direct Deposit or Electronic Funds Withdrawal Information

Child Care Information


N.B. IT IS MANDATORY TO REPORT ALL INCOME RECEIVED DURING THE FISCAL YEAR
INCLUDING: UNEMPLOYMENT, PENSION, BANK INTEREST, SOCIAL SECURITY INCOME*

By signing this sheet, I, the taxpayer, certify that all the above statements are true and answered by me during the interview with the tax preparer in order to file my tax return for the current year. If you apply for fast Fund or Fast Check, and IRS decides not to honor the direct deposit because you have a past due balance with IRS or forwhatever your situation may be such as Child Support, Student Loan etc..., It will be your obligation to pay all theFees Charged for your TAX Preparation. Please note that once work is done, payment is due...

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