Thank you for taking time to complete your 2025 Client Questionnaire. For new clients, this information is critical to ensure we accurately file your tax return. For existing clients, we kindly request you provide this information again to ensure our records are 100% accurate and up to date.
Please upload your most recent tax return below (preferably two most recent tax returns)
Please add all forms of assistance received and monthly award amount (Add as many rows as necessary)
You may not claim the Earned Income Credit if you have not lived with the child for over half the year, even if you have supported the child.
If only one of the persons is the child’s parent, the child is treated as the qualifying child of the parent.
If the parents do not file a joint return together but both parents claim the child as a qualifying child, the IRS will treat the child as the qualifying child of the parent with whom the child lived with for the longer period of time during the year. If the child lived with each parent for the same amount of time, the IRS will treat the child as the qualifying child of the parent who had the higher adjusted gross income (AGI) for the year.
If no parent can claim the child as a qualifying child, the child is treated as the qualifying child of the person who had the highest AGI for the year.
If a parent can claim the child as a qualifying child but no parent does claim the child, the child is treated as the qualifying child of the person who had the highest AGI for the year, but only if that person’s AGI is higher than the highest AGI of any of the child’s parents who can claim the child.
Dependant #02 Info
Dependent #3 Info
Child/Dependent Care Provider Information
Identity Protection
Self-Employment/Business Income
Credits & Deductions
Stimulus & Child Tax Credit Payments
Please make sure this information is accurate. If what you report differs from what the IRS has on file, your refund will be delayed 8-10 weeks and there is nothing our office can do to expedite processing. Attach a photo of your IRS notice or a screenshot of your Tax Record from the IRS online account.
If you have not yet set up an account using idME, please do so: https://www.irs.gov/payments/your-online-account
Additional Info
We ask that you complete this due diligence questionnaire to ensure you are eligible to claim at least one of several valuable tax credits. While the questions may seem to be a little intrusive, they are questions that we are required to ask under the due diligence requirements of the new tax laws. We will keep your responses and documents on file, in the event the IRS should ever ask for them. Please complete them in as much detail as possible.
Financial Information
Refund Bank Products
You are not required to use a refund bank product for disbursement. You may choose to pay your preparation fees upfront to avoid the costs associated with using a refund bank transfer. These fees are for the refund bank transmission and service bureau. They are not included in your quoted tax preparation fees.
Service Bureau Fee: $55
Transmission Fee: $24
Electronic Filing Fee: $25
Bank Fee: $20
Optional Fees
Audit Protection: $130
SecurelyID: $100
Refund Advance Loan Details
Approval rate of 79%. Your refund and loan history is reviewed from previous years. 4 out of 5 of clients are approved.
**Loans over $1000, have an 36% interest fee attached.
The maximum amount for a Refund Advance Loan is $7000. If approved for a Refund Advance Loan greater than $1,000, you will be charged interest. The amount of interest you are charged depends on how many days it takes to repay the advance from your tax refund. In other words — if your tax refund is processed and deposited by the IRS or State quickly, you’ll pay less than if your tax refund takes longer to be released. Interest charges are capped at 60 days. So, the charges to you will stop at 60 days if your refund is delayed.
**DISCLAIMER: DESPITE APPROVAL ODDS, REFUND ADVANCES ARE NOT GUARANTEED. THE REFUND BANK HAS THE OPTION TO APPROVE THE AMOUNT REQUESTED, APPROVE THE APPLICATION FOR A LESSER AMOUNT, OR DENY THE APPLICATION**
Bank Account Information
Please ensure that your bank information is correct. Once transmitted, your banking information can't be changed by your tax preparer or the refund bank. Any returned payment due to incorrect bank information, will be issued as a paper check, and result in a delay of your refund being disbursed.
Consent To Use
Federal law requires this consent form be provided to you (“you” refers to each taxpayer, if more than one). Unless authorized by law, we cannot use your tax return information for purposes other than the preparation and filing of your tax return without your consent. You are not required to complete this form to engage our tax return preparation services. If we obtain your signature on this form by conditioning our tax return preparation services on your consent, your consent will not be valid. Your consent is valid for the amount of time that you specify. If you do not specify the duration of your consent, your consent is valid for one year from the date of signature. For your convenience, we have entered into an arrangement with certain companies to offer an Electronic Refund Disbursement Service and/or Loan product. To determine whether these offerings may be of interest to you, we will need to use your tax return information. If you would like us to use your tax return information to determine whether these offerings are relevant to you while we are preparing your return, please sign and date this consent to the use of your tax return information. By signing below, you authorize us to use the information you provide to us during the preparation of your tax return to determine whether to offer you an opportunity to apply for the Electronic Refund Disbursement Service and/or Loan product.
Consent to Disclosure of Tax Return InformationFederal law requires this consent form be provided to you (“you” refers to each taxpayer, if more than one). Unless authorized by law, we cannot disclose your tax return information to third parties for purposes other than the preparation and filing of your tax return without your consent. If you consent to the disclosure of your tax return information, Federal law may not protect your tax return information from further use or distribution. You are not required to complete this form to engage our tax return preparation services. If we obtain your signature on this form by conditioning our tax return preparation services on your consent, your consent will not be valid. If you agree to the disclosure of your tax return information, your consent is valid for the amount of time that you specify. If you do not specify the duration of your consent, your consent is valid for one year from the date of signature. You have indicated that you are interested in utilizing the Electronic Refund Disbursement Service and/or Loan product from EPS. To provide you with the opportunity to apply for and/ or receive the Electronic Refund Disbursement Service and/or Loan product, we must disclose all of your tax return information to EPS. You may request a more limited disclosure of tax return information, but you will not be eligible to submit an application for the Electronic Refund Disbursement Service and/or Loan product. If you would like us to disclose your tax return information to EPS for this purpose, please sign and date your consent to the disclosure of your tax return information.
By signing below, you authorize us to disclose to EPS all of your tax return information so that it can evaluate and process your application for the Electronic Refund Disbursement Service and/or Loan product. You understand that if you are not willing to authorize us to share your tax information with EPS, you will not be able to obtain the Electronic Refund Disbursement Service and/or Loan product, but you can still choose to have your tax return prepared and filed by us for a fee. If you believe your tax return information has been disclosed or used improperly in a manner unauthorized by law or without your permission, you may contact the Treasury Inspector General for Tax Administration (TIGTA) by telephone at 1-800-366-4484, or by email at [email protected].
Consent for PaymentELITE TAX GROUP LLC is not responsible in the event the taxpayer omits or provides incorrect information (i.e. social security numbers, names, dates of birth, etc.). These errors may delay your refund. ELITE TAX GROUP LLC does not control whether or not the IRS randomly selects your return for an audit, however all clients are welcome to purchase Audit Protection and we will always keep all necessary documents on file to dispute an audit on your behalf. All information obtained from the taxpayer and/or spouse must be submitted if the IRS audits your tax return.
ELITE TAX GROUP LLC is not responsible for any incorrect tax figures provided by the taxpayer and/or spouse. If your tax figures change you will need to submit an amendment. ELITE TAX GROUP LLC offers amendment preparation for an additional fee. If you have any overdue debts (i.e. school loans, child support, DPP, DFCS, etc….) that are scheduled to offset your refund, you will be required to pay your tax preparation fees upfront. You are able to call the IRS offset department at 1-800-304-3107 or 1-800-829-7650 to check the status of any scheduled offsets. If you are unaware of a potential offset and your refund is completely garnished, your prep fee will be drafted from the bank account you have on file with our office.
ELITE TAX GROUP LLC is not responsible for any changes the IRS or receiving bank may make on disbursement dates. ELITE TAX GROUP LLC is not responsible for any glitch issues that the IRS experiences that may cause a delay in receiving your tax refund. We DO NOT reimburse any bank fees in the event of this occurrence.
MUTUAL NON-DISPARAGEMENTELITE TAX GROUP LLC agrees to refrain from any disparagement, defamation, libel, or slander of any of the Releasees, and agrees to refrain from any tortious interference with the contracts and relationships of any of the Releases. Client agrees to refrain from any disparaging statements about ELITE TAX GROUP LLC. Any instances of this found by ELITE TAX GROUP LLC will result in a $1000 penalty per occurence payable by the client to ELITE TAX GROUP LLC.
Clerical/Banking ErrorsELITE TAX GROUP LLC tries its best to ensure that all client information is entered correctly. In the event a clerical error is dicovered that causes an incorrect deposit into your account, you give ELITE TAX GROUP LLC permission to debit your account for the amount of the deposit to reverse this error.
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