10737 Laurel St Suite 210 Rancho Cucamonga, CA 91730

informationaljc@gmail.com

AMERICAN LAW & JUSTICE CENTER of the INLAND EMPIRE

Call Now! 909-481-2610

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Income Tax Questionnaire

Income Tax Questionnaire

Contact Us

Primary Name

Last 4 SSN#

Email Address

Occupation

Spouse Name

Last 4 SSN#

Email Address

Occupation

Free Text

Your Address

City

State

Zip Code

Are you a dependent of another taxpayer?

Yes

No

Are you a dependent of another taxpayer?

Yes

No

Free Text

Marital Status

If married, live together?

Yes

No

Phone (Day)

Phone (Evening)

Free Text

Dependent’s Name (Full Name as Shown on SS Card)

Date of Birth

Relationship: Daughter=D Son =S Grandchild=G Foster Child=F None=N Other=O (Specify)

If S, D, G, or F -Where do Parents live?

Months Dependent lived in home in 2021

Can anyone else claim the child for Earned Income Credit (EITC)?

Free Text

Dependent’s Name (Full Name as Shown on SS Card)

Date of Birth

Relationship: Daughter=D Son =S Grandchild=G Foster Child=F None=N Other=O (Specify)

If S, D, G, or F -Where do Parents live?

Months Dependent lived in home in 2021

Can anyone else claim the child for Earned Income Credit (EITC)?

Free Text

Dependent’s Name (Full Name as Shown on SS Card)

Date of Birth

Relationship: Daughter=D Son =S Grandchild=G Foster Child=F None=N Other=O (Specify)

If S, D, G, or F -Where do Parents live?

Months Dependent lived in home in 2021

Can anyone else claim the child for Earned Income Credit (EITC)?

Free Text

Dependent’s Name (Full Name as Shown on SS Card)

Date of Birth

Relationship: Daughter=D Son =S Grandchild=G Foster Child=F None=N Other=O (Specify)

If S, D, G, or F -Where do Parents live?

Months Dependent lived in home in 2021

Can anyone else claim the child for Earned Income Credit (EITC)?

Free Text

PLEASE CHECK ALL OF THE INCOME & EXPENSES THAT YOU HAD IN THE TAX YEAR

W-2 Wages: How many W-2s?

1099-INT (Interest Income)

1099-DIV (Dividend Income)

1099-R (Retirement; 401K, IRA)

SSA 1099 (Social Security)

1099G (Unemployment or State Refund)

1099-MISC (Miscellaneous Income)

Sale of Home or Business

Schedule K-1(LLC; S-Corp; Partnership; Estate)

Day Care Expenses

1099-R (Railroad Retirement)

Rental Property Income

Installment Sales

Like-Kind Exchange

Alimony Payment

Other Income

Alimony Received

Student Loan Interest Paid

IRA Contribution

1098-T (Education Expenses)

Injured Spouse

Medical Expenses & Insurance

Real Estate Taxes

Residential (Home Mortgage Interest)

Personal Property Taxes (Car Registration)

Sales Taxes

Unreimbursed Employee Expenses (State itemizing only)

Foreign Taxes Paid

Disaster Loss

Theft

Estimated Tax Payments

Depreciation (Business; Residential Property)

How many W-2s?

Free Text

Did you purchase health insurance through your state Marketplace?

Yes

No

If yes, do you have your Form 1095-A

Yes

No

Free Text

I CERTIFY THAT ALL THE INFORMATION PROVIDED IS TRUE AND ACCURATE TO THE BEST OF KNOWLEDGE.

Date

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Home
Family Law
Estate Planning
Business Law
Adoption & Guardianships
Domestic Violence
Pricing
INCOME TAX PREPARATION
Criminal Law
Attorney Services
Notary & Fingerprinting Services
Important Income Tax Informational Videos
Real Estate Services
Contact Us
Our Team

CONTACT INFORMATION

Phone: 909-481-2610

Cell: 951-205-2402

Fax: 909-481-2615

Email: informationaljc@gmail.com

Address: 10737 Laurel St Suite 210

Rancho Cucamonga, CA 91730

Business Hours:

Mon - Fri: 9:00 am - 7:00 pm
Saturday: 9:00 am - 4:00 pm
Sunday: Appointment Only

Evenings & Weekends By Appointment

Visa Payment Accepted

MasterCard Payment Accepted

Discover Payment Accepted

American Express Payment Accepted

Cash Payment Accepted

Check Payment Accepted

OUR LOCATION

BROWSE OUR WEBSITE

Home
Family Law
Estate Planning
Business Law
Adoption & Guardianships
Domestic Violence
Pricing
INCOME TAX PREPARATION
Criminal Law
Attorney Services
Notary & Fingerprinting Services
Important Income Tax Informational Videos
Real Estate Services
Contact Us
Our Team

CONTACT INFORMATION

Phone: 909-481-2610

Cell: 909-538-0827

Fax: 909-481-2615

Email: informationaljc@gmail.com

Address: 10737 Laurel St Suite 210

Rancho Cucamonga, CA 91730

Business Hours:

Mon - Fri: 9:00 am - 5:00 pm
Saturday: 10:00 am - 4:00 pm
Sunday: Appointment Only

Evenings & Weekends By Appointment Only

There is a $25.00 Deposit Required for Late Evening Fingerprinting Appointments & Other Special Appointments. ($25.00 Deposit will be deducted from your final fees)

Visa Payment Accepted

MasterCard Payment Accepted

Discover Payment Accepted

American Express Payment Accepted

Cash Payment Accepted

Check Payment Accepted

OUR LOCATION

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