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Credit Repair
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New Clients
Returning Clients
VIP Client Intake form
Credit to Funding Program
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Contact Us
Home
About Us
Services
Credit Repair
Tax Preparation
New Clients
Returning Clients
VIP Client Intake form
Credit to Funding Program
Team
Contact Us
Start Your Tax Filing Now!
Tax Preparation Intake Form for Returning Clients
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Name
*
Date of Birth:
*
Social Security Number (SSN) ***-**-****
*
SSN must Contain 9 Digits
Email
*
Phone Number
*
Address
*
Address Line 1
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Upload Drivers License and/or Passport
Drag & Drop Files,
Choose Files to Upload
You can upload up to 10 files.
Dependent Information
Do you have any dependents to claim?
*
Yes
No
Full Name:
Date of Birth:
Social Security Number (SSN): ***-**-****
SSN must Contain 9 Digits
Relationship:
Son
Daughter
Niece
Nephew
Brother
Sister
Step-Sister
Step-Brother
Half-Sister
Half-Brother
Grandchild
Months lived with you in 2024 (1-12):
First Dependent Information
Full Name:
Date of Birth:
Social Security Number (SSN): ***-**-****
SSN must Contain 9 Digits
Relationship:
Son
Daughter
Niece
Nephew
Brother
Sister
Step-Sister
Step-Brother
Half-Sister
Half-Brother
Grandchild
Months lived with you in 2024 (1-12):
Second Dependent Information
Full Name:
Date of Birth:
Social Security Number (SSN): ***-**-****
SSN must Contain 9 Digits
Relationship:
Son
Daughter
Niece
Nephew
Brother
Sister
Step-Sister
Step-Brother
Half-Sister
Half-Brother
Grandchild
Months lived with you in 2024 (1-12):
Third Dependent Information
Full Name:
Date of Birth:
Social Security Number (SSN): ***-**-****
SSN must Contain 9 Digits
Relationship:
Son
Daughter
Niece
Nephew
Brother
Sister
Step-Sister
Step-Brother
Half-Sister
Half-Brother
Grandchild
Months lived with you in 2024 (1-12):
Forth Dependent Information
Full Name:
Date of Birth:
Social Security Number (SSN): ***-**-****
SSN must Contain 9 Digits
Relationship:
Son
Daughter
Niece
Nephew
Brother
Sister
Step-Sister
Step-Brother
Half-Sister
Half-Brother
Grandchild
Months lived with you in 2024 (1-12):
Income Sources
Select all types of income you received in 2024:
*
W‑2 (Employment)
1099‑NEC / Self‑Employment
Unemployment Benefits (1099‑G)
Social Security Income
Retirement Income (1099‑R)
Rental Income
Other
Upload all income documents here:
*
Drag & Drop Files,
Choose Files to Upload
You can upload up to 20 files.
Bank Account Info. Enter your bank details for direct deposit of your tax refund
Bank Name:
*
Routing Number:
*
Account Number
*
of 2024 of
Account Type
*
Checkings
Savings
Select your tax professional:
*
Tierra Allen
Reagan Spears
Derriel Loggins
Lauryn Taylor
Tamara Williams
Lesley Williams
Diamond Baucom
Samantha Roberts
Drenisha Westbrook
Tonisha Spencer
Nicole Hollins
Breanna Moore
Patrick Jones
Would you like an advance up to $7,000?
*
Yes
No
Would you like to bundle Tax Prep and Credit Restoration services?
*
Yes, I Want the Bundle
No, I Don't Want the Bundle
Tax Preparation Engagement Letter
Thank you for selecting Allen Consulting & Advisory Services (“we,” “us,” or “our”) to prepare your federal and/or state income tax return(s). This letter outlines the scope of our services, responsibilities, and terms of engagement.
Scope of Services:
We will prepare your federal and, if applicable, state and local income tax return(s) based solely on the information you provide. We do not audit, verify, or independently confirm the accuracy of the information submitted. This engagement does not include tax planning, bookkeeping, legal advice, or audit representation unless agreed to in writing.
Client Responsibilities:
You are responsible for providing complete, accurate, and timely information necessary for preparing your tax return(s). You remain responsible for the accuracy of the return(s) and for any taxes, penalties, or interest assessed by taxing authorities.
Our Responsibilities:
We will prepare your return(s) in accordance with applicable tax laws and IRS professional standards. We may request clarification if information appears incomplete or inconsistent.
Fees and Payment:
Fees are based on the complexity of your return and services requested. Payment is due prior to filing. Additional services may require additional fees.
Communication & Concerns:
If you have any questions or concerns regarding your tax return, refund, or our services, you agree to contact Allen Consulting & Advisory Services directly so we may promptly address the matter.
Social Media & Public Statements:
You agree not to make false, defamatory, or disparaging statements about Allen Consulting & Advisory Services or its representatives on social media, public forums, or online platforms. Any such action will result in a contractual penalty of $2,500 per occurrence, intended as a reasonable estimate of damages resulting from reputational harm.
I give consent to have my taxes prepared by Allen Consulting & Advisory Services.
*
Yes, I understand.
I understand I am responsible for the accuracy of the information I provide.
*
Yes, I understand.
Signature
*
Clear Signature
By signing below, you acknowledge that you have read, understand, and agree to the terms of this engagement.
*
Yes
No
By signing below, Get a copy of your selection form?
*
Yes, get a copy.
No, Thank you.
Submit