ALL FIELDS MARKED WITH AN ASTERISK (*) ARE REQUIRED. If you cannot attach a document to this form, please DO NOT EMAIL IT. We will provide you access to a secure portal for any additional documents that are required.

Tax Return Information



C Corporation Information




Mailing Address







Contact Information







Mailing Address







Filing Information









Accounting Method




Fiscal Year




Shareholder Information


Shareholder 1



Mailing Address










Shareholder 2



Mailing Address










Shareholder 3



Mailing Address










Shareholder 4



Mailing Address










Shareholder 5



Mailing Address










Shareholder 6



Mailing Address










Balance Sheet

Assets at End of Year









Debts and Equity at End of Year









Income





Other Income




Cost of Goods Sold









Business Expenses





































Asset Depreciation

Please upload a list of all assets that were purchased or disposed of during the year. Include a decription of the asset, the date purchased or disposed of, as well as the purchase or sales price.


Travel

Travel Destinations

Please upload a list of all business travel destinations, including the city visited and the number of days in the city, so that per diem rates can be calculated.



Travel Expenses









Other Tax Information







U.S. Manufacturing Activity


If the corporation manufactured a product in the U.S., please upload details including gross receipts from the product, cost of domestically produced goods, direct and indirect expenses/deductions/losses attibutable to the product, and wages paid for the year.



Business Use of Automobile





Automobile Use by Major Shareholders

Please upload a document containing the following information for each vehicle used by a 5% or more owner of the business:

  • Purchase price of the vehicle
  • Make and year of the vehicle
  • Date first used in the business
  • Business miles driven this year
  • Commuting miles driven this year
  • Personal-use miles driven this year
  • Interest paid on loan to purchase vehicle
  • Was the vehicle available for personal use?
  • Was the vehicle used primarily by a 5% or more owner of the corporation?
  • Is another personal-use auto available to the shareholder?
  • Was the standard mileage rate user last year?



Automobile Expenses














Interest and Dividend Income

Please attach copies of all interest and dividend statments below, under “Other Tax Document Uploads”.


Corporation Foreign Accounts




Sale of Stock, Real Estate, and Other Property

Property 1







Property 2







Property 3







Property 4







Other Tax Document Uploads

Please attach additional documents below. If you received an electronic document from the issuer, please upload it. If you received a paper document, please scan the document or take a photograph of the document with your smartphone. Make sure the entire page can be read. If the document has multiple pages, please upload it as a pdf.





















Additional Comments


Signature

I acknowledge that the above information provided is true and accurate to the best of my knowledge, and I hereby affirm that I have documentation to support this information. I relieve this tax preparer, its agents and affiliates, from any liability whatsoever, regarding the preparation of this/these tax returns, and agree to hold them harmless from any damages I or the corporation may suffer and understand that the sole relief is limited to the return of any fee paid for the preparation of these tax documents. I guarantee payment of the preparation fee and any related charges.

Sign this form by typing your name below.

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