Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. Client Information First Name *Middle Initial *Last Name *Some else can claim you as a dependant?yesOccupation *SSN *Birthdate *Email *PhoneAlright to send for electronic signatures to your email address?yesInclude Spouse?yesAddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code Spouse Information First Name *Middle Initial *Last Name *Some else can claim you as a dependant?yesOccupation *SSN *Birthdate *Email *PhoneAlright to send for electronic signatures to your email address?yesAddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code Layout Layout your Dependents Name (First, Last)Date of BirthSSNRelationship to you?Months lived in your home during Tax Year? Add Another Dependant Remove Would you like your refund direct-deposited into your bank account?YesNoChecking/SavingsCheckingSavingsRouting NumberAccount NumberCheckboxesYou and your spouse lived apart during the year for more than six monthsMy federal tax return was itemized last year. You claimed things like mortgage interest and/or medical billsYou or your spouse were a resident of another state or earned income in another state during the tax year Check all that apply, if in doubt check Checkboxes1099 NECAlimony (Paid or Received)Buy or sell a homeCharity or Religious ContributionsCollege expenses with or without form 1098TDaycare ExpenseFarm IncomeEnergy efficient home repairsHealth Savings AccountJob Related Expenses or TrainingLottery or Gambling WinningsLump sum from disabilityCheckboxes (copy)Member of US MilitaryMedical Expenses above 4% of incomeMortgage Interest with or without a 1098Mortgage Points (i.e., closing points)Moving Expenses (military)New Car InterestOwn a Business or Self Employed Own Rental PropertyRetirement or Pension IncomeProperty TaxReceived DividendsReceived InterestReceived Retirement IncomeCheckboxes (copy) (copy)Received UnemploymentReceive OvertimeReceived 1099 NECReceived TipsReceived W-2Sold Stocks or BondsSignificant Loss or TheftSocial Security Income (1099-SSA)Tax Preparation ExpensesUnion DuesFile Upload: Upload your documents here Drag & Drop Files, Choose Files to Upload We offer several payment options, please make your choice belowApple PayCredit CardDeduct from refundPhysical CheckBy clicking Submit, you confirm that all information provided above is accurate and complete to the best of your knowledge. You also authorize Gold Star Tax Service to prepare your tax return based on the information submitted; however, this authorization does not grant permission to file the return on your behalf. Submit
