Please fill out every question in full and click submit at the end.  Allow 1-2 business days for a response. Thank you!

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Personal Information

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Filing Status

Head Of Household /  W2 Income Worksheet

Upload Your W2 Here: *
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Self-Employed / 1099 Income Worksheet

Check Here if No EIN
No EIN
Please Upload All Documents Here (1099, PNL Sheet, Etc.) *
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Education

Did you or your dependent(s) attend college this year?
Did you receive a 1098-T?
Upload 1098-T (if you received one):
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Dependents

Are you claiming any dependents?
Did you provide at least 50% support?
Did this dependent live with you at least 6 months?
Is this dependent disabled?
Can anyone else claim this dependent?
Have you received any advanced child tax credits?
Please upload all documents for all dependents:
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Do you have another dependent?
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Dependent 2

Did you provide at least 50% support?
Did this dependent live with you at least 6 months?
Is this dependent disabled?
Can anyone else claim this dependent?
Have you received any advanced child tax credits?
Please upload all documents for all dependents:
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Do you have another dependent?
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Dependent 3

Did you provide at least 50% support?
Did this dependent live with you at least 6 months?
Is this dependent disabled?
Can anyone else claim this dependent?
Have you received any advanced child tax credits?
Please upload all documents for all dependents:
Drag & Drop Files Here Browse Files

Please let our office know if you have more than 3 dependents.

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Due Diligence

Are you married?
Do you have a signed form 8332? (Custodial Parent Release of Claim on Dependent(s) on tax return.)
Are your dependent(s) biologically yours?
Do you or anyone else receive financial aid for dependent(s)?
Are you applying for a loan advance?
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Refund Receive Type

How would you like to receive your refund?
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Document Upload

Upload any other supporting documents here:
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How did you hear about Empire Unlimited?
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Regarding Qualifying Children for Earned Income Credit

According to the information you provided in regards to the dependent(s), the dependent(s) is/are your biological child, grandchild, niece, or nephew, etc.


I discussed with you a qualifying child cannot be used by more than one person per tax period. One person is one of the parent(s) if married filing jointly.


If filing Head of Household, you attest that you can provide a lease or utility bill in your name at your current address.

Please note: You are stating that you provide over 50% of care and support for the dependent(s), you are the sole provider for the dependent(s), the dependent(s) lives with you for more than half the year, and no one else is eligible to claim the dependent(s).


By signing below, you are stating that the dependent(s) information on your tax return is true, correct, and has been documented by your preparer. You are stating that you are not providing your preparer with any false/fraudulent information.


ANY AND ALL INFORMATION HAS BEEN FILLED OUT BY ME TO THE BEST OF MY KNOWLEDGE. THE DATA FILLED OUT BY ME, (THE TAXPAYER) ,IS ACCURATE AND TRUTHFUL. I give, Empire Unlimited Tax Services, LLC, authority to use the information provided by myself, the taxpayer, for filing purposes. 


I am providing my signature electronically (by mobile phone or computer).  All final paperwork will need your official signature in office OR by Docusign before filing.

Sign with a stylus or your finger here:
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