Tax Client Intake Form

Thank you for choosing Holy Services for your tax filing needs! We’re excited to serve you. Please complete the intake form as thoroughly as possible. If you have any questions or need assistance, feel free to email us at [email protected] or call +1 215 8810 771.

Tax Payer Information

First Name *

Last Name *

Phone *

Email *

Address

Home Address *

Country *

Country

State *

City *

Postal Code *

Do you have an IRS Identity Protection PIN (IP PIN)? *

Yes

No

Enter your 2025 Identity Protection PIN below:

Social Security Number *

Picture of Social Security Card (SSN) *

Picture of Social Security Card (SSN)

Picture of ID Card/License (one) *

Picture of ID Card/License (one)

Tax Documents (W-2 Forms, 1095-A forms etc) *

Tax Documents (W-2 Forms, 1095-A forms etc)

Filing Status *

Single

Head Of Household (Single with Dependents)

Married Filing Joint

Married Filing Separate

Spouse Information

Spouse First Name

Spouse Last Name

Spouse Date Of Birth

Spouse Phone Number

Spouse Email

Spouse Address

Street Address Line 2

City

State Province

Postal / Zip Code

Spouse Occupation

Spouse Social Security Number

Upload Spouse Social Security Card

Upload Spouse Social Security Card

Upload Picture of ID Card/License

Upload Picture of ID Card/License

Are You Claiming Dependents? *

Yes

No

Information of Dependents

Dependant 1

Dependant 1 - Name (as it appears on Social Security Card)

Dependant 1 - Date Of Birth

Dependant 1 - Birth Certificate

Birth Certificate

Dependant 1 - Social Security Card or ITIN

Social Security Card or ITIN of dependant person

Dependant 1 - Relationship

Dependant 2

Dependant 2 - Name (as it appears on Social Security Card)

Dependant 2 - Date Of Birth

Dependant 2 - Birth Certificate

Dependant 2 - Birth Certificate

Dependant 2 - Social Security Card or ITIN

Social Security Card or ITIN of dependant person

Dependant 2 - Relationship

Dependant 3

Dependant 3 - Name (as it appears on Social Security Card)

Dependant 3 - Date Of Birth

Dependant 3 - Birth Certificate

Dependant 3 - Birth Certificate

Dependant 3 - Social Security Card or ITIN

Social Security Card or ITIN of dependant person

Dependant 3 - Relationship

Dependant 4

Dependant 4 - Name (as it appears on Social Security Card)

Dependant 4 - Date Of Birth

Dependant 4 - Birth Certificate

Dependant 4 - Birth Certificate

Dependant 4 - Social Security Card or ITIN

Social Security Card or ITIN of dependant person

Dependant 4 - Relationship

Bank Information

Bank Name *

Routing Number *

Account Number *

Account Type *

Checking

Savings

Void Check

Void Check.

Upload Any Additional Documents

Please Upload Any Additional Documents

Holy Services will use the information you provide to prepare your 2025 individual tax return. As the taxpayer, you are solely responsible for the accuracy and filing of your tax return.

I, the taxpayer listed above, confirm that I have provided Holy Services with all required tax information, and to the best of my knowledge, the information submitted is true, accurate, and complete.

Tax Payer Signature *

Clear

Spouse Signature

Clear

Date Signed *

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