Due Dilligence Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *How long has your business been open? *1 to 5 Years5 to 10 YearsN/AHow long has your business been open? *YesNoN/AWho maintains the business records for the business? *ClientEmployeeN/ADo you have a separate bank account for the business? *YesNoN/ADid the child live with the client for 6 months or more? *YesNoN/ADo you support your dependent or dependents with your business income? *YesNoN/AWhat information do you have to support your claim for the dependent or dependents?School recordsMedical RecordsSigned Letter of GuardianshipIs the child in school? *YesNoN/AIf yes, what school does the child attend? *How much did you spend on the child during the school year? Selected Value: 0 How is the dependent or dependents related to you? *Is the dependent a qualifying child of another dependent? *YesNoN/ADoes the child qualify for EIC credit and child tax credit? *YesNoThird ChoiceDid the dependent live with the taxpayer all year? *YesNoN/AIf this is your son or daughter, why are the parents not claiming the child? *Was credit disallowed or reduced in previous years CTC and EIC? *YesNoN/ADo you receive any financial support from a family member or food stamps, housing assistant or childcare assistant? Yes *YesNoN/ABy checking this box and submitting this form, you are confirming that the above information is true and accurate. *YesSubmit
