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Tax Strategy Check-Up Client Intake Form

CTS Tax Solutions, LLC — A CTS Holdings Group Company

Please complete this form before your paid tax planning consultation. Do not enter Social Security numbers, bank account numbers, passwords, or upload tax documents on this form.

Section 1 — Client Information

Full Name

Phone Number

Email Address

Preferred Method of Contact

Current Occupation

Are you self-employed or a business owner?

A
B

Business Name

Type of Business

Section 2 — Current Tax Situation

Filing status used on most recently filed return

A
B
C
D
E
F

Do you expect to claim dependents?

A
B
C

If applicable, how many dependents?

Current Sources of Income

Other income, if applicable

Most recently filed federal return result

A
B
C
D

If applicable, approximately how much additional tax did you owe?

Section 3 — Changes During 2026

Have any of the following occurred or are expected during 2026?

Please explain any major changes that may affect your taxes.

Section 4 — Tax Concerns

Primary reason for scheduling this Tax Strategy Check-Up

A
B
C
D
E
F
G
H
I
J
K

Other reason, if applicable

Do you believe enough federal income tax is currently being withheld or paid?

A
B
C

Are you making estimated federal tax payments?

A
B
C
D

Are you making estimated state tax payments?

A
B
C
D

Do you currently owe the IRS or a state taxing authority for a prior year?

A
B
C
If yes, do not provide account numbers on this form. Relevant details can be discussed during the consultation.

Section 5 — Documents for Your Tax Strategy Check-Up

Depending on your situation, you may later be asked to provide your most recently filed federal/state tax returns, recent pay stubs, year-to-date business income/expenses, estimated tax payment records, retirement information, investment information, rental information, or information about major 2026 financial transactions. After CTS Tax Solutions receives this intake, you will receive separate instructions for secure document upload through the client portal. Do not email or upload sensitive tax documents through this intake form.

Section 6 — Consultation Goals

What is the most important question you would like answered during your consultation?

Is there anything else CTS Tax Solutions should know before your appointment?

Section 7 — Client Acknowledgment

I understand that the Tax Strategy Check-Up provided by CTS Tax Solutions, LLC is a tax planning and advisory service based upon the information available and provided by me at the time of the consultation. I understand that this service is separate from tax-return preparation unless tax-return preparation is specifically included in a separate engagement. I understand that tax planning recommendations may be affected by changes in my income, financial circumstances, tax law, regulations, administrative guidance, or information that was not available or disclosed at the time of the consultation. I understand that CTS Tax Solutions cannot guarantee a specific tax liability, refund, tax savings, or other tax result. I certify that the information I provide for purposes of this consultation is complete and accurate to the best of my knowledge.

I have read and agree to the Client Acknowledgment above.

Typed Name / Electronic Certification

Date