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TaxFTW Client Intake Questionnaire

Please complete this form as thoroughly as possible. Your answers allow us to confirm the right service tier and fee for your engagement before any work begins.

This form typically takes 5–10 minutes. A member of our team will follow up within two business days.

Confidential · For Engagement Scoping Purposes Only

Client Information

Full Legal Name *

Preferred Name

Email Address *

Phone Number

Home Address (City, State, ZIP)

Date of Birth

Filing Status — Most Recent Tax Year

Single Married Filing Jointly Married Filing Separately Head of Household Qualifying Surviving Spouse

State(s) of Residence — List all states where you lived or worked during the tax year

Were you a U.S. citizen or lawful permanent resident for the full tax year?

Yes No — please explain below

If No, please explain

Referral & Service Selection

How did you hear about TaxFTW?

EquityFTW website / content Referred by my financial advisor Referred by a CPA or attorney Referred by a friend or colleague LinkedIn / social media Other

Referring Advisor / Person Name

Firm Name

Service Tier Requested Not sure which tier fits? Your answers below will help us confirm the right scope and fee.

TaxFTW Basic ($750–$1,000) — Tax return review & findings report TaxFTW Premium ($1,800–$3,000) — Return review + projections + strategy Not sure — Please recommend based on my situation

Desired Timeline

Urgent (within 2 weeks) Standard (2–4 weeks) Flexible

Prior Year Tax Return

Tax Year to Be Reviewed

2025 (most recent) 2024 Multiple years — specify below

Year(s) to be reviewed (if multiple)

Who prepared your most recent tax return?

Self-prepared (TurboTax, H&R Block, etc.) CPA / EA / Tax Professional Attorney Other

Have you received any IRS or state tax notices in the past two years?

Yes — please describe below No

If Yes, please describe the notice(s)

Income Sources

Select all that apply for the most recent tax year.

Employment & Compensation

W-2 Employment Income RSUs (Restricted Stock Units) ISOs / NQSOs (Stock Options) ESPP (Employee Stock Purchase Plan) Bonus / Supplemental Wages Director Fees / Board Compensation

Self-Employment & Business

Sole Proprietor / Freelance (Schedule C) S-Corporation Income / W-2 Partnership / LLC Income (K-1) Farm Income (Schedule F) Consulting / 1099-NEC Income

Approx. number of K-1s received

Approx. number of 1099-NECs

Investments & Capital Activity

Brokerage / Investment Accounts Mutual Funds / ETFs Cryptocurrency (buy/sell/exchange) Real Estate Sale Business or Asset Sale Installment Sale Income Options / Derivatives Trading Collectibles or Alternative Assets

Trading Activity Level (if applicable)

Light (under 25 trades/yr) Moderate (25–200 trades/yr) High Volume (200+ trades/yr) Not applicable

Passive & Real Estate Income

Rental Real Estate Income Real Estate Professional Status Royalty Income

Number of rental properties

Properties held in an LLC or trust?

Retirement & Other Income

IRA / 401(k) Distributions Roth Conversion Social Security Benefits Pension / Annuity Income Alimony Received (pre-2019 divorce) Forgiven Debt / Cancellation of Debt Gambling / Prize Winnings Inheritance or Estate Distribution

Foreign & International Income

Foreign Employment Income Foreign Pension or Retirement Account Foreign Rental Income Foreign Investment / Dividend Income Income from a Foreign Business or Entity Foreign Inheritance

Approximate Adjusted Gross Income (AGI) — Most Recent Year

Under $100,000 $100,000 – $250,000 $250,000 – $500,000 $500,000 – $1,000,000 $1,000,000+ Prefer not to say

Business Ownership

Do you own or have an ownership interest in a business?

Yes — complete this section No — skip to Section 6

Business Entity Type(s) — select all that apply

Schedule C (Sole Proprietor) Single-Member LLC Multi-Member LLC S-Corporation C-Corporation Partnership Trust (Grantor or Non-Grantor) Foreign Entity

Number of entities

Industry / Business Type

Approximate Annual Business Revenue

Under $100,000 $100,000 – $500,000 $500,000 – $2,000,000 $2,000,000+

Bookkeeping Status

Current and up to date Behind / needs catch-up Unsure

Do you have employees or pay subcontractors?

W-2 employees 1099 contractors Neither

Are you considering a business exit, sale, or restructuring?

Yes — describe below No Possibly within 1–3 years

Exit / restructuring details (if applicable)

International & Foreign Considerations

This section is most relevant for TaxFTW Premium clients. Please answer as completely as possible if you have any foreign financial interests.

Do you have any of the following? (Select all that apply)

Foreign bank or financial accounts Foreign investment or brokerage accounts Foreign pension or retirement plans Ownership in a foreign corporation Ownership in a foreign partnership Foreign mutual funds / ETFs (possible PFIC) Signature authority over a foreign account Foreign real estate Dual citizenship or dual tax residency

FBAR & FATCA Filing History

Have you previously filed an FBAR (FinCEN 114)?

Yes — filed timely Yes — filed late or amended No — was not aware of requirement No — did not meet threshold Unsure

Have you previously filed Form 8938 (FATCA)?

Yes No Unsure

Foreign Entity Reporting

Have you filed or been included in any of the following?

Form 5471 (Foreign Corporation) Form 8865 (Foreign Partnership) Form 8858 (Foreign Disregarded Entity) Form 926 (Transfer to Foreign Corp) None of the above Unsure

Foreign Tax Credits & Treaties

Did you pay taxes to a foreign government during the tax year?

Yes No Unsure

Do you live or work outside the United States?

Yes, full year Yes, part of the year No

Country of residence (if outside U.S.)

Months abroad during tax year

⚠️ Important Note on International Compliance: TaxFTW's international review is strategic and informational only. EquityFTW does not prepare or file FBAR, Form 8938, Form 8865, Form 5471, or any other international compliance forms. If we identify potential filing obligations or historical gaps, we will provide strategic guidance and refer you to a qualified international tax CPA or attorney for compliance work.

Tax Planning Needs & Goals

Primary Areas of Interest — select all that apply

Reducing current-year tax liability Estimated tax payment planning RSU / stock option tax strategy Roth conversion analysis Capital gain / loss harvesting Retirement contribution strategy Entity structure optimization Real estate tax strategies International tax planning Business exit or sale planning Charitable giving / donor-advised fund Estate and gift tax planning Prior year issue review or cleanup

Other areas of interest

Are there any specific transactions or events coming up that prompted this review?

What is your primary goal for this engagement?

Get clarity on my current tax situation Identify missed opportunities or errors in prior return Plan proactively for current or future tax year Address a specific event or transaction Get a second opinion before filing

AMT, NIIT & Other Complexity Indicators

These questions help us identify potential exposure to the Alternative Minimum Tax, Net Investment Income Tax, and other less common provisions.

Did your prior return include any of the following? (Select all that apply)

Alternative Minimum Tax (AMT) liability Net Investment Income Tax (NIIT, 3.8%) Excess Business Loss limitation Passive Activity Loss carryforwards Capital loss carryforwards Net Operating Loss (NOL) carryforward Qualified Business Income (QBI) deduction At-Risk or Basis limitation on losses None of the above

Do you have any deferred compensation arrangements (NQDC / 409A)?

Yes No Unsure

Have you made or are you planning any large gifts (over $19,000 per recipient)?

Yes — describe below No

Gift details (if applicable)

Documents to Upload

After submitting this form, you will receive a secure upload link. Please gather the following documents as applicable.

💡 Tip: You do not need to have all documents ready before submitting this form. Submit the questionnaire now and upload documents once your engagement is confirmed and your secure portal link has been sent.

Required for All Engagements

Federal tax return (Form 1040) — most recent year (and prior year if reviewing multiple) State tax return(s) — same year(s)

Provide if Applicable

All W-2s, 1099s, K-1s, and supporting statements for the reviewed year(s) Brokerage statements / Form 1099-B (especially if high volume or complex activity) RSU vesting schedule / ESPP purchase and sale confirmations Business financial statements (P&L, balance sheet) if self-employed or business owner Foreign account statements if FBAR or Form 8938 is applicable Prior year IRS or state notices (if any) Any correspondence related to audits, payment plans, or outstanding balances Prior FBAR filings (FinCEN 114) if international complexity is present

A member of our team will follow up within two business days with your confirmed service tier, fee, and next steps.

equityftw.com · tax@equityftw.com · (408) 550-6132

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Equity For The Win LLC (EquityFTW) is a Registered Investment Advisor in the state of California. Registration does not imply a certain level of skill or training. The presence of this website on the Internet shall not be directly or indirectly interpreted as a solicitation of investment advisory services to persons of another jurisdiction unless otherwise permitted by statute. Follow-up or individualized responses to consumers in a particular state by EquityFTW in the rendering of personalized investment advice for compensation shall not be made without our first complying with jurisdiction requirements or pursuant to an applicable state exemption.

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