Summit Lux Tax Solutions

2026 Client Intake Form

Thank you for taking the time to complete our intake form.

For our new clients, this information is critical to ensure an accurate filing of your tax returns. We request that new clients submit at least prior year tax return (preferably two), to be used as comparison for your upcoming filing.

For our existing clients, while we may have some of this information from past engagements, we kindly request you provide it again so we can make sure our records are 100% accurate and up to date. You will have the ability to notate if certain sections are unchanged from your prior year filing, and in those cases you will not need to re-enter information. IRS compliance is crucial, and for those who have worked with us before you know that we work extremely hard to get you every dollar that you deserve.

IMPORTANT: We have included a checklist of documents that are most commonly needed. You can save and return at your leisure if you need to gather some of your documents. This is meant to add to the convenience that our tax office provides. Upon completion of ALL parts of this form, you must click the "SUBMIT" button at the bottom of the form to transmit to our office. Closing your browser before clicking "SUBMIT" will delete all info without sending it to us. You will receive a confirmation email after submission to ensure that we received your info.

Please also note that our firm will ask for a valid government-issued photo identification during your engagement to comply with federal and state identity theft protection efforts.

***We use industry-leading technology Secured Socket Layer (SSL) to keep your information safe. All sensitive information is securely transmitted, encrypted, and can not be compromised.

Client Engagement Letter

Summit Lux Tax Solutions

Andrea Watson

Tax Practitioner

Email: [email protected]

Phone: 708-680-6850

Dear Valued Client,

We’re excited to work with you and help take the stress out of tax season. This letter is to detail the terms of our engagement with you, and to clarify the nature and extent of the services we will provide. To ensure an understanding of our mutual responsibilities, we ask all clients for whom returns are prepared to confirm the following arrangements.

By providing us with your signature, you are accepting the terms and conditions specified in this letter.

You attest that you understand that this information is being provided to the IRS and state tax authorities. You attest that your tax preparer advised that any false and misleading information that you provide for income tax filing purposes is against the law and is subject to penalties. You understand that Summit Lux Tax Solutions is only liable for any errors and omissions on their part and responsible for any interest and penalties and not tax due

If you are in agreement with the conditions set forth above, please sign this letter in the space indicated. This letter will apply for all tax returns prepared for you by our tax preparers.

We want to express our appreciation for this opportunity to work with you.

Sincerely,

Summit Lux Tax Solutions

***Please note that by signing this form you are affirming that you have read and understood the above-mentioned details.

Signature *

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FILING AUTHORIZATION

Before we file anything, you’ll always have the final say.

We’ll send you a copy of your completed return to review and approve. Once you’ve given us the green light (either with a signature or written approval), we’ll go ahead and e-file your return with the IRS and/or your state(s).

By signing this engagement letter, you’re confirming that:

You understand it’s your return and you’ve reviewed everything to the best of your ability.
You give us permission to file your return electronically after your approval.
If you're getting a refund, you’ve chosen how you want to receive it (direct deposit, refund advance, etc.).

Important Note About Non-Filing:
If you decide not to move forward with filing after we’ve completed the return, an abandonment fee of $100 will be due immediately. This fee will be automatically drafted (ACH) from the bank account listed on your intake form. By signing this engagement, you agree to this charge and authorize us to collect the fee if you abandon the filing.

We don’t file anything without your approval. Your return, your rules—but our time still mat

AGREEMENT

The foregoing is in accordance with my (our) understanding of your engagement to provide tax and financial services and you are hereby advised that each item of revenue or expense can be substantiated by receipts, cancelled checks, or other documents. This information is true, correct, and complete to the best of my (our) knowledge. Further, it is my understanding that these terms will continue to be enforced for the succeeding years of our engagement.

OUR RESPONSIBILITIES

We will prepare your federal, state, and local income tax returns from the information you supply. If you need help with multiple states, business returns (like a Schedule C), or extra forms, we can assist—but there may be additional fees (we’ll always let you know upfront).We will not audit or otherwise verify the data you submit, however it may be necessary to ask you to clarify some of the information that you have submitted. We will supply you with guides to assist you in gathering the information required to accurately complete your return. We reserve the right to assess additional bookkeeping charges if necessary.

We may ask for clarification of your submitted information.
We are not responsible to discover fraud or other irregularities, should any exist.
We will work to find all the credits and deductions you are legally entitled to.

Our work in connection with the preparation of your income tax returns does not include any procedures designed to discover defalcations and/or irregularities, should any exist. We will render such bookkeeping assistance as necessary to prepare your income tax return.

YOUR RESPONSIBILITIES

It is your responsibility to provide all of the information required for the preparation of complete and accurate returns. You should retain all documents that form the basis of income, expenses, credits, and deductions. These may be necessary to prove the accuracy and completeness of the returns to a taxing authority. We will keep a copy of all documents as a precaution, so as to be readily available in the event that they must be submitted on your behalf.

To provide all information necessary to draft a complete and accurate return
To provide all of your information and respond to any requested clarifications in a timely manner
To retain, all documents and data that attest to the claimed income and deductions in the event you have to provide them to a taxation authority
To carefully review all documents provided by our office before you sign your completed tax return
To not knowingly commit fraud

Ultimately, you are responsible for the filing of your income tax returns and, therefore, you should review them carefully before signing and approving for IRS transmission.

PENALTIES, EXAMINATIONS AND NOTICES

The IRS and state taxation authorities have the ability to impose penalties for certain offenses, including understatement of income, late filing after the published deadline, underpaying estimated taxes, or not withholding enough in taxes from your income. They can also select any return for examination.

There are various penalties that may be imposed when taxpayers understate their tax liability.

Your returns may be selected for review by federal taxation authorities, state taxation authorities, or both. Any proposed adjustments by the examining agent are subject to certain rights of appeal. Optional audit protection at an additional cost.

PRIVACY POLICY

Tax preparers are bound by professional standards of confidentiality. Therefore, we have implemented policies and procedures to protect your right to privacy. For current and former clients, we do not disclose any nonpublic personal information obtained in the course of our practice except as required or permitted by law, and as is necessary to properly provide our services to you.

Types of Nonpublic Personal Information We Collect

We collect nonpublic personal information about you that is provided to us by you or obtained by us with your authorization.

Parties to Whom We Disclose Information

We make information available to our employees and to non-affiliated third parties who need to know that information to assist us in providing services to you. In all such situations, we require a contractual agreement that includes procedural safeguards that protect the confidential nature of the information being shared.

Protecting the Confidentiality and Security of Former Client Information

We retain records relating to professional services that we provide so that we are better able to assist you with your professional needs and, in some cases, to comply with professional guidelines. In order to guard your nonpublic personal information, we maintain physical, electronic, and procedural safeguards that comply with our professional standards.

FEES & PAYMENTS TERMS

We believe in being upfront—no surprises when it comes to your money. Here’s how our pricing works:

Your tax prep fees covers your federal return and state(s) return and it is calculated based upon any forms, schedules, or other multi-state filings that you may have.
Bank products, refund advances, and any third-party services may also have separate fees, which will be disclosed to you before you choose those options.
If you decide to pay your prep fee out of your refund, additional fees for that convenience will apply.

Payment Options:

You can pay upfront via card or other accepted methods, or
Choose to have fees deducted from your refund (bank product clients only).

No Refunds:
Once services are completed, no refunds will be issued—even if you choose not to file or if your refund is smaller than expected. You're paying for our time, experience, and the work already performed. We reserve the right to withhold e-filing or release of any documents until your balance is paid in full.

Let’s make sure it’s fair, fast, and worth every penny. We’ll always do our best to maximize your refund—or minimize what you owe—based on the info you give us. But let’s be real for a second:

We can’t guarantee a specific refund amount, tax credit, or outcome.
Your final refund or balance due depends on IRS and state calculations, and the details you provide.
We’re not responsible for delays caused by the IRS, your bank, or third-party products (like refund advances or direct deposit timelines).
Once we’ve prepared your return—even if you decide not to file—it’s considered a completed service. That means no refunds for prep fees, time spent, or add-on services.

Signature *

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New Client Prior Tax Returns

If Possible -Please upload your most recent tax return below

Prior year Tax Return

Dependent Claims & Rules

Is there anyone else living in your household that helps provide support for your dependents? *

Earned Income Credit

You may not claim the Earned Income Credit if you have not lived with the child for over half the year, even if you have supported the child.

TIEBREAKER RULES: To determine which person can treat the child as a qualifying child, the following tiebreaker rules apply:

If only one of the persons is the child’s parent, the child is treated as the qualifying child of the parent.
If the parents do not file a joint return together but both parents claim the child as a qualifying child, the IRS will treat the child as the qualifying child of the parent with whom the child lived with for the longer period of time during the year. If the child lived with each parent for the same amount of time, the IRS will treat the child as the qualifying child of the parent who had the higher adjusted gross income (AGI) for the year.

If no parent can claim the child as a qualifying child, the child is treated as the qualifying child of the person who had the highest AGI for the year.

If a parent can claim the child as a qualifying child but no parent does claim the child, the child is treated as the qualifying child of the person who had the highest AGI for the year, but only if that person’s AGI is higher than the highest AGI of any of the child’s parents who can claim the child.

Child/Dependent Care Provider Information

Did you pay an individual or a business for child/dependent care? *

Individual

Business

Other

If available, please upload childcare/dependent care receipts

Do you have another dependent to claim? *

Yes

Child/Dependent Care Provider Information

Did you pay an individual or a business for child/dependent care? *

Individual

Business

Other

If available, please upload childcare/dependent care receipts

Do you have another dependent to claim? *

Yes

Child/Dependent Care Provider Information

Did you pay an individual or a business for child/dependent care? *

Individual

Business

Other

If available, please upload childcare/dependent care receipts

Do you have another dependent to claim? *

Yes

Additional Household Info

Are there other people living in the home that are not reported on the tax return? *

Yes

Identity Protection

Has anyone listed on your tax return been issued an IRS Identity Protection PIN? *

Yes

Please List Names and IP PIN #'s here/ put NA if it does not apply *

Please upload a copy of each PIN document

Self-Employment/Business Income

Are you filing business/self-employment/side job/cash job income? *

Yes

Additional Info

Do you know of any potential offsets/garnishments to your tax refund? *

Yes

I give express written permission for a representative of Summit Lux Tax Solutions to contact the IRS Offset Line to assess possible offsets that will affect disbursement of my tax refund. *

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Tax Credit Due Diligence Questionnaire

We ask that you complete this due diligence questionnaire to ensure you are eligible to claim at least one of several valuable tax credits. While the questions may seem to be a little intrusive, they are questions that we are required to ask under the due diligence requirements of the new tax laws. We will keep your responses and documents on file, in the event the IRS should ever ask for them. Please complete them in as much detail as possible.

Please upload supporting documents (i.e. lease, utility bills, school records, etc.) *

Upload Proof of Residency for Your Dependent(s) - If No dependents please skip

School/daycare records, medical records, lease, etc..

I/we, or my child(ren), have documentation to substantiate the credit(s) being claimed (you are responsible for keeping this documentation and providing it to the IRS if you are audited or questioned *

Yes

Was the Earned Income Credit (EIC/EITC), Child Tax Credit (CTC), Additional Child Tax Credit (ACTC), or American Opportunity Tax Credit (AOTC) claimed by you disallowed or reduced by the IRS on a past tax return? *

Yes

Attestations & Disclaimers

Consent To Use

Federal law requires this consent form be provided to you (“you” refers to each taxpayer, if more than one). Unless authorized by law, we cannot use your tax return information for purposes other than the preparation and filing of your tax return without your consent. You are not required to complete this form to engage our tax return preparation services. If we obtain your signature on this form by conditioning our tax return preparation services on your consent, your consent will not be valid. Your consent is valid for the amount of time that you specify. If you do not specify the duration of your consent, your consent is valid for one year from the date of signature. For your convenience, we have entered into an arrangement with certain companies to offer an Electronic Refund Disbursement Service and/or Loan product. To determine whether these offerings may be of interest to you, we will need to use your tax return information. If you would like us to use your tax return information to determine whether these offerings are relevant to you while we are preparing your return, please sign and date this consent to the use of your tax return information. By signing below, you authorize us to use the information you provide to us during the preparation of your tax return to determine whether to offer you an opportunity to apply for the Electronic Refund Disbursement Service and/or Loan product.

Consent to Disclosure of Tax Return Information

Federal law requires this consent form be provided to you (“you” refers to each taxpayer, if more than one). Unless authorized by law, we cannot disclose your tax return information to third parties for purposes other than the preparation and filing of your tax return without your consent. If you consent to the disclosure of your tax return information, Federal law may not protect your tax return information from further use or distribution. You are not required to complete this form to engage our tax return preparation services. If we obtain your signature on this form by conditioning our tax return preparation services on your consent, your consent will not be valid. If you agree to the disclosure of your tax return information, your consent is valid for the amount of time that you specify. If you do not specify the duration of your consent, your consent is valid for one year from the date of signature. You have indicated that you are interested in utilizing the Electronic Refund Disbursement Service and/or Loan product from TPG OR RA. To provide you with the opportunity to apply for and/ or receive the Electronic Refund Disbursement Service and/or Loan product, we must disclose all of your tax return information to TPG OR RA. You may request a more limited disclosure of tax return information, but you will not be eligible to submit an application for the Electronic Refund Disbursement Service and/or Loan product. If you would like us to disclose your tax return information to TPG OR RA for this purpose, please sign and date your consent to the disclosure of your tax return information.

By signing below, you authorize us to disclose to TPG OR RA all of your tax return information so that it can evaluate and process your application for the Electronic Refund Disbursement Service and/or Loan product. You understand that if you are not willing to authorize us to share your tax information with TPG OR RA, you will not be able to obtain the Electronic Refund Disbursement Service and/or Loan product, but you can still choose to have your tax return prepared and filed by us for a fee. If you believe your tax return information has been disclosed or used improperly in a manner unauthorized by law or without your permission, you may contact the Treasury Inspector General for Tax Administration (TIGTA) by telephone at 1-800-366-4484, or by email at [email protected].

Consent for Payment

Summit Lux Tax Solutions is not responsible in the event the taxpayer omits or provides incorrect information (i.e. social security numbers, names, dates of birth, etc.). These errors may delay your refund. Summit Lux Tax Solutions does not control whether or not the IRS randomly selects your return for an audit, however all clients are opted in to Audit Protection (unless they otherwise states to their choses tax preparer to opt out/ decline) and we will always keep all necessary documents on file to dispute an audit on your behalf. All information obtained from the taxpayer and/or spouse must be submitted if the IRS audits your tax return.

Summit Lux Tax Solutions is not responsible for any incorrect tax figures provided by the taxpayer and/or spouse. If your tax figures change you will need to submit an amendment. Summit Lux Tax Solutions offers amendment preparation for an additional fee. If you have any overdue debts (i.e. school loans, child support, DPP, DFCS, etc….) that are scheduled to offset your refund, you will be required to pay your tax preparation fees upfront. You are able to call the IRS offset department at 1-800-304-3107 or 1-800-829-7650 to check the status of any scheduled offsets. If you are unaware of a potential offset and your refund is completely garnished, your prep fee will be drafted from the bank account you have on file with our office.

Summit Lux Tax Solutions is not responsible for any changes the IRS or receiving bank may make on disbursement dates. Summit Lux Tax Solutions is not responsible for any glitch issues that the IRS experiences that may cause a delay in receiving your tax refund. We DO NOT reimburse any bank fees in the event of this occurrence.

MUTUAL NON-DISPARAGEMENT

Summit Lux Tax Solutions agrees to refrain from any disparagement, defamation, libel, or slander of any of the Releasees, and agrees to refrain from any tortious interference with the contracts and relationships of any of the Releasees. Client agrees to refrain from any disparaging statements about Summit Lux Tax Solutions. Any instances of this found by Summit Lux Tax Solutions will result in a $1000 penalty per occurrence payable by the client to Summit Lux Tax Solutions.

Clerical/Banking Errors

Summit Lux Tax Solutions tries its best to ensure that all client information is entered correctly. In the event a clerical error is discovered that causes an incorrect deposit into your account, you give Summit Lux Tax Solutions permission to debit your account for the amount of the deposit to reverse this error.

Please sign below acknowledging all statements above: *

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