USA TAX FILING CHECKLIST FIRM REPRESENTATIVE Andy Balbir Singh Saini Jas Jaggi Jasmeet Bajwa Kim Kaur Komal Neha Thakur Raj Dhindsa Shahnaz Bajwa Tamanna Mittal Tejinder Kaur Our Firm Representative you are in touch with NAME First NameLast Name CELL NUMBER -Area CodePhone Number EMAIL example@example.com REFERRED BY MARITAL STATUS SPOUSE / PARTNER NAME First NameLast Name ADDRESS AS OF DEC 31, 2023 Street Address Street Address Line 2 CityState / Province Postal / Zip Code IDENTIFICATION TAXPAYER SPOUSE / PARTNER SSN/ ITIN DATE OF BIRTH (MMDDYYYY) CURRENT HOME & MAILING ADDRESS PHONE NUMBER EMAIL ADDRESS DEPENDENT INFORMATION NAME DATE OF BIRTH SSN/ ITIN RELATIONSHIP MONTHS AT HOME F/T STUDENT? (SPECIFY # of months) WHAT COUNTRY(IES) ARE YOU CITIZEN OF? Taxpayer Spouse / Partner WERE YOU EVER A US CITIZEN? YESNO HAVE YOU EVER APPLIED FOR A GREEN CARD IN THE US? YESNO WERE YOU EVER A GREEN CARD HOLDER IN THE US? YESNO US VISA/ IMMIGRATION STATUS AS OF DEC. 31, 2023 TAXPAYER SPOUSE / PARTNER HAVE YOU EVER CHANGED YOUR VISA STATUS IN THE US? YESNO US VISA/ IMMIGRATION STATUS AS OF DEC. 31, 2023 TAXPAYER SPOUSE / PARTNER HAVE YOU EVER CHANGED YOUR VISA STATUS IN THE US? YESNO IF YES, PLEASE ADVISE THE DATE & NATURE OF CHANGE DID YOU RECEIVE TOTAL COMPENSATION OF $250,000 OR MORE (WITHIN & OUTSIDE US) DURING 2022? YESNO DID YOU MOVE TO/ FROM THE US DURING THE YEAR? IF YES, INDICATE THE DATE OF THE MOVE? YESNO IF CANADIAN RESIDENT, DID YOU REGULARLY COMMUTE TO US FOR WORK? YESNO NUMBER OF DAYS PRESENT IN THE US DURING: (INCLUDING DAYS ON SHORT BUSINESS TRIPS, FAMILY VISITS, VACATION, NON-WORK DAYS & PARTIAL DAYS) TAXPAYER SPOUSE / PARTNER 2022 2023 FOR 2022, LIST SPECIFIC DATES FOR EACH US FILER WHO WENT ANYWHERE IN THE US, FOR ANY PURPOSE TAXPAYER SPOUSE / PARTNER 2022 2023 FOR 2022, LIST SPECIFIC DATES FOR EACH US FILER WHO WENT ANYWHERE IN THE US, FOR ANY PURPOSE: TAXPAYER/SPOUSE DATE ENTERED US (MM/DD/YY) DATE DEPARTED(MM/DD/YY) FOR 2022, LIST SPECIFIC DATES FOR EACH US FILER WHO WENT ANYWHERE IN THE US, FOR ANY PURPOSE: TAXPAYER/SPOUSE DATE ENTERED US (MM/DD/YY) DATE DEPARTED(MM/DD/YY) ADDITIONAL FILING REQUIREMENTS (SELECT ALL THAT APPLY) FBAR (was the combined value of all your foreign financial accounts $10,000 or more at any time of 2023? Consider all checking & savings, brokerage, investment & RRSP/ RRIF, TFSA accounts etc. outside US)RESP (did you contribute to/ benefit from an RESP?)FOREIGN TRUST (are you a trustee or a beneficiary of a foreign trust?)FOREIGN CORP (do you directly, indirectly, or constructively own 10% or more of stock in a foreign corporation?)Type option 4 ELECTRONIC FILING / OTHER INFORMATION Did you receive, sell, exchange, or otherwise dispose of any financial interest in any virtual currency, in 2022. Do you want to elect direct deposit of refund? Federal State(s)Do you want direct debit of tax payment? -Month -DayYearFederal State(s) Withdrawal Date Does the taxpayer want $3 to go to the Presidential Election Campaign Fund?Does the spouse want $3 to go to the Presidential Election Campaign Fund?Do you want to allow IRS & State tax agencies to discuss your tax return with the preparer? COMMENTS PLEASE VERIFY THAT YOU ARE A HUMAN* Submit Should be Empty: USA TAX FILING CHECKLIST Fill the Form Online or Download a PDF Copy, Fill & Send by Email Download PDF Form
