Wabash Tax Service

Information on this form is submitted through encrypted SSL technology

Please fill out the form below. All fields with red are required and must be completed to submit this form.
Check here if you need a quote before return is prepared.

Choose the preparer you wish to have

Filing Status

Single

Married filing jointly

Married filing separately Head of household (with qualifying person). A self-supporting child who lives with you IS NOT a qualifying person.
Qualifying widow(er) with dependent child

Not sure

Taxpayer


First Name	MI	Last Name

	Format: 000-00-0000
Social Security Number

	Format: mm/dd/yyyy
Date of Birth


Identification Number	State Issued by


ID Issue Date	ID Expiration Date

Occupation

Spouse


First Name	MI	Last Name

Social Security Number

Date of Birth


Identification Number	State Issued by


ID Issue Date	ID Expiration Date

Occupation

Personal Information

Current home address
City, State, and Zip	,
Home phone number
Cell phone number
email address
How much rent did you pay?

Dependents

Number of Dependents

First Name	Last Name	Date of Birth	Social Security Number	Relationship to YOU	Months in Home

Affordable Care Act

Were you covered by health insurance last year? Yes No

Select any months that you had health coverage

Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec

Was everyone in the household covered by Health Insurance? Yes No

Did you purchase your insurance through the Health Insurance Marketplace? Yes No

Stimulus

Did you receive the first stimulus check? Yes No If Yes, Total amount received $

Did you receive the second stimulus check? Yes No If Yes, Total amount received $

Type of Refund

Select how you would like to receive your refund if any.

Bank Products
ERC(electronic refund check) ERD(electronic refund deposit)

Other
IRS Direct Deposit IRS Paper Check mailed

If you have chosen a bank product or IRS Direct Deposit we will need your bank information

Your banks routing number	Please re-enter
Your account number	Please re-enter
Is this Checking or Savings	Checking Savings

W-2's & Supporting Documentation

If you have a scanner, please scan your W-2's, 1099's, K-1's, and any other documentation and save the files to your computer. Click the browse button(s) below and select the file(s) for uploading. Fit as many W-2's at a time on the scanner as you are allowed only 6 uploads. Each file must be less than 1mb and we support the following file formats: PDF, JPG, GIF and BMP. See Scanning Help for help on scanning documents.

If this is your first time filing with us, we will also need copies of ID and all Social Security Cards.

File to upload (click Browse)

I do not have a scanner and will fax my documents to (812) 242-8374 ^{(if you check this, be sure to clear any files above first)}

Additional Information

Please enter any additional information or instructions in the area below..

Referred By

If you were referred, who referred you?

Working, please wait..

Some required fields have not been filled out

Information on this form is submitted through encrypted SSL technology