Bank Information (Only fill out if receiving direct deposit)
(Only fill out if status is *Married filing Joint)
Taxpayer
Spouse
(List all dependents in your care.)
Please type full name of dependent, date of birth, social security #, relationship, and months in home. NOTE: You must SAVE after entering your dependents information, once saved you may add additonal names to list.
(Only fill out if taxpayer is paying a child care provider while working.
If taxpayer is not paying for a child care provider skip this page. )
(Only fill out if dependent(s) costs varies.)
(Only upload the number of forms that apply)
If self-employed, please fill out the following section below.
(Proof of Identification is required of Taxpayer and all dependents listed.
Please upload a scan or photo image of necessary indentifying forms.)