Noblesville Fishers, IN Accounting Firm | Earned Income Credit Questionnaire Page | Erwin CPA Group





You may qualify for the Earned Income Credit, please answer any applicable questions below.

Marital Status
HOH Qualifier if you chose Head of Household
Name & Spouse's name if applicable
Were you a nonresident alien for any part of the year?
Could you or your spouse be a qualifying child of another person for the year?
Are you or your spouse eligible to be claimed as a dependent on anyone else's federal tax return for the year?
Can you prove to the IRS you paid at least half the costs of maintaining your home?
Did you receive any non-taxable support/income from the following? Childcare assistance
Family
Food Stamps
Housing Assistance
Other
If Self Employed, how long have you owned your business?
If Self Employed, can you substantiate your business with any of the following Advertisements
Business Cards
Business License
Business Stationery
Other tax returns (sales, employment)
Receipts
Do you maintain a separate banking account for business transactions?
Please type your full name in the provided space as your signature and agreement that you have answered all of the above to the best of your ability




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