Celestial Tax Service Phone:	(202) 285 – 6268	TAX PAYERS OCCUPATION:__________________________ (202) 413 – 2905 Fax:	(866) 558 – 2620 Email:	Celestial_taxservice@yahoo.com

*Please complete ALL information to ensure the full and correct processing of your tax return (3 page application)

FILING STATUS (SELECT ONE):	☐SINGLE	☐HEAD OF HOUSEHOLD

☐MARRIED / JOINT	☐MARRIED / SEPARATE

YOUR NAME (LAST, FIRST, MI)

YOUR DATE OF BIRTH (MM/DD/YYYY)	YOUR SSN

YOUR ADDRESS

YOUR CITY, STATE ZIP

HOME PHONE	CELL PHONE

EMAIL

YOUR LICENSE / ID# (X-123-456-789-000)	STATE

ISSUE DATE (MM/DD/YYYY)	EXP. DATE (MM/DD/YYYY)

SPOUSE NAME (LAST, FIRST, MI)

SPOUSE DATE OF BIRTH (MM/DD/YYYY)	SPOUSE SSN

CHECK HERE IF ADDRESS IS THE SAME ☐

SPOUSE ADDRESS

SPOUSE CITY, STATE ZIP

SPOUSE HOME PHONE	CELL PHONE

SPOUSE EMAIL

SPOUSE LICENSE / ID# (X-123-456-789-000)	STATE

ISSUE DATE (MM/DD/YYYY)	EXP. DATE (MM/DD/YYYY)

DEPENDENT1 NAME (LAST, FIRST, MI)

DATE OF BIRTH (MM/DD/YYYY)	SSN

DEPENDENT2 NAME (LAST, FIRST, MI)

DATE OF BIRTH (MM/DD/YYYY)	SSN

DEPENDENT3 NAME (LAST, FIRST, MI)

DATE OF BIRTH (MM/DD/YYYY)	SSN

ARE YOU BUYING A CAR IN THE NEXT YEAR?	(Check One)	_________ YES	_________ NO

ARE YOU BUYING A HOUSE IN THE NEXT YEAR?	(Check One)	_________ YES	_________ NO

*Please complete ALL information to ensure the full and correct processing of your tax return (3 page application)

BANK NAME

ACCOUNT TYPE (SELECT ONE):	☐CHECKING	☐SAVINGS

ACCOUNT #	ROUTING #

DO YOU OR YOUR SPOUSE OWE BACK TAXES? ☐YOU OWE	☐SPOUSE OWES

HOW MUCH IS OWED? YOU SPOUSE

DO YOU ITEMIZE LAST YEAR? ☐I ITEMIZED	☐SPOUSE ITEMIZED

DID YOU MOVE THIS YEAR? ☐YES ☐NO

HOW MANY W-2 FORMS?	YOU	SPOUSE

DO YOU HAVE OTHER FORMS TO FILE? ☐1099-R	☐1098-T	☐1099 MISC	☐RETIREMENT FORMS	☐DEDUCTIONS FORMS	☐CHILDCARE (INCLUDE DAY CARE EIN OR CARETAKER SSN)	☐OTHER FORMS

LIST OTHER FORMS HERE:

IRS PIN # (IF YOU HAVE ONE): HOW DID YOU HEAR ABOUT CELESTIAL?

YOUR SIGNATURE	DATE

SPOUSE SIGNATURE	DATE

ADDITIONAL NOTES

*PLEASE BE ADVISE AS OF 10/2019 ALL FEDERAL & STATE RESPONSE LETTERS, REQUESTED PHONE CALLS ON YOUR BEHALF TO FEDERAL & STATE AGENTCIES AND DOCUMENTS SENT TO CTS WILL REQUIRE A *RESPOND FEE OF $89.95 – NO EXECPTIONS.

*Please complete ALL information to ensure the full and correct processing of your tax return (3 page application)

ADDITIONAL INFORMATION FOR EXPENSES, RECEIPTS, AND ADDITIONAL INCOME (select the date)

BUSINESS INCOME/EXPENSE TOTALS (FOR THE TAX YEAR – 12 MONTHS)

RENT:	SUPPLIES:

TOTAL MILEAGE/USE:	BUSINESS RETURNS/LOSS:

PURCHASES:	UTILITIES/BUSINESS BILLS:

VEHICLE EXPENSE/REPAIRS:	PARKING:

TRAVEL EXPENSES:	CELL/TELEPHONE:	ADVERTISING:	EQUIPMENT:

OTHER AMOUNTS & DESCRIPTION:

*NOTES

MEDICAL/DENTAL EXPENSES:	HOME REPAIRS:

MILEAGE USE FOR WORK:	PARKING/METRO EXPENSE:

TRAVEL EXPENSES:	UNION DUES:

UNIFORMS/BOOTS:	EDUCATIONAL EXPENSES:

DONATIONS AMOUNT:	TITHES:

GAS RECEIPTS/AMOUNTS:

ADDITIONAL FINANCIAL EXPENSES: