CONSULTATION QUESTIONAIRE
TAXPAYER'S TAX HISTORY SUMMARY Your last name: Your email address: (e.g.: you@aol.com) [IMPORTANT! This form will not reach us unless you provide your return e-mail address] Date: Your phone number: Your city & state: Do you have the MFTRA-X TRANSCRIPTS? NO YES IF YOU HAVE THE MFTRA-X TRANSCRIPTS, PLEASE FAX THEM TO US AT (925) 829-7262 or e-mail them as PDF attachments to morgan@taxjustice.com. MFTRA-X transcripts Mr. King will get them from IRS HAVE BEEN SENT to Morgan King BY FAX HAVE BEEN SENT to Morgan King BY e-mail WILL BE SENT to Morgan King BY FAX WILL BE SENT to Morgan King BY e-mail I don't know what a MFTRA-X is Your birth date: You are a: Individual wage earner - single Individual wage earner - married Husband & wife - wage earners Business - sole proprietor Business - corporation Business - partnership Unemployed individual Other Current bankruptcy status: Currently in Chapter 7 Currently in Chapter 13 Currently in Chapter 11 Not currently in bankruptcy Did you file bankruptcy within the last ten years? NO YES IF A PRIOR BANKRUPTCY WAS FILED IN LAST TEN YEARS: CHAPTER OF BANKRUPTCY DATE FILED DATE ENDED CITY FILED IN RESULT* Chapter 7 Chapter 13 Chapter 11 * RESULT means debtor received a DISCHARGE, or the case was DISMISSED, or the case was CONVERTED to another chapter of bankruptcy. The following is for: Federal (IRS) personal income taxes Federal payroll (trust fund) taxes: State income taxes State sales or use taxes State employment or payroll taxes Property taxes Other For wHICH YEARS ARE TAXES OWED? Before 1985 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 Years I filed a tax return over 2 years ago: Before 1985 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 Taxpayer filed extensions for years : Before 1985 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 What other events occurred in your tax history? Substitute for returns (SFR) filed Subsequent additional taxes assessed Prior offer-in-compromise Prior tax litigation in U.S. Tax Court Prior tax litigation in Federal District Court Prior tax litigation in Bankruptcy Court Some tax returns given directly to a revenue officer rather than mailed Client accused / investigated for tax fraud or tax evasion Client convicted for tax fraud or tax evasion Client convicted of failing to file tax returns Client is a tax protestor Client is currently being audited Client has been audited in the past Client was or is in an installment agreement Client is being levied Client received a final notice of intent to levy Client has filed a request for a due process hearing Tax liens filed At any time in the last 10 years have you: Been a tax protestor? Created a trust and transferred property to the trust? Created a corporation and transferred property to it? Given away any asset worth more than $1,000? Sold any asset for less than fair market value? Traded any asset worth more than $1,000 Transferred title to a third party for an asset worth more than $1,000? Purchased an asset under someowe else's name? Deposited money in someone else's bank account? Frequently changed bank accounts to evade a tax levy? Closed a bank account? Hidden any asset to avoid tax seizure? Knowingly provided false information on a tax return? Transferred any asset worth more than $1,000 to a client's minor child? Transferred assets pursuant to a marital property settlement agreement? Signed a transmutation or property agreement with current spouse? Add another's name to Client's bank account? Use an off-shore bank account? Leave the U.S. for longer than 30 days? Claim incorrect number of exemptions on W-4 to reduce tax withheld? Lose, conceal or destroy financial documents? Maintain a lavish lifestyle? NONE OF THE ABOVE Remarks, questions or other relevant information:
Your last name:
Your email address: (e.g.: you@aol.com)
[IMPORTANT! This form will not reach us unless you provide your return e-mail address]
Date:
Your phone number:
Your city & state:
Do you have the MFTRA-X TRANSCRIPTS? NO YES
IF YOU HAVE THE MFTRA-X TRANSCRIPTS, PLEASE FAX THEM TO US AT (925) 829-7262 or e-mail them as PDF attachments to morgan@taxjustice.com.
MFTRA-X transcripts Mr. King will get them from IRS HAVE BEEN SENT to Morgan King BY FAX HAVE BEEN SENT to Morgan King BY e-mail WILL BE SENT to Morgan King BY FAX WILL BE SENT to Morgan King BY e-mail I don't know what a MFTRA-X is
Your birth date:
You are a:
Individual wage earner - single Individual wage earner - married Husband & wife - wage earners Business - sole proprietor Business - corporation Business - partnership Unemployed individual Other
Current bankruptcy status:
Currently in Chapter 7 Currently in Chapter 13 Currently in Chapter 11 Not currently in bankruptcy
Did you file bankruptcy within the last ten years?
NO YES
IF A PRIOR BANKRUPTCY WAS FILED IN LAST TEN YEARS:
Chapter 7 Chapter 13 Chapter 11
* RESULT means debtor received a DISCHARGE, or the case was DISMISSED, or the case was CONVERTED to another chapter of bankruptcy.
The following is for:
Federal (IRS) personal income taxes Federal payroll (trust fund) taxes: State income taxes State sales or use taxes State employment or payroll taxes Property taxes Other
For wHICH YEARS ARE TAXES OWED?
Before 1985 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Years I filed a tax return over 2 years ago:
Taxpayer filed extensions for years
: Before 1985 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
What other events occurred in your tax history?
Substitute for returns (SFR) filed Subsequent additional taxes assessed Prior offer-in-compromise Prior tax litigation in U.S. Tax Court Prior tax litigation in Federal District Court Prior tax litigation in Bankruptcy Court Some tax returns given directly to a revenue officer rather than mailed Client accused / investigated for tax fraud or tax evasion Client convicted for tax fraud or tax evasion Client convicted of failing to file tax returns Client is a tax protestor Client is currently being audited Client has been audited in the past Client was or is in an installment agreement Client is being levied Client received a final notice of intent to levy Client has filed a request for a due process hearing Tax liens filed
At any time in the last 10 years have you:
Been a tax protestor? Created a trust and transferred property to the trust? Created a corporation and transferred property to it? Given away any asset worth more than $1,000? Sold any asset for less than fair market value? Traded any asset worth more than $1,000 Transferred title to a third party for an asset worth more than $1,000? Purchased an asset under someowe else's name? Deposited money in someone else's bank account? Frequently changed bank accounts to evade a tax levy? Closed a bank account? Hidden any asset to avoid tax seizure? Knowingly provided false information on a tax return? Transferred any asset worth more than $1,000 to a client's minor child? Transferred assets pursuant to a marital property settlement agreement? Signed a transmutation or property agreement with current spouse? Add another's name to Client's bank account? Use an off-shore bank account? Leave the U.S. for longer than 30 days? Claim incorrect number of exemptions on W-4 to reduce tax withheld? Lose, conceal or destroy financial documents? Maintain a lavish lifestyle? NONE OF THE ABOVE
Remarks, questions or other relevant information:
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