Upload Documents – The Frog Tax

Primary Taxpayer *

First

Last

Filing Status *

Email *

Phone

Date of Birth ( Type in Month / Day / Year ) *//

Social Security Number

Address

Address Line 1

Address Line 2

City

State

Zip Code

Spouse - Name *

First

Middle

Last

Spouse - Date of Birth

Spouse - Social Security Number

Spouse - Same Address as Primary Taxpayer?

Spouse - Address

Address Line 1

Address Line 2

City

State

Zip Code

Total Amount Received from Stimulus Government

1st. Round of Stimulus (03/2020)

2nd. Round of Stimulus (12/2020)

3rd. Round of Stimulus

Please check all that apply for the Primary Taxpayer. If it does not apply to you, please leave blank.

Received unemployment benefits in 2020.
Received social security benefits in 2020.
Attended college and you have form 1098-T.
You were self-employed.
You have Health Insurance coverage in 2020 (California Residents Only)

How many dependents will you be claiming?

Dependent 1 - Name *

First

Middle

Last

Dependent 1 - Relationship to Primary Taxpayer

Dependent 1 - Date of Birth

Dependent 1 - Social Security Number

Dependent 2 - Name *

First

Middle

Last

Dependent 2 - Relationship to Primary Taxpayer

Dependent 2 - Date of Birth

Dependent 2 - Social Security Number

Dependent 3 - Name *

First

Middle

Last

Dependent 3 - Relationship to Primary Taxpayer

Dependent 3 - Date of Birth

Dependent 3 - Social Security Number

Dependent 4 - Name *

First

Middle

Last

Dependent 4 - Relationship to Primary Taxpayer

Dependent 4 - Date of Birth

Dependent 4 - Social Security Number

Dependent's Address

If any of your dependent's addresses are not the same as the Primary Taxpayer's, please specify their name and address here.

Dependent 1 - Please check all boxes that apply. If it does not apply, leave box blank.

Dependent 1 lived with the taxpayer in the U.S. for more than half of the year.
Dependent 1 - you provided more than half of the dependent's support.
Dependent 1 is a citizen, national, or resident of the United States.
Dependent 1 is over 18, under 24, and a student.
Dependent 1 is disabled.

Dependent 2 - Please check all boxes that apply. If it does not apply, leave box blank.

Dependent 2 lived with the taxpayer in the U.S. for more than half of the year.
Dependent 2 - you provided more than half of the dependent's support.
Dependent 2 is a citizen, national, or resident of the United States.
Dependent 2 is over 18, under 24, and a student.
Dependent 2 is disabled.

Dependent 3 - Please check all boxes that apply. If it does not apply, leave box blank.

Dependent 3 lived with the taxpayer in the U.S. for more than half of the year.
Dependent 3 - you provided more than half of the dependent's support.
Dependent 3 is a citizen, national, or resident of the United States.
Dependent 3 is over 18, under 24, and a student.
Dependent 3 is disabled.

Dependent 4 - Please check all boxes that apply. If it does not apply, leave box blank.

Dependent 4 lived with the taxpayer in the U.S. for more than half of the year.
Dependent 4 - you provided more than half of the dependent's support.
Dependent 4 is a citizen, national, or resident of the United States.
Dependent 4 is over 18, under 24, and a student.
Dependent 4 is disabled.

All relevant tax forms (including spouse, and dependents)(Insurance Coverage proof)

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