• Family Information

    You will need Name, Date of Birth, and SSN for all family members.

  • If married filing jointly, complete spouse information.  Both spouses will need to sign consents at the end of the form.

    If married filing separately, complete spouse information. Taxpayer will need to sign consents at the end of the form.

    If head of household, complete dependent(s) section.  Taxpayer will need to sign consents at the end of the form.

     

    • PRIMARY TAXPAYER 

    • Primaray Taxpayer is the name of the person who appears first on the tax form.

    •  - -
      Pick a Date

    • Complete SPOUSE information for Married Filing Jointly filing status

      and Married Filing Separately filing status.

       

      Skip to DEPENDENTS if no spouse.

       

      Skip to INCOME if you are a single person.

    • SPOUSE INFORMATION  
    •  - -
      Pick a Date

    • Add DEPENDENTS or

      skip to INCOME section.

    • DEPENDENT 1 
    •  - -
      Pick a Date

    • Add another dependent or skip to income section.

    • DEPENDENT 2 
    •  - -
      Pick a Date

    • Add another dependent or skip to income section.

    • DEPENDENT 3 
    •  - -
      Pick a Date

    • Add additional dependents or skip to income section.

    • ADDITIONAL DEPENDENTS 
    • INCOME 
    • Expenses 
    • Life Events 
    • Additional Tax Return Information 

    • You can provide banking information OR upload a copy of a VOIDED check or SAVINGS information.  A direct deposit or direct debit can not be made without your banking information.

    • Consents 

    • CONSENT TO DISCLOSE AND USE PERSONAL TAX RETURN INFORMATION

      Your information will not be shared with any unauthorized persons and will not be sold, given or used for commercial purposes.  We will not share personally identifying information.

      If you do not agree to the consent below, United Community Action Partnership will not be able to electronically file your return nor maintain an electronic copy. However, United Community Action Partnership can still prepare a paper return which can be mailed directly to the IRS and Minnesota Revenue meeting any filing obligation for Tax Year 2021.

      Disclosure: United Community Action Partnership may keep an electronic copy of my tax return for three (3) years.

      Purpose: To carry forward data for future tax preparation and program specific communication between United Community Action Partnership and me.

      Use: United Community Action Partnership may use data containing tax return dollar amounts for marketing, fundraising or other non-fundraising activity. 

      Purpose: To maintain, evaluate and report United Community Action Partnership program services.

    • CONSENT TO DISCLOSE INFORMATION TO United Community Action Partnership OFFICE

      Your information will not be shared with any unauthorized persons and will not be sold, given or used for commercial purposes.  We will not share personally identifying information.

      If you do not agree to the consent below, United Community Action Partnership will not be able to electronically file your return nor maintain an electronic copy. However, United Community Action Partnership can still prepare a paper return which can be mailed directly to the IRS and Minnesota Revenue meeting any filing obligation for Tax Year 2021.

      Disclosure 1 United Community Action Partnership will disclose your Personal Information to e-file your tax return through TaxSlayer’s tax preparation software.

      Disclosure 2: TaxSlayer will disclose your Personal Information to United Community Action Partnership.

      Purpose: The purpose of Disclosures 1 and 2 is for TaxSlayer to transmit your personal information to United Community Action Partnership in order for United Community Action Partnership to provide certain support and administrative assistance to you, the taxpayer(s).

    • Request to Review you Tax Return for Accuracy:

      To ensure you are receiving quality services and an accuartely prepared tax return at the volunteer site, IRS employees randomly select free tax preparation sites for review.  If errors are identified, the site will make the necessary corrections.  IRS does not keep any personal information from your reviewed tax return and this allows them to rate our VITA/TCE return preparation programs for accurately prepared tax returns.  If you do not wish to have your return incldued as part of the review process, it will not affect the services provided to you at this site. If the site preparing this return is selected, do you consent to having your return reviewed for accuracy, by an IRS employee?

    • VIRTUAL CONSENT DISCLOSURE:

      If you agree to have your tax return prepared and your tax documents handled in the above manner, your signature and/or agreement is required on this document.  Signing this document means that you are agreeing to the procedures stated above for preparing a tax return for you. (If this is Married Filing Joint return both spouses must sign and date this docuement).  If you chose not to sign this form, we may not be able to prepare your tax return using this process.  Since we are preparing your tax return virtually, we have to secure information, Federal law may not protect your tax return from further use or distribution in the event these systems are hacked or breached without our knowledge.  If you agree to the disclosure of your tax return information, your consent is valid for the amount of time that you specifiy.  If you do not specify the duration of your consent, your consent is valid for one year from the date of signature.  If you believe your tax return information has been disclosed or used improperly in a manner unauthorized by law or without your permission, you may contact the Treasury Inspector General for Tax Administration (TIGTA) by telephone at 1-800-366-4484, or by email at complaints@tigta.treas.gov.  While the IRS is responsible for providing oversight requirements to Volunteer Income Tax Assistance Programs (VITA) and Tax Counseling for the Elderly (TCE) programs, these sites are operated by IRS sponsored partners who manage IRS site operations requirements and volunteer ethical standards.  In addition, the locations of these sites may not be in or on Federal Property.

    • Consent to disclose & use personal tax information

      Federal law requires this consent form be provided to you. Unless authorized by law, we cannot disclose your tax return information to third parties for purposes other than the preparation and filing of your tax return without your consent. If you consent to the disclosure of your tax return information, Federal law may not protect your tax return information from further use or distribution. 

      You are not required to complete this form to engage our tax return preparation services. If we obtain your signature on this form by conditioning our tax return preparation services on your consent, your consent will not be valid. If you agree to the disclosure of your tax return information, your consent is valid for the amount of time that you specify. If you do not specify the duration of your consent, your consent is valid for one year from the date of signature. 

      If you believe your tax return information has been disclosed or used improperly in a manner unauthorized by law or without your permission, you may contact the Treasury Inspector General for Tax Administration (TIGTA) by telephone at 1-800-366-4484, or by e-mail at: complaints@tigta.treas.gov.

    • Signatures 
    • Clear
    • Clear
    •  - -
      Pick a Date
    • Document upload 
    • Browse Files
      Drag and drop files here
      Choose a file
      Cancelof
    • Submit 
    •  
    • Should be Empty: