Dependent Tax Credit QuestionnaireIf you have are claiming any dependents, please fill out the following questionnaire. Taxpayer's Name * First Name Last Name What tax year(s) is the firm filing? * Type in as many tax years as you want. How many dependents are you claiming? * NA One Dependent Two Dependents Three Dependents Four Dependents More than Five Dependents What's your dependent's name, social security number, date of birth, and relationship? (If Applicable) * (Example: Test Name - 123-45-6789 - 01/01/2010 - Son) How many months did your dependents live with you for the tax year(s) in question? * (Example: 12 Months) What percentage of support do you provide them? * (For Example: 100%) By signing below, you are attesting all the information above is free of errors. You are attesting that all tax credits and deductions obtained are lawfully being claimed. * Digital Signature: Type in Your Name Thank you!
