Telephone Pre-Screening



Name:Phone Number:Date:Time:Language: FORMCHECKBOX Eng FORMCHECKBOX Sp FORMCHECKBOX Other:1.Make sure they are qualified (see “out of scope” list too):____ $54,000 or less total combined household income____We cannot do married- filing- separately returns____If operating a business, cannot have employees, nor carry-over inventory, nor operating loss____Health Savings Acct? Military? International? Special certifications required (see volunteer list) 2.Review what income documents they have received and will need to bring:____W2s (salary income)____ 1099-INT (interest from your bank)____1099-misc____ 1099-G (unemployment benefits)____ 1098 (mortgage interest) ____ 1099R (pension & annuity)____SSA-1099 (Social Security)____ 1095-A,B & C (health insur; through marketplace or employer) 3.Identify special credits they might qualify for , and clarify what information/forms to bring :___ Did you pay for child care/dependent care? Need: provider, address, & tax ID number for child care credit.___ Do you pay rent? Need: name, address and phone number of landlord for renter’s credit.___ Did you pay for education expenses? Tuition, fees, books, etc. that a student must pay to be enrolled at an eligible educational institution. Need: form 1098-T. Also bring a print-out showing what you have paid to the school because we have seen that not all 1098-Ts are correct. Bring any school related expense records. ___ Significant medical expenses? Need: documentation.___ Do you own a home? Need: Mortgage interest, property tax information and knowledge of things like DMV taxes (if itemizing expenses (rather than taking the standard deduction.)___ Do you have significant losses [at least $5,000] due to the October fires, i.e. home, cars, personal property?If yes: Please refer client to Suzanne Yeomans at UWWC at 707-528-4485 x108 to schedule apt at a clinic.4.What to bring:Original Social Security Card or ITIN for each family member or dependent (required, but copies are OK)Photo ID for taxpayer and spouse (for married-filing-jointly, both spouses need be present to sign)Date of birth for all family members or dependentsAll income forms listed above and for any other income/All other tax forms received If self-employed, bring income and expense recordsRecords of charitable contributions (if itemizing)Copy of a check and/or savings account information, for direct deposit and quicker refundLast year’s tax return (if available)Out of Scope Returns for the 2017 Tax Year:Combined household income greater than $54,000 (approx..)Married filing separatelySelf employment income, if any of the following apply:Have employeesCarry over inventoryExpenses greater than $25,000Have a net loss for the yearHave business use of home expensesAdoption of childrenNet Operating Loss [NOS] from prior yearsState tax returns for states other than California Farm, foreign or military incomeSelf employed SEP, SIMPLE and other qualified plansClergy incomePurchase or sale of houseRental IncomeBankruptcyAdvanced Certification Required:Sale of stocks or bondsSchedule K-1 [some items may be out of scope]Special Certification Required by Volunteers to do these types of returns:Health Savings Account (HSA)Military International Individual Taxpayer Identification Number (ITIN):If an ITIN is needed for any family member, only certain VITA sites are able to assist with the application process.Not Required to File Taxes:Social Security Income only, but may wish to file to acquire documentation for subsidized rent or if submitting Free Application for Federal Student Aid (FAFSA), etc ................
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