U.S. Tax Cross-Border Diagnostic PhoneThis field is for validation purposes and should be left unchanged.1. Please specify the taxpaying entity seeking services Self A trust A company An estate A partnership 2. Are you a U.S citizen? Yes No 3. Are you a Lawful Permanent Resident of the United States? ('Green-card holder')? Yes No 4. Were you present in the U.S. in the past three years for more than 30 days in any one year? Yes No 5. Do you have interests in any entities organized outside the U.S.? Yes No 6. Do you hold personal investments other than bank accounts outside the U.S.? Yes No 7. Have you received payments or property of any kind from any foreign person, foreign estate, or foreign organization? Yes No 8. Are your foreign financial assets only foreign bank accounts? Yes No 9. Was the entity organized outside the U.S.? Yes No 10. Where are the entity's assets located? Check all that apply. U.S. N.Z. U.S. & N.Z. Multiple countries Name First Last Email PhoneCountryConsent I agreeBy submitting this form, I acknowledge and agree to the following: 1. This submission does not create a contract for services. I understand that completing and submitting this intake form is a request for assistance only, and does not establish an engagement, accountant‑client relationship, or any obligation on the part of the firm to provide tax preparation, advisory, or representation services. 2. Purpose and Scope of the Review. I understand that the services being requested relate solely to a pre‑engagement scoping exercise, the purpose of which is to determine: a) whether my filing obligations with the United States fall within the last three tax years, and b) if I have not filed U.S. income tax returns, to identify what my filing requirements are, based on the information provided. 3. No tax returns will be prepared or filed at this stage. 4. I understand that this diagnostic review does not include the preparation or filing of any U.S. tax returns, forms, disclosures, or submissions. Such services will only be provided under a separate engagement agreement, to be offered after this review is completed. 5. Accuracy of Information. I confirm that the information I provide is, to the best of my knowledge, true, complete, and accurate. I understand that incomplete or inaccurate information may affect the assessment of my filing requirements. 6. Next Steps. I understand that after the firm evaluates the information I provide, I will be notified of the appropriate U.S. Income Tax Cross‑Border Diagnostic level (1, 2, or 3) and provided with instructions on how to formally engage and pay for the service. By clicking “Submit,” I confirm that I have read, understood, and agree to the above declaration.
