top of page

New Life Tax Team Online Intake Form

Your Information

Dependent Information

*If you have more than 4 dependents, please download a form from the previous page, print it, and follow the instructions on the form.


If you moved in 2022, you must include all addresses and dates for local returns

**Provide spousal information below when filing "Married Filing Separate"

Need Propety Tax/Rent Rebate Done?
Completed Federal/State Returns
Did you have Form 1095-A for Health Insurance Coverage for2022?


Same bank as last year?

If "No," please provide the tax team with the following or a voided check

ONE "IN-TAKE" FORM IS NEEDED FOR EACH FEDERAL TAX RETURN. Federal and State Returns will be eFiled. Local taxes, if applicable, will be completed and customer will need to mail the completed form to their local office. Property and Rent Rebate forms will be submitted on-line. No need to mail it in.


There is a minimum $30.00 Donation requested for each Federal Return. Donations will be going to non-profit organizations in our community and around the world.


You are responsible for providing all the necessary tax documents for the New Life Tax Team. Any amendments needed to your tax return, due to incomplete information provided, will require an additional $30.00 donation. 

Facebook: New Life Worship Center Tax Team

Scott Seifer

Phone: 814-215-1933


bottom of page