Optimum Financial Services (OFS) & Your Tax Pro (YTP) - Free Tax Extension Request Form

I/We hereby agree that by providing my/our information to Optimum Financial Services & Your Tax Pro for a Tax Extension, I/we will file my/our 2025 tax return with Optimum Financial Services & Your Tax Pro no later than October 15, 2026.

If I/we choose to file my/our 2025 tax return with another tax preparer or fail to file by October 15, 2026, I/we understand and agree that an additional $79 non-filing fee will be charged to my/our account on October 16, 2026. This fee must be paid out of pocket within 7 days. If payment is not made within that timeframe, the balance may be forwarded to a third-party collection agency.

I/We acknowledge and understand that a Tax Extension only extends the time to FILE, not the time to PAY any taxes owed. If taxes are due, payment must be made by the IRS deadline to avoid failure-to-file penalties, failure-to-pay penalties, and interest.

I/We also authorize Optimum Financial Services & Your Tax Pro to charge an Extension Fee using the banking information provided below if applicable. We do not offer free estimates at this time.

EXTENSION FEE STRUCTURE:

Simple Return
W-2 Income Only
Extension Fee: $0

Basic Return
Includes but not limited to: Dependents, W-2s, 1098-T, Earned Income Credit (EIC), Child Tax Credit (CTC/ACTC), Daycare Credit, Social Security, Unemployment, Student Loan Interest, IP PIN verification
Extension Fee: $25

Complex Return
Includes but not limited to: Schedule C (self-employment), 1099-NEC, 1099-K, 1099-MISC, Itemized Deductions (Schedule A), Real Estate, Investments, Retirement (1099-R), Gambling Income, HSA, Cancellation of Debt (1099-C), Marketplace Insurance (1095-A), First-Time Homebuyer Credit, Interest/Dividends (1099-INT/DIV), S-Corporations, Partnerships, Nonprofits, Estimated Taxes, Capital Gains/Losses, K-1s, Farming, Adoption Credit, Household Employees
Extension Fee: $75

HOME & BILLING ADDRESS

If You’re Not Claiming Dependents SKIP this section

Dependents relationship to you must be your son, daughter, adopted child, foster child, stepchild or a descendant of any of them, such as a grandchild, or your brother, sister, stepbrother, stepsister, half-brother or half-sister, or a descendant of any of them, such as a niece or nephew.

Earned Income Credit Due

Diligence Section

CLIENT AGREEMENT & AUTHORIZATION FOR TAX PREPARATION SERVICES

Optimum Financial Services & Your Tax Pro

This document serves as a formal agreement between the Client (“Client”) and Optimum Financial Services & Your Tax Pro (“OFS”) for the preparation of your current and/or prior year individual federal and state tax returns, including any applicable Tax Extension services.

Accuracy and Responsibility

By signing below, you affirm that all information provided on the OFS Client Profile Sheet, Tax Extension documents, and any accompanying forms is true, correct, and complete to the best of your knowledge.

You acknowledge that you will receive copies of your Form 1040, state tax returns, bank product disclosures, and any applicable protection-related documents.

You further understand that any differences between information entered into the tax preparation software utilized by OFS and the information provided in your documents may be adjusted based on clarified or additional information provided by you, including verbal communication, in accordance with applicable IRS guidelines, including Internal Revenue Service Circular 230.

Confidentiality and Dependents

OFS maintains strict confidentiality of all client information in accordance with federal regulations.

By signing below, you affirm that all dependents claimed on your return are legally eligible to be claimed by you, and you agree to provide supporting documentation if requested by the Internal Revenue Service.

Preparation and Filing

OFS will prepare your tax return based solely on the information you provide.

We do not audit, verify, or independently validate the information submitted. You, the taxpayer, retain full responsibility for the accuracy, completeness, and filing of your tax return.

In the event of errors, omissions, or misrepresentation that result in an audit or inquiry, you acknowledge that you are solely responsible for any resulting penalties, interest, or liabilities.

Fees and Submission Authorization

You acknowledge and agree to all fees associated with the services provided.

You authorize OFS to electronically file (e-file) your tax return with the Internal Revenue Service and applicable state agencies.

If you elect to use a bank product, you authorize OFS to deduct preparation fees from your refund, subject to approval and processing by the bank. You understand that any offsets, debts, or reductions may impact your final refund amount.

Please note: We do not offer free estimates at this time.

Tax Extension Acknowledgment

If you are submitting this packet for a Tax Extension, you acknowledge that all information provided is true and accurate.

You understand that a Tax Extension extends the time to file, not the time to pay, and that any taxes owed must be paid by the IRS deadline to avoid penalties and interest.

Authorization for E-Signature

By signing below, you grant Optimum Financial Services & Your Tax Pro permission to apply your electronic signature (e-signature) to all necessary tax documents for the applicable tax year(s).

Acknowledgment and Agreement

By signing below, you confirm that you have read, understood, and agreed to all terms outlined in this Client Agreement and Authorization for Tax Preparation Services.

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