Enclosed is an income tax data organizer that we provide to tax clients to assist them in gathering the information necessary to prepare their individual income tax returns.
The Internal Revenue Service (IRS) matches information returns/forms with amounts reported on tax returns. A negligence penalty may be assessed when income is under reported or when deductions are overstated. Accordingly, all information returns reflecting amounts reported to the IRS are also mailed or delivered to the taxpayers in an envelope clearly marked “IMPORTANT TAX DOCUMENTS ENCLOSED” and should be submitted with this organizer.
Forms such as:
W-2 (Wages) | Schedules K-1 |
1099-R (Retirement)
1099-INT(Interest) |
(Forms 1065, 1120S, 1041) |
1099-DIV (Dividends) | Annual Brokerage Statements |
1099-B (Brokerage Sales) | 1098 – Mortgage Interest |
1099-MISC (Rents, etc) | Other tax information statements |
1099 (any other) | 8886, Reportable transactions |
1098-T (Education) | Form HUD-1 for Real Estate Sales/Purchases |
Also enclosed is an engagement letter which explains the services we will provide to you. Please sign a copy of the engagement letter and return the signed copy in the enclosed envelope. Keep the other copy for your records.
To continue providing quality services on a timely basis, we urge you to collect your information as soon as possible. If information from “passthrough” entities such as partnerships, trusts, and S corporations is the only data you are missing, please send the data you have assembled and forward the missing information as soon as it is available.
The filing deadline for your income tax return was April 15, 2015. We extended your return without payment to October 15, 2015. In order to meet this filing deadline your completed tax organizer needs to be received no later than July 15, 2015. Any information received after that date may cause a delay in filing, which may involve penalties and interest for which you will be responsible.
As you know when an extension of time is required, any tax due must be paid with that extension. Any taxes not paid by the filing deadline may be subject to late payment penalties and interest.
We look forward to providing services to you. Should you have questions regarding any items, please do not hesitate to contact _____.
If we did not prepare your prior year returns, provide a copy of federal and state returns for the three previous years. Complete pages 1 through 4 and all applicable sections.
Taxpayer’s Name: Yogi T. Bear | SSN 111-22-3333 | Occupation Cartoon bear |
Spouse’s Name Missy T. Bear | SSN 111-22-3334 | Occupation Cartoon bear |
Home Address: 105 Tree Top Rd, Black Moshannon, PA 16809 |
Version #7 |
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City, Town, or Post Office | County | State | Zip Code | School District | ||||
Telephone Number | Telephone Number (Taxpayer) | Telephone Number (Spouse) |
Home 814-555-1212 | Office | Office |
Email(T) yogi21@ytb.com | Fax | Fax |
Email(S) miss32@ytb.com | Cell | Cell |
Email________________________
___________________________ |
Email_______________________ |
Taxpayer Date of Birth 9/25/85 | Blind? Yes ____ No X |
Spouse Date of Birth 5/14/86 | Blind? Yes ____ No X |
Dependent Children Who Lived With You:
Full Name | SSN | Relationship | Birth Date |
111-22-3335 | Soon | 7/23/15 | |
Other Dependents:
Full Name |
SSN |
Relationship |
Birth Date |
Number Months
Resided in Your Home |
% Support
Furnished By You |
Please answer the following questions and submit details for any question answered “Yes”:
YES |
NO
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1. | Did any births, adoptions, marriages, divorces, or deaths occur in your family last year? If yes, provide details.
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2. | Will the address on your current returns be different from that shown on your prior year returns? If yes, provide the new address and date moved.
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3. | Were there any changes in dependents from the prior year? If yes, provide details.
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4. | Are you entitled to a dependency exemption due to a divorce decree? | ______ | √ | ||||
5. | Did any of your dependents have income of $1,000 or more ($400 if self-employed)? |
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6. | Did any of your children under age 19, age 24 if they are a full time student, have investment income over $2,000? |
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If yes, do you want to include your child’s income on your return? | ______ | √ | |||||
7. | Are any dependent children married and filing a joint return with their spouse? |
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8. | Did any dependent child 19-23 years of age attend school full-time for less than five months during the year? |
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9. | Did you receive income from any legal proceedings, cancellation of student loans or other indebtedness during the year? If yes, provide details.
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10. | Did you make any gifts during the year directly or in trust exceeding $14,000 per person? |
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11. | Did you have any interest in, or signature, or other authority over a bank, securities, or other financial account in a foreign country? |
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Were you the grantor, transferor or beneficiary of a foreign trust? |
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13. | Were you a resident of, or did you have income from, more than one state during the year? |
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14. | Do you wish to have $3 (or $6 on joint return) of your taxes applied to the Presidential Campaign Fund? (Current president unbearable) |
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15. | Do you wish to contribute to any state fund(s)? If yes, indicate amount(s) and which fund(s):
______________________________________________________________ ______________________________________________________________
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16. | Do you want any overpayment of taxes applied to next year’s estimated taxes? |
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17. | Do you want any federal or state refund deposited directly into your bank account? If yes, enclose a voided check. |
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1. | Do you want any balance due directly withdrawn from this same bank account on the due date? |
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2. | Do you want next year’s estimated taxes withdrawn from this same bank account on the due dates? |
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18. | Do either you or your spouse have any outstanding child or spousal support payments or federal debt? |
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19. | If you owe federal or state tax upon completion of your return, are you able to pay the balance due? |
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20. | Do you expect a large fluctuation in your income, deductions or withholding next year? If yes, provide details.
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21. | Did you receive any distribution from an IRA or other qualified plan that was partially or totally rolled over into another IRA or qualified plan within 60 days of the distribution (Form 1099R)? |
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22. | If you received an IRA distribution, which you did not roll over, provide details (Form 1099R).
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23. | Did you “convert” IRA funds into a Roth IRA? If yes, provide details (Form 1099R).
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24. | Did you receive any disability payments this year? | ______ |
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25. | Did you receive tip income not reported to your employer? Just Picnic baskets | ______ |
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26. | Did you sell or purchase a principal residence or other real estate? If yes, provide settlement sheet (HUD-1) and Form 1099-S. |
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27. | Did you collect on any installment contract during the year? Provide details.
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28. | Did you receive tax-exempt interest or dividends not reported on Forms 1099-INT or 1099 -DIV? |
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29. | During this year, do you have any securities that became worthless or loans that became uncollectible? |
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30. | Did you receive unemployment compensation? If yes, provide Form 1099-G. | ______ |
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31. | Did you receive, or pay, any Alimony during the year? If yes, provide details.
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32. | Did you have any casualty or theft losses during the year? If yes, provide details. |
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33. | Did you have foreign income, pay any foreign taxes, or file any foreign information reporting or tax return forms? Provide details. |
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34. | If there were dues paid to an association, was any portion not deductible due to political lobbying by the association or benefits received? |
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35. | Did you, or do you plan to contribute before April 15, 2015, to a traditional IRA, or Roth IRA for last calendar year? If yes, provide details. You tell me! |
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36. | Did you, or do you plan to contribute before April 15, 2015 to a health savings account (HSA) for last calendar year? If yes, provide details. |
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37. | Did you receive any distributions from an HSA? If so, provide details. | ______ |
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38. | Has the IRS, or any state or local taxing agency, notified you of changes to a prior year’s tax return? If yes, provide copies of all notices or correspondence received. |
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39. | Are you aware of any changes to your income, deductions and credits reported on any prior years’ returns? |
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40. | Did you purchase gasoline, oil, or special fuels, for non-highway use vehicles? | ______ |
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41. | Did you purchase an energy-efficient or other new vehicle? If yes, provide purchase invoice. |
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42. | If you, or your spouse, have self-employment income, did you pay any health insurance premiums or long-term care premiums? |
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43. | Were either you or your spouse eligible to participate in an employer’s health insurance or long-term care plan? |
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44. | If you, or your spouse, have self-employment income, do you want to make a retirement plan contribution? |
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45. | Did you acquire any “qualified small business stock”? | ______ |
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46. | Were you granted or did you exercise any stock options? If yes, provide details. |
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47. | Were you granted any restricted stock? If yes, provide details. | ______ |
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48. | Did you pay any household employee over age 18 wages of $1,800 or more? |
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If yes, provide copy of Form W-2 issued to each household employee. | ______ |
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If yes, did you pay total wages of $1,000 or more in any calendar quarter to all household employees? |
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49. | Did you surrender any U.S. savings bonds? | ______ |
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50. | Did you use the proceeds from Series EE U.S. savings bonds purchased after 1989 to pay for higher education expenses? |
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51. | Did you realize a gain on property which was taken from you by destruction, theft, seizure, or condemnation? |
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52. | Did you start a business? | ______ |
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53. | Did you purchase rental property? If yes, provide settlement sheet (HUD-1). | ______ |
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54. | Did you acquire any interests in partnerships, LLCs, S corporations, estates or trusts this year? If yes, provide Schedule K-1 that the Organization has issued to you. |
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55. | Do you have records to support travel, entertainment, or gift expenses? The law requires that adequate records be maintained for travel, entertainment, and gift expenses. The documentation should include amount, time and place, date, business purpose, description of gift(s) (if any), and business relationship of recipient(s). |
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56. | Has your will or trust been updated within the last three years? If yes provide copies. |
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57. | Did you incur expenses as an elementary or secondary educator? If so, how much? |
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58. | Did you make any energy-efficient improvements (remodel or new construction) to your home? |
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59. | Can the Internal Revenue Service and state tax authority discuss questions about this return with the preparer? |
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60. | Did you make any large purchases or home improvements? | ______ |
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61. | Did you pay real estate taxes on your principal residence?
If so, how much? $4500
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ESTIMATED TAX PAYMENTS MADE
FEDERAL | STATE (NAME): | |||
Date Paid | Amount Paid | Date Paid | Amount Paid | |
Prior year overpayment applied | ||||
1st Quarter | ||||
2nd Quarter | ||||
3rd Quarter | ||||
4th Quarter | ||||
WAGES, SALARIES, AND OTHER EMPLOYEE COMPENSATION
Enclose all Forms W-2. |
Fed wages $97,400
State tax withheld $2,000 Fed Tax withheld $11,000 |
PENSION, IRA, AND ANNUITY INCOME
Enclose all Forms 1099-R. | ||||
YES | NO | |||
1. | Did you receive a Lump Sum distribution from your employer? | ______ |
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2. | Did you “convert” a Lump Sum distribution into another plan or IRA account? | ______ |
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3. | Did you transfer IRA funds to a Roth IRA this year? | ______ |
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4. | Have you elected a Lump Sum treatment for any retirement distributions after 1986? |
Taxpayer
Spouse |
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______
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SOCIAL SECURITY BENEFITS RECEIVED
Enclose all 1099 SSA Forms. |
INTEREST INCOME – Enclose all Forms 1099-INT and statements of tax-exempt interest earned.
If not available, complete the following:
TSJ* |
Name of Payor |
Banks, S&L, Etc. |
U.S. Bonds, T-Bills |
Tax-Exempt In-State Out-of-State |
|
J | First Union | 1920 | 1000 | ||
Early Withdrawal
Penalties |
*T = Taxpayer S = Spouse J = Joint
INTEREST INCOME (Seller-Financed Mortgage)
Name of Payor |
Social Security
Number |
Address |
Interest Received |
DIVIDEND INCOME – Enclose all Forms 1099-DIV and statements of tax-exempt dividends earned.
If not available, complete the following:
TSJ* |
Name of Payor |
Ordinary Dividends |
Qualified Dividends |
Capital Gain |
Non Taxable |
Federal
Tax Withheld |
Foreign
Tax Withheld |
J | Edwards | 895 | 1000 | ||||
*T = Taxpayer S = Spouse J = Joint
MISCELLANEOUS INCOME – List and enclose related Forms 1099 or other forms.
Description | Amount | |
State and local income tax refund(s) | ||
Alimony received | ||
Jury fees | ||
Finder’s fees | ||
Director’s fees | ||
Prizes | ||
Gambling winnings (W2-G) | ||
Other miscellaneous income | ||
CAPITAL GAINS AND LOSSES – Enclose all Forms 1099-B (with supplemental year end brokerage statements) and 1099-S with HUD-1 closing statements). Complete the following schedule if no statements are available and provide all transaction slips for sales and purchases.
Description |
Date
Acquired |
Date
Sold |
Sales
Proceeds |
Cost or
Basis |
Gain (Loss) |
Disney | 1/5/15 | 7/12/15 | 5000 | 3000 | 2000 |
IBM | 12/10/13 | 8/10/15 | 4800 | 1800 | 3000 |
Enter any sales NOT reported on Forms 1099-B and 1099-S:
Description |
Date
Acquired |
Date
Sold |
Sales
Proceeds |
Cost or
Basis |
Gain (Loss) |
MEDICAL AND DENTAL EXPENSES (PLEASE NOTE THAT MEDICAL EXPENSES MUST EXCEED 7.5% OF ADJUSTED GROSS INCOME TO BE DEDUCTIBLE). HEALTH INSURANCE PREMIUMS AND MEDICAL EXPENSES PAID WITH PRE-TAX DOLLARS (CAFETERIA PLANS, HEALTH SAVINGS ACCOUNTS, ETC.) ARE NOT DEDUCTIBLE.
Description | Amount |
Premiums for health and accident insurance including Medicare | |
Long-term care premiums: Taxpayer $ Spouse $
|
|
Medicine and drugs (prescription only) | |
Doctors, dentists, nurses | |
Hospitals, clinics, laboratories | 2350 |
Eyeglasses / corrective surgery | 500 |
Ambulance | |
Medical supplies / equipment | |
Hearing aids | |
Lodging and meals | |
Travel | |
Mileage (number of miles) | |
Long-term care expenses | |
Payments for in-home care (complete later section on home care expenses) | |
Other | |
Insurance reimbursements received | ( ) |
Were any of the above expenses related to cosmetic surgery? | Yes_____ |
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DEDUCTIBLE TAXES
Description | Amount |
State and local income tax payments made this year for prior year(s). | |
Real estate taxes: Primary residence | |
Secondary residence | |
Other | |
Personal property or ad valorem taxes | |
Sales tax on major items (auto, boat, home improvements, etc.) | |
Other sales taxes paid (if applicable) | |
Intangible tax | |
Other taxes (itemize) | |
Foreign tax withheld (may be used as a credit) |
INTEREST EXPENSE
Mortgage interest (enclose Forms 1098)
Payee* | Property** | Amount |
*Include address and social security number if payee is an individual.
**Describe the property securing the related obligation, i.e., principal residence, motor home, boat, etc.
If any mortgage or equity loan was not used to buy, build, or improve your principal or second residence, please describe how the proceeds were used.
Unamortized points on residence refinancing
Date of Refinance | Loan Term | Total Points | |
Student loan interest
Payee | Amount |
Investment interest not reported on Schedules A, C, or E
Payee | Investment Purpose(stocks, land , etc) | Amount |
Business interest not reported on Schedules C, or E
Payee | Business Purpose | Amount |
CONTRIBUTIONS
Cash contributions, for which you have receipts, canceled checks, etc. NOTE: You need to have written acknowledgment from any charity to which you made individual donations of $250 or more during the year.
Donee | Amount | Donee | Amount |
Church | 3100 | ||
National Wildlife | 1000 | ||
Expenses incurred in performing volunteer work for charitable organizations:
Parking fees and tolls | $ | ||
Supplies | $ | ||
Meals & entertainment | $ | ||
Other (itemize) | $ | ||
Automobile mileage ______________________ |
Other than cash contributions (enclose receipt(s)):
Organization name and address | |||
Description of property | |||
Date acquired | |||
How acquired | |||
Cost or basis | |||
Date contributed | |||
Fair market value (FMV) | |||
How FMV determined |
For contributions over $5,000, include copy of appraisal and confirmation from charity.
CASUALTY OR THEFT LOSSES
Loss of property by theft or damage to property by fire, storm, car accident, shipwreck, flood or other “act of God”
Property 1 | Property 2 | Property 3 | |
Indicate type of property |
¨ Business
¨ Personal |
¨ Business
¨ Personal |
¨ Business
¨ Personal |
Description of property | |||
Date acquired | |||
Cost | |||
Date of loss | |||
Description of loss | |||
Was property insured? (Y/N) | |||
Was insurance claim made? (Y/N) | |||
Insurance proceeds | |||
Fair market value before loss | |||
Fair market value after loss |
Is the property in a presidentially declared disaster area? Yes_____ No_____
MISCELLANEOUS DEDUCTIONS
Description | Amount |
Union dues | |
Income tax preparation fees | 500 |
Legal fees (provide details) | |
Safe deposit box rental (if used for storage of documents or items related to income-producing property) | 25 |
Small tools | |
Uniforms which are not suitable for wear outside work | |
Safety equipment and clothing | |
Professional dues | |
Business publications | 150 |
Unreimbursed cost of business supplies | |
Employment agency fees | |
Investment expenses | 200 |
Trustee fees | |
Other miscellaneous deductions – itemize | |
Documented gambling losses |
EMPLOYEE/SELF EMPLOYED BUSINESS EXPENSES – FORM 2106
Expenses incurred by: ¨ Taxpayer ¨ Spouse ¨ Occupation ______________________
(Complete a separate schedule for each business)
Description |
Total Expense Incurred |
Employer
Reimbursement Reported on W-2 |
Employer
Reimbursement Not on W-2 |
Travel expenses while away from home: | |||
Transportation costs | |||
Lodging | |||
Meals and entertainment | |||
Business use of home (see schedule) | |||
Other employee business expenses – itemize | |||