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Please provide us with the following information so that we may process your return quickly.
Name: Tax Year: Original W-2'S total income: Original 1099'S total income: Original 1098'S total income: TOTALS ONLY: (you save receipts in case of audit) A) Drugs, Doctors, Eyeglasses, Medical Insurance and all other medical expenses not covered by insurance: B) Residence property tax. (if no mortgage). C) Charitable contributions by cash or check: D) Non cash contributions List to whom, value and kind of property donated: E) Personal property tax on vehicles (look on registration for privilege tax). Amounts deposited into pension plans: Did you have a robbery or other casualty loss? Amount: Explain in detail: Did you sell any stocks or bonds. I need the 1099-S form. Date you bought the stock: Amount of stock purchase: Did you put money into a medical savings account? If yes, how much: Did you incur student loan interest? If yes, how much: If self-employed, did you pay medical insurance? If yes, how much: If there was a Changes in address, provide new address: Dependents: Over 65: Yes No Child care expenses: Day care name: Day care address: Day care Federal ID#: How many children in day care: Mail a copy of your prior years tax return. Fax 702-364-0471
Name:
Tax Year:
Original W-2'S total income:
Original 1099'S total income:
Original 1098'S total income:
TOTALS ONLY: (you save receipts in case of audit)
A) Drugs, Doctors, Eyeglasses, Medical Insurance and all other medical expenses not covered by insurance:
B) Residence property tax. (if no mortgage).
C) Charitable contributions by cash or check:
D) Non cash contributions
List to whom, value and kind of property donated:
E) Personal property tax on vehicles (look on registration for privilege tax).
Amounts deposited into pension plans:
Did you have a robbery or other casualty loss?
Amount:
Explain in detail:
Did you sell any stocks or bonds. I need the 1099-S form.
Date you bought the stock:
Amount of stock purchase:
Did you put money into a medical savings account?
If yes, how much:
Did you incur student loan interest? If yes, how much:
If self-employed, did you pay medical insurance? If yes, how much:
If there was a Changes in address, provide new address:
Dependents:
Over 65: Yes No
Child care expenses:
Day care name:
Day care address:
Day care Federal ID#:
How many children in day care:
Mail a copy of your prior years tax return.
Fax 702-364-0471
