INCOME DEDUCTIONS/CREDITS OTHER IMPORTANT ITEMS. W-2s 1099s:

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1 INCOME W-2s 1099s: 1099-R (Retirement Distributions) 1099-INT (Interest Income) 1099-DIV (Dividend and Capital Gain Income) 1099-B (Stock Proceeds) - Please check to see if all sales have corresponding cost info 1099-MISC (Self Employment Income - ALSO FILL OUT BUSINESS INCOME/EXPENSE WORKSHEET) 1099-K (If you accept credit cards or Paypal from customers your credit card company will issue this) SSA (Social Security Income) 99G (Unemployment Received) Alimony Received 1099-A and 1099-C (Debt Cancellation and Property Foreclosures) Rental Income FILL OUT RENTAL WORKSHEET Did you have > $10,000 in foreign assets at any time during 2012? YES If yes, please bring info on interest income and max. account values during year. DEDUCTIONS/CREDITS 1098-T (Tuition Statement for College Education) Bring all Adoption Papers and proof of expenses for new Adoption Credit Charitable Donations - Please bring receipts for all Charitable Donations Form 1098 Mortgage Interest Paid 1098-E Student Loan Interest Paid Proof that children live with you from school, health records or other documents Estimated Tax Payments - Please bring list of date and amount of each payment made OTHER IMPORTANT ITEMS Settlement Statements for any sale, purchase or refinance of properties Signed Release of Exemption Form 8332 if you are claiming a child that does not live with you Signed Engagement Letter and Filled out Worksheets (keep scrolling to find those!) Tax CD from last year if we didn't use or portal Copy of last year s taxes (if new client) For Corporations: Don t forget to bring Year End Balances on all accounts and loans. If you have Quickbooks or other accounting software, please bookkeeping ahead of scheduling an appointment. Please check here if you'd like to make a donation to the Nongame Wildlife Fund. Amount $ Employers: If you provide > 50% of the health insurance premiums for employees in your small business, ask us about the health care credit NO

2 DO NOT FORGET - BRING TO APPOINTMENT Date Taxpayer Name Spouse s Name Address City State Zip PREPERATION OF YOUR 2013 TAX RETURNS Thank you for choosing Fox Tax LLC to assist you with your 2013 taxes. This letter confirms the terms of our engagement with you and outlines the nature and extent of the services we will provide. In order to ensure an understanding of our mutual responsibilities, we ask all clients for whom returns are preparedto confirm the following arrangements by signing below. We will prepare your 2013 federal and requested state income tax returns. We will depend on you to provide the information we need to prepare complete and accurate returns. We may ask you to clarify some items but will not audit or otherwise verify the data you submit. An Organizer is enclosed to help you collect the data required for your return. The Organizer will help you avoid overlooking important information. By using it, you will contribute to efficient preparation of your returns and help minimize the cost of our services. We will perform accounting services only as needed to prepare your tax returns. Our work will not include procedures to find defalcations or other irregularities. Accordingly, our engagement should not be relied upon to disclose errors, fraud, or other illegal acts, though it may be necessary for you to clarify some of the information you submit. We will, of course, inform you of any material errors, fraud, or other illegal acts we discover. The law imposes penalties when taxpayers underestimate their tax liability. Please call us if you have concerns about such penalties. Should we encounter instances of unclear tax law, or of potential conflicts in the interpretation of the law, we will outline the reasonable courses of action and the risks and consequences of each. We will ultimately adopt, on your behalf, the alternative you select. Our fee will be based on the forms required plus out-of-pocket expenses. Invoices are due and payable upon presentation. We will require payment prior to the completion of electronic filing of your tax return. We will return your original records to you at the end of this engagement. You should securely store these records, along with all supporting documents, canceled checks, etc., as these items may later be needed to prove accuracy and completeness of a return. We will retain copies of your records and our work papers for your engagement for seven years, after which these documents will be destroyed. Our engagement to prepare your 2013 tax returns will conclude with the delivery of the completed returns to you (if paper filing) or your signing, and the subsequent submittal, of your tax return (if e-filing). Review all tax-return documents carefully before signing them. If completing tax return at our office, we will be using the Practitioner PIN method of signing returns with a self-selected PIN number that acts as your electronic signature. Signing below verifies that you understand that you will be signing by this electronic and tree-saving method and will not physically sign the actual tax return. We will also provide a copy of your tax return via electronic methods unless a paper copy is specifically requested. To affirm that this letter correctly summarizes your understanding of the arrangements for this work, please sign the enclosed copy of this letter in the space indicated and return it to us with your tax info. We appreciate your confidence in us. Please call if you have questions. Sincerely, Mark Fox Alyssa Fox Fox Tax Service, LLC ACCEPTED BY (Both spouses must sign for preparation of joint returns) Taxpayer Date Spouse Date

3 TAX PREPARATION WORKSHEET PERSONAL DATA Taxpayer Name Spouse s Name Phone Phone Occupation Occupation Address City State Zip DEPENDENTS** Name Name Name CHILD ONE Relationship Daycare Expense Daycare Name K-12 Education Expense CHILD TWO Relationship Daycare Expense Daycare Name K-12 Education Expense CHILD THREE Relationship Daycare Expense Daycare Name K-12 Education Expense Daycare /Fed ID# Daycare /Fed ID# Daycare /Fed ID# Daycare Address Daycare Address Daycare Address DEDUCTIONS Student Loan Interest IRA Contributions IRA ROTH SEP Moving Expenses*** College Tuition/Fees Investment Exp Employee Expenses (Use Expense Worksheet) Mortgage Int Pd Property Tax PMI Medical Expenses Health Insurance Car Tabs Charity by Cash/Check Non-Cash Charity* Tax Prep Fees Alimony Paid HSA Contributions Union Dues *Please bring itemized donation receipts if non-cash donations exceed $500. For help valuing your non-cash donations, please look at **Please bring proof that child lives with you from school, doctor, etc... ***Only applicable if you move more than 50 miles because of a job ADDITIONAL NOTES OR QUESTIONS

4 BUSINESS INCOME / EXPENSE WORKSHEET BUSINESS NAME / PROFESSION (Please fill out one sheet for each business) INCOME 1099 / SELF EMPLOYMENT ATTRIBUTED TO W2 Income Received (List all self-employed income in 1099 / Self Employment column) Sales Tax Collected (If included in income above - only if you charge sales tax) COST OF GOODS SOLD 1099 / SELF EMPLOYMENT ATTRIBUTED TO W2 Total Production Costs (Direct costs to make products) Ending Inventory (At your cost, not retail) EXPENSES 1099 / SELF EMPLOYMENT ATTRIBUTED TO W2 Advertising: Promo, Publicity, etc... (Anything for promotion of bus.) Auto Expenses (See auto and in home office worksheet below) Commissions and Fees (Agents, mgrs, etc...) Subcontractors* (Total labor - did you pay any one person more than $600 Y / N ) Equipment Purchases (Items costing more than $100 have a useful life > 1 year) Business Insurance Business Interest (Loans or 100% business credit cards) Legal and Accounting Office and Postage Equipment Rental (Includes car rentals and equip.) Business Rent (Rent for office or practice space) Equipment Repairs (Repairs on computers, equipment, etc...) Supplies (Any small items needed for bus.) Travel (Airfare, lodging--not food or auto) Meals and Entertainment In Town (Business meals with others) Meals and Entertainment Out of Town (All meals on bus. travel) Days Out of Town ( See per diem worksheet below) PLEASE SEE AUTO WORKSHEET PLEASE SEE EQUIPMENT WORKSHEET PLEASE SEE PER DIEM WORKSHEET Wages Paid to Others (Bring details on payroll and payroll taxes) Bank and CC Charges (On business accounts) Dues and Subscriptions (Memberships, magazines, etc...) Research and Development (Books, classes, activities in your field) Telephone (Business line, 2nd line, and bus % of cell phone) Internet (List business % of cost) Computer Software Printing and Film Processing (For business photos) Health Insurance Paid Costumes and Props (Performers - things for stage only) Personal Maintenance (Performers - direct costs for performance image) Retirement Account Contributions (What kind? Trad IRA, Roth, SEP, 401K?) Health Savings Account Contributions (Must have high deductible health ins.) Business Gifts (Limited to $25 per person) OTHER (List out any costs that didn t fit in the above categories) *If you accept credit cards from customers, we need new form 1099-K from credit card processing company *If you paid $600 or more to subcontractors, you are supposed to file a form 1099-Misc for their labor costs

5 AUTO EXPENSE WORKSHEET VEHICLE 1 VEHICLE 2 Year and Make of Vehicle Date Purchased Total Miles Driven Business Miles Driven Commuting Miles Driven Parking and Tolls License Plate Fees Interest Expense FILL OUT BELOW IF CLAIMING ACTUAL EXPENSES Purchase Price / Lease Equiv. (If new purchase) Gas Repairs & Maintenance Insurance Lease Cost TOTALS IN HOME OFFICE EXPENSE WORKSHEET Square Footage of Office Square Footage of House Date Placed in Service Mortgage Interest Paid Property Taxes Paid Insurance on Home Repairs and Maintenance* Improvements* Utilities Rent Paid Other Association Dues Cost of Home (If new: list purch + prior investments) TOTALS OFFICE 1 OFFICE 2 *Expenses directly related to office space are 100% deductible - PLEASE LIST SEPARATELY

6 EQUIPMENT WORKSHEET ITEM DATE PURCH. COST* BUSINESS % OF USE DATE SOLD SALE PRICE TOTALS *If first year of business and you had personal equipment that became business, please list Fair Market Value rather than purchase price

7 PER DIEM WORKSHEET - DAYS OUT OF TOWN FOR BUSINESS DATE CITY, STATE COUNTRY NIGHTS STAYED RATE TOTAL PER DIEM TOTALS For Domestic Rates, Click Here. For International Rates, Click Here. *If you look up rates, you can only use the M & IE Rate, which is for Meals & Incidental Expense *You cannot use the lodging per diem for self-employed expense

8 RENTAL EXPENSE WORKSHEET ADDRESS OF PROPERTY (Please fill out one sheet for each rental property.) DATE RENTAL STARTED (If new) RENTAL INCOME AMOUNT DESCRIPTION Total Rents Received Do not include refundable deposits EXPENSES Advertising & Promotions Business Miles Driven Cleaning and Maintenance Commissions Insurance Advertising for rental property Miles driven for rental business Any cleaning or maint. costs Pd. to rental agencies, etc.. PMI, liability and/or umbrella policies Legal and Accounting Management Fees Pd for management by someone else Interest - Mortgage Interest - Other Repairs Supplies Taxes Utilities Credit cards/other loans just for rental Repairs to rental property General supplies for rental Property taxes Pd by you for rental prop. Rental License Fees Bank Charges Bounced check fees, etc. Appliances Improvements Major improvements to property Furnishings Association Dues Total Expenses NET INCOME *Always bring any purchase, sale or refinance closing papers for the year *Fill out one of these pages for EACH rental property *If converting property to rental, we need Fair Market Value of property at time of conversion as well as your cost of buying and improving property

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