TAX ORGANIZER Tax Year THINGS TO BRING (or send to us if no appointment)

Transcription

1 TAX ORGANIZER Tax Year THINGS TO BRING (or send to us if no appointment) NEW CLIENTS ONLY: Copy of prior year tax return. Please provide birthdates and social security numbers for all taxpayers and dependents. EXISTING CLIENTS: Names, birthdates and social security numbers of any new dependents. Record of ESTIMATED TAX PAYMENTS made and dates paid. Please list on itemized deductions page. All copies of W-2s, 1099 s (for interest, dividends, pensions, etc.) and K-1 forms. Complete the Itemized Deduction Checklist as provided. All year-end lender loan statements including loans refinanced or paid off during year. All escrow statements for any sales, purchase or refinancing of property during the year. We also need PURCHASE COST for any property sold. If you used your primary or secondary home loan for other than your home, please provide detailed information (including date of loan, amount received, detailed breakdown of use of funds) forms reporting all stock sales for the year. We also need PURCHASE date and cost information forms reporting unemployment compensation, state tax refunds, social security benefits and HSAs (Health savings accounts) forms for all IRAs and 1099 forms for all retirement account transfers. Name, address and social security or tax ID numbers of all child care providers. If still dependents, list name of any children age 17 or over at end of year. Social security numbers for all dependents if not previously provided. Any IRS documents related to health insurance Forms 1095-A,-B,-C along with any health care exemption certificates. Form 1098-T from colleges for education tax credits. Any other documents showing cost of college courses taken by you, spouse or dependent. Please provide any documents showing interest costs on student loans. Any documents related to the Arizona tax credits. If you would like to receive tax and business information on-line please provide your e- mail address Any other documents you feel may be needed.

2 Please answer each question below. For any Yes answer, please explain in the space provided or provide additional documents as appropriate. PERSONAL INFORMATION for Yes No name Did your marital status change during the year? Did your address, phone number(s) or change during the year? Could you be claimed as a dependent on another person s tax return for 2018? If you have a refund, do you want it deposited directly to your bank? If yes, please provide bank name, routing number and account number. DEPENDENTS Were there any changes in dependents? Were any of your unmarried children who might be claimed as dependents 19 years of age or older at the end of 2018? Did you have any children under age 19 or full-time students under age 24 at the end of 2018? If yes, did any have interest and dividend income in excess of $1,050, or total investment income exceeding $2,100? HEALTH CARE COVERAGE Did you, your spouse and your dependents have healthcare Coverage for the full year? If not, for how many months? Did you receive any of the following IRS documents? Form 1095-A (Health Insurance Marketplace statement), 1095-B (Health Coverage) or Form 1095-C (Employer Provided Health Insurance Offer and Coverage). If so, please provide the forms to us. If you, your spouse or dependents did not have health coverage during the year, do you fall into one of the following exemptions? Categories: Indian tribe membership, health sharing ministry membership, religious sect membership, incarceration, exempt non-citizen or economic hardship? If you received an exemption certificate, please provide it to us. INCOME Did you cash any Series EE U.S. savings bonds issued after 1989 and pay qualified higher education expenses for yourself, your spouse, or your dependents? 2

3 Yes No INCOME, continued: Did you receive any disability income? Did you have any foreign income or pay any foreign taxes? PURCHASES, SALES AND DEBT Did you start a business or farm, purchase rental or royalty property, or acquire an interest in a partnership, S corporation, trust, or REMIC? Did you purchase or dispose of any business assets (furniture, equipment, vehicles, real estate, etc.), or convert any personal assets to business use? Did you buy or sell any stocks, bonds or other investment property in 2018? If yes, please provide 1099 s or other documentation. Did you sell or do you plan to sell any dividend generating stocks or mutual funds during the first 60 days of 2019? Did you purchase, sell, or refinance your principal home or second home, or did you take a home equity loan or line of credit? Did you make any residential energy efficient improvements or purchases involving solar, wind, geothermal or fuel cell energy sources? Did you purchase a new alternative motor vehicle (hybrid, advanced lean burn, fuel cell, plug-in)? If eligible for tax credit provide the VIN for this purchase here and describe vehicle (attach receipt). Did you have any debts cancelled or forgiven? Does anyone owe you money which has become uncollectible? Have you had any cancellation of debt events in the past two years including foreclosures or short sales? RETIREMENT PLANS Did you receive a distribution from a retirement plan (401(k), IRA, SEP, SIMPLE, Qualified Plan, etc.)? If so, provide 1099 forms and statements as appropriate. Did you contribute or plan to contribute to a retirement plan (401(k), IRA, SEP, SIMPLE, Qualified Plan, etc)? Did you transfer or rollover any amount from one retirement plan to another retirement plan? 3

4 Yes No RETIREMENT PLANS, continued: Did you convert part or all of your traditional, SEP, or SIMPLE IRA to a Roth IRA? Will you or your spouse reach age 70 ½ this year or next year? EDUCATION Did you receive a distribution from an Education Savings Account or a Qualified Tuition Program? Did you, your spouse, or a dependent incur any tuition expenses that are required to attend a college, university, or vocational school? HOME MORTGAGE INTEREST Did you use ALL of your primary or secondary home mortgage loan(s) proceeds to buy, build or improve your home(s)? If NO, please provide details on your loans(s) and use of funds. ESTIMATED TAXES Did you apply an overpayment of 2017 taxes to your 2018 estimated tax (instead of being refunded)? If you have an overpayment of 2018 taxes, do you want the excess applied to your 2019 estimated tax (instead of being refunded)? Do you expect your 2019 taxable income or withholding to be substantially different from 2018? If yes, please describe in detail. MISCELLANEOUS Do you want to opt out of filing your tax return electronically (e-file)? The IRS has required tax preparers to file their clients tax returns electronically since If you want to opt-out of e-filing, please describe your concern: Do you and your spouse want to allocate $3 to the Presidential Election Campaign Fund? If just one spouse wishes to allocate please check here May the IRS discuss your tax return with your preparer? If not, please describe your reservations: 4

5 Yes No MISCELLANEOUS, continued: Did you have an interest in or signature or other authority over a financial account in a foreign country, such as a bank account, securities account, or other financial account? Did you receive a distribution from, or were you the grantor of, or transferor to, a foreign trust? Was your home rented out or used for business? If you own a business did you file the required 1099 forms to service providers or your landlord if paid over $ for the year? Did you have a medical savings account (MSA), a Medicare + Choice MSA, or acquire an interest in an MSA or a Medicare + Choice MSA because of the death of the account holder? Or were you a policyholder who received payments under a long-term care (LTC) insurance contract or received any accelerated death benefits from a life insurance policy? Do you have a health savings account (HSA)? If so, is it an individual or family account? If so, did you contribute funds to it in 2018? Amount. Also, did you withdraw funds in 2018? Amount. Provide Did you engage the services of any household employees? Were you notified or audited by either the Internal Revenue Service or the State taxing agency? If yes, provide notices received. Did you or your spouse make any gifts to an individual that total more than $15,000, or any gifts to a trust? ARIZONA SPECIFIC QUESTIONS (Please provide all tax credit contribution acknowledgements received) Did you make a qualifying tax credit contribution to a(n) Arizona public or charter school? If so, amount. AZ private school tuition foundation? If so, amount. Qualifying charity benefiting the working poor? If so, amount _. Military Family Relief Fund? If so, amount. Foster Care charitable organization? If so, amount. 5

6 INCOME CHECKLIST If you received 1099s for interest & dividends please provide the forms and do not list below. INTEREST INCOME DIVIDEND INCOME Banks, Credit unions, others Amount Sources: Amount Seller-financed Mortgage: Worthless Stock: Name Did you own any stock which became worthless Address during the year? Yes No If YES, please describe: Social security number CAPITAL GAINS & LOSSES If you received 1099s for these sales, you do not need to list them below. List all stock, bonds and real estate transactions during the year. Include Forms 1099-B and 1099-S and any real estate settlement sheets. Date Date Sales Cost or Description of sale Acquired Sold Price Basis BUSINESS INCOME or FARM INCOME HOME OFFICE Please provide details of income and expenses. (PLEASE NOTE: This deduction is NO LONGER We have worksheets tailored to certain professions. AVAILABLE if you are an EMPLOYEE) If you need assistance, let us know. To take the home office deduction please complete: RENTAL INCOME What is the business purpose of the home office? Please provide details of income and expenses. We have a rental income worksheet available on our Who uses the office? website or call the office. Square footage of the office area If you need assistance, let us know. Total square feet of the entire home The following expenses are applicable: rent, utilities, repairs and maintenance, Rent paid Utilities Please provide ALL K-1 FORMS and 1099 FORMS Repairs & Maintenance Pest Control Other 6

7 ITEMIZED DEDUCTIONS CHECKLIST (PAID THIS YEAR) MEDICAL EXPENSES TAXES PAID Prescription drugs State income tax (not on W-2) Doctors Local income tax (not on W-2) Doctors Sales tax paid (if more than state income Chiropractors tax paid) Dentist Sales tax on car, boat, RV, mobile home Hospital or prefab home (attach receipts) Medical, dental, vision insurance Not Real estate taxes paid by employer ( exclude Medicare ) Personal property tax Medical Insurance Auto license Dental Insurance Auto license Vision Insurance Boat Long-term care insurance Taxpayer Other vehicle license Long-term care insurance Spouse Foreign taxes Medical lodging(# of days $50/day) Other Lab & X-rays Other Weight loss programs (if prescribed) Other Therapy (as medical treatment) Glasses & contacts Hearing aids & battery INTEREST Ambulance Home mortgage interest - 1st Medical supplies Home mortgage interest - 2nd Medical parking Home equity loan Medical mileage in miles Interest on land Other Investment interest expense Other Points on loan to refinance Other Points on purchase of residence Other Total months of loan Other Number of months paid during year Student loan interest Less: Insurance reimbursements Other (if not deducted from totals above) Other RECORD OF QUARTERLY ESTIMATED TAX PAYMENTS MADE - THIS TAX YEAR ONLY NOTE: The fourth estimated payment due January 2019 counts in the 2018 year so please include FEDERAL ARIZONA DATE AMOUNT DATE AMOUNT 7

8 ITEMIZED DEDUCTIONS CHECKLIST (PAID THIS YEAR), Continued. CONTRIBUTIONS ADJUSTMENTS TO INCOME: Paid by check, credit card or have documented Amounts paid by educators for classroom statement: expenses Church Self Employment Health Insurance United Way Alimony payments made Red Cross Date of Divorce / / Other IRA payments Other SEP payments Other Other Other Other Charity mileage - miles Donated ITEMS (non-monetary): CHILD CARE (Note: If each spouse works, include If total of all non-cash items is over $500, summer day camps but not overnight camps.) please provide documentation (1) Name of provider Goodwill Address Salvation Army Stepping Stones Tax ID # Other Total Amount paid $ Other Other (2) Name of provider Address Tax ID # Total Amount paid $ Other Information You Feel May Assist Us In Preparing Your Return: 8