2018 Client Tax Organizer

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1 PRIVACY POLICY: We collect nonpublic information about you from the following sources: 1) Information we received from you on applications, tax organizers, worksheets and other forms, 2) Information about your transactions with us, our affiliates or others and 3) Information we receive from a consumer reporting agency. We do not disclose any nonpublic personal information about our customers to anyone, except as required by law. We restrict access to nonpublic information about you to those members of our firm who need to know that information in order to provide services to you. We maintain physical, electronic and procedural safeguards that comply with federal regulations to guard your nonpublic personal information. Personal Information TAXPAYER SPOUSE First Name & Initial Last Name Social Security number Date of Birth Occupation address Cell phone Other phone Street Address City/State/Zip PA Local Resident Code PA School District Code Legally Blind Identity PIN issued by IRS for identity theft (only if applicable) 2018 Client Tax Organizer Tax Documents received without an organizer will be held until the organizer is received Tax returns completed by O Donnell and Company, Inc. will NOT be released to client if full payment for preparation is not received. Electronic signature forms will not be accepted for transmission to tax authorities until full payment is received. Please be prepared to pay for your tax return preparation fee at the time of completion. We accept cash, check, debit, PayPal or credit card (Visa, MasterCard, Discover and American Express). Dependents Children 18 or younger that lived with you or a child that was age and attended school full-time. If the child graduated from high school or college during 2018 are considered a full-time student. Are you a non-custodial parent claiming an exemption(s) for your child(ren) because the custodial parent released the exemption to you? If yes, supply Form 8332 signed by the custodial parent (a divorce decree is no substitute). If your child is claiming an exemption on his or her tax return do not include that child as your dependent. Only one taxpayer can claim the exemption. Name Full time student Date of Birth Social Security Number School year Do you have health insurance for this child Dependent s gross income

2 Other Dependents Other household members you want to claim as a dependent (test requirement must be met) Name Date of Birth Relationship 2018 Gross Income Social Security Number # of Months resided in your home % of support received from you Education Expenses (attach forms 1098-T and/or 1098-Q if applicable) Student s Name Felony Education Name of Type of Conviction Purpose Institution Expense (degree (tuition, seeking, job fees, books, seeking) other) Amount Paid Paid by Whom? Student s Year of College Did you contribute to a Maryland Prepaid College 529 Plan? If yes, please provide statement showing contribution amounts. Non-account holders may be eligible to deduct contributions to 529 Plans Student Loan Interest (attach forms 1098-E) Lender s Name Borrower Interest Paid Day Care Expenses paid for a dependent child under age 13, or costs of caring for a handicapped individual, so you could work, attend school or look for a job. Provide #1 Provider #2 Providers Name Providers Street Address Providers City, Zip EIN/Social Security Amount Paid Is Childcare deducted from your pay? Child cared for Child cared for Federal Estimated Tax Deposits 1 st Quarter 2 nd Quarter 3 rd Quarter 4 th Quarter Date Paid Amount Check # State of Estimated Tax Deposits Date Paid Amount Check # 1 st Quarter 2 nd Quarter 3 rd Quarter 4 th Quarter

3 Electronic Filing: A bank account is NOT required for electronic filing. If you do not provide banking information a check will be mailed to you if you are entitled to a refund. If you have a balance due you can still file your return electronically but would need to pay by check and voucher. Would you like to electronically file your return? Would you like to have your refund directly deposited into your bank account? Direct Deposit of Refunds - Electronic Filing is not available for foreign bank accounts Name of Bank Checking/Savings Routing Number Account Number Percent of Refund Would you like to have your balance due directly withdrawn from your bank account? Tax Due Direct Withdrawal - Electronic Filing is not available for foreign bank accounts Name of Bank Checking/Savings Routing Number Account Number Federal/State IMPORTANT NOTE: it is your responsibility to verify that any tax payment was issued to the taxing authority by the due date. We are unable to verify any activity in your bank account. You must check with your bank regarding all withdrawals or deposits into your account. Due to the large amount of fraudulent activities and identity thief, we are unable to contact the IRS or any state authority on your behalf without a Power of Attorney being on file with them. If there is a change to originally filed tax returns resulting from incorrect or missing information from this organizer and/or forms provided, there will be an additional charge to correct and/or amend the tax filings. Beginning 2018, the standard deduction amounts are significantly increased so many taxpayers that itemized deductions in prior years may not beginning in Filing Status Standard Deduction Additional deduction for blind and/or over 65 Married filing Jointly or Qualifying Widow(er) $24,000 $1,300 Single $12,000 $1,600 Head of Household $18,000 $1,600 Married Filing Separate $12,000 $1,300

4 Please answer Yes or No 1. Did you contribute (or do you plan to before April 15, 2019) to an IRA or Roth IRA for 2018? If yes, please provide details with your tax documents. 2. Did you have a retirement plan withdrawal, rollover or lump-sum distribution in 2018? If yes please provide Forms 1099-R 3. If either you or your spouse attained age 70 ½ during the tax year, are you taking required minimum retirement plan distributions? Please provide Form 1099-R 4. Did you convert a traditional IRA or roll a qualified plan distribution to a Roth IRA in 2018? If yes, please provide information with your tax documents. 5. Did you sell stocks, securities, real estate or other property in 2018? If yes, please provide all Forms 1099-B and 1099-S. Also provide (1) description of property, (2) date of purchase, (3) date of sale, (4) purchase price, (5) selling price, (6) expenses of sale, (7) improvements or other cost/basis additions and (8) settlement/closing statements for purchase and sale. 6. Were any stock options granted to you by your employer, or did you exercise any stock options in 2017? If yes, provide details. 7. Do you own any securities or hold any debts that became worthless during the year? If yes, please enclose details. 8. Have you had any debts cancelled or reduced (including credit cards), property repossessed or foreclosed upon, or have you filed bankruptcy? If yes, provide details. 9. Did you pay or receive alimony during 2018? Do not include child support 10. Did you receive any tips during the year and were they reported to your employer? 11. Did you pay any individual $2,100 or more to perform household services during the year, such as babysitting, cleaning, cooking or gardening? 12. Did you have any out-of-pocket expenses associated with your self employed job? Provide amounts and details. (Deduction no longer available for W-2 employees) 13. Do you have any income from a foreign investment, such as interest from a foreign bank account or pay any foreign taxes? If yes, provide details. 14. Do you have any charitable contributions? For non-cash contributions you must provide a detailed listing with the fair market dollar amount. Please do not supply us with blank slips such as Goodwill. These slips will be reported with a $0 value. Cash contributions must be substantiated by bank record (such as cancelled check) or written receipt from the organization. 15. Did you make any energy-efficient improvements to your principal residence during the year, such as solar electricity, fuel cells, solar water heating, geothermal heat pump, small wind energy property, storm windows/doors, insulation, water heater or heating and air conditioning unit? If yes, please provide details. 16. Did you have any expenses related to adopting a child? If yes, please provide details.

5 Please answer Yes or No 17. Did you (or plan to before April 15, 2019) contribute to your health savings account (HSA)? If yes, please provide information in with your tax documents. Do not list employer contributions or amounts you elected to contribute under a cafeteria plan. 18. Did you own any other foreign financial assets (such as stock in a foreign corporation or an interest in a foreign partnership) that are not held in a financial account? 19. Did you receive a distribution from, or were you the grantor of, or a transferor to, a foreign trust? 20. Did you receive any distributions from your health saving account (HSA)? If yes, please provide Form 1099 SA. If you have any unreimbursed qualified medical expenses please include with your tax documents. 21. Do you have financial accounts maintained by a foreign (non-us) bank or financial institution that totaled more than $50,000 on the last day of the year or more than $75,000 at any time during the year ($100,000 and $150,000, respectively, if married filing a joint return)? If yes you are required to file Form Please provide details 22. Did you have a financial interest in, or signature authority over, a financial account (such as a bank or securities account) located in a foreign country at any time during 2018? A financial account is located in a foreign country and is physically located outside the U.S., including an account maintained with a branch in of a U.S. bank that is physically located outside the U.S. If yes, did the aggregate value of all accounts located in a foreign country (other than accounts maintained on a U.S. military installation) exceed $10,000 at any time during the year? 23. Did you make gifts totaling more than $15,000 to any individual during the year? If so, provide recipient s name, address, relationship to you and the amount of the gift on a separate sheet and submit with your tax documents 24. For the entire year, did you, your spouse and your dependents have health care coverage provided by either an employer or the government (Medicare, Medicaid or VA) or purchase on your own directly through an insurance company? 25. Did you purchase health insurance through the Health Insurance Marketplace (Federal or State Exchange)? You must include form 1095A. Please review the 1095A and verify that it is accurate and agrees with your records. This form is required. Your tax return will not be completed without it. 26. Did you refinance your home mortgage during 2018? Please provide settlement papers. 27. Are you making payments on a recreational vehicle or boat that has basic living accommodations? If so, the interest charged may be deductible. Please include information with your tax documents. 28. Were there any changes to federal or state returns filed in prior years? Promptly provide us a copy of any notice you receive. 29. Are you interested in a free consult with a financial advisor or obtaining financial advice for your investment accounts? 30. Are you interested in an informal introduction to a financial firm by attending a customer appreciation event scheduled in May?

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