Tax Organizer For 2017 Income Tax Return

Transcription

1 Tax Organizer For 2017 Income Tax Return Prepared For:,,, Prepared By: Strategic Tax & Accounting LLC 3650 Canton Road Marietta, GA This Tax Organizer can be used to help identify information needed to prepare your 2017 income tax return. Enter your 2017 tax information and if additional space is required, enclose a separate sheet with the details. If available, your prior year information has been included for reference. Please return this Tax Organizer along with all Forms W-2, 1099, and any other relevant information that will assist in the accurate preparation of your 2017 income tax return. If you have any questions, please feel free to contact me at (678)

2 1. PERSONAL INFORMATION PERSONAL INFORMATION ORGANIZER Please complete this Organizer before your appointment. Name SSN or ITIN Date of Birth Date of Death Occupation Blind Disabled Taxpayer,, Spouse Street Address Apt. City or town State Zip Code County Foreign country Foreign province/state Foreign postal code Address(es) Home Phone Mobile Phone 2. FILING STATUS X Single Married Filing Joint Married Filing Separate Head of Household Qualifying Widow(er) Check if parent (or someone else) can claim you as a dependent on their return. Check if you lived apart from your spouse for all of Year spouse died: 3. DEPENDENTS Name Relationship Date of Birth SSN or ITIN Months Lived With You Disabled Full Time Dependent's Child Care Student Gross Income Expenses Paid 4. REFUND INFORMATION 1. Would you like to have any refunds directly deposited into your bank account? Bank Account Ownership Type Bank name Routing number Account number Taxpayer Spouse Joint Checking Savings Bank Account Ownership Type Bank name Routing number Account number Taxpayer Spouse Joint Checking Savings Account outside the jurisdiction of the United States? Account outside the jurisdiction of the United States? 5. IDENTIFICATION INFORMATION Taxpayer Type of ID: ID number Location of issuance Issue date Expiration date Driver's license ID State-issued ID Spouse Type of ID: ID number Location of issuance Issue date Expiration date Driver's license ID State-issued ID

3 PERSONAL INFORMATION ORGANIZER Please complete this Organizer before your appointment.,, 6. HEALTH CARE INFORMATION 1. Does everyone in your tax household have qualified health insurance for all 12 months of 2017? Tax household - Includes the taxpayer, spouse (if filing joint), and any individuals claimed as a dependent on your return. It also generally includes each individual you can, but do not claim as a dependent on your return. 1a. If above, please check which months your tax household had qualified health insurance in NAME ALL JAN FEB MAR APR MAY JUNE JULY AUG SEPT OCT NOV DEC Taxpayer:, Spouse: 2. Please indicate where you received your health insurance from for all members of your tax household. Employer Government-Sponsored Marketplace Private Exchange (Individual Insurance Company) 3. Do you qualify for any exemptions from the individual shared responsibility payment (penalty)? a. If above, have you filed for any exemptions through the government-sponsored marketplace? b. Indicate below who qualifies for an exemption from the health care mandate and for which months. NAME ALL JAN FEB MAR APR MAY JUNE JULY AUG SEPT OCT NOV DEC Taxpayer:, Spouse: 7. MISCELLANEOUS PERSONAL INFORMATION QUESTIONS 1. Check the applicable boxes if you wish to contribute $3 to the Presidential Election campaign fund. Taxpayer Spouse 2. Were you a victim of identity theft and have you been contacted by the IRS? If, please furnish the 6-digit PIN issued to you by the IRS Were you (or your spouse if filing jointly) a nonresident alien for any part of 2017? Have you received any notices or correspondences from the IRS or state in the past 3 tax years? Do you have any children age 18 or under (or student under age 24) who had unearned income of more than $2,100? If any of your children are required to file a return, do you elect to report your child's interest and dividends on your return? Did you give a gift of more than $14,000 to one or more people? COMMENTS

4 INCOME ORGANIZER Please complete this Organizer before your appointment. Business, Farm and Rental and Royalty Income or Loss Organizers are on separate pages. 1. WAGE AND SALARY INFORMATION Attach W-2s: Employer Name Taxpayer Spouse 4. SCHEDULE K-1 INCOME (1065, 1120-S AND 1041) Attach K-1s: Payer Name Taxpayer Spouse Unreported tip income received: INTEREST AND DIVIDEND INCOME Attach 1099-INT, 1099-DIV or other statements Payer Name Taxpayer Spouse 5. CAPITAL GAINS AND LOSSES Attach 1099-Bs: Payer Name Taxpayer Spouse 3. RETIREMENT DISTRIBUTIONS Attach 1099-R & 5498 Roth Payer Name IRA IRA Taxpayer Spouse 6. OTHER INCOME Description State income tax refund Alimony received Unemployment compensation Gambling winnings Jury pay Hobby income Scholarships (grants) NOL Carryforward Child support Amount Attach SSA 1099 or RRB 1099 Did you receive social security benefits?.... Did you receive railroad retirement benefits?.. 7. MISCELLANEOUS INCOME QUESTIONS 1. Did you sell your home? Did you earn any foreign income or pay any foreign taxes? Do you have a health savings account (HSA), Archer MSA or Medicare Advantage (MA) MSA? Did you have a financial account in a foreign country (i.e. bank account, securities account, etc.)? If, did the aggregate value of all financial accounts exceed $10,000 at any time during 2017? Did you have any debt forgiven (i.e. student loans, home mortgage, etc.)?

5 BUSINESS INCOME AND EXPENSES (Schedule C),, Indicate the owner of this business: Taxpayer Spouse Joint Business Name: Business product or service: Business Address: City, State, and Zip Code: Did you start or acquire this business during 2017? Accounting Method: Cash Accrual (describe) Method used to value inventory: Cost Lower of cost or market (describe) Income and Cost of Goods Sold Gross receipts or sales Returns and allowances income (enclose description) Inventory at beginning of year Purchases less cost of items withdrawn for personal use Cost of labor Materials and supplies costs Inventory at end of year Expenses Advertising Commissions and fees.... Contract labor Depletion Employee benefits Insurance (other than health) Mortgage interest interest Legal and professional fees. Office expenses Pension and profit sharing.. Rent - Vehicle, machinery.. Rent Repairs and maintenance.. Supplies Taxes and licenses..... Travel Meals and entertainment.. Utilities Wages : Vehicle Information Vehicle description Date placed in service Cost or basis Business miles Commuting miles miles Actual expenses such as gas, oil, repairs, etc Parking fees and tolls Sales, Purchases, and Disposition of Assets in 2017 (New clients, enclose detailed listing of all depreciable assets.) Asset description Date acquired Purchase price Date sold Sales Price Business Use of Home Area used exclusively for business Total area of home Was the home used as a day care facility? Date home placed in service Casualty losses Insurance Rent Mortgage interest Real estate taxes paid Repairs and maintenance Utilities and other expenses FMV of home Value of land Carryover of unallowed expenses to 2017 (if yes, enter amount)

6 PROFIT OR LOSS FROM FARMING (Schedule F) Indicate the owner of this farm: Taxpayer Spouse Joint Principal product Accounting Method: Cash Accrual Did you materially participate in the operation of this farm during 2017? Income Sales of livestock and other items bought for resale Cost of livestock and other items bought for resale Sales of livestock, produce, grains, and other products you raised Cooperative distributions Agricultural program payments Commodity Credit Corporation (CCC) loans reported under election Commodity Credit Corporation (CCC) loans forfeited Crop insurance proceeds and disaster payments received in Custom hire income Inventory of livestock, produce, etc. at beginning of year (accrual method only). Cost of livestock, produce, etc. purchased during year (accrual method only)... Inventory of livestock, produce, etc. at end of year (accrual method only)..... Expenses Chemicals Conservation Custom hire Employee benefits Feed purchased Fertilizers and lime Freight and trucking..... Gasoline, fuel, and oil.... Insurance Mortgage interest interest Labor hired Pension and profit-sharing.. Vehicles and machinery rent rentals Repairs and maintenance.. Seeds and plants purchased Storage and warehousing. Supplies purchased..... Taxes Utilities Veterinary and breeding.. Vehicle Information Vehicle description Date placed in service Cost or basis Business miles Commuting miles miles Actual expenses such as gas, oil, repairs, etc Parking fees and tolls Sales, Purchases, and Disposition of Assets in 2017 (New clients, enclose detailed listing of all depreciable assets.) Asset description Date acquired Purchase price Date sold Sales price

7 RENTAL AND ROYALTY INCOME AND EXPENSES (Schedule E, pg 1) Indicate the owner of this property: Taxpayer Spouse Joint Description of property Location of property Did you or your family use this property during the tax year for personal purposes for more than the greater of: (a) 14 days, or (b) 10% of the total days rented at fair market value? Did you meet the Active Participation requirements for this property? (To meet these requirements, you must have participated in making management decisions or arranged for others to provide services in a significant and bona fide sense. Such management decisions include approving new tenants, deciding on rental terms, approving repair expenditures, or other similar decisions) Was this property fully disposed of during 2017? Income Rents received Royalties received Expenses Advertising Cleaning and maintenance Commissions Insurance Legal and other professional fees Management fees Mortgage interest paid to banks interest Repairs Supplies Taxes Utilities Amount 2016 Amount Amortization Section 481(a) adjustment Vehicle Information Vehicle description Date placed in service Cost or basis Business miles Commuting miles miles Actual expenses such as gas, oil, repairs, etc Parking fees and tolls Travel expenses Sales, Purchases, and Disposition of Assets in 2017 (New clients, enclose detailed listing of all depreciable assets.) Asset description Date acquired Purchase price Date sold Sales price

8 FARM RENTAL INCOME AND EXPENSES (Form 4835) Indicate the owner of this farm rental: Taxpayer Spouse Joint Property description: Did you actively participate in the operation of this farm rental during 2017? Income Income from the production of livestock, produce, grains, and other crops Total cooperative distributions Agricultural program payments Commodity Credit Corporation (CCC) loans reported under election Commodity Credit Corporation (CCC) loans forfeited Crop insurance proceeds and federal crop disaster payments received in income Expenses Chemicals Conservation Custom hire Employee benefits Feed purchased Fertilizers and lime Freight and trucking Gasoline, fuel, and oil..... Insurance Mortgage interest interest Labor hired Pension and profit-sharing.. Vehicles and machinery rent rentals Repairs and maintenance.. Seeds and plants purchased Storage and warehousing. Supplies purchased..... Taxes Utilities Veterinary and breeding.. Amortization A Preproductive exp... Sec. 481(a) exp Vehicle Information Vehicle description Date placed in service Cost or basis Business miles Commuting miles miles Actual expenses such as gas, oil, repairs, etc Parking fees and tolls Sales, Purchases, and Disposition of Assets in 2017 (New clients, enclose detailed listing of all depreciable assets.) Asset description Date acquired Purchase price Date sold Sales price

9 1. EDUCATION DEDUCTIONS ORGANIZER Please complete this Organizer before your appointment. Itemized Deduction Organizers are on separate pages. Attach 1098-Ts, 1098-E's and 1099-Q's: Student Loan Student Name Educational Institution Fr So Jr Sr Oth Tuition & Fees Interest Paid Books, Supplies & Equipment 529 Plan 2. JOB-RELATED MOVING EXPENSES 4. OTHER DEDUCTIONS Description Lodging Gas and Oil Mileage Miles from old home to your new workplace Miles from old home to old workplace IRA CONTRIBUTIONS Description Contributions to a Traditional IRA..... Contributions to a ROTH IRA Amount Amount Description Educator expenses Alimony paid Rec. SSN: Health Savings Account contributions... Archer Medical Savings Account contributions Jury duty repayment to employer.... Foreign qualified housing expenses.... Contributions to College 529 Savings Plan Amount 5. MISCELLANEOUS DEDUCTION QUESTIONS 1. Did you purchase an item(s) during 2017 for which you paid a large amount of sales tax? Did you refinance a mortgage during 2017?

10 ITEMIZED DEDUCTIONS Medical and Dental Expenses (not including reimbursements) Medical/dental care insurance premiums (other than self-employed) Medicare B and D premiums from SSA-1099 and RRB-1099-R Qualified long-term care premiums Doctor, dentist, and hospital fees Prescription medicines and drugs Medical aids such as eyeglasses, contact lenses, and hearing aids Total transportation expenses medical and dental expenses Amount Amount Taxes Paid State and local income taxes paid (other than withholdings and estimates)... Actual state and local general sales taxes paid Real estate taxes Personal state/local property taxes (list type of tax paid) Amount Amount Interest Paid Home mortgage interest paid to financial institution (enclose Form 1098 or statement). Home mortgage interest paid to individual Individual's name Individual's address Individual's ID number Qualified mortgage insurance premiums (VA, FHA, RHS, or private) Investment interest expense Amount Amount Gifts to Charity Contributions of cash or check Name of charity (If additional lines are needed, attach similar statement) Date given 2017 Amount ncash contributions Name and address of charity Date given FMV

11 ITEMIZED DEDUCTIONS (continued) Casualty and Theft Losses (for property damaged by storm, water, fire, accident, or theft) Enclose supporting documentation of what is written here, i.e. insurance reimbursement, receipts for cost of repairs. (If additional losses were incurred, please attach a separate sheet of paper with these details.) Location of property: Residential property Description of property: Business property Date of loss: Federal Disaster Amount of damage Insurance reimbursement Federal monies received Cost basis of property FMV of property before loss FMV of property after loss Repair Costs Unreimbursed Employee Business Expenses (if any depreciable assets were sold (including the vehicle), please see worksheet below) Dues (related to job) Subscriptions related to your work Licenses and regulatory fees Tools and supplies used in your work Work clothes, uniforms if required Medical exams required by your employer Work related education (books, tuition) Legal fees related to your job Job search expenses (current occupation) *In home office: Total square footage Office square footage Office square footage Rent Insurance Utilities Repairs/Maintance T = Taxpayer S = Spouse Vehicle Information Vehicle description Date placed in service Cost or basis Miles of vehicle Business miles Commuting miles miles Expenses Actual expenses (gas, oil, repairs, etc) Parking fees and tolls Travel expenses *Questions relating to mortage interest, taxes, and casualty losses were asked previously Sales, Purchases, and Disposition of Assets in 2017 (New clients, enclose detailed listing of all depreciable assets.) T S T or S Asset description Date acquired Purchase price Date sold Sales price Investment Related Expenses Tax preparation fees Safe deposit box Custodial, trust admin fees Fees to collect interest and dividends Tax advice not related to investment income Legal fees related to producing taxable income Misc. Deductions Gambling losses Estate tax deduction (in respect of a decedent) Portfolio from Schedule K-1 Unrecovered investment in a pension Amortizable premium on taxable bonds Disabled persons work expenses

12 1. CHILD CARE CREDIT CREDITS AND PAYMENTS ORGANIZER Please complete this Organizer before your appointment. Attach Daycare Provider Statement(s): Care Provider Name Address Tax-Exempt Telephone Number Identification Number Amount Paid 2. RESIDENTIAL ENERGY CREDIT Description Solar electric property Solar water heating Small wind energy Geothermal heat pump Fuel cell property Insulation material Exterior doors Amount Description Metal or asphalt roof Exterior windows and skylights Electric heat pump or central air conditioner Natural gas, propane or oil water heater... Biomass fuel stove Natural gas, propane or oil furnace..... Advanced main air circulating fan..... Amount 1. Were the qualified improvements for your main home in the United States? Were any of the improvements related to the construction of this main home? MISCELLANEOUS CREDIT QUESTIONS 1. Did you pay any expenses related to the adoption of an eligible child? Are you currently repaying the First-Time Homebuyer Credit? Do you (and your spouse) have a social security number that allows you to work and is valid? Were you issued a Mortgage Credit Certificate (MCC) by a state or local governmental unit or agency? ESTIMATED TAX PAYMENTS Federal estimated payments Applied from 2016 federal refund st quarter payment nd quarter payment rd quarter payment th quarter payment Date Paid Amount Paid State estimated payments State Name: Applied from 2016 state refund st quarter payment nd quarter payment rd quarter payment th quarter payment Date Paid Amount Paid Local estimated payments Locality Name: Applied from 2016 local refund st quarter payment nd quarter payment rd quarter payment th quarter payment Date Paid Amount Paid