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Individual 2017 Tax Organizer We are moving!!! Note our new address Effective February 1, 2018 14300 Cherry Lane Court Suite 111 Laurel, MD 20707 Office: 301.244.0288 Fax: 240.668.3668 Email: Virginia@sankofafinancial.net

INDIVIDUAL TAX ORGANIZER Enclosed is an organizer that I provide to tax clients to assist in gathering the information needed to prepare your current year tax returns. Your individual income tax returns are due on April 17, 2018. Tax returns are prepared in the order received. I will not start working on your return until all information required has been received. In order to guarantee the timely filing of your return, tax organizers and supporting documents must be received no later than March 31, 2018. If your tax organizer and/or documents are received after March 31st, you will be required to pay an expedite fee of 50.00 to ensure timely completion or we will request an extension on your behalf for $35.00 If an extension of time to file your tax return is required, any tax that may be due must be paid with the extension by April 17, 2018. Amounts not paid by the filing deadline may be subject to late payment penalties and interest. The work performed in connection with the preparation of your federal and state income tax returns is intended to be in compliance with the requirements issued by the various taxing authorities. Because tax laws are not always clear, honest differences of opinions may arise between our interpretation of laws and that of the various taxing authorities. We will assist you in resolving these differences in your favor whenever possible. All tax returns are subject to review and acceptance by the various taxing authorities. In the event of an examination or other taxing authority contact, Sankofa Financial Group, LLC can assist you with responding to the notice or represent your position before the taxing authority. However, there is an additional fee for this service that is not included in your tax preparation fees. Please review all completed tax returns carefully. As a tax preparer, I have a responsibility to both the various taxing authorities with whom we file tax returns as well as to my clients. Clients will remain liable for the contents of tax returns prepared by Sankofa Financial Group, LLC with data provided by that client. All tax return preparation fees must be paid before the full tax return will be released to clients and/or electronically filed. Tax returns will be electronically filed only after payment and the signed e-file authorization forms are received. 2 P age

BELOW IS A LIST OF ITEMS YOU WILL NEED TO COMPLETE YOUR ORGANIZER: Name, social security numbers and date of birth for dependents W-2s 1099-R for retirement and pension payments K-1s 1099-SSA received from Social Security Administration 1099-MISC Unemployment information 1099-DIV for dividends received during the year 1099-INT for interest received during the year 1099-G for gambling winnings and any gambling losses State income tax refunds 1099-B for sales of stock need cost basis and sales proceeds 1098-T for tuition and other qualified expense including fees, books and supplies 1098-E for interest paid on student loans 1099-C or 1099-A for cancellation of debt Health Insurance Form 1095-A (from health insurance exchange) or 1095-B/C (from employer) Child and dependent care expenses name, tax ID number and address of provider and amount paid Records of income and expenses for your business and mileage log Rental property income and expenses, HUD-1 statement if purchase during the tax year Out of pocket medical expenses, health insurance premiums paid, and medical mileage 1098 for interest paid Real estate taxes paid during the year Sale or refinance of property information including HUD-1 statement Cash and non-cash contributions made to charities Alimony received or paid, name of person paid to and their social security number Amounts paid for miscellaneous employee expenses (dues, uniforms, continuing education, unreimbursed mileage) Medical savings account contributions and disbursements Education savings account contributions and disbursements IRA or other retirement account contributions Copy of your previous year tax return if not prepared by Sankofa Financial Group 3 P age

Last Name First Name, Middle Initial Social Security # Occupation Home Phone Work or cell phone Birth Date Email Street Address City, State, Zip Code Single Married Filing Jointly Married Filing Separately PERSONAL INFORMATION FILING STATUS Head of Household Qualifying Widow(er) HEALTH INSURANCE COVERAGE Did you have health insurance in 2017? YES NO How many months did you have health insurance during the year? Did your dependents have health insurance in 2017? YES NO How many months did your dependents have health insurance? Did you receive a health insurance subsidy/credit? YES NO Did you receive a form 1095-A, 1095-B, or 1095-C? YES NO First Name Middle Initial DEPENDENT INFORMATION Last Name SSN# Birth Date Education Expenses DEPENDENT CARE EXPENSES Name Address Tax ID Number Amount Paid 4 P age

INCOME WAGES, SALARIES AND OTHER INCOME List the following: W-2s, 1099-Rs, 1099-SSA, 1099-MISC, 1099-G, K-1s, W2-Gs Alimony State Income Tax Refunds Scholarships Tips Gambling Winnings Jury Duty Pay Unemployment Income SOURCES OF OTHER INCOME INTEREST/DIVIDEND INCOME Payer Interest received Total Dividend Qualified Dividend Capital Gains SALES OF STOCKS AND SECURITIES Description Date Purchased Date Sold Sales Proceeds Cost Basis 5 P age

Educator Expenses Health Savings Account Deduction Moving Expenses SEP, SIMPLE & Qualified Plan Contributions Self Employed Health Insurance IRA Deduction Student Loan Interest Tuition and Fees ADJUSTMENTS TO INCOME MOVING EXPENSES Date of Move: Miles from Old Home to New Work Place: Miles from Old Home to New Work Place: Transportation Storage Travel Lodging Miles Driven Amount ESTIMATED TAX PAYMENTS Quarter 1 Quarter 2 Quarter 3 Quarter 4 Paid with Extension FEDERAL STATE Date Amount Date Amount Bank Name Routing Number Account Number BANKING INFORMATION FOR DIRECT DEPOSIT OF REFUNDS 6 P age

ITEMIZED DEDUCTIONS MEDICAL AND DENTAL EXPENSES Prescriptions Health Insurance Premium Long Term Care Insurance Premium Doctors, Dentists, Hospital Eyeglasses Medial Miles Other Medical Real estate taxes on main home Taxes on additional real estate or homes Personal property and other taxes TAXES PRINCIPAL HOME MORTGAGE INTEREST and POINTS Loan Company Amount Paid CASH AND NON-CASH CONTRIBUTIONS Name of Organization Amount Tax Prep Fees Safe Deposit Box Fee Investment Fees Gambling Losses MISCELLANEOUS DEDUCTIONS UNREIMBURSED EMPLOYEE EXPENSES (W-2 INCOME ONLY) Education Expenses Telephone Books and Magazines Travel/Mileage Uniforms Union and Professional Dues 7 P age

BUSINESS INCOME & EXPENSES (If more than one business, use complete a separate worksheet for each business) Check Ownership: Joint Business Name: Business Address: Principal Business: Federal employer ID Number: Maryland Department ID Number: Gross Receipts Income reported on 1099s Returns and Allowances COST OF GOODS SOLD (INVENTORY ONLY) Inventory at beginning of year Purchases: Less personal items Labor Costs Materials and Supplies Other Costs Inventory at end of year EXPENSES Advertising Car & truck expense Complete Vehicle Worksheet Commissions and Fees Contract help Insurance Interest Legal and professional fees Office expenses Rent Repairs and maintenance Supplies Taxes and licenses Travel Meals and entertainment Telephone Utilities Wages OTHER EXPENSES: A) B) C) D) BUSINESS ASSETS PURCHASED DURING THE YEAR Description Date Cost 8 P age

VEHICLE WORKSHEET GENERAL INFORMATION Vehicle 1 Vehicle 2 Odometer reading 1/1/15 Odometer reading 12/31/15 Description of vehicle Date placed in service Total miles driven for the year Total business miles Total commuting miles Gas/Fuel Oil Changes Repairs and Maintenance Insurance Interest License and Registration Vehicle Lease Tolls and Parking ACTUAL EXPENSES: Vehicle 1 Vehicle 2 Is another vehicle available for personal use? YES NO Do you written evidence to support the mileage? YES NO HOME OFFICE EXPENSE Square footage of area used for home business: Total square footage of home: Mortgage Interest Real Estate Taxes Insurance Repairs and Maintenance Electricity Water/Sewer Gas Rent HOA fees Security monitoring A) B) C) OTHER EXPENSES: Direct Indirect 9 P age

RENTAL INCOME DESCRIPTION & ADDRESS OF PROPERTY PROPERTY 1: PROPERTY 2: PROPERTY 3: PROPERTY 1 PROPERTY 2 PROPERTY 3 Date Available for Rent Rental Income Advertising Automobile expenses (complete vehicle worksheet) Travel Cleaning and maintenance Commissions Insurance Legal and professional Management fees Mortgage interest Other interest Repairs and maintenance Supplies Real estate taxes Utilities A) B) C) D) E) OTHER EXPENSES: FIXED ASSET PURCHASES AND BUILDING IMPROVEMENTS Description Date Cost 10 P age