FARMER & COMPANY

TAX ORGANIZER

Please feel free to print out this organizer and use it to gather your tax records. This form is designed to help you organize your tax information (and make sure you don’t miss any important deductions). Whether you prepare your own tax return or use the services of a CPA firm, we hope that you will find this organizer useful and informative! If you find this helpful, please tell a friend. ---- Joe Farmer, CPA, MST

PERSONAL INFORMATION

 

TAXPAYER

SPOUSE

First Name & Initial

 

 

Last Name

 

 

Social Security Number

 

 

Occupation

 

 

Date of Birth

 

 

Home Telephone

 

 

Work Telephone

 

 

Email Address

 

 

Street Address

 

City, State Zip

 

FILING STATUS: (Circle One)

SINGLE		MARRIED	MARRIED FILING SEPARATE	HEAD OF HOUSEHOLD

DEPENDENTS (Add additional dependents as necessary)

 

DEPENDENT #1

DEPENDENT #2

First Name & Initial

 

 

Last Name

 

 

Social Security Number

 

 

Date of Birth

 

 

Months Lived at Home

INCOME

SALARIES AND WAGES (ATTACH W-2’S)

 

TAXPAYER

SPOUSE

Employer’s Name

 

 

Gross Wages

 

 

Federal Income Tax Withheld

 

 

FICA Withheld

 

 

Medicare Withheld

 

 

State Tax Withheld

 

 

TID Withheld

 

 

Other

 

 

INTEREST INCOME (ATTACH 1099-INT’S)

SOURCE

AMOUNT

 

 

 

 

 

 

DIVIDEND INCOME (ATTACH 1099-DIV’S)

SOURCE

AMOUNT

 

 

 

 

 

 

STATE TAX REFUND (ATTACH 1099-G’S)

SOURCE

AMOUNT

 

 

 

 

	Did you itemize your deductions in prior years?

BUSINESS INCOME (CONTACT FARMER & CO FOR BUSINESS INCOME ORGANIZER)

CAPITAL GAINS AND LOSSES (ATTACH 1099-B’S AND BASIS DETAIL)

DESCRIPTION

PURCH DATE

SALE DATE

PROCEEDS

BASIS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IRA & PENSION DISTRIBUTIONS (ATTACH 1099-R’S)

SOURCE

ROLLOVER ?

DISTRIBUTION

TAXABLE AMOUNT

 

 

 

 

 

 

 

 

 

 

 

 

RENTAL INCOME (CONTACT FARMER & CO FOR RENTAL INCOME ORGANIZER)

INCOME FROM PASS-THOUGH ENTITIES (ATTACH SCHEDULE K-1’S)

SOURCE

ACTIVE ?

AMOUNT

 

 

 

 

 

 

 

 

 

 

OTHER INCOME

 

AMOUNT

ALIMONY INCOME

 

- If applicable, need payor’s name and social security number

 

UNEMPLOYMENT RECEIVED (ATTACH 1099-G)

 

SOCIAL SECURITY RECEIVED (ATTACH 1099-SSA)

 

SOCIAL SECURITY RECEIVED (ATTACH 1099-SSA)

 

MISCELLANEOUS INCOME

 

- If applicable, enter description and amount

 

 

ADJUSTMENTS TO INCOME

 

TAXPAYER

SPOUSE

IRA Deduction

 

 

Keogh/SEP Deduction

 

 

SIMPLE Plan Deduction

 

 

Education IRA Deduction

 

 

Roth IRA Contribution

 

 

Student Loan Interest Paid

 

 

Penalty for Early Withdrawal of Savings

 

 

Alimony Paid – if applicable, please provide social security number of alimony recipient

 

 

 

ITEMIZED DEDUCTIONS

MEDICAL EXPENSES

 

TAXPAYER

SPOUSE

Medical Insurance Premiums

 

 

Prescriptions

 

 

Doctors, Dentists, etc.

 

 

Hospital & Lab Charges

 

 

Other

 

 

TAXES PAID

 

TAXPAYER

SPOUSE

State Income Taxes (not including W-2)

 

 

Real Estate Taxes

 

 

Personal Property Taxes

 

 

Fire Tax

 

 

Other

 

 

INTEREST PAID (ATTACH 1098’S)

 

TAXPAYER

SPOUSE

First Mortgage

 

 

Second Mortgage

 

 

Equity Line

 

 

Investment Interest

 

 

CHARITABLE CONTRIBUTIONS (ATTACH ACKNOWLEDGEMENT LETTERS FOR GIFTS GREATER THAN $250)

 

TAXPAYER

SPOUSE

Miscellaneous Cash or Check

 

 

Non-Cash Contributions

 

 

Charitable Mileage

 

 

- Please provide detail for all gifts > $250

 

 

MISCELLANEOUS DEDUCTIONS

 

TAXPAYER

SPOUSE

Union/Professional Dues

 

 

Investment Expenses

 

 

Tax Return Preparation Fees

 

 

Safe Deposit Box

 

 

Uniforms and protective clothing

 

 

Work tools

 

 

Employee Business Expenses (not reimbursed)

 

 

 

TAX CREDITS

CHILD & DEPENDENT CARE CREDIT		

 

DEPENDENT #1

DEPENDENT #2

Child Care Provider

 

 

Address

 

 

City State Zip

 

 

Child Care Expenses

 

 

LIFETIME LEARNING CREDIT

 

TAXPAYER

SPOUSE

Educational Institution

 

 

Tuition and fees

 

 

 

ESTIMATED TAX PAYMENTS

 

FEDERAL

STATE

Overpayment Applied from Prior Year

 

 

First Quarter – April 15, 1999

 

 

Second Quarter – June 15, 1999

 

 

Third Quarter – September 15, 1999

 

 

Fourth Quarter – January 15, 2000

 

 

 

MISCELLANEOUS QUESTIONS

 

 

YES

NO

Has your marital status changed since 1998?

 

 

If you are married, do you want to file separate tax returns?

 

 

Has your mailing address changed since 1998?

 

 

Can another taxpayer claim you (or your spouse) as a dependent?

 

 

Were there any changes to your dependents during 1999?

 

 

Were child care expenses incurred while you were at work?

 

 

Do you have any children under 14 who have unearned income greater than $700?

 

 

Did you begin adoption proceedings or adopt a child in 1999?

 

 

Did you open a Roth IRA account or convert an existing IRA into a Roth IRA during 1999?

 

 

Did you convert an IRA into a Roth IRA during 1998? If yes, did you elect to spread the resulting income over four years?

 

 

Did you buy, sell or refinance your first or second home during 1999? If yes, please provide copies of the closing documents.

 

 

Did you use your car for work and incur expenses that were not reimbursed?

 

 

Does anyone owe you money that has become uncollectible?

 

 

Have you been notified by the IRS or state taxing authority of any changes to your prior year income tax returns?

 

 

Do you expect an significant changes to your income in 2000?

 

 

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