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 dont 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
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TAXPAYER |
SPOUSE |
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First Name & Initial |
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Last Name |
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Social Security Number |
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Occupation |
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Date of Birth |
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Home Telephone |
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Work Telephone |
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Email Address |
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Street Address |
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City, State Zip |
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FILING STATUS: (Circle One)
SINGLE		MARRIED	MARRIED FILING SEPARATE	HEAD OF HOUSEHOLD
DEPENDENTS (Add additional dependents as necessary)
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DEPENDENT #1 |
DEPENDENT #2 |
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First Name & Initial |
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Last Name |
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Social Security Number |
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Date of Birth |
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Months Lived at Home |
INCOME
SALARIES AND WAGES (ATTACH W-2S)
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TAXPAYER |
SPOUSE |
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Employers Name |
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Gross Wages |
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Federal Income Tax Withheld |
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FICA Withheld |
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Medicare Withheld |
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State Tax Withheld |
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TID Withheld |
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Other |
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INTEREST INCOME (ATTACH 1099-INTS)
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SOURCE |
AMOUNT |
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DIVIDEND INCOME (ATTACH 1099-DIVS)
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SOURCE |
AMOUNT |
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STATE TAX REFUND (ATTACH 1099-GS)
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SOURCE |
AMOUNT |
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	Did you itemize your deductions in prior years?
BUSINESS INCOME (CONTACT FARMER & CO FOR BUSINESS INCOME ORGANIZER)
CAPITAL GAINS AND LOSSES (ATTACH 1099-BS AND BASIS DETAIL)
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DESCRIPTION |
PURCH DATE |
SALE DATE |
PROCEEDS |
BASIS |
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IRA & PENSION DISTRIBUTIONS (ATTACH 1099-RS)
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SOURCE |
ROLLOVER ? |
DISTRIBUTION |
TAXABLE AMOUNT |
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RENTAL INCOME (CONTACT FARMER & CO FOR RENTAL INCOME ORGANIZER)
INCOME FROM PASS-THOUGH ENTITIES (ATTACH SCHEDULE K-1S)
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SOURCE |
ACTIVE ? |
AMOUNT |
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OTHER INCOME
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AMOUNT |
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ALIMONY INCOME |
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- If applicable, need payors name and social security number |
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UNEMPLOYMENT RECEIVED (ATTACH 1099-G) |
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SOCIAL SECURITY RECEIVED (ATTACH 1099-SSA) |
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SOCIAL SECURITY RECEIVED (ATTACH 1099-SSA) |
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MISCELLANEOUS INCOME |
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- If applicable, enter description and amount |
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ADJUSTMENTS TO INCOME
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TAXPAYER |
SPOUSE |
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IRA Deduction |
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Keogh/SEP Deduction |
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SIMPLE Plan Deduction |
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Education IRA Deduction |
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Roth IRA Contribution |
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Student Loan Interest Paid |
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Penalty for Early Withdrawal of Savings |
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Alimony Paid if applicable, please provide social security number of alimony recipient |
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ITEMIZED DEDUCTIONS
MEDICAL EXPENSES
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TAXPAYER |
SPOUSE |
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Medical Insurance Premiums |
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Prescriptions |
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Doctors, Dentists, etc. |
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Hospital & Lab Charges |
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Other |
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TAXES PAID
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TAXPAYER |
SPOUSE |
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State Income Taxes (not including W-2) |
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Real Estate Taxes |
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Personal Property Taxes |
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Fire Tax |
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Other |
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INTEREST PAID (ATTACH 1098S)
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TAXPAYER |
SPOUSE |
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First Mortgage |
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Second Mortgage |
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Equity Line |
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Investment Interest |
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CHARITABLE CONTRIBUTIONS (ATTACH ACKNOWLEDGEMENT LETTERS FOR GIFTS GREATER THAN $250)
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TAXPAYER |
SPOUSE |
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Miscellaneous Cash or Check |
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Non-Cash Contributions |
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Charitable Mileage |
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- Please provide detail for all gifts > $250 |
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MISCELLANEOUS DEDUCTIONS
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TAXPAYER |
SPOUSE |
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Union/Professional Dues |
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Investment Expenses |
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Tax Return Preparation Fees |
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Safe Deposit Box |
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Uniforms and protective clothing |
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Work tools |
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Employee Business Expenses (not reimbursed) |
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TAX CREDITS
CHILD & DEPENDENT CARE CREDIT		
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DEPENDENT #1 |
DEPENDENT #2 |
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Child Care Provider |
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Address |
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City State Zip |
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Child Care Expenses |
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LIFETIME LEARNING CREDIT
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TAXPAYER |
SPOUSE |
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Educational Institution |
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Tuition and fees |
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ESTIMATED TAX PAYMENTS
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FEDERAL |
STATE |
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Overpayment Applied from Prior Year |
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First Quarter April 15, 1999 |
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Second Quarter June 15, 1999 |
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Third Quarter September 15, 1999 |
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Fourth Quarter January 15, 2000 |
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MISCELLANEOUS QUESTIONS
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YES |
NO |
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Has your marital status changed since 1998? |
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If you are married, do you want to file separate tax returns? |
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Has your mailing address changed since 1998? |
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Can another taxpayer claim you (or your spouse) as a dependent? |
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Were there any changes to your dependents during 1999? |
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Were child care expenses incurred while you were at work? |
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Do you have any children under 14 who have unearned income greater than $700? |
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Did you begin adoption proceedings or adopt a child in 1999? |
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Did you open a Roth IRA account or convert an existing IRA into a Roth IRA during 1999? |
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Did you convert an IRA into a Roth IRA during 1998? If yes, did you elect to spread the resulting income over four years? |
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Did you buy, sell or refinance your first or second home during 1999? If yes, please provide copies of the closing documents. |
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Did you use your car for work and incur expenses that were not reimbursed? |
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Does anyone owe you money that has become uncollectible? |
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Have you been notified by the IRS or state taxing authority of any changes to your prior year income tax returns? |
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Do you expect an significant changes to your income in 2000? |
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