Income Tax Organizer - Section One

This five-section income tax organizer will help you to both organize your tax information and ensure that you don't overlook any deductions to which you're entitled. Please feel free to print out this organizer and use it whether you do your own tax return or use the services of our firm.

Taxpayer Information for Tax Year ____________________

First Name ____________________________________________ Initial _______

Last Name_____________________________________________

Social Security # _______________________________________

Occupation____________________________________________

Date of Birth ________________________

Street Address ______________________________________________________

City___________________________________ State_________ Zip____________

Home Telephone _____________________________

Work Telephone______________________________

Spouse Information

First Name ____________________________________________ Initial _______

Last Name_____________________________________________

Social Security # _______________________________________

Occupation____________________________________________

Date of Birth ________________________

Street Address ______________________________________________________

City___________________________________ State_________ Zip____________

Home Telephone _____________________________

Work Telephone______________________________

Filing Status

smallbox.gif (120 bytes) Single smallbox.gif (120 bytes) Married
smallbox.gif (120 bytes) Head of Household smallbox.gif (120 bytes) Married Filing Separate

Salaries and Wages

W-2  Gross Income  Federal Withholding     FICA    
1 $ $ $
2 $ $ $
3 $ $ $
4 $ $ $
5 $ $ $

 

W-2    Medical    State Withholding     SDI    
1 $ $ $
2 $ $ $
3 $ $ $
4 $ $ $
5 $ $ $

Electronic Filing

Would you like electronic filing?

smallbox.gif (120 bytes) Yes smallbox.gif (120 bytes) No
Automatic deposit?
smallbox.gif (120 bytes) Yes
(attached a VOIDed check)
smallbox.gif (120 bytes) No

Dependents

1. Name ________________________________________________________

Date of Birth_________________

Social Security #________________________

Relationship _____________________________

Months lived at home this tax year _________________

2. Name ________________________________________________________

Date of Birth_________________

Social Security #________________________

Relationship _____________________________

Months lived at home this tax year _________________

3. Name ________________________________________________________

Date of Birth_________________

Social Security #________________________

Relationship _____________________________

Months lived at home this tax year _________________

4. Name ________________________________________________________

Date of Birth_________________

Social Security #________________________

Relationship _____________________________

Months lived at home this tax year _________________


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Donald M. Scherzi, CPA, CFP
6156 Drake Street
Jupiter, FL 33458
(561) 746-1926
FAX: (561) 747-2504
Cell: (561) 339-8102
E-mail: donaldcpa@bellsouth.net