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Taxpayer Name
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Taxpayer SS#
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Taxpayer Birth date
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Current Address
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All Wage Statements (W-2s,
1099Misc, etc)
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Filing status (Single, Married
Filing Jointly, Married Filing Separately, Head
of Household, or Qualifying widower)
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Self-Employed Business Income and
Expenses Totaled (Form 1099-Miscellaneous) and
all expenses related to this income
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Pension, Retirement Income (Form
1099-R)
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Interest and Dividend Income
(Form 1099-int or Form 1099-div)
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Sale of Stocks or Bonds (Form
1099B), and the basis in any stock sold
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Student loan interest paid
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Lottery or Gambling Winnings, and
the amount of money spent while earning gambling
winnings
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State Refund Amount from 2006
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Social Security / Unemployment
Income (SSA or 1099G)
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Income and Expenses from Rental
Homes
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Alimony Paid or Received and the
social security number of the recipient/payor
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Medical and Dental Expenses
(including mileage to and from appointments)
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Real Estate and Personal Property
Taxes (car tax)
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Estimated Taxes Paid (both State
and Federal)
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Cash and Non-Cash Charitable
Donations and receipts
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Mortgage or Home Equity Loan
Interest Paid (Form 1098)
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Unreimbursed Employment-Related
Expenses Totaled
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Educational Expenses
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Child Care Expenses & Provider
Information (including EIN or Social Security
Number and address of provider)
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Copy of Last Year’s Tax Return
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