Provide Taxpayer Information First Name* Middle Name Last Name SSN/ITIN* Date of Birth* Street Address* City* State* Zip* Phone Number* Occupation* ID Number* ID Issue Date* ID Expiration Date*
Provide Spouse Information First Name Middle name Last Name SSN/ITIN Date of Birth Street Address City State Zip Phone Number Occupation ID Type ID Issue Date ID Expiration Date
Please add Child Care Provider #1 Information: Company Name Provider First Name Provider Last Name Street Address Address Line 2 City State Zip Phone NumberSSN/EIN # Amount Paid in 2024 Child First Name Child Last Name
Please add Child Care Provider #2 Information: Company Name Provider First Name Provider Last Name Street Address Address Line 2 City State Zip Phone NumberSSN/EIN # Amount Paid in 2024 Child First Name Child Last Name
Provide Banking Information for Direct Deposit and/or Electrontic Tax Payments Financial Institution Name* Routing Number* Account Number*
2024 Itemized Deductions: Mortgage Interest: Interest Primary Home Interest Second Home Interest Other
2024 Itemized Deductions: Medical Expense: Medical Expense Medical Insurance Premiums Dental Expense Prescriptions Expense Other Medical Expense LongTerm Care Premium Taxpayer LongTerm Care Premium Spouse
2024 Itemized Deductions: State and Local Taxes Paid: Real Estate Taxes #1 Real Estate Taxes # 2 Car Registration #1 Car Registration #2 Taxes Paid - Other Car/Vehicle Purchase Sales Tax #1 Car/Vehicle Purchase Sales Tax #2 Car/Vehicle Purchase Sales Tax #2
2024 Itemized Deductions: Charitable: Total Cash Charitable Paid Total NonCash Charitable Paid Charitable Mileage
2024 Itemized Deductions: Other Miscellaneous: Investment Expenses Tax Preparation fees Union Dues Lawyer Fees Post Office Box Rental Gambling Income Gambling Expense
2024 Home Office: Square Foot of Office Square Footage of Entire Home Homeowners Insurance Rent Repairs and Maintenance Utilties Internet Real Estate Taxes Mortgage Interest
2024 Business Vehicle Expense: Mileage and Expense: Business Miles 2024 Total Miles 2024 Car Registration Cost 2024 Gas Expense 2024 Repairs and Maintenance 2024 Auto Insurance 2024 Parking and Tolls 2024
2024 Rental Home Income and Expense: Total 2024 Rent Received Total 2024 Property Taxes Total 2024 Homeowners Insurance Total 2024 Repairs and Maintenance Total Other Expense #1 2024 Total Other Expense # 2 2024