Page 1 OLSON CPAs, PLLC CERTIFIED PUBLIC ACCOUNTANTS 2015 INCOME TAX ORGANIZER ********************************************************

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1 Page 1 OLSON CPAs, PLLC CERTIFIED PUBLIC ACCOUNTANTS 2015 INCOME TAX ORGANIZER ******************************************************** Client Name: Telephone: Day Evening NOTES: If we DID NOT prepare your tax return last year, please bring a copy of last year's federal and state tax return to your appointment along with social security numbers and dates of birth. INCOME AND LOSSES CHECKLIST: Please check those that apply and provide necessary information. Wages & Salaries - Provide all W-2's Sale of Primary Residence Provide copy of closing statements for Purchase and Sale Non-employee Compensation - Provide 1099 Forms Sale of Business Equipment - See page 3 Interest Income - Provide Forms 1099 INT (List bank & amount below at additional info) Tax Exempt Interest - Provide all statements of tax exempt interest (required under tax reform) Dividend Income - Provide Forms 1099 DIV State Income Tax Refund - $ Alimony Received - $ Sale or Exchange of Rental Property - See page 4 Sale or Exchange of Investment Property See page 4 Pension or Profit Sharing Plan - Provide Form 1099R IRA Distributions - Provide distribution statements Roth IRA Conversion - Provide distribution statements Rental Income - See page 4 Estates and Trusts - Provide K-1Forms Farming Income/Loss - Provide income & expenses Prizes & Awards - $ Royalties - Provide income statements or Forms 1099 Gambling Winnings & Hobby Income $ Unemployment Compensation - $ Provide Form 1099 Social Security Income - $ (Provide Form SSA- 1099) Medicare Premiums Paid - $ Business Income/Loss - See page 3 Sale of Stock - See page 2 Partnerships - Provide K-1 Forms S Corporations - Provide K-1Forms Annuities - Provide income statements Oil & Gas Income - Provide income & expense statements Foreign Income or Assets - Provide income & expense statements Non-Business Bad Debts $ Sale of Mutual Fund Shares - See page 2 Debt Forgiveness Provide statements (1099-C or A) Stock Options - See page 2 Worthless Stock - See page 2 Other Income & Losses Sale of Business Real Estate - See page 4 Moving Expenses See page 5 Estimated Payments: 4/15/15 $ 6/15/15 $ 9/15/15 $ 1/15/16 $ ADDITIONAL INFORMATION AND COMMENTS - Note any changes in dependents, filing status or address. List birthdates and social security numbers for new dependents. Office: N 19th Ave, Suite 115, Phoenix, AZ Phone: Fax:

2 Page 2 ADJUSTMENTS TO INCOME Taxpayer Spouse IRA Contribution- Deductible Interest Penalty (Early Withdrawal) IRA Contribution- Non-Deductible Self-employed Health Insurance (100%) Roth IRA Contribution Health Savings Account Keogh/SEP Contribution Qualified Student Loan Interest Paid Alimony Paid Reservists or Performing Artist Expenses SS# of Alimony Recipient Any Domestic Production Activities in your trade or business (U.S. construction, engineering & architectural for construction, and manufacture of U.S. property?) Tuition Expense Teacher s out-of-pocket expenses MEDICAL Health Insurance Long Term Care Insurance Prescription Medicine SCHEDULE A (Additions to standard deduction) CASUALTY OR THEFT LOSS Bring information - Loss must exceed 10% of Adjusted Gross for deduction BUSINESS EXPENSES INCURRED AS AN EMPLOYEE Doctors, Dentists & Nurses Business Travel & Lodging Hospitals & Nursing Homes Business Meals & Entertainment (100%) Eyeglasses Business Telephone Lodging & Transportation (Out of Pocket Expenses) Outside Salesman Expenses Number of Medical Miles _ Miscellaneous Business Expenses TAXES PAID Employer Reimbursement Not Included in W-2s Real Estate Other State Income Tax Personal Property Tax (Vehicle, ATV, boat, etc.) Other Taxes (Include sales tax on new vehicle) List Auto Expense on Page 3 INTEREST PAID (Only original acquisition debt + $100,000 of refinanced debt qualify) Principal Home Mortgages (Form 1098) Home Improvement Loan (Form 1098) Second Home Mortgages Mortgage Interest Paid to Individuals Name, Address & SS# MISCELLANEOUS DEDUCTIONS Investment Interest Paid Safe Deposit Box Home Purchase Points (Pd. by Buyer) Tax Planning & Preparation Home Purchase Points (Pd. by Seller) Investment Expense Home Refinance Points Gambling & Hobby Expenses Life of Refinanced Loan Union & Professional Dues Other Mortgage Insurance Premiums CHARITABLE CONTRIBUTIONS Must have receipts for all deductions Noncash - Bring Receipts No deduction for cash without statement from charity also need statement from charity on donations of $250 or greater Number of Charitable Miles Tax-free contributions of IRA funds to charity For noncash donations greater than $500, need to report additional detail On the tax return (date purchased, cost, fair market value, etc.) For help valuing fair market value of used items go to

3 Page 3 BUSINESS EXPENSES SCHEDULE C BUSINESS EQUIPMENT SALES OR TRADE IN (BOTH W-2 EMPLOYEE & SELF EMPLOYED) Description Did you pay anyone > $600 for services & did you prepare 1099-Misc forms? Yes or no Date BUSINESS VEHICLE Sales Price Provide purchase papers and trade-in information the first year the vehicle is depreciated. Provide tax return showing depreciation if we did not prepare that return. SELF-EMPLOYED BUSINESS INCOME Vehicle #1 Vehicle #2 Please provide QuickBooks file or accounting records. Provide copies of Description (Make & Year) all Forms 1099 showing income received Sports Utility Vehicle (Over 6,000 lbs gross) Income Purchase Date Beginning Inventory Commuting Mileage driven in 2015 Inventory Purchases Business Mileage driven in 2015 Ending Inventory Total Mileage driven in 2015 Other Cost of Sales Medical miles Accounting Fees Charitable miles Advertising Business Bad Debts Gas, Oil, Lube Bank Charges Repairs Interest on Business Property Tires Commissions Wash/Wax Dues, Licenses & Publ. (No Club Dues) Insurance Employee Benefits Licenses, Fees, State Taxes Freight & Transportation Parking & Tolls Insurance - Other Interest Legal & Professional Lease Payments Interest on Business Loans Other Office Supplies OFFICE AT HOME Postage Office sq. ft. Rent Total sq. ft. Rent of Equipment Cost of Home Repairs & Maintenance Date Purchased Materials & Supplies Improvements Taxes Utilities (Elect/Gas/Water/Trash) Telephone Home Insurance ----Base Charges (Business Line Only) Repairs & Maintenance ----Long Distance Charges Home Rent ----Telephone Optional Features 2nd Telephone Line ----Mobile Phone Long Distance Business Charges Travel (Transportation & Lodging Only) Telephone Optional Features Business Meals & Entertainment (100%) Other Educational & Seminars Utilities BUSINESS EQUIPMENT PURCHASES Wages & Salaries Provide copy of latest tax return showing depreciation of business equipment if we did not prepare the return. Contract Labor Other Expenses Description Date Purchase Price

4 Page 4 SCHEDULE D SALE OF INVESTMENT PROPERTY - STOCKS, OPTIONS, MUTUAL FUND SHARES, LAND, ETC. *Please provide detailed Form 1099 brokerage statements to help reduce time and IRS questions. Description Date Acquired Date Sold Sales Price* Cost or Basis Gain (Loss) _ Continue on separate sheet if needed *Provide brokerage statements INCOME FROM RENTAL PROPERTIES OR ROYALTY INCOME SCHEDULE E Prop A Prop B Telephone: ----Base Charge (2nd Line) Property A Description ----Long Distance Charges Property B Description Utilities Prop A Prop B Other Expenses Rent Received Royalty Received Advertising Association Dues Automobile & Travel Bank Charges Cleaning & Maintenance Commission Gardening & Lawn SALE OR EXCHANGE OF RENTAL OR BUSINESS PROPERTY REAL ESTATE Provide latest tax return showing depreciation of property if we did not prepare the return. Provide closing statements showing original purchase and the sale this year of real estate. Provide dates and selling prices of rental and business equipment. Insurance Description Date Sales $ Legal & Professional Description Date Sales $ Licenses & Permits Description Date Sales $ Management Fees Miscellaneous PURCHASE OF NEW RENTAL PROPERTY AND FURNITURE OR EQUIPMENT Mortgage Interest (Form 1098) Provide closing statements showing purchase of real estate. Provide cost and Mortgage Interest Paid to Individuals Other Interest date of purchase for furniture and equipment. Description Date Cost _ Painting & Decorating Description Date Cost _ Pest Control Description Date Cost _ Plumbing & Electrical Repairs Supplies Taxes DEPRECIATION OF RENTAL PROPERTY Provide last tax return showing depreciation for the rental properties and furniture if we did not prepare the return. Did you pay anyone > $600 for services & did you prepare 1099-Misc forms?

5 Page 5 TAX CREDITS CHILD DEPENDENT CARE EXPENSES Fed ID# or SS# Dependent's Name Day Care Provider Address Required Amount ADOPTION CREDIT $ FOREIGN TAX CREDIT $ (i.e. fees, court costs, attorney fees, and travel) Provide Information as paid/wh SMALL BUSINESS HEALTH CARE RESIDENTIAL ENERGY CREDITS Does your business pay for employee health care costs? Did you purchase insurance through SCORE? Energy Efficient Property Credit (credit up to 30% of cost) Solar Electric Solar Water heating Fuel Cells Small Wind & geothermal heat pumps Cost Bring Receipts ACA PREMIUM TAX CREDIT Did you purchase health insurance on the marketplace? (If yes, please bring Form 1095-A) Did you receive an advanced credit? ALTERNATIVE MOTOR VEHICLE CREDIT Did you purchase a qualified fuel cell motor vehicle or plug-in electric drive motor vehicle in 2015? If yes, bring purchase contract. EDUCATION CREDITS AMERICAN OPPORTUNITY CREDIT: Tuition, Fees, Books (Provide 1098-T) (Only for the 1 st 4 years of postsecondary education) LIFETIME LEARNING CREDIT: 20% of Tuition & Fees (Provide 1098-T) Student $ Student $ Student $ MOVING EXPENSES Job related move over 50 miles Previous Address Distance Date of move Moving Costs: Lodging $ Travel $

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