Checklist NEAL GEADELLI SSN:

Transcription

1 list Drake Practice Return #7 This check list is provided to help you gather necessary information for us to prepare your income tax return. Return this list, along with the supporting documentation, to our office and let us know of any significant changes from your tax year. Wages (Form W-2) [ ] CITY OF HIGHLANDS Health Care Coverage (for each member of the household) [ ] Health Insurance Marketplace Statement (Forms 1095-A) [ ] Any exemption certificates received from HHS giving you an exemption from having health insurance Dividends (Form 1099-DIV) [ ] INFIDELITY SECURITY COMPANY Interest (Form 1099-INT) [ ] KATTYBANK Rent and Royalty Income (Schedule E) [ ] RESIDENTIAL RE [ ] RESIDENTIAL RE [ ] RESIDENTIAL RE Other Income (provide supporting documentation for income received for the following items) [ ] Sale of assets or property [ ] Cancellation of debt [ ] Other income Payments (provide supporting documentation for payments made for the following items) [ ] Educator classroom expenses [ ] Employee business expenses [ ] Contributions to a Health Savings Account [ ] Expenses related to work relocation [ ] Alimony [ ] Student loan interest [ ] Tuition and fees for higher education [ ] Expenses related to child or dependent care [ ] Contributions to a Retirement Savings Account [ ] Medical and dental expenses [ ] Real estate taxes [ ] Other state and local taxes [ ] Mortgage interest [ ] Investment interest [ ] Cash Contributions [ ] Noncash Contributions [ ] Unreimbursed employee expenses [ ] Investment expenses [ ] Gambling losses [ ] Other payments Drake Software - Individual Organizer - Copyright CKLIST.LD Page 1

2 Miscellaneous Information Drake Practice Return #7 Yes Yes No No General Information 1. Were there any changes to your filing status or number of dependents during? 2. Can you or your spouse be claimed as a dependent by someone else? 3. Did you incur any childcare expenses? 4. Did you have a change in residence or job location during the year? 5. Did you move during? From where? Date of move 6. Did you reside in more than one state during? If yes, which states? 7. Did you receive any notices from the IRS or the state taxing agency? If yes, please attach. Income Information 1. Have you received all W-2s from all employers? How many W-2s are attached? 2. Did you use your vehicle on the job other than for commuting to work? 3. Did you have an employer-provided vehicle which you drove home or used personally? If so, enter the lease value. 4. Did you work out of town at any time during the year? 5. Did you earn income from a state other than the state in which you live? If yes, what state and how much? 6. Did you or your spouse receive any tips not reported to your (or your spouse's) employer? 7. Did you receive any disability income during the year?. Attach 1099-R. 8. Did you have an interest in or signature over a bank or brokerage account in a foreign country? Were you a grantor of or transferor to a foreign trust? 9. Did you earn interest from, or are you an authorized signature holder on, a foreign bank account? 10. Did you have any income from, or pay taxes to, a foreign country? 11. Did you engage in any bartering transactions during? 12. Did you surrender any U.S. Savings Bonds during? 13. Did you receive any state or local income tax refunds from prior years? 14. Do you or your spouse have any IRA accounts? 15. Did you recharacterize any IRAs this year? 16. Did you or your spouse "roll over" a profit-sharing or retirement plan distribution into another plan? 17. Did you receive a Schedule K-1 from a partnership, S corporation, or trust? If so, please attach. 18. Did you or your spouse receive any social security benefits during the year? Attach Form(s) SSA Did you receive any type of prize, award, or gambling winnings during? 20. Did you receive any of the following: Unemployment Income, Combat Pay, Jury Duty and/or Alimony, or Maintenance Received? If so, what and how much? 21. Did you receive any income not shown in this organizer? If so, please list. 22. Does anyone owe you money that has become uncollectible? Comments: Drake Software - Individual Organizer - Copyright MISC.LD Page 2

3 Miscellaneous Information Drake Practice Return #7 Page 2 Yes Yes No No Business Information 1. Did you start a new business or purchase any rental property during? 2. Have you purchased any business assets (furniture, equipment, etc.) or converted any assets to business use? If yes, please list on an attached sheet the date placed in service, cost or basis of asset, business use percentage, etc. 3. Did you dispose of any business assets (including real estate)? If yes, please list on an attached sheet the date removed from service, selling price and expense of sale. 4. Did you own rental property? What percentage of time did you spend managing your rentals? 5. Did you purchase any gasoline, diesel, or special fuels for non-highway business use? Other Information 1. Were any tuition costs paid during (even if classes were attended in another year)? 2. Did anyone in your household attend higher education classes in? 3. Did you incur a loss due to damaged or stolen property? 4. Did you purchase a home for your personal residence between April 8, 2008, and December 31, 2008 in which the First-Time Homebuyer Credit was taken on the home? 5. Did you refinance your principal home or your second home or make a home equity loan during the year? If yes, please provide all escrow, closing, and other pertinent documentation and information. 6. Did you purchase or sell a home that you used as a principal residence? If yes, please provide closing documentation. 7. If yes to question 6, was the First-Time Homebuyer Credit taken? 8. Did you make any gifts to any one person in in excess of 14,000? If so, are you splitting this gift with your spouse? 9. Did you pay wages to any household employees (babysitter, housekeeper, nanny, etc.)? 10a. Did you have health care coverage for yourself and everyone claimed on the tax return for the entire year? 10b. If yes, where did you purchase the health care coverage? Employer Medicaid Medicare Marketplace (Exchange) Other To itemize deductions, bring receipts and documentation for these types of expenses: Prescriptions, first-aid State/local income taxes Mortgage interest Tax preparation fees Gambling losses (up to amount of winnings) Cash donations to charity (provide all receipts) Medical/Dental/Vision expenses and insurance premiums, mileage and lodging for seeking medical care (but not meals) Real estate and personal property taxes paid in Unreimbursed employee/work-related expenses (if self-employed, do not include items reported on Schedule C) Fair market value of property donated to charity Purchase price of new goods donated or used in volunteer work Comments: Drake Software - Individual Organizer - Copyright MISC.LD2 Page 3

4 Personal Data Drake Practice Return #7 Filing Status: Single Married Filing Joint Married Filing Separate Head of Household Qualifiying Widow(er) Taxpayer Name NEAL GEADELLI SSN Spouse Name SSN Address 333 BIRD BROWN RD Apt no. City Franklin State NC Zip Foreign State/Province Foreign Country Taxpayer Date of Birth Occupation Daytime phone: Foreign Postal Code Spouse Date of Birth Occupation Ext: Daytime phone: Ext: Evening phone: Evening phone: Ext: Ext: Cell: Cell: Full time student Blind Full time student Blind Does your spouse want 3 to go to the Presidential Election Do you want 3 to go to the Presidential Election Camp Fund? Camp Fund? Date and time of this year's appointment Income Taxes Paid Federal 2013 Refund 7432 April 17, 2013 Refund applied to June 15, 2013 Balance Due Sept. 15, estimate date due estimated amount Amount paid Date paid no. Additional payments made Resident State Jan. 15, 2015 Amount paid Date paid no. Amount paid Date paid no. Amount paid Date paid no. estimate date due estimated amount Amount paid Date paid no Refund April 17, 2013 Refund applied to June 15, 2013 Balance Due Sept. 17, Additional payments made Local Jan. 15, 2015 Amount paid Date paid no. Amount paid Date paid no. Amount paid Date paid no. estimate date due estimated amount Amount paid Date paid no Refund April 17, 2013 Refund applied to June 15, 2013 Balance Due Sept. 17, Additional payments made Jan. 15, 2015 Amount paid Date paid no. Amount paid Date paid no. Amount paid Date paid no. Drake Software - Individual Organizer - Copyright DEMO.LD Page 4

5 Wages and Salaries Please attach all W-2(s). Drake Practice Return #7 TS T Employer's name and address: CITY OF HIGHLANDS Federal EIN RIDGE LANE HIGHLANDS NC Wages, tips, other compensation State State I.D. Federal income tax withheld Social Security wages Social Security tax withheld Medicare wages and tips Medicare tax withheld State wages State income tax Locality name Local wages Local income tax Social Security tips State State I.D. Allocated tips Dependent care benefits State wages State income tax Locality name Are you a statutory employee? Are you covered by a retirement plan? Local wages Local income tax Did you receive third-party sick pay? TS Employer's name and address: Federal EIN Wages, tips, other compensation State State I.D. Federal income tax withheld Social Security wages Social Security tax withheld Medicare wages and tips Medicare tax withheld State wages State income tax Locality name Local wages Local income tax Social Security tips State State I.D. Allocated tips Dependent care benefits State wages State income tax Locality name Are you a statutory employee? Are you covered by a retirement plan? Local wages Local income tax Did you receive third-party sick pay? Drake Software - Individual Organizer - Copyright W2.LD Page 5

6 Drake Practice Return #7 Health Care Coverage Questionnaire Had health care coverage: For the For part of the year (Less No health care entire year than 12 months) coverage at all NEAL Did anyone besides taxpayer or spouse pay for health care coverage for anyone listed above? Did you pay for health care coverage for anyone not listed above? If you had coverage for any part of the year: Where was the policy obtained? Employer / Medicare / Medicaid / Marketplace(Exchange) / Other If you didn't have coverage part or all of the year: Answer if it applies to any member of the household Was your previous insurance policy cancelled in? Do you have an Exemption from the Marketplace (also called the Exchange)? Was coverage offered by taxpayer's or spouse's employer? Are you a member of a federally-recognized Indian tribe? Are you eligible for services through an Indian health care provider? Are you a member of a health care sharing ministry? Did you live in the United States the entire year? Are you enrolled in TRICARE? Did you apply for CHIP coverage? Do any of the following apply to you? Do T indicate which one. Became homeless Evicted in the past six months, or facing eviction or foreclosure Received a shut-off notice from a utility company Recently experienced domestic violence Recently experienced the death of a close family member Recently experienced a fire, flood, or other natural or human-caused disaster that resulted in substantial damage to your property Filed for bankruptcy in the last six months Incurred unreimbursed medical expenses in the last 24 months that resulted in substantial debt Experienced unexpected increases in essential expenses due to caring for an ill, disabled, or aging family member Drake Software - Individual Organizer - Copyright HEALTHQ.LD Page 6

7 Supplemental Income and Loss Part I - Income or Loss From Rental Real Estate and Royalties Drake Practice Return #7 TSJ T Property description RESIDENTIAL RE Activity Type A Did you make any payments in that would require you to file Form(s) 1099? Yes No If "Yes," did you or will you file all required Forms 1099? Yes No Property Address City 444 BLUEBIRD WAY Highlands U.S. Only State, ZIP NC Foreign Only Province/State, Country, Postal Code X Single Family Residence Vacation / Short Term Rental Land Self-Rental Multi-Family Residence Commercial Royalties Other Fair Rental Days Personal use days Qualified Joint Venture If multi-dwelling unit and the taxpayer occupies part, enter the percentage occupied by the taxpayer This is your main home Some investment is T at risk Property was 100% disposed of in Property is a Single Member LLC Income: 2013 Rent Income Royalties from oil, gas, mineral, copyright or patent Expenses: Direct expense Indirect expense Advertising Auto and travel Cleaning and maintenance 1500 Commissions Insurance Legal and professional fees Management fees Interest - mortgage 3800 Interest - other Repairs Supplies Taxes Utilities Other: (list) Ownership Percentage Drake Software - Individual Organizer - Copyright E.LD Page 7

8 Supplemental Income and Loss Part I - Income or Loss From Rental Real Estate and Royalties Drake Practice Return #7 TSJ T Property description RESIDENTIAL RE Activity Type A Did you make any payments in that would require you to file Form(s) 1099? Yes No If "Yes," did you or will you file all required Forms 1099? Yes No Property Address City 777 RED BIRD WAY Highlands U.S. Only State, ZIP NC Foreign Only Province/State, Country, Postal Code X Single Family Residence Vacation / Short Term Rental Land Self-Rental Multi-Family Residence Commercial Royalties Other Fair Rental Days Personal use days Qualified Joint Venture If multi-dwelling unit and the taxpayer occupies part, enter the percentage occupied by the taxpayer This is your main home Some investment is T at risk Property was 100% disposed of in Property is a Single Member LLC Income: 2013 Rent Income Royalties from oil, gas, mineral, copyright or patent Expenses: Direct expense Indirect expense Advertising Auto and travel Cleaning and maintenance 1500 Commissions Insurance Legal and professional fees Management fees Interest - mortgage 5000 Interest - other Repairs Supplies Taxes Utilities Other: (list) Ownership Percentage Drake Software - Individual Organizer - Copyright E.LD Page 8

9 Supplemental Income and Loss Part I - Income or Loss From Rental Real Estate and Royalties Drake Practice Return #7 TSJ T Property description RESIDENTIAL RE Activity Type A Did you make any payments in that would require you to file Form(s) 1099? Yes No If "Yes," did you or will you file all required Forms 1099? Yes No Property Address City 444 SW BRIDGE COURT Highlands U.S. Only State, ZIP NC Foreign Only Province/State, Country, Postal Code X Single Family Residence Vacation / Short Term Rental Land Self-Rental Multi-Family Residence Commercial Royalties Other Fair Rental Days Personal use days Qualified Joint Venture If multi-dwelling unit and the taxpayer occupies part, enter the percentage occupied by the taxpayer This is your main home Some investment is T at risk Property was 100% disposed of in Property is a Single Member LLC Income: 2013 Rent Income Royalties from oil, gas, mineral, copyright or patent Expenses: Advertising Auto and travel Cleaning and maintenance Direct expense Indirect expense Commissions Insurance Legal and professional fees Management fees Interest - mortgage 3000 Interest - other Repairs Supplies Taxes Utilities Other: (list) Ownership Percentage Drake Software - Individual Organizer - Copyright E.LD Page 9

10 Asset Listing for Drake Practice Return #7 Date Prior Date Sales Expense For Multi Description of Property Acquired Cost/Basis Meth Life Depreciation Sec 179 Exp Sold Price of Sale E BLUEBIRD WAY HIGHLANDS NC M E RED BIRD WAY HIGHLANDS NC M E SW BRIDGE COURT HIGHLANDS NC M Valid Methods: For assets A ACRS or MACRS tangible property For assets D 125% Declining Balance purchased M MACRS tangible property purchased DS 125% Declining Balance with SL switch AFTER 1980 ALT Alternative MACRS (150 DB election) BEFORE 1981 DB 150% Declining Balance ARR Residential Rental (27.5 yrs) ONLY DBS 150% Declining Balance with SL switch APU Public Utility DC 175% Declining Balance ARP Other Real Property (15,18,19,31.5,39.5 yrs) DCS 175% Declining Balance with SL switch ALH Low Income Housing Property DD 200% Declining Balance ADS Alternative Depreciation System DDS 200% Declining Balance with SL switch EXP Section 179 Expense Election Listed Property Types: V Luxury Vehicle Misc. NDA Non-Depreciable SFT Software (3 yrs) T Trucks and Vans SL Straight Line SYD Sum of Years Digits X Computers, property generally used for entertainment, AMT Amortization PTS Amortization of Points (Sch A) recreation, or amusement, and cellular phones. Drake Software - Individual Organizer - Copyright ASSET~.LD Page 10

11 CORRECTED PAYER'S name, street address, city or town, state or province, country, ZIP Payer's RTN (optional) OMB No or foreign postal code, and telephone no. KATTY BANK Mercer Street Dallas, TX PAYER'S federal identification number RECIPIENT'S identification number Interest income Early withdrawal penalty Form 1099-INT Interest on U.S. Savings Bonds and Treas. obligations Drake Practice Return #7 Interest Income Copy B For Recipient RECIPIENT'S name 4 Federal income tax withheld 5 Investment expenses Neal Geadelli Street address (including apt. no.) 6 Foreign tax paid 7 Foreign country or U.S. possession 333 Bird Brown Rd City or town, state or province, country, and ZIP or foreign postal code 8 Tax-exempt interest 9 Specified private activity bond interest Franklin, NC Market discount 11 Bond premium This is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction may be imposed on you if this income is taxable and the IRS determines that it has not been reported INT Account number (see instructions) 12 Tax-exempt bond CUSIP no. 13 State 14State identification no. 15State tax withheld Form (keep for your records) Department of the Treasury - Internal Revenue Service Page 11

12 CORRECTED (if checked) PAYER'S name, street address, city or town, province or state, country, ZIP 1a Total ordinary dividends OMB No or foreign postal code, and telephone no. Infidelity Security 777 Bank Street Spartanburg, SC b Qualified dividends a Total capital gain distr. Dividends and Distributions 1099-DIV 2b Unrecap. Sec gain PAYER'S federal identification number RECIPIENT'S identification number 2c Section 1202 gain 2d Collectibles (28%) gain Form Drake Practice Return #7 Copy B For Recipient RECIPIENT'S name Neal Geadelli Street address (including apt. no.) 333 Bird Brown Rd City or town, province or state, country, and ZIP or foreign postal code Franklin, NC Account number (see instructions) 3 Nondividend distributions 4 Federal income tax withheld 5 Investment expenses 6 Foreign tax paid 7Foreign country or US possession 8 Cash liquidation distributions 9 Noncash liquidation distributions 10 Exempt-interest dividends 11 Specified private activity bond interest dividends 12 State 13State identification no. 14 State tax withheld This is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction may be imposed on you if this income is taxable and the IRS determines that it has not been reported. Form 1099-DIV (keep for your records) Department of the Treasury - Internal Revenue Service Page 12

13 Drake Practice Return #7 Data Entry Screens Page 13