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You probably feel like this is all too true In this package you will find: A monthly employee expense log, assignment organizer, minimum mileage log, and a sheet to keep track of you trips home. You will find these forms useful when it is time to file your taxes. We have mirrored the assignment itinerary pages with the ones in our Client Workbook. Come the end of the year, you can substitute these for the ones in the workbook. things: Mileage log: We have Daina s version of a Minimum Mileage Log in here. It is not the perfect solution. A little log book, kept up meticulously is better, but if you refuse to do the former, at least to her version. It is the lowest form of documentation that would be acceptable in an audit situation. Also, keep a copy of every contract! You may have need of it someday. Either for an audit or even to prove your hours to renew your healthcare license. TravelTax, LLC Tax Consultants and Taxpayer Representatives, US, Canadian, and International Joseph Smith EA/ RRT (Enrolled Agent: Admitted to Practice before the IRS) info@traveltax.com - 866.272.7871 - Box 1643, Norfolk, NE 68702

GENERAL JOB EXPENSES This is to help you keep track of regular monthly employee expenses. You can total up this info and transfer it to our workbook at the end of the year. JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC Uniforms/ Work Clothing Laundry / Cleaning Uniforms Postage/Fax/ (NOT moving exp) Books/ Journals/Magazines Union Dues Supplies Equipment Licenses Job Physicals/ Job Medical Testing Professional Memberships Professional Insurance Fingerprints & License Verification Computers w/ % business use REIMBURSED 1 nd phone or cell 2rd phone/ other 3 rd / other Internet Est. % Bus Use COMMUNICATION EXPENSES expense of 1 st land line is not deductible Expenses for Work Related Continuing Education OR Obtaining License ( i.e. CA) - Not college courses Date Left Date Returned Cost Destination Airfare Miles Driven Cost of Rental Car Gas For Rental Reimbursements Copyright 2010, TravelTax LLC. Use of this by anyone other than TravelTax and its clients is prohibited

MINIMUM MILEAGE LOG Fold this up and clip a pen to it, keep it in your car. This will record mileage to and from assignments, and then a one way commute for one shift. Remember you can use your triptometer for the mileage, or you can pencil in the odometer readings and do the math. This is the absolute minimum of records, if you use a mileage book, you don t need this. Odometer Reading January 1 Odometer Reading December 31 st (You may need to utilize a repair or oil change invoice near the beginning or end of the year if you did not keep a record, estimate as best you can.) ASSIGNMENT 1 ASSIGNMENT 2 ASSIGNMENT 3 ASSIGNMENT 4 ASSIGNMENT 5 There is a separate form for expenses related to trips back to your tax home during assignment. The mileage driven on those trips can be computed from the info you put on here. Copyright 2010, TravelTax LLC. Use of this by anyone other than TravelTax and its clients is prohibited

Appendix A Continued Itinerary for Tax Year List every contract extension as a separate assignment. For mileage, keep in mind that travel reimbursements you may have received are often less than IRS allowances. Start Date Assignment 1 to temporary worksite during entire contract: Cost placed on car Start Date Assignment 2 to temporary worksite during entire contract: Cost placed on car Please Initial Page 14 of 19

Start Date Assignment 3 to temporary worksite during entire contract: Cost Placed on car Start Date Assignment 4 to temporary worksite during entire contract: Cost Placed on car Please Initial Page 15 of 19

Start Date Assignment 5 to temporary worksite during entire contract: Cost Placed on car Start Date Assignment 6 to temporary worksite during entire contract: Cost Placed on car Please Initial Page 16 of 19

Appendix A Continued Almost done! Additional Questions for Mobile Professionals Vehicle Info: Annual Miles = miles driven for every purpose during the tax year (not just work): Annual Miles on Vehicle 1 Annual Miles on Vehicle 2 Date placed in service () (date of purchase or very first travel contract) Date placed in service () (date of purchase or very first travel contract) 1) Do you have a travel log that records your travel expenses and mileage? This would be required by the IRS in an audit. 2) Did you make any trips home DURING an assignment or between an extension of an assignment in the same metropolitan area? If so, list the dates and expenses below. Use additional sheets if necessary. RECORD OF TRIPS HOME Deductions for trips home during assignments are LIMITED to the amount you would deduct if you had stayed at the assignment. (Revenue Ruling 54-477) Trip # Date Departed Date returned Airfare Miles Driven & 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Please Initial Page 17 of 19

Appendix B RETURNING Client with NO TAX HOME Below is all of the information we need if you do not have a tax home. It is more to determine how to file you based on residency requirements and to let us know how your income was taxed. You will notice there is no mileage to keep track of unless you are qualifying for moving expenses. Sad, but true. With no tax home, you can no more deduct commuting miles than a regular employee. But on the other hand, there is a whole lot less record keeping involved. If you are unsure if you were taxed on reimbursements, leave the box empty and we will try to help you determine that from your contracts. Some contracts are less clear than others, and if you can, enclose a check stub with these. Assignment Itinerary Start Date () () Assignment 1 Assignment 2 Assignment 3 Assignment 4 Assignment 5 Location : & State Were you taxed on meals? n/a = did not receive Enter amount of meal reimbursement Only if NOT taxed Did you live in company provided housing or receive a stipend? Were you taxed on the value of the housing or the stipend? n/a = did not receive Enter amount of housing Only if NOT taxed Y N n/a Y N n/a Y N n/a Y N n/a Y N n/a Housing Stipend Housing Stipend Housing Stipend Housing Stipend Housing Stipend Y N n/a Y N n/a Y N n/a Y N n/a Y N n/a OR Amount of combined or blended reimbursements Only if NOT taxed untaxed reimbursements No Tax Home Moving Expenses Unfortunately the IRS only allows for moving expenses if you expect to be in one location for at least 9 months AND / OR have been in one location for at least 9 months. Enter expenses here for any moves that qualify. Move 1 Move 2 Move 1 Move 2 Miles from your OLD Home to NEW workplace Miles driven to new residence expenses Utility hook ups Up to 30 days of storage fees Reimbursements Moves to Foreign Countries Date of Move Miles from OLD home to OLD workplace Car or trailer rental Cost of hiring movers and country of old workplace and country of new workplace Please Initial Page 18 of 19