Antico-Bryant Tax Preparation, LLC

Antico-Bryant Tax Preparation, LLC 29 Lowell Avenue West Orange, NJ 07052 DeAnna: (973) 280-6971 E-Mail- - ATaxPreparation@aol.com John: (973) 698-6955 E-Mail- BTaxPreparation@aol.com www.anticobryanttax.com Client Information Resident state as of 12/31/2014 If not a full year resident, please list other states & date of move *For those who are NOT residents of NJ: Please provide additional W-2's which can be found by printing "Form 2 of 2" when retrieving W-2's. **Residents of DE, MI, MO, OH & PA: We prepare most Local, Municipality & School District returns. Please submit any tax forms you received as well as your district name & number if possible. Inform us of any estimated payments made to be applied to 2014. Filing Status: (Circle one) Single Married Filing Joint Married Filing Separate Head of Household Qualified Widow (or Widower) *For same-sex marriages, please refer to page 7 for further instructions. First Name MI Last Name SS# Date of Birth Taxpayer: Spouse: Occupation: Spouse: Will anyone else be claiming you as a dependent (such as a parent)? If MFS, did you live with your spouse at any time during the last 6 months of 2014?,. Street City State Zip County Tax Address: Mailing Address: Contact #: Alternate#: E-Mail: Dependents: *Dependent's income must be under $3,950 unless they are a full-time student under 24 *If you are the non-custodial parent, you MUST provide a CURRENT Form 8332 "Release of Claim" to claim them. Name Relationship D.O.B. SS# # of Months home Direct Deposit: You have the option to have your refund directly deposited into your bank account. If you chose option YES, please include a voided check. Write VOID across it. Yes, have my refund deposited No, do not have my refund deposited E-Filing: You have the option to have your refund e-filed. It speeds up the process substantially. If you choose option YES, you must fill out & sign Form 8879. Yes, have my return e-filed No, do not have my return e-filed *Please note that there is an extra fee of $15.00 for returns that are not e-filed. 1

**On your W-4, did you claim Exempt or claim excess dependents in 2014?? If yes, approximately how many months? *Please note that this may have caused less income tax to be withheld and will reduce your refund and/or increase the amount due. IRA Contributions (Until April 15 th, 2015) *$5,500 maximum contribution or $6,500 for age 50 or older Traditional $ Roth $ Important Questions Did you receive alimony in 2014? Did you pay alimony in 2014? If yes, To: SS# / / Do you owe any back child support? Did you adopt a child in 2014? Is your spouse deceased? If yes, please provide date of death. / / Did the IRS garnish your refund for 2013 or any prior years? Do you owe any back taxes to the IRS or any state? Do you have delinquent student loans or owe back child support? Do you have foreign funds whose total value exceeds $10,000? Did you have any debts refinanced or cancelled, forgiven or refinanced? If yes, please provide form 1099A and/or 1099-C. Do you have children under age 24 with investment income over $2,000? *If yes, please provide form 1099 statements. Do you wish to allow us to discuss this return with the IRS? New Clients: Please answer the following if you cannot provide the last tax return filed: Did you receive a federal refund or have a balance due? Refund $ Balance $ Did you receive a state and/or local tax refund last year? If yes, $ Did you pay additional state and/or local tax last year? If yes, $ Did you itemize on your 2013 return (or last year filed)? Have you been audited or are you currently being audited If yes, year(s) Other Income Unemployment Income: Please provide 1099G Interest Income: Please provide all 1099 interest statements from your bank(s)/institution(s). Dividend Income: Please provide all 1099 dividend statements and state information. For debts, cancelled, forgiven or refinanced: Please provide 1099-A or 1099-C Other Income: Jury duty pay, taxable prizes (lottery), gambling winnings, trustee fees, etc.) Stocks & Bonds Sold Provide your complete year-end statement and 1099(s) from your broker. Tax law requires that the following MUST be reported: Description & Quantity, Date of sale, Price of sale, Purchase Date & Cost Basis Pension, IRA, 401K Distributions & Rollovers Provide all 1099s. Tax law requires that the following MUST be reported: Payer Institution: Date: / / Type: Rollover? Estimated Tax Payments (for 2014, not prior years) *Usually for self-employment income $ / / $ / / $ / / $ / / $ / / $ / / 2

Airline Employee Deductions *Receipts are required for all single purchases over $75 each. All items under $75 must be entered on your schedule or into a logbook with item, date & cost. Be sure to have documentation for ALL items that you list below regardless of amount; a receipt, credit card or bank statement, logbook or schedule entry is sufficient. Please do not send these receipts or records. It is assumed that you have them when you include them below. *Please do not list anything that you are not ready to back-up! Enter amounts as yearly totals unless otherwise specified. Transportation: Layover: Subway, bus, taxi, train, rental car, etc. $ Reserve emergency taxi fares $ Reserve emergency airport parking $ Layover Expenses: Calls to home $ Internet Fees $ ATM/Credit card fees $ Driver Tips $ Maid Tips $ Other Tips $ Uniforms: Purchases (excluding points) $ Purse (comp required) $ Wings $ Dry Cleaning $ Laundering $ Other $ Shoes: Purchases $ Repairs $ Maintenance & Shine $ Hosiery $ Luggage: Purchases $ Repairs $ Maintenance $ Name Tags $ Communication: Mobile phone: Monthly base fee(+ taxes) Internet: Monthly base fee(+ taxes) # of months on reserve # of months as a lineholder Miscellaneous Expenses: Company office expense $ Computer printer supplies $ Passport fee (not reimbursed) $ Foreign visas (not reimbursed) $ Photos $ Global Entry Fee $ Professional Publications $ ID replacement $ Manual replacement $ Language education fees $ Int'l voltage converter $ Int'l currency converter $ Batteries $ Portable Items: Clock $ Iron $ Hair Dryer $ Curling Iron $ Smoke Detector $ Security Device $ Flashlight $ Galley supplies $ Watch (Dual Time Zone) $ Watch repairs $ Watch batteries $ Personal organizer $ Logbook $ Airplane access key $ Travel & training Expenses: Recurrent training, company meetings and business. Hotel $ Transportation $ Phone $ Meals $ Other (Specify) $ Initial training # of Days in training Transportation $ Telephone $ Other $ Pilots: Company mandated physical exam $ Sunglasses $ Headsets $ Cockpit supplies (maps, charts, navigational calculators, etc.) $ *Commuting expenses are NOT deductible because everyone commutes to work in some form! **Crash pads are NOT deductible because it is a choice to not live at your base. ***Cosmetics and beauty treatments such as hair & nails are not deductible. ****Computer and laptops are not deductible, just internet expenses. 3

Itemized Deductions Medical Expenses: This applies to amounts over 10% of total income. Prescriptions $ Doctor's/Dentists $ Hospitals/Clinics $ Labs/X-rays $ Long-term care $ Optical $ Medical Equipment/Supplies: Medical Miles Other (Specify) Homeowner Information: *Provide 1098 statement from your mortgage company. Primary real estate taxes $ Primary mortgage interest $ 2nd mort real estate taxes $ 2nd mortgage/home equity loan interest $ *Please subtract any property tax rebates or reimbursements from total. **Interest paid on a boat or RV will qualify as a deduction if it has a lavatory and a range. ***Provide a copy of the closing statement if you purchased, sold or refinanced your residence. Did you sell your home in 2014? If yes, include 1099-S if provided to you. If yes, did you live at the sold residence two consecutive years of the last five? Did you refinance your home in 2014? If yes, # of years refinanced: Sales Tax Deduction: *Include copy of receipt. Sales tax paid on purchase or lease of motor vehicle, boat, RV or aircraft. $ Charitable Contributions: *REQUIREMENTS: The IRS now requires documentation for ALL CASH DONATIONS, regardless of amount. You must have either written proof from the charity including name, date & amount of donation(s) or a bank record (canceled check, bank copy of canceled check or bank statement with name of charity(s), date & amount) Please provide a detailed itemized list of all contributions & donations. Cash Donations: Church $ Official Charities $ Other (Specify) $ Charitable Miles Volunteer Expenses (Specify) $ Non-Cash Contributions: The IRS now requires an itemized list of ALL items donated and receipt from the charity, regardless of the amount. Non-Cash Contributions $ Charity: Address Description: Non-Cash Contributions $ Charity: Address: Description: Casualty Theft & Loss: *Only net amounts over 10% of your income are deductible. *Please provide itemized insurance list or police report Type of property: Date Acquired: / / Occurrence: Date: / / Value before loss $ Value after loss $ Insurance Reimbursement $ Miscellaneous Expenses Union & Professional Dues $ Investment Expense $ Tax Preparation Fees (Prior Year) $ Safe Deposit Box Rental $ Gambling Expense (to extent of winnings) $ (Documentation required) 4

Adjustments to Income & Credits IRA, Educational IRA & Self-Employed Retirement Contributions Contributions made in 2014 to: *May contribute until 04/15/15. Limit: $5,500 or $6,500 for age 50 + Traditional IRA: $ Roth IRA: $ Self-Employed Retirement Plan: $ Student Loan Interest: Please provide statement(s) for interest paid in 2014 You & your spouse's loans qualify. Your child's if the debt was incurred in a year in which that child was claimed as a dependent & you are liable for the loan as well as making the payments. The loan must be used to pay educational expenses incurred while attending a post-secondary educational facility for an undergraduate or graduate degree. Education credits/tuition deduction: Available for taxpayer, spouse or dependent. *The American Opportunity Credit, Lifetime Learning Credit or Tuition and Fees Deduction Qualified expenses such as tuition, books & fees required to attend an eligible institution may be claimed. Expenses not considered qualified are charges & fees associated with room, board, student activities, athletics, insurance, equipment, transportation and similar living expenses. We will determine which of the following will be most beneficial for you. Tuition Paid: (Include 1098-T) Year in College: 1st 2nd 3rd 4th Grad Was student at least a half-time student? Is program being taken to acquire or improve job skills? (for Lifetime Learning Credit) If married, you must file jointly in order to receive credits. Child & Dependent Care Credit: This credit applies only to time you are either working or seeking employment. $3,000 Maximum expense amount per child. Children must be under age 13 unless disabled. Child(ren) Paid to: SS#/ID#: - - Address: Amount: $ Residential Energy Credit: This applies to installation of alternative energy equipment such as: solar hot water heaters, geothermal heat pumps or wind turbines. Plug-In Electric Vehicle Credit: Please provide manufacturer's certificate and sales receipt. For a qualified new plug-in electric drive motor vehicle purchased. Renter's Credit: *Applicable in CA, IN, MA, MI, MN, NJ & WI (MN residents send CRP) Total Monthly Rent: $ Your Portion: $ Total months rented: Apartment Address: Landlord's name & address: Moving Expenses: On base transfers & job related moves are deductible within one year of move. Date of move / / From: To: (minimum of 50 miles) Distance from OLD residence to NEW place of employment: Taxpayer Spouse Distance from OLD residence to OLD place of employment: Taxpayer Spouse Transportation Expense (movers, truck rental) $ Storage of household goods $ Travel Expenses $ (or miles) Lodging Expense $ 5

Rental Income & Expenses Property Type Address, Days rented in 2014 Days of personal use in 2014 Rent Received $ # of months Advertising $ Auto $ Travel $ Cleaning/Maintenance $ Insurance $ Legal/Prof Fees $ Management Fees $ Mortgage Interest $ Repairs $ Supplies $ Property/Real estate tax $ Utilities $ Other $ : Date rental began / / (Lesser of) Purchase Price or Fair Market Value of home $ Employee Business Deductions (Non Airline employees only - W-2 Income only) Name of Employer: Address: Uniform Items $ Uniform Maintenance/Alt $ Professional Publications $ Union Dues $ Business Cards $ Office Supplies $ Postage $ Education (job related) $ Travel $ Meals/Entertainment $ Pager/Mobile (required for job) $ Business Calls $ Other $ Specify Office Equipment $ (provide list) Vehicle Expense: Year: Make Model If you lease, monthly payment $ Date first used for business / / Do you have another car for personal use? Vehicle expenses $ (provide breakdown) Do you have evidence to support this deduction? If yes, is it written? Total # of miles driven Business Personal Commuting Home Office (Must be required by employer) Number of months FMV of home $ Monthly rent $ Insurance $ Utilities per month (excludes water) $ Other $ Specify Schedule C: Self Employed, Small Business, 1099 Income, etc. Name of Business: Owner: Taxpayer Spouse Both Type of Business: Date Opened: / / Gross income (provide all 1099's $ Returns/Refunds $ Inventory: Cost at beginning of year inventory $ Cost of inventory purchased $ Items purchased for personal use $ Cost of end of year inventory $ Expenses: Advertising $ Business Insurance (excludes health) $ Legal/Prof Fees $ Interest: Mortgage $ Other $ Rent (outside home) $ Repairs $ Supplies $ Travel $ Entertainment $ Meals $ Utilities $ Dues/Publications $ Postage/Shipping $ Telephone $ Bank fees $ Self-Employed Health Insurance $ Taxes $ Office $ Other $ Vehicle Expenses: Year: Make Model If you lease, monthly payment $ Date first used for business / / Do you have another car for personal use? Total # of miles driven Business Personal Commuting Do you have evidence to support this deduction? If yes, is it written? Vehicle expenses (gas, oil, repairs, insurance (provide breakdown) $ Vehicle Registration $ Vehicle License $ Vehicle purchase amount $ Date / / 6

Same-Sex Marriages *Does not include Civil Unions or Domestic Partners If you have a same-sex spouse whom you legally married in a state (or foreign country) that recognizes samesex marriage, you and your spouse generally must use the married filing jointly or married filing separately filing status on your 2013 return, even if you and your spouse now live in a state (or foreign country) that does not recognize same-sex marriage. If you meet certain requirements, you may be able to file amended returns to change your filing status for some earlier years. Please let us know if this pertains to you and we will advise you accordingly. Affordable Care Act (ACA) **Required Annual Reporting Was your entire family covered the entire year with minimum essential health coverage? If yes, how was the coverage provided? (Circle one) Employer Insurance Marketplace (must provide 1095-A) Government Audit Procedures: Due to recent IRS and state policy changes and increased interest in the airline industry, we have been forced to change our policy regarding free audit representation for our clients. Our fee for IRS & State Correspondence research and response is now $50 per hour. Our decision was based upon the time consuming nature of these correspondences. Privacy Policy We do not disclose any nonpublic information obtained in the course of our practice except as required or permitted by law. Permitted disclosures include, for example, providing information to our employees and tax return processing center for purposes of preparing and processing your tax return. In all situations we stress the confidential nature of information being shared. In order to guard your nonpublic personal information, we maintain physical, electronic and procedural safeguards that comply with professional standards and the law. Friend Referral Program If you are already a client: Refer your friends to us! You will receive a $10.00 credit on next year's return for each referral that completes their return with us. Be sure to tell your referral to fill in your name on their organizer. If you are a referral: Please let me know who referred you so they can receive credit! ReferredBy 7

Basic Fees: FORM Federal, Schedule A, B & 2106 with 1st State (Itemized with per diem deduction) 150.00 Federal, Schedule A, B & 2106 with No State (Itemized with per diem deduction) 140.00 Federal with 1st State (Not 120.00 Itemized) Federal Only (Not Itemized) 110.00 Additional Fees: Returns not e-filed 15.00 Additional State 25.00 Local Return 25.00 Joint Return (non-flight crew) 15.00 Joint Return (flight crew) 50.00 Additional W-2's (each, in excess of 2) 3.00 Schedule C - Business Income 30.00 Schedule C Schedule D - Stocks, bonds, dividends (1st 3, $3 each additional) 10.00 Schedule D Schedule E - Rental Income 30.00 Schedule E Schedule F - Farm Income 45.00 Schedule F Schedule H - Household Employee Taxes 25.00 Schedule H Schedule SE - Self Employment Taxes 10.00 Schedule SE Foreign Tax Credit 15.00 1116 Employee Business Expense Form 25.00 2106 Moving Expense 15.00 3903 Casualty Loss & Theft 15.00 4684 Investment Interest Expense 20.00 4952 Business Use of Home 25.00 8829 Education Credits 15.00 8863 Installment & Agreement Request 15.00 9465 Depreciation Worksheet (each item) 15.00 4562 Audit Resolution (hourly) 50.00 Please feel free to inquire about any forms or services you do not see listed above. 8

***IMPORTANT - BEFORE TURNING IN TAX ORGANIZER: 1. The following statement must be (by both if MFJ) in order for return to be processed: "I certify that the information I have provided in this organizer is accurate and correct. I understand that it is my responsibility to include any and all information concerning income, deductions and any other information for the preparation of my personal tax return. I also understand that is my responsibility to have receipts and/or records to back up any deductions or credits claimed. My signature below is verification of my agreement to the above." Taxpayer Signature Spouse Signature Date / / Date / / 2. Payment: Payment of basic fee must be submitted prior to completion of return. *Checks should be made payable to "Antico-Bryant Tax Preparation. LLC **Credit Cards: Please complete the following: Mastercard Visa American Express Discover Card #: Expiration Date / Security Code (3 or 4 digits on back near signature panel) Name as it appears on card: Billing Zip Code Signature of Cardholder 3. Checklist: W-2's Other tax forms (1099's, statements, etc.) Any statement of which you are unsure Last completed tax return Last Pay Stub of 2013 Monthly flight schedules Voided check for direct deposit Form 8879 signed for E-Filing Payment Signature(s) of above statement signed (#1 on top of page) * A $25.00 additional cost will be imposed on all returns processed from April 1st forward. **A bounced check fee of $25.00 will be charged in additional to incurred bank fees. ***The lesser amount of 10% or $10.00 per month late fee will be charged on all amounts due. ****A $6.00 fee will be charged for schedule printing *****A $5.00 fee will be charged to all credit card orders Thank you for chosing Antico-Bryant Tax Preparation. Our goal is to make your tax experience as simple and painless as possible! 9