More of what you will need.
5. Interest You Paid
Home Mortgage Interest . . . . . . . . . . $ ________________ 2nd Mortgage Interest . . . . . . . . . . . . $ ________________
Home Improvement Interest . . . . . . $ ________________ Vacation Home Interest . . . . . . . . . . $ ________________
6. Contributions You Made
_________________Church. . . . $ _________________ _________________Church. . . . $ _________________
American Cancer Society . . . . . . . . . .$ _________________
United Way . . . . . . . . . . . . . . . . . . . . .$ _________________
Other Organizations . . . . . . . . . . . . . $ _________________
________________________________________________
________________________________________________
Non Cash Contributions . . . . . . . . . . .$ _________________
(clothes, furniture, etc.) Garage Sale Value
Charity Mileage ___________________________________
7. Baby Sitting ‐ Child Care
Name of Babysitter or Child Care Provider
________________________________________________
Address _________________________________________
________________________________________________
Social Security or Employer’s I.D. No. __________________
Amount Paid $__________________
Name of Babysitter or Child Care Provider
________________________________________________
Address _________________________________________
________________________________________________
Social Security or Employer’s I.D. No. __________________
Amount Paid $__________________
8. Other Items You Paid
Alimony . . . . . . . . . . . . . . . . $ _________________________
Union Dues . . . . . . . . . . . . . $ _________________________
Tools . . . . . . . . . . . . . . . . . . $ _________________________
Uniforms . . . . . . . . . . . . . . . $ _________________________
Safety Equipment . . . . . . . $ _________________________
Tax Preparation . . . . . . . . . $ _________________________
Safety Deposit Box . . . . . . $ _________________________
Employment Agency Fee . $ _________________________
*IRA or KEOGH Programs (Please furnish papers)
__________________________ $ _______________________________
__________________________ $ ________________________________
__________________________ $________________________________
9. Any Stocks/Bonds Sold
Purchase Date ____________Purchase Price ______________
Sale Date___________________
Purchase Date ____________Purchase Price ______________
Sale Date___________________
Did you purchase any Roth IRA’s? _______________________
Amount for Taxpayer $__________ Spouse $_____________
Value of Roth IRA’s at end of year $______________________
Include statement
10. Education
Name of Student ____________________________________
School Attending ____________________________________
1st or 2nd year _____ Amount of Tuition Paid $____________
Including loans
Name of Student_____________________________________
School Attending ____________________________________
1st or 2nd year _____ Amount of Tuition Paid $____________
Including loans