{"text_format":"dbase-jsonl-2026-09-30","columns":[{"name":"LINEITEM","type":"character","width":80}],"n_rows":462,"rows_kept":462,"cut":false,"deleted_skipped":0,"read_ended":"whole","bounds":"16MiB/16384/4096/first_that_fit","version":"dbase_level_three","encoding_class":"enc_absent","reader":"statdb_count/9"}
["T A X    O R G A N I Z E R"]
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["1 9 8 9    I N F O R M A T I O N"]
["-----------------------------------------------------------------------------"]
["OVER 65   BLIND"]
["NAME _________________      ( )       ( )                             CHECK"]
["FILING STATUS       ONE:"]
["SPOUSE________________      ( )       ( )      ----------------------------"]
["MARRIED FILING JOINTLY   ( )"]
["MARRIED FILING SEPERATE  ( )"]
["TOTAL EXEMPTIONS _________                     SINGLE                   ( )"]
["HEAD OF HOUSEHOLD        ( )"]
[null]
["W2 INFORMATION"]
["--------------"]
[null]
["HUSBAND   WIFE                FEDERAL        STATE"]
["COMPANY                  GROSS     GROSS      FICA    WITHHOLDING   WITHHOLDING"]
["----------------------  ---------  --------- -------  ------------  -----------"]
[null]
["----------------------  ---------  --------- -------  ------------  -----------"]
[null]
["----------------------  ---------  --------- -------  ------------  -----------"]
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["----------------------  ---------  --------- -------  ------------  -----------"]
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["----------------------  ---------  --------- -------  ------------  -----------"]
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["----------------------  ---------  --------- -------  ------------  -----------"]
[null]
["----------------------  ---------  --------- -------  ------------  -----------"]
[null]
["----------------------  ---------  --------- -------  ------------  -----------"]
[null]
["TOTALS"]
["=========  ========= =======  ============  ==========="]
[null]
[null]
["INTEREST AND DIVIDEND INCOME"]
["----------------------------"]
["INTEREST                                DIVIDENDS"]
["-----------------------------------     -----------------------------------"]
["NAME OF PAYER              AMOUNT       NAME OF PAYER              AMOUNT"]
["--------------------   ------------     --------------------   ------------"]
[null]
["--------------------   ------------     --------------------   ------------"]
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["--------------------   ------------     --------------------   ------------"]
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["--------------------   ------------     --------------------   ------------"]
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["--------------------   ------------     --------------------   ------------"]
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["--------------------   ------------     --------------------   ------------"]
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["--------------------   ------------     --------------------   ------------"]
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["--------------------   ------------     --------------------   ------------"]
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["TOTALS                                  TOTALS"]
["============                            ============"]
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["T A X    O R G A N I Z E R"]
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["1 9 8 9    I N F O R M A T I O N"]
["---------------------------------------------------------------PAGE 2----"]
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["MEDICAL EXPENSES"]
["----------------"]
[null]
["MEDICINE AND DRUGS                 DOCTORS AND DENISTS"]
["-----------------------------      ---------------------------------------"]
["PAID TO             AMOUNT         PAID TO                       AMOUNT"]
["----------------  -----------      -------------------------   -----------"]
[null]
["----------------  -----------      -------------------------   -----------"]
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["----------------  -----------      -------------------------   -----------"]
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["----------------  -----------      -------------------------   -----------"]
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["----------------  -----------      -------------------------   -----------"]
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["----------------  -----------      -------------------------   -----------"]
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["----------------  -----------      -------------------------   -----------"]
["TOTAL"]
["----------------  -----------                                  ==========="]
[null]
["----------------  -----------"]
[null]
["----------------  -----------"]
["OTHER MEDICAL"]
["----------------  -----------      ---------------------------------------"]
["DESCRIPTION                   AMOUNT"]
["----------------  -----------      --------------------------  -----------"]
["HEALTH INSURANCE"]
["----------------  -----------      --------------------------  -----------"]
["MEDICAL TRAVEL"]
["----------------  -----------      --------------------------  -----------"]
["EYE GLASSES"]
["----------------  -----------      --------------------------  -----------"]
[null]
["----------------  -----------      --------------------------  -----------"]
[null]
["----------------  -----------      --------------------------  -----------"]
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["----------------  -----------      --------------------------  -----------"]
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["----------------  -----------      --------------------------  -----------"]
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["----------------  -----------      --------------------------  -----------"]
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["----------------  -----------      --------------------------  -----------"]
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["----------------  -----------      --------------------------  -----------"]
["TOTAL                                        TOTAL"]
["===========                                  ==========="]
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["T A X    O R G A N I Z E R"]
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["1 9 8 9    I N F O R M A T I O N"]
["---------------------------------------------------------------PAGE 3----"]
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["TAXES YOU PAID                          GIFTS TO CHARITY (UNDER $3000 EA)"]
["--------------                          ---------------------------------"]
["PAID TO          AMOUNT"]
["REAL ESTATE TAXES      _____________    -------------------  ------------"]
[null]
["PERSONAL PROPERTY TAX  _____________    -------------------  ------------"]
[null]
["OTHER TAXES            _____________    -------------------  ------------"]
[null]
["_____________    -------------------  ------------"]
[null]
["SUBTOTAL          _____________    -------------------  ------------"]
[null]
["-------------------  ------------"]
["STATE AND LOCAL INCOME TAXES"]
["----------------------------            -------------------  ------------"]
[null]
["WITHHELD FROM INCOME   _____________    -------------------  ------------"]
[null]
["PD WITH LAST YR RETURN _____________    -------------------  ------------"]
["TOTAL GIFTS LESS"]
["TOTAL TAXES                        THAN $3000 PER DONEE"]
["=============                         ------------"]
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["INTEREST YOU PAID                        GIFTS GREATER THAN"]
["------------------------------------       $3000 PER DONEE"]
["HOME MORTGAGE INTEREST             -------------------------------"]
["PAID TO          AMOUNT                 PAID TO          AMOUNT"]
["------------------  -----------          ------------------  -----------"]
[null]
["------------------  -----------          ------------------  -----------"]
[null]
["------------------  -----------          ------------------  -----------"]
[null]
["TOTAL MORTGAGE INT                      TOTAL GIFTS GREATER"]
["-----------          THAN $3000 PER DONEE"]
["-----------"]
["TOTAL CHARITY GIFTS"]
["==========="]
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["PERSONAL INTERST"]
["(Credit cards, car loans, etc)"]
["-----------------------------------"]
["PAID TO          AMOUNT                 PAID TO          AMOUNT"]
["------------------  -----------          ------------------  -----------"]
[null]
["------------------  -----------          ------------------  -----------"]
[null]
["------------------  -----------          ------------------  -----------"]
[null]
["------------------  -----------          ------------------  -----------"]
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["------------------  -----------          ------------------  -----------"]
[null]
["TOTAL PERSONAL INT"]
["==========="]
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["T A X    O R G A N I Z E R"]
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["1 9 8 9    I N F O R M A T I O N"]
["---------------------------------------------------------------PAGE 4----"]
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["MISCELLANEOUS DEDUCTIONS  (JOB EXPENSES AND MOST OTHER MISC DEDUCTIONS)"]
["-----------------------------------------------------------------------"]
[null]
["DESCRIPTION        AMOUNT             DESCRIPTION         AMOUNT"]
["--------------------  -----------        ------------------  -----------"]
["JOB TRAVEL (MEALS)                       SAFE DEPOSIT BOX"]
["--------------------  -----------        ------------------  -----------"]
["JOB TRAVEL (LODGING)"]
["--------------------  -----------        ------------------  -----------"]
["JOB TRAVEL (AUTO)"]
["--------------------  -----------        ------------------  -----------"]
["JOB TRAVEL (OTHER)"]
["--------------------  -----------        ------------------  -----------"]
["JOB SUPPLIES"]
["--------------------  -----------        ------------------  -----------"]
["UNION DUES"]
["--------------------  -----------        ------------------  -----------"]
["PUBLICATIONS"]
["--------------------  -----------        ------------------  -----------"]
["UNIFORM COST"]
["--------------------  -----------        ------------------  -----------"]
["UNIFORM CLEANING"]
["--------------------  -----------        ------------------  -----------"]
["TAX PREPERATION FEE"]
["--------------------  -----------        ------------------  -----------"]
[null]
["TOTAL JOB RELATED"]
["MISC DEDUCTIONS"]
["==========="]
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[null]
[null]
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["MISCELANEOUS DEDUCTIONS NOT SUBJECT TO 2% FLOOR"]
["(Primarily for Handicapped persons with Job related expenses)"]
["-------------------------------------------------------------"]
[null]
["DESCRIPTION        AMOUNT             DESCRIPTION         AMOUNT"]
["--------------------  -----------        ------------------  -----------"]
[null]
["--------------------  -----------        ------------------  -----------"]
[null]
["--------------------  -----------        ------------------  -----------"]
[null]
["--------------------  -----------        ------------------  -----------"]
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["TOTAL MISC DEDUCTIONS"]
["NOT SUBJECT TO 2% FLR"]
["==========="]
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["T A X    O R G A N I Z E R"]
["1 9 8 9    I N F O R M A T I O N"]
["---------------------------------------------------------------PAGE 5----"]
["PROFIT OR LOSS FROM BUSINESS OR PROFESSION"]
["------------------------------------------"]
[null]
["1 GROSS RECEIPTS OR SALES  . . . . . . . . . . . . . . ._________________"]
[null]
["2 LESS COST OF GOODS SOLD (see schedule next page) . . ._________________"]
[null]
["3 GROSS PROFIT (line 1 less line 2). . . . . . . . . . ._________________"]
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["4 OTHER INCOME . . . . . . . . . . . . . . . . . . . . ._________________"]
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["5 GROSS INCOME (add line 3 and 4). . . . . . . . . . . ._________________"]
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["6 LESS DEDUCTIONS (Total from below) . . . . . . . . . ._________________"]
[null]
["7 NET PROFIT OR (LOSS) . . . . . . . . . . . . . . . . ._________________"]
[null]
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["DEDUCTIONS"]
["-----------------------------------------------------------------------------"]
[null]
["ADVERTISING. . . . . ._______________  REPAIRS. . . . . . . _________________"]
[null]
["BAD DEBTS  . . . . . ._______________  SUPPLIES . . . . . . _________________"]
[null]
["BANK SERVICE CHARGES  _______________  TAXES. . . . . . . . _________________"]
[null]
["CAR AND TRUCK EXPENSE _______________  REMT . . . . . . . . _________________"]
[null]
["COMMISSIONS  . . . . ._______________  TRAVEL . . . . . . . _________________"]
[null]
["DEPLETION. . . . . . ._______________  MEALS & ENTERTAINMENT_________________"]
[null]
["DEPRECIATION . . . . ._______________  UTILITIES. . . . . . _________________"]
[null]
["DUES AND PUBLICATIONS._______________  TELEPHONE. . . . . . _________________"]
[null]
["EMPLOYEE BENEFIT PRG  _______________  WAGES. . . . . . . . _________________"]
[null]
["FREIGHT. . . . . . . ._______________  INSURANCE. . . . . . _________________"]
[null]
["INTEREST . . . . . . ._______________  LAUNDRY & CLEANING . _________________"]
[null]
["LEGAL & PROFESSIONAL ._______________  OFFICE EXPENSE . . . _________________"]
[null]
["OTHER DEDUCTIONS"]
["----------------"]
["DESCRIPTION             AMOUNT           DESCRIPTION             AMOUNT"]
["-------------------   ---------------   -------------------   ---------------"]
[null]
["-------------------   ---------------   -------------------   ---------------"]
[null]
["-------------------   ---------------   -------------------   ---------------"]
[null]
["TOTAL OTHER DEDUCTIONS_______________"]
[null]
["GRAND TOTAL DEDUCTIONS_______________"]
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["T A X    O R G A N I Z E R"]
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["1 9 8 9    I N F O R M A T I O N"]
["---------------------------------------------------------------PAGE 6----"]
[null]
[null]
["COST OF GOODS SOLD"]
["-------------------------------"]
["1 INVENTORY AT BEGINNING OF YEAR . . . . . ._______________"]
[null]
["2 PURCHASES  . . . . . . . . . . . . . . . ._______________"]
[null]
["3 COST OF LABOR  . . . . . . . . . . . . . ._______________"]
[null]
["4 MATERIALS AND SUPPLIES . . . . . . . . . ._______________"]
[null]
["OTHER COSTS:"]
[null]
["DESCRIPTTION        AMOUNT"]
["---------------- ---------"]
[null]
["---------------- ---------"]
[null]
["---------------- ---------"]
[null]
["---------------- ---------"]
[null]
["---------------- ---------"]
[null]
["5      TOTAL OTHER COSTS  . . . . . . . . ._______________"]
[null]
["6 ADD LINES 1 THROUGH 5 . . . . . . . . . ._______________"]
[null]
["7 LESS INVENTORY END OF YEAR. . . . . . . (_______________)"]
[null]
["8 COST OF GOODS SOLD. . . . . . . . . . . ._______________"]
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["T A X    O R G A N I Z E R"]
["1 9 8 9    I N F O R M A T I O N"]
["---------------------------------------------------------------PAGE 7-------"]
["RENTAL INCOME OR LOSS"]
["---------------------"]
[null]
["*   PROPERTY A  *   PROPERTY B  *   PROPERTY C  *"]
["* ------------- * ------------- * ------------- *"]
["DESCRIPTION-ADDRESS        *               *               *               *"]
["* ============= * ============= * ============= *"]
["RENTS RECEIVED"]
["* ------------- * ------------- * ------------- *"]
["LESS EXPENSES (total below)"]
["-------------   -------------   -------------"]
["RENT INCOME OR (LOSS)"]
["=============   =============   ============="]
[null]
[null]
["NET RENT OR (LOSS) OF ALL PROPERTIES __________________"]
[null]
["------------------------------------------------------------------------------"]
["RENT EXPENSES"]
["--------------"]
["* ------------- * ------------- * ------------- *"]
["ADVERTISING                *               *               *               *"]
["* ------------- * ------------- * ------------- *"]
["AUTO AND TRAVEL            *               *               *               *"]
["* ------------- * ------------- * ------------- *"]
["CLEANING & MAINTENANCE     *               *               *               *"]
["* ------------- * ------------- * ------------- *"]
["COMMISSIONS                *               *               *               *"]
["* ------------- * ------------- * ------------- *"]
["INSURANCE                  *               *               *               *"]
["* ------------- * ------------- * ------------- *"]
["LEGAL AND PROFESSIONAL     *               *               *               *"]
["* ------------- * ------------- * ------------- *"]
["INTEREST                   *               *               *               *"]
["* ------------- * ------------- * ------------- *"]
["REPAIRS                    *               *               *               *"]
["* ------------- * ------------- * ------------- *"]
["SUPPLIES                   *               *               *               *"]
["* ------------- * ------------- * ------------- *"]
["TAXES                      *               *               *               *"]
["* ------------- * ------------- * ------------- *"]
["UTILITIES                  *               *               *               *"]
["* ------------- * ------------- * ------------- *"]
["WAGES AND SALARIES         *               *               *               *"]
["* ------------- * ------------- * ------------- *"]
[null]
["OTHER EXPENSES"]
["DESCRIPTION                                 --------------"]
["* ------------- * ------------- * ------------- *"]
["*               *               *               *"]
["-----------------------    * ------------- * ------------- * ------------- *"]
["*               *               *               *"]
["-----------------------    * ------------- * ------------- * ------------- *"]
["*               *               *               *"]
["-----------------------    * ------------- * ------------- * ------------- *"]
["*               *               *               *"]
["-----------------------    * ------------- * ------------- * ------------- *"]
["*               *               *               *"]
["-----------------------    * ------------- * ------------- * ------------- *"]
[null]
["TOTAL EXPENSES               _____________   _____________   ______________"]
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