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Text File  |  1991-01-09  |  5KB  |  147 lines
  1.   TSCRATCH Pg 1                   TAXAIDE
  2.  
  3.  
  4.                                   TSCRATCH
  5.  
  6. Use this "scratch pad" to collect and organize your raw data which you may need
  7. to prepare your income tax return.  In most cases you will not need to total
  8. your inputs because TaxAide will do it for you, or you can use addition at the
  9. time of input.
  10.  
  11.                                       YOU
  12.  
  13.    INCOME FROM WAGES, SALARIES, TIPS      FICA           INCOME TAX WITHHELD
  14.      Received from:       Amount        WITHHELD        Federal         State
  15.  
  16.   1._________________  $____________  $____________  $____________  $_________
  17.  
  18.   2._________________  $____________  $____________  $____________  $_________
  19.  
  20.   3._________________  $____________  $____________  $____________  $_________
  21.  
  22.               TOTALS   $____________  $____________  $____________  $_________
  23.  
  24.  
  25.                                      SPOUSE
  26.  
  27.    INCOME FROM WAGES, SALARIES, TIPS      FICA           INCOME TAX WITHHELD
  28.      Received from:       Amount        WITHHELD        Federal         State
  29.  
  30.   1._________________  $____________  $____________  $____________  $_________
  31.  
  32.   2._________________  $____________  $____________  $____________  $_________
  33.  
  34.   3._________________  $____________  $____________  $____________  $_________
  35.  
  36.               TOTALS   $____________  $____________  $____________  $_________
  37.  
  38.  
  39.  
  40.          INTEREST                                   DIVIDENDS
  41.       Received from:           Amount          Receive from:         Amount
  42.  
  43.   1._______________________ $__________    1.____________________ $___________
  44.  
  45.   2._______________________ $__________    2.____________________ $___________
  46.  
  47.   3._______________________ $__________    3.____________________ $___________
  48.  
  49.   4._______________________ $__________    4.____________________ $___________
  50.  
  51.   5._______________________ $__________    5.____________________ $___________
  52.  
  53.                  TOTAL      $__________                  TOTAL    $___________
  54.  
  55.  
  56.                  Copyright 1990 Software Applications of Wichita
  57.   TSCRATCH Pg 2                      TaxAide
  58.  
  59.  
  60.        OTHER INCOME
  61.       Received from:           Amount           Received from:       Amount
  62.  
  63.   1._______________________ $__________    4.____________________ $___________
  64.  
  65.   2._______________________ $__________    5.____________________ $___________
  66.  
  67.   3._______________________ $__________    6.____________________ $___________
  68.  
  69.                                                          TOTAL    $___________
  70.  
  71.  
  72.                     GAINS OR LOSSES FROM SALES OF PROPERTY
  73.         Property             Date bought/cost      Date sold/price
  74.  
  75.   1._____________________  ____________________  _____________________
  76.  
  77.   2._____________________  ____________________  _____________________
  78.  
  79.   3._____________________  ____________________  _____________________
  80.  
  81.   4._____________________  ____________________  _____________________
  82.  
  83.  
  84.  
  85.                               TAXES PAID
  86.  
  87.   State Income $__________   Sales Tax $_______   Real Estate $__________
  88.  
  89.   Personal Property $_________
  90.  
  91.   Other $__________     ____________ $_________     ____________ $__________
  92.  
  93.  
  94.  
  95.                              MEDICAL EXPENSES
  96.  
  97.   Medicine/Drugs $_____________  Doctor, Nurse, Dentist, Hospital $____________
  98.  
  99.   Medical Transportation $___________   Insurance Premimums $____________
  100.  
  101.   Other $____________   ____________ $____________   ____________$___________
  102.  
  103.  
  104.  
  105.                              INTEREST EXPENSES
  106.  
  107.   Home Mortgage (Bank,etc.) $___________   and/or (Individual) $_____________
  108.  
  109.   Credit Cards/Charge Accounts $__________
  110.  
  111.   Other $____________   ____________ $____________   ____________$___________
  112.   TSCRATCH Pg 3                      TaxAide
  113.  
  114.  
  115.                                CONTRIBUTIONS
  116.   Cash Under $3000     Cash Over $3000      Other Than Cash
  117.  
  118.   $__________          $___________         $___________
  119.  
  120.   $__________          $___________         $___________
  121.  
  122.  
  123.  
  124.                       CASUALITY AND THEFT LOSS(ES)
  125.  
  126.   $_____________   $____________   Amount Reimbursed $___________
  127.  
  128.  
  129.  
  130.  
  131.                        MISCELLANEOUS DEDUCTIONS
  132.  
  133.   Union Dues $___________       Professional Dues $___________
  134.  
  135.   Tax Preparation $__________   Other $___________  ____________ $___________
  136.  
  137.  
  138.  
  139.  
  140.                                 OTHER EXPENSES
  141.  
  142.   __________  $__________   __________ $____________   __________ $__________
  143.  
  144.   __________  $__________   __________ $____________   __________ $__________
  145.  
  146.   __________  $__________   __________ $____________   __________ $__________
  147.