TAX INFORMATION SHEET

You MUST bring in your tax bills for both summer and winter taxes.

PLEASE provide receipts for all property taxes- PAID and NOT PAID

TAXES PAID	AMOUNT PAID
Real Estate (Home)	_____________________
Real Estate (Other)	_____________________
Licenses (Car Tabs)	_____________________
Other Taxes	_____________________
INTEREST PAID	AMOUNT PAID
Home Mortgage	_____________________
Home Equity Loan	_____________________
Home Equity Loan	_____________________
Land Contract	_____________________
Name of L.C. Holder	_____________________
Address of L.C. Holder	_____________________
City, State, Zip	_____________________
SSN of Holder	_____________________
CHILD CARE	AMOUNT PAID
Child Care Amount	_____________________
Child Care Provider	_____________________
Address of Provider	_____________________
City, State, Zip	_____________________
Provider ID or SSN	_____________________
CONTRIBUTIONS	AMOUNT PAID
Church	_____________________
Church	_____________________
Cancer Society	_____________________
Disabled Vets	_____________________
Heart Association	_____________________
March Of Dimes	_____________________
United Funds	_____________________
United Way	_____________________
Muscular Dystrophy	_____________________
Salvation Army	_____________________
Scouts (Boys & Girls)	_____________________
Clothing	_____________________
Other:	_____________________
Other:	_____________________
Other:	_____________________
SPECIAL MICHIGAN CHARITIES	AMOUNT PAID
Channel 56	_____________________
Gleaners Food Bank	_____________________
Pontiac Resue Mission	_____________________
COTS	_____________________
Forgotten Harvest	_____________________
Haven	_____________________
Rave	_____________________
MEDICAL - YOU PAID	AMOUNT PAID
Medical Insurance	_____________________
Doctors & Dentists	_____________________
Prescription Drugs	_____________________
Hospitals	_____________________
Ambulance Fees	_____________________
Lab Fees / X-Rays	_____________________
Eyeglasses	_____________________
Dentures	_____________________
Hearing Aids	_____________________
Medical Mileage	_____________________
Lodging Expenses	_____________________
Other	_____________________
MISC. DEDUCTIONS	AMOUNT PAID
Employee Bus. Exp.	_____________________
Prof. Licenses	_____________________
Unreimbursed Mileage	_____________________
Union Dues	_____________________
Uniforms	_____________________
Safety Shoes	_____________________
Safety Equipment	_____________________
Work Tools	_____________________
IRA Fees	_____________________
Safety Dep. Box	_____________________
Tax Prep Fee	_____________________
Continuing Education	_____________________
Vocational Supplies	_____________________
Job Search Expenses	_____________________
Other	_____________________

Include all W-2 forms, interest, dividends, pension, unemployment statements, business and rental income, tip income, social security statements, statements from distributions received, and any other statements pertaining to income.

All children must have Social Security Numbers.

IMPORTANT:  If, during this year, you bought or sold a home, sold stock or mutual funds, or started a business, we will need additional information in order to complete your tax return. Please call our office as soon as possible so we can send you additional information and worksheets which you will need to complete before your tax appointment.

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