Melissa A Schiff, CPA, PC
/ 2597 Old State Road 37 South / ph 765-349-8272www.MelissaSchiffCPA.com / Martinsville, IN 46151 / fax 765-342-1666
READ ** SIGN ** RETURN
2015 Tax Document Checklist
I have reviewed and marked this checklist for items related to my tax return
______
Signature Date Best Phone number Best Text number
______Preferred contact (circle): Phone Text Email
Email ( We cannot receive text)
Please mark all that apply, make notes as needed and return with tax information
Who might be on the return
q Married, divorced or separated(living apart) on December 31, 2015 (if living apart, date moved apart)
q Children: Any changes in children you can claim; births, move outs, custody arrangements
q Any changes in who you supported, children or adults (parents don’t have to have lived in your home)
q Any name changes filed with Social Security
Employment & Income Data – please advise if you had income but did not receive the document
q W-2 forms for this year
q 1095 Proof of Insurance (we will need some form of proof of coverage)
q 1099-G; Unemployment compensation, and/or state and local tax refunds
q 1099-MISC Miscellaneous income - will need to know how earned to best shelter from tax
q 1099-R Pensions, annuities and retirement account distributions - was any directly donated to charity
q SSA-1099 Social Security benefits
q W2-G Gambling/lottery winnings - need winnings separate from losses
q Schedule K-1, basis changes, activity level: S-Corp, LLC, Estate/Trust
q 1099-INT Interest income statements
q 1099-DIV Dividend income statements
q 1099-B Proceeds from broker transactions: Basis and Purchase Date for each asset sold
q Worthless stock information: Stock, shares, purchase date and costs, date became worthless, reason
q Sale of home, land, and other property including but not limited to: trees, coins and collectables
q Other income including prizes
Homeowner/Renter Data
q Address(es) where you lived this year – note current mailing address, and consider 911 changes
q County of residence at January 1, 2015
q Mortgage interest: Form 1098, Seller financed: name and social security number of individual
q Real estate taxes paid, even if not itemizing
q Did you refinance or do a mortgage adjustment – need closing statements and use of funds
q Did you sell, leave a home that you received a Home Buyer Credit
q Amount of rent paid during tax year, name and address of landlord, addresses where you rented if more than current address
Financial Liabilities
q Student loan interest paid
q Early withdrawal penalties on CDs and other time deposits
Automobiles
q Personal Property Tax information (license plates - excise tax only)
q Sales tax on major purchase such as boat, car, motor home – need sales invoice
Miscellaneous Tax Documents
q Federal, state, and local estimated income tax paid for current year – payment detail by date
q IRA, Roth IRA, Keogh, and other retirement plan contributions
q HSA Contribution and Distribution, eligible medical expense total
Rental Income Data – Must have data separated by property
q Number of hours spent during the year, may combine all properties
q Rental income totals: separate by property and rent vs. insurance proceeds
q Days rented: total days each property was rented and available to rent
q Rental-related expenses totaled by type plus detail on asset & major repairs: descriptions & purchase dates
q Mileage log, auto interest on vehicle with Rental use
q Home office: Sq footage of home office and total home, utilities, repairs, cost of home
q Tenant info: is tenant a related company, business affiliate, family member
Self-employment Data - see additional guidance provided on our handouts
q Number of hours spent during the year
q Business income totals: Forms 1099-MISC and/or your own records
q Business-related expenses totaled by type plus detail on asset descriptions & purchase dates
q Mileage log, auto interest on vehicle with business use
q Inventory at cost as of 12/31
q Home office: Sq footage of home office and total home, utilities, repairs, cost of home - simplified calculation is available
q Retail storage space in home: Sq footage of storage space – does not have to be exclusive use room
q Partnership SE income: Schedules K-1, basis changes, activity level
Expenses - see additional guidance provided on our handouts
q Gifts to charity – ALL deductions of any amount must have a receipt. Any individual contribution over $250 must also have an acknowledgement letter from the charity, and the letter must be received by the date we file your return.
q Miles driven for Charitable Activity: such as to purchase and donate to food banks and giving trees
q Unreimbursed expenses related to your job (travel expenses, uniforms, union dues, subscriptions, protective clothing, and tools)
q Education expenses – Job related, seminar, certification, and college (split: tuition, r&b, materials, fees)
q Investment expenses, safety-deposit box expense
q Childcare expenses: Name, Address, and Tax ID or Social Security Number of provider, Amount Paid
q Unreimbursed medical expenses, including total miles driven exclusively for medical care
q Casualty or theft losses not completely reimbursed by insurance
Miscellaneous Information
q Banking information for any account you wish to have your refund direct deposited to - you are allowed to split your federal refund
q Full legal name, date of birth, and Social Security Number for any person not previously on your tax return, new last name if changed at Social Security Office
q Debt/Loan forgiveness, including bankruptcy
q Converted IRA or 401K to Roth IRA
q Purchase of electric or hybrid car, date, cost, year, make, model, and dealer stub
q Energy improvements: window, heating, insulation, doors, water heater – need receipt
q Real estate tax refund
q Use tax liability - Ebay, magazines, out of state purchase
q Health insurance premiums paid by you
q Moving expenses (if you relocated due to a change in your employment)
q Foreign Accounts - If you have an account, retirement account, or business interest with a value over $10,000 in a foreign country, or a foreign business ownership (not through a mutual fund), please let us know as some special rules will apply to you.
Education
q College-related expenses, split by type, and student status and college location and source of funds for payment
q 529 contribution information, must have account number
q Scholarships in excess of eligible expenses
q Private/Home school - # of dependants in home or private school and name of private school
q Any room & board paid via scholarship
Other Notes:
Any accounting, business or tax advice contained in this communication, including attachments and enclosures, is not intended as a thorough, in-depth analysis of specific issues, nor a substitute for a formal opinion, nor is it sufficient to avoid tax-related penalties. If desired, we would be pleased to perform the requisite research and provide you with a detailed written analysis under a separate engagement.