05.10.2015 Views

Tax Seminar #3 – December 3 2012

Workbook - Zicklin School of Business

Workbook - Zicklin School of Business

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

Jim and Kelly Smith<br />

SS#: 123-45-6789 (Jim)<br />

SS#: 987-65-4321 (Kelly)<br />

Form 433-A (OIC)<br />

Table of Contents (Continued)<br />

8 Health Insurance<br />

Summary of Payments for Household Members<br />

- Invoice Dated 07/17/<strong>2012</strong> (Sandy-daughter)<br />

- Copies of payments (Kelly):<br />

o 06/01/<strong>2012</strong>, 07/02/<strong>2012</strong>, 08/01/<strong>2012</strong><br />

- Invoice Dated 07/02/<strong>2012</strong> (Jim)<br />

- Copies of payments (Jim):<br />

o 06/15/<strong>2012</strong>, 07/16/<strong>2012</strong>, 08/15/<strong>2012</strong><br />

- Horizon Quote for Kelly based on age and preexisting condition<br />

9 Out of Pocket Medical Expenses (Other than Speech Therapy)<br />

- Summary of Six Months of Medical Expenses (February <strong>–</strong> July)<br />

- Support for Medical Expenses<br />

10 Speech Therapy for Dependent Daughter (Sandy)<br />

- Calculation of Monthly Cost for Speech Therapy<br />

- Invoice Dated 07/31/<strong>2012</strong><br />

- Copy of payment dated 08/10/<strong>2012</strong><br />

11 Child Care<br />

- End of Year Statement (08/25/2011 <strong>–</strong> 09/24/<strong>2012</strong>)<br />

- Invoice for August <strong>2012</strong><br />

- Copies of payments:<br />

o 06/24/<strong>2012</strong>, 07/27/<strong>2012</strong>, 08/24/<strong>2012</strong><br />

12 Accident Insurance: Combined Insurance Company of America<br />

- Anniversary Statement Dated 11/12/2011<br />

- Copies of payments:<br />

o 06/01/<strong>2012</strong>, 07/03/<strong>2012</strong>, 08/01/<strong>2012</strong><br />

13 Bank Statements<br />

- TD Bank, Checking Account# XXX-9999, for the periods:<br />

o 05/18/<strong>2012</strong> through 06/17/<strong>2012</strong><br />

o 06/18/<strong>2012</strong> through 07/17/<strong>2012</strong><br />

o 07/18/<strong>2012</strong> through 08/17/<strong>2012</strong><br />

- TD Bank, Checking Account# XXX-8888, for the periods:<br />

o 05/18/<strong>2012</strong> through 06/17/<strong>2012</strong><br />

o 06/18/<strong>2012</strong> through 07/17/<strong>2012</strong><br />

o 07/18/<strong>2012</strong> through 08/17/<strong>2012</strong><br />

14 Copy of <strong>Tax</strong> Returns<br />

- 2011 Form 1040<br />

- 2010 Form 1040<br />

- 2009 Form 1040<br />

34

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!