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www.jamesdance.com (212) 937-3731 (fax) james@jamesdance.com (212) 541-5523 (ph)
For Office Use Only: ACT LY 1040
James Maertin, C.P.A.
1040NR 1040NR-DSR 1040-DSR MFS
2008 TAX QUESTIONNAIRE First Year Choice Joint as Residents
Please make sure this questionnaire is saved to your computer before filling it out.
Time Saving Tips: You may write "same" for any information that is exactly the same as what you provided me last year,
such as social security numbers and bank information.
General Information
TAXPAYER SPOUSE
Complete the applicable spouse fields if married as of Dec. 31, 2008
Last Name: Last Name:
First Name: First Name:
Middle Initial: Middle Initial:
Social Security #: SSN or ITIN:
Date of Birth: Date of Birth:
Current Employer: Current Employer:
Occupation in 2008: Occupation in 2008:
U.S. Citizen U.S. Citizen
Green Card Green Card
U.S. Visa Citizen of: U.S. Visa Citizen of:
N/A N/A
Referred By: (new clients)
Contact Information
I will primarily contact you by email.
Email √ next to primary email address Telephone:
Email Work: Work
Email Personal: Mobile
Email Other: Home
`
Current Address: (street, city, state, zip) From (mm/dd/yy) To (mm/dd/yy)
Present
Mailing Address for IRS correspondence, if different (i.e., PO Box, work address, etc.).
Residency & Employers
Complete if you lived at any other location during 2008:
Taxpayer (T), Spouse (S), Joint (J)
T/S/J Address (street, city, state, zip) From (mm/dd/yy) To (mm/dd/yy)
T 0 1/0/00 Present
Employers during 2008:
Taxpayer (T), Spouse (S) Where worked
T/S Employer: Occupation From To (state or country)
T 0 0 Present
Dependents
Childcare Expenses
(Do not list spouse) Date of Birth While You Are At Work*
First Name, Initial, Last Name SSN or ITIN (mm/dd/yy) Relationship to You (incurred & paid in 2008)
Dependent Childcare Expenses Incurred while you [and spouse] were working or looking for work
Care Provider's Name Care Provider's Address SSN or EIN Amount Paid
If you have a dependent child for whom you paid college/university tuition, please refer to the education worksheet
Direct Deposit & Electronic Funds Withdrawal
Name of US Bank (must be a U.S. bank)
Checking Savings
Routing Number (9-digit number on the bottom left of a check)
Account Number
Electronic Withdrawal of any Tax Balance Due
Please select a withdrawal date (if no date is selected, you will have to mail in a check for any tax balance due).
April 15 The date the tax return is e-filed
2008 Economic Stimulus Recovery Rebate
Skip this section if your 2007 adjusted gross income was more than $87,000 (single) or $174,000 (married)
If you filed a 2007 tax return during 2008 and your income was in the range eligible for the economic stimulus rebate,
you should have received the rebate, most likely, directly deposited into your bank account.
If you were eligible and didn't receive it, you will get a credit on your 2008 tax return.
For 2007 adjusted gross incomes (AGI) less than $75,000 (single) and $150,000 (married filing jointly), you may have been
eligible for the following amount: Single $600, married $1200, each child $300.
If your income was in the phaseout range, you may have received a rebate for a lesser amount.
See IRS website: How much was my 2008 Stimulus Payment?
Did you receive the economic stimulus payment? Yes No
How much did you receive? $ (see link above)
Work Related Moving Expenses
(1) Move must be closely related to a new or changed job location in the U.S.;
(2) Have moved at least 50 miles farther from your old home than your old job was;
(3) If employee, you must have worked at the new job for at least 39 weeks, if self employed, at least 78 weeks.
From: From:
To: To:
$ Moving of household goods $ Moving of household goods
$ Travel expense $ Travel expense
$ Lodging en route to new home. $ Lodging en route to new home.
CT, MA or NJ Residents:
Massachusetts:
Total rent paid in MA during 2008: $
MA residents: Be sure to send me Form MA 1099-HC, Massachusetts Health Care Coverage
New Jersey: `
Total Rent paid in NJ during 2008: $
Connecticut:
Vehicle year, make and model
Amount of personal property tax paid during 2008 $
If you worked in New York State, while living in NJ or CT
and you want to allocate out your non-New York work days (since NY tax is higher than NJ and CT tax),
please complete the New York Nonresidency Income Allocation worksheet.
IRA Contributions
Tax Year 2008, maximum contribution is $5,000 per person (to age 49), and $6,000 (age 50 and older).
A 2008 IRA contribution can be made up to April 15, 2009.
TAXPAYER SPOUSE `
IRA Traditional $ $ (Note, please do not list 401K contributions . An IRA is something
or IRA Roth $ $ set up by you personally, not through your work.
Mortgage Interest & Property Tax
Amounts for up to two residence(s) (can be in the U.S. or abroad) that you lived in during 2008.
For rental properties, please list separately on the Rental worksheet.
Reported on
TAXPAYER SPOUSE JOINT Form 1098
Mortgage Interest $ $ $
Primary residence $ $ $
and second home only $ $ $
$ $ $
0 0 0
Points Paid (if any) $ $ $
Property Tax (primary residence) $ $ $
Property Tax (second home) $ $ $
Property Tax (additional homes) $ $ $
0 0 0
Additional Information: Please check if any of these situations apply to you.
The total of your mortgage balance(s) was more than $1,100,000 during 2008 (including primary home plus second home)
You sold a home during 2008
You purchased a home in the U.S. between April 9, 2008 - June 30, 2009 to be used as your primary residence
If so, had you owned a home at any other time in the prior 3 years? Yes No
Charitable Contributions
Must be to a Qualified U.S. Charity
Charitable contributions must be supported with a donation receipt, letter or bank record (new IRS rule effective 1/1/07)
Contributions of clothing and household goods must be in good used condition or better.
TAXPAYER SPOUSE JOINT
Cash, Checks, or Credit Cards $ $ $
Noncash $ $ $
`
*If noncash charity totals more than $500, please either email or fax me your receipts OR provide the following:
Name of Charity Address of Charity Goods Donated (clothes, etc.) Date Donated Used Value
Note: Donation of stock/securities is a non-cash donation.
Other Deductions
Deductions TAXPAYER SPOUSE
Medical Expense $ $
Margin Interest $ $ $
Personal Property Taxes $ $ $
Investment Advisory Fees $ $ $
Job Search Costs $ $
Safe Deposit Box Fee $ $ $
IRA Custodial Fee $ $ $
Tax Prep Fee paid in 2008 $ $ $
(new clients)
HSA Contribution for 2008 $ $
(contributed by you, not your employer)
Employee Business Expenses
Please go to the Employee worksheet to list business expenses related to W2 income that you were not reimbursed for.
TAXPAYER SPOUSE
Student Loan Interest Paid: $ $ (only interest is deductible, not principal)
If your adjusted gross income is greater than $70,000 (single) or $145,000 (married), you cannot claim the deduction.
Foreign Residents in the U.S. on a Visa
TAXPAYER SPOUSE
Type of visa held on 12/31/08: Type of visa held on 12/31/08:
Date Issued: Date Issued (mm/dd/yy):
Prior Visa: Prior Visa:
Dates Prior Visa Held: Dates Prior Visa Held:
Number of days spent in U.S. in 2008: Number of days spent in U.S. in 2008:
Date First Entered US Date First Entered US
Date permanently departed U.S. (if any) Date permanently departed U.S. (if any)
Citizen of 0 Citizen of 0
If any of the following apply, please complete additional information on the Foreigner worksheet
* You were on a F, J, or M visa at any time during 2008
* You entered the U.S. during 2008 for the first time (or for a new stay).
* You permanently left the U.S. during 2008
* You want to claim Temporary Living Expenses
* You want to claim New York nonresidency
Tuition & Scholarships
If you or spouse were a student during 2008, or you paid for your dependent child's college/university tuition,
please complete the Education worksheet.
Checklist of Forms to Send Me
Generally, I do not need you to fill out income amounts on the questionnaire as I can get them directly from tax forms that you
have received from the payers. Please scan & email or fax me all such forms. For some items, I will need additional
information
Check the ones you received (or should receive) for 2008. You only need to send me the form:
TAXPAYER SPOUSE JOINT
Wages (Form W-2)
Self-Employment (Form 1099-MISC) * *Also complete Self Employment worksheet
Interest (1099-INT)
Dividends (1099-DIV)
Sales of Securities (Form 1099-B) * *Also complete Trades worksheet
Unemployment Compensation (1099-G)
Tax Overpayment (1099-G)* *State refund received during 2008, which may be taxable
Partnership/S-Corp/Trust/Estate (Sch. K-1)
Retirement Distributions (1099-R)
Foreigner's U.S. Source Income (1042-S)
Mortgage Interest (Form 1098)
Student Loan Interest (1098-E)
Tuition Expense (Form 1098-T)
Moving Expense Report
HSA or Archer MSA (5498-SA or 1099-SA)
2007 Tax Return (New Clients Only)
Other Form 1099 Specify:
For these items, please click on the link to provide additional information:
TAXPAYER SPOUSE JOINT
Rental Income
Foreign Income and/or Accounts*
*Note: Potential fines have increased for not reporting foreign accounts with combined balances in excess of $10K.
State Sales and Use Tax
Total amount of sales tax you owe from out of state purchases: $
For example, you are a NY resident and lived in NYC all year which has a 8.375% sales tax rate. In 2008, you purchased, tax free,
goods online or out of state totaling about $1,000 (excluding the shipping and handling charges). You would report $83.75 of sales tax.
Note: Effective June 1, 2008, large web retailers were required to charge sales tax to goods shipped to New York.
New York residents: If you were a resident in NYS for the entire year, you have the option to declare an assumed amount
of sales tax based on your income (put your mouse over red triangle to see rates). Check to use this calculation:
Estimated Tax Payments
Prepayments of tax that you sent in during the year, usually by check along with a voucher (e.g., Form
1040-ES for federal estimated tax payments). Do not enter taxes withheld here.
TAXPAYER SPOUSE
FEDERAL PAYMENTS Date paid if FEDERAL PAYMENTS Date paid if
QTR Due Date later than due date Amount QTR Due Date later than due date Amount
1 04/15/08 $ 1 04/15/08 $
2 06/15/08 $ 2 06/15/08 $
3 09/15/08 $ 3 09/15/08 $
4 01/15/09 $ 4 01/15/09 $
STATE: STATE:
1 04/15/08 $ 1 04/15/08 $
2 06/15/08 $ 2 06/15/08 $
3 09/15/08 $ 3 09/15/08 $
4 01/15/09 $ 4 01/15/09 $
Locality: Locality:
1 04/15/08 $ 1 04/15/08 $
2 06/15/08 $ 2 06/15/08 $
3 09/15/08 $ 3 09/15/08 $
4 01/15/09 $ 4 01/15/09 $
Special Situations
If any of these apply, please provide additional information:
* You received a notice in 2008 of a tax adjustment or audit, or settled an audit.
* You gave a gift of more than $12,000 to any one donee during 2008 (in this case, you may need to complete a gift tax return).
* You paid or received alimony.
* You had income not otherwise indicated on the questionnaire
* You installed energy efficient property run by solar, fuel cell, wind or geothermal in your home.
* You purchased a brand new hybrid vehicle.
* You incurred losses from casualty or theft.
* You employed a nanny or other household employee during 2008 to whom you paid more than $1,600
* You contribute to New York's 529 College Savings Program
If you have other situations or questions, list them here, call, or send me an email:
Note: To start a new line, press ALT-ENTER.
PLEASE SAVE THIS QUESTIONNAIRE, THEN SEND IT TO ME AS AN E-MAIL ATTACHMENT
Thank you for completing the questionnaire. Since I am now only storing electronic files, please send your tax
documents to me by email (.pdf or jpeg) or fax at 212-937-3731 (this is an e-fax #). If you mail me any
documents, please keep the originals and send me photocopies (unstapled, no signature required for delivery).
Paper items mailed to me will be scanned and then shredded. If you're a new client, I'll also need a copy of
your 2007 tax returns, if filed. Please do not send me expense receipts; I only need the totals for each type of
expense which you should have already entered on the questionnaire.
Reminder: Your tax return cannot be filed without your signature.
James Maertin, C.P.A.
110 West 40th Street, Suite 208, New York, NY 10018
Tel: 212-541-5523; Fax: 212-937-3731
VM/Fax Numbers: Paris 01.53.0134.52; London 0207-681-1305
james@jamesdance.com
www.jamesdance.com
James Maertin CPA, www.jamesdance.com, Email: james@jamesdance.com, Tel. 212-541-5523; Fax 212-937-3731
Additional Foreigner Information
2008 Information for Forms 1040NR & 8843,
Temporary Living Expenses & New York Nonresidency
Taxpayer: Spouse:
Information for Form 1040NR
Please fill out this section if :
a) you were a student, trainee, or teacher (e.g., F, J & M visas), or
b) you arrived in or left the U.S. permanently during the year, or
c) you spent more than half the year outside the U.S.
You do not need to complete this part if you lived or worked for the entire year on one of these
visas: H, B, E, L, O, P, R, or TN.
From the information you provide below, I'll determine whether you need to file Form 1040NR:
TAXPAYER SPOUSE
Permanent address in home country: Permanent address in home country:
Number of days spent in the U.S. during: 2006 Number of days spent in the U.S. during: 2006
(include any part of a day, business & pleasure) 2007 (include any part of a day, business & pleasure) 2007
2008 0 2008 0
0 0
U.S. Visa Type at end of 2008: 0 U.S. Visa Type at end of 2008: 0
Date Issued: January 0, 1900 Date Issued: January 0, 1900
Prior Visa: 0 Prior Visa: 0
Dates Held: January 0, 1900 Dates Held: January 0, 1900
Date First Entered US January 0, 1900 Date Entered US January 0, 1900
Date permanently departed (if any) January 0, 1900 Date permanently departed (if any) January 0, 1900
Country of Citizenship 0 Country of Citizenship 0
Trips into and out of the U.S. during 2008 Trips into and out of the U.S. during 2008
Date mm/dd/yy Date mm/dd/yy
Left U.S. Entered U.S. Destination Work/Pleasure Left U.S. Entered U.S. Destination Work/Pleasure
If you lived in New York: If you lived in New York:
No. of days spent in New York State in 2008 No. of days spent in New York State in 2008
(include any part of a day, business & pleasure) (include any part of a day, business & pleasure)
If you were based working in New York State:
If you spent time working outside New York State, please complete the NY nonresident income allocation tab.
If you were based working in another state: If you were based working in another state:
State you were based working in State you were based working in
No. of business days spent working in another state No. of business days spent working in another state
No. of business days spent outside the U.S. No. of days spent on business outside the U.S.
Students, Teachers, or Trainees on F, J or M visas in 2008
TAXPAYER SPOUSE
Country which issued passport: 0 Country which issued passport: 0
Passport Number: Passport Number:
Academic Institution Attended: Academic Institution Attended:
Name: Name:
Address: Address:
Telephone: Telephone:
Program Director: Program Director:
Indicate the letter of the visa you held for each of the Indicate the letter of the visa you held for each of the
following years. (For years with no visa, leave blank) following years. (For years with no visa, leave blank)
Visa type in each year: F, J, M, H, O, P, Q, R, etc. Visa type in each year: F, J, M, H, O, P, Q, R, etc.
2008 2008
2007 2007
2006 2006
2005 2005
2004 2004
2003 2003
2002 2002
2001 2001
2000 2000
Temporary Living Expenses
Temporary living expenses while working away from your tax home:
If you are in the United States on a temporary work visa, you may be able to deduct temporary living expenses (rent,
meals, local transportation) during your first year of work in the U.S. (or in a new location), if your assignment is
expected to last less than one year. Although this is a legitimate deduction allowed by the IRS, depending on your
situation, taking temporary living expenses could be considered aggressive and hard to justify under audit without proof
of a short-term contract. Before answering the following questions, please read my FAQ's on Temporary Living Expenses.
Meals will be based on federal per diem rates.
If you want to claim temporary living expenses, please complete the following:
TAXPAYER SPOUSE
If you started working in U.S. in 2008: If you started working in U.S. in 2008:
Date job started: Date job started:
If you started working in U.S. in 2007: If you started working in U.S. in 2007:
Date job started: Date job started:
Average monthly rent while working $ Average monthly rent while working $
For Office Use Only For Office Use Only
From: 1/0/00 to 12/31/08 2008 ##### From: 1/0/00 to 12/31/08 2008 #####
Transport $5 x ### x 22 = $ ##### Transport $5 x ### x 22 = $ #####
Meals $49 x ### x 22 = $ ##### Meals $49 x ### x 22 = $ #####
Rent 0 x ### = $ 0 Rent 0 x ### = $ 0
From: 1/1/08 to 12/29/00 2007 ##### From: 1/1/08 to 12/29/00 2007 #####
Transport $5 x ### x 22 = $ ##### Transport $5 x ### x 22 = $ #####
Meals $46 x ### x 22 = $ ##### Meals $46 x ### x 22 = $ #####
Rent 0 x ### = $ 0 Rent 0 x ### = $ 0
Click here to go back to questionnaire
Foreign Days
Taxpayer Spouse
-1 -1
-1 -1
-1 -1
-1 -1
-1 -1
-1 -1
-1 -1
-1 -1
-1 -1
-1 -1
-8 -8
2008 Capital Gains and Losses (Schedule D)
Name:
SSN: 000-00-0000
SHORT TERM Capital Gains and Losses - Assets Held One Year or Less
Part I, Line 1
Number of Date Date Sales Cost
T/S/J Shares Name of Security Acquired Sold Price Basis Gain/Loss
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
$0 $0 $0
LONG TERM Capital Gains and Losses - Assets Held More Than One Year
Part II, Line 8
Number of Date Date Sales Cost
T/S/J Shares Name of Security Acquired Sold Price Basis Gain/Loss
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
$0 $0 $0
Total from Form 1099-B's: $0
Click here to go back to questionnaire
$0 OK
$0 OK
James Maertin CPA, www.jamesdance.com, Email: james@jamesdance.com, Tel. 212-541-5523; Fax 212-937-3731
2008 Self-Employment Information
Please fill in all fields that apply to you.
Taxpayer: Spouse:
Type of Business: Type of Business:
(please be specific, e.g., if consultant, in what field?)
Business Address: Business Address:
(if different from home)
Business Name: Business Name:
(if not your own name) (if not your own name)
EIN Number: EIN Number:
(if applicable) (if applicable)
Self-Employment Income
TAXPAYER SPOUSE
Reported on Form 1099-MISC
Payer Amount Payer Amount
$ $
$ $
$ $
$ $
$ $
$ $
Cash Income $ Cash Income $
Self Employment Expenses
TAXPAYER SPOUSE
Amount Amount
Advertising $ Advertising $
Health Insurance $ Health Insurance $
Other Insurance $ Other Insurance $
Tax Preparation Fee Paid in 2008 $ Tax Preparation Fee Paid in 2008 $
Other Legal/Professional Fees $ Computer Equipment $
Computer Equipment $ Other Legal/Professional Fees $
Office Supplies $ Office Supplies $
Office Rent (other than home) $ Office Rent (other than home) $
Repairs $ Repairs $
Supplies (other than office) $ Supplies (other than office) $
Travel & Lodging $ Travel & Lodging $
Meals & Entertainment $ Meals & Entertainment $
Research $ Research $
Telephone $ Telephone $
Internet $ Internet $
Dues & Fees $ Dues & Fees $
Client Gifts (limit $25 each) $ Client Gifts (limit $25 each) $
Education & Seminars $ Education & Seminars $
Postage $ Postage $
Local Transportation $ Local Transportation $
Trade Publications $ Trade Publications $
LIST OTHER SELF-EMPLOYMENT BUSINESS EXPENSES:
Description Amount Description Amount
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
Self-Employed Retirement Plan (Keogh and SEP)
If you've already contributed to a SEP or Keogh:
2008 SEP contribution $ 2008 SEP contribution $
2008 Keogh contribution $ 2008 Keogh contribution $
If not, do you want me to calculate your maximum 2008 SEP contribution?
Taxpayer: Yes No Spouse: Yes No
Home Office
General Rules:
To qualify, a portion of your home or a separate structure must be used exclusively on a regular basis:
(1) As the principal place of your business (this includes a place where you conduct administrative or management
activities of the business if there is no other fixed location to conduct them), or
(2) as a place where you meet clients in the normal course of business.
Note: Do not fill in an amount for rent if you own your home.
If you lived at more than one location during the year, please complete expenses separately:
TAXPAYER SPOUSE
Location 1: Address Location 1: Address
0 0
Dates worked: From to Dates worked: From to
Total area of home (sq. ft.) Total area of home (sq. ft.)
Area used exclusively for business (sq. ft.) Area used exclusively for business (sq. ft.)
Rent $ X months = $ 0 Rent $ X months = $ 0
Utilities $ X months = $ 0 Utilities $ X months = $ 0
Repairs and maintenance expense $ Repairs and maintenance expense $
Home insurance (total for year) $ Home insurance (total for year) $
Location 2: (If you moved during the year) Location 2: (If you moved during the year)
Dates worked: From to Dates worked: From to
Total area of home (sq. ft.) Total area of home (sq. ft.)
Area used exclusively for business (sq. ft.) Area used exclusively for business (sq. ft.)
Rent $ X months = $ 0 Rent $ X months = $ 0
Utilities $ X months = $ 0 Utilities $ X months = $ 0
Repairs and maintenance expense $ Repairs and maintenance expense $
Home insurance (total for year) $ Home insurance (total for year) $
Home Owners:
If you own your home and you wish to claim depreciation of the office portion, please complete the following (unless you
previously provided this to me) :
Adjusted Basis of Property:
$ Purchase Price of Property
$ Settlement Costs (abstract fees, legal fees, recording fees, surveys, transfer taxes, title insurance)
$ Capital Improvements made to property before it was made available for rent:
$ 0 = TOTAL ADJUSTED BASIS
Value of land in price of property:
$ (Note: Land is not a depreciable asset)
Vehicle Expenses
List only vehicle expenses that apply to self-employment (see Employee Expenses tab for W-2 related vehicle use)
Note: If you used more than one vehicle during the year, please I will need the expenses listed separately
for each vehicle.
Vehicle 1: Vehicle 2:
Year, make and model Year, make and model
Dates used: From to Dates used: From to
Total miles for year (personal & business) Total miles for year (personal & business)
Total business miles Total business miles
Is another vehicle available for personal use: Yes No
Is another vehicle available for personal use: Yes No
Is your vehicle leased? Yes No Is your vehicle leased? Yes No
If owned, purchase price of vehicle $ If owned, purchase price of vehicle $
Date of purchase Date of purchase
Tolls (business) $ Tolls (business) $
Parking (business) $ Parking (business) $
If you want me to calculate actual expenses, which If you want me to calculate actual expenses, which
may be more than standard mileage: may be more than standard mileage:
List total expenses incurred between the dates below: List total expenses incurred between the dates below:
(I will calculate the business percentage) (I will calculate the business percentage)
From 1/0/00 to 1/0/00 From 1/0/00 to 1/0/00
Gas & oil $ Gas & oil $
Repairs/tires $ Repairs/tires $
Lease payments $ Lease payments $
Auto Insurance $ Auto Insurance $
Garage rent $ Garage rent $
Auto Club (AAA) $ Auto Club (AAA) $
Estimated Tax Payments
Please complete on the main section of the questionnaire.
Click here to go back to questionnaire
James Maertin CPA, www.jamesdance.com, Email: james@jamesdance.com, Tel. 212-541-5523; Fax 212-937-3731
2008 Foreign Income & Accounts
Foreign Income
All tax residents filing Form 1040 are required to report worldwide income.
Please do not include any foreign income & foreign tax payments that are reported on Form 1099-DIV
Taxpayer (T), Spouse (S), Joint (J)
Type of Income: Currency Gross Income Income Converted Gross Tax Paid Tax Converted
T/S/J (wages, interest, etc.) Name of Payer (euro, etc.) (foreign currency) to US Dollars* (foreign currency) to US Dollars*
$ $
$ $
$ $
$ $
$ $
$ $
$ $
Note: The currencies below are averages for 2008. Because currencies can vary considerably throughout the year, if you had
income that was not spread throughout 2008, but instead paid at a specific time or over a specific time period, you may convert
your income at that exchange rate. If you use a different exchange rate, please indicate the rate used and the date(s) to which
it applies.
Currency Converter Average Foreign Currency US Dollar
2008 Amount Conversion
EMU MEMBERS Euro 1.4726 0
UNITED KINGDOM Pound 1.8545 0
AUSTRALIA Dollar 0.8537 0
BRAZIL Real 1.8327 0
CANADA Dollar 1.0660 0
CHINA Yuan 6.9477 0
HONG KONG Dollar 7.7862 0
INDIA Rupee 43.3900 0
JAPAN Yen 103.3900 0
MEXICO Peso 11.1430 0
NEW ZEALAND Dollar 0.7151 0
POLAND Zloty 0.42195 0
RUSSIA Rouble 0.04039 0
SINGAPORE Dollar 1.41400 0
SOUTH AFRICA Rand 8.24800 0
SWITZERLAND Franc 1.08160 0
Foreign Accounts
If you had, in all foreign accounts combined, over $10,000 at any time during 2008, please provide information below for
each account. This is required to be reported to the Treasury Department. Noncompliance could result in severe penalties.
Taxpayer (T), Spouse (S), Joint (J)
T/S/J Type of Account: Account Number: Name of Financial Institution
Bank
Security Maximum Acct Value in 2008 Address of Financial Institution
Other US $
T/S/J Type of Account: Account Number: Name of Financial Institution
Bank
Security Maximum Acct Value in 2008 Address of Financial Institution
Other US $
T/S/J Type of Account: Account Number: Name of Financial Institution
Bank
Security Maximum Acct Value in 2008 Address of Financial Institution
Other US $
T/S/J Type of Account: Account Number: Name of Financial Institution
Bank
Security Maximum Acct Value in 2008 Address of Financial Institution
Other US $
T/S/J Type of Account: Account Number: Name of Financial Institution
Bank
Security Maximum Acct Value in 2008 Address of Financial Institution
Other US $
Information for Foreign Earned Income Exclusion
Please only complete this section if you:
1 Are a U.S. citizen or greencard holder
2 Were based living and working in a foreign country for any part of the year
3 Have entered the foreign income you earned in the section above.
Foreign Address during 2008 From (mm/dd/yy) To (mm/dd/yy)
Present
TAXPAYER SPOUSE
Principal Foreign Employer during 2008: Principal Foreign Employer during 2008:
Employer's Name: Employer's Name:
Employer's US Address (if any): Employer's US Address (if any):
Employer's Foreign Address: Employer's Foreign Address:
Type of Company: Type of Company:
Foreign Entity Foreign Entity
U.S. Company U.S. Company
Self Self
Foreign Affiliate of a U.S. Company Foreign Affiliate of a U.S. Company
Other (specify) Other (specify)
Date you moved outside the U.S.: Date you moved outside the U.S.:
Living Quarters Abroad:
Purchased home
Rented house or apartment
Rented room
Quarters furnished by Employer Foreign Currency US Dollar
Amount Conversion
If renting, what were your total housing costs for the year (while working abroad)?
*(Include rent, utilities (except phone), insurance, parking, repairs, furniture rental)
Are you required to pay income taxes in the foreign country in which you reside? Yes No
Dates of trips to the U.S. during 2008: Number of business days
Date Entered US Date Left US working for your employer
T/S/J (mm/dd/yy) (mm/dd/yy) in the US Full US
-1 1
-1 1
-1 1
-1 1
-1 1
-1 1
-1 1
-1 1
-1 1
-9 9 356 Number of full days in foreign countries
What type of visa do you hold in the foreign country?
Taxpayer: Spouse:
If your visa limits your length of stay or employment, what are the conditions?
Taxpayer: Spouse:
Did you maintain a home in the United States? Yes No
If yes, was it rented out? Yes No
If rented out:
1 Names of Occupants
2 Occupants relationship to you
3 Please complete the Rental worksheet.
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If using other than
average exchange rate:
Exchange Rate Date(s) of Exchange
James Maertin CPA, www.jamesdance.com, Email: james@jamesdance.com, Tel. 212-541-5523; Fax 212-937-3731
2008 Rental Property Worksheet
General Information:
Taxpayer: Spouse:
If married, is the house owned jointly? Yes No → If not, who is the owner? Taxpayer Spouse
Do you [and spouse] own 100% of the property? Yes No → If not, list ownership percentage
Address of property:
Date property was placed in service (made available for rent). This can be in a past year:
Date, if any, property was no longer available for rent:
Is the entire property available for rental use? Yes No → If not, percentage rented out
Rental Income and Expenses
Rental income for the entire tax year: $
Rental Expenses: Amount
Advertising $
Travel $
Cleaning & Maintenance $
Commissions $ Rental amount (if not fully rented)
Insurance $ 0% $ 0
Legal & Professional Fees $
Management Fees $
HOA Fees $
Mortgage Interest $ 0% $ 0
Real estate taxes $ 0% $ 0
Repairs $
Supplies $
Water & Sewer $ 0% $ 0
Garbage Removal $ 0% $ 0 `
Utilities $ 0% $ 0
Garden Maintenance $ 0% $ 0
Description
$
$
$
List any capital improvements made to the property during the tax year:
These are improvements made to your home that add to its value, prolong its useful life, or adapt it to new uses.
(Examples include replacements or additions such as roof, carpet, boiler, rooms, patio, driveway,
central air, windows, etc.)
Type of Improvement Cost Date
$
$
$
$
$
Cost Basis of Property
Only provide if you are a new client or have a new rental property.
Adjusted Basis of Property:
$ Purchase Price of Property
$ Settlement Costs (abstract fees, legal fees, recording fees, surveys, transfer taxes, title insurance)
$ Capital Improvements made to property before it was made available for rent:
$ 0 = TOTAL ADJUSTED BASIS
(Note: If you converted a personal property to a rental property, your basis is the lesser of the fair market
value or the adjusted basis of the property).
Value of land in price of property:
$ (Note: Land is not a depreciable asset)
Depreciation: (new clients only)
$ Total depreciation claimed in prior years, if known
For more information, see IRS Publication 527: Residential Rental Property
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James Maertin CPA, www.jamesdance.com, Email: james@jamesdance.com, Tel. 212-541-5523; Fax 212-937-3731
2008 Unreimbursed Employee Business Expenses
General - Vehicle - Home Office
Taxpayer: Spouse:
Occupation 0 Occupation 0
Please only list unreimbursed expenses related to W-2 income!
Note: If your combined employee business expenses do not add up to more than 2% of your adjusted gross
income, they will not be deductible.
General Expenses
For examples of what can and cannot be deducted, please see my List of Deductions
TAXPAYER SPOUSE
Travel & Lodging (out of town): $ $
Meals & Entertainment* $ $
Business Gifts (limit $25 a person) $ $
Seminars/Training: $ $
Trade Publications: $ $
Computer Equipment: $ $
Computer Supplies: $ $
Office Supplies: $ $
Telephone (business use): $ $
Internet (business use): $ $
Postage/Courier $ $
Other: Description
$ $
$ $
$ $
$ $
$ $
Vehicle Expenses
Related to W-2 Income
*Commuting is not deductible, so please do not include it in your business mileage figure. Commuting
means your trip from home to office and then from office to home. Other trips for business during the day
would count, however.
TAXPAYER SPOUSE
Year, make and model Year, make and model
Dates used: From to Dates used: From to
Total miles for the year Total miles for the year
Total business* miles Total business* miles
Is another vehicle available for personal use: Yes No Is another vehicle available for personal use: Yes No
Is your vehicle leased? Yes No Is your vehicle leased? Yes No
If owned, purchase price of vehicle $ If owned, purchase price of vehicle $
Date of purchase Date of purchase
Tolls (business portion) $ Tolls (business portion) $
Parking (business portion) $ Parking (business portion) $
You can generally claim either the standard mileage rate or actual expenses, whichever is greater (some exceptions apply).
If you want me to calculate actual expenses, I need the total for the year of each expense:
From 1/0/00 to 1/0/00 From 1/0/00 to 1/0/00
List total expenses incurred between the dates above: List total expenses incurred between the dates above:
I will calculate percentage applied as business use. I will calculate percentage applied as business use.
Gas & oil $ Gas & oil $
Repairs/tires $ Repairs/tires $
Lease payments $ Lease payments $
Auto Insurance $ Auto Insurance $
Garage rent $ Garage rent $
Auto Club (AAA) $ Auto Club (AAA) $
Home Office
Related to W-2 Income
If you primarily work at your employer's office and you do not meet clients at your home, you will not
qualify for this deduction
General Rules:
To qualify, a portion of your home or a separate structure must be used exclusively on a regular basis:
(1) As the principal place of your business (this includes a place where you conduct administrative or management
activities of the business if there is no other fixed location to conduct them), or
(2) as a place where you meet clients in the normal course of business, and
(3) your home office is for your employer's convenience.
See IRS Publication 587 for more information.
If you lived at more than one location during the year, or used the home office for more than one employer,
please list expenses separately:
Note: Do not fill in an amount for rent if you own your home.
TAXPAYER SPOUSE
Location 1: Address Location 1: Address
0 0
Employer: Employer:
Dates worked: From to Dates worked: From to
Percent of time worked from home Percent of time worked from home
Total area of home (sq. ft.) Total area of home (sq. ft.)
Area used exclusively for business (sq. ft.) Area used exclusively for business (sq. ft.)
Rent $ X months = $ 0 Rent $ X months = $ 0
Utilities $ X months = $ 0 Utilities $ X months = $ 0
Repairs and maintenance expense $ Repairs and maintenance expense $
Home insurance (total) $ Home insurance (total) $
Location 2: Address Location 2: Address
Employer: Employer:
Dates worked: From to Dates worked: From to
Percent of time worked from home Percent of time worked from home
Total area of home (sq. ft.) Total area of home (sq. ft.)
Area used exclusively for business (sq. ft.) Area used exclusively for business (sq. ft.)
Rent $ X months = $ 0 Rent $ X months = $ 0
Utilities $ X months = $ 0 Utilities $ X months = $ 0
Repairs and maintenance expense $ Repairs and maintenance expense $
Home insurance (total) $ Home insurance (total) $
Home Owners:
If you own your home and you wish to claim depreciation of the office portion, please complete the following (unless you have:
provided this in a prior year).
Adjusted Basis of Property:
$ Purchase Price of Property
$ Settlement Costs (abstract fees, legal fees, recording fees, surveys, transfer taxes, title insurance)
$ Capital Improvements made to property before it was made available for rent:
$ 0 = TOTAL ADJUSTED BASIS
Value of land in price of property:
$ (Note: Land is not a depreciable asset)
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James Maertin CPA, www.jamesdance.com, Email: james@jamesdance.com, Tel. 212-541-5523; Fax 212-937-3731
2008 New York Nonresident Income Allocation
Please fill out this section if :
a.) You were based working in New York State, and
you lived in New Jersey, Connecticut or another state; and
you were required to spend time working outside New York State on business
or
b.) You maintained living quarters in New York State, but you want to claim nonresidency of New York (see below).
Note: If you were working a significant number of days in another state, you may owe tax to that state.
New York Nonresident Income Allocation
EMPLOYER 1:
Days in 2008
Business Days: Total days worked in New York State
Days you were required to work outside New York State (working at home does not count)
State or Country
0
0 Total number of business days worked for employer in 2008
Non-Business Days: Vacation & personal days
Sick leave
Leave of absence or other non-paid days
Weekends (not worked) 104
Public Holidays (not worked) 10
Days in 2008 114
EMPLOYER 2:
Days in 2008
Business Days: Total days worked in New York State
Days you were required to work outside New York State (working at home does not count)
State or Country
0
0 Total number of business days worked for employer in 2008
Non-Business Days: Vacation & personal days
Sick leave
Leave of absence or other non-paid days
Weekends (not worked) 104
Public Holidays (not worked) 10
Days in 2008 114
Choosing New York Nonresidency When you Maintained Living Quarters in New York State
This section applies to people who maintained living quarters in New York State during 2008:
I want to file as a New York non-resident
(my minimum charge is $300 for federal 1040 with NY-nonresident return)
How many days (both personal and business) did you spend in New York State during 2008?
Generally, if I determine you to be a federal nonresident (Form 1040NR), I'll prepare a nonresident state tax return for you.
If, however, you are a federal resident (Form 1040), it is your decision whether you want to take the position that you are
a New York State nonresident. The main advantages of claiming nonresidency of New York State are that (a) you are not
liable for New York State tax on income earned while working outside the state, and (b) even if you are living in New York
City, you are not liable for any New York City tax. The main disadvantage is that the audit rate is very high.
The New York State tax regulations (which constitute state law) say that to be a nonresident, your domicile must be
outside New York (e.g., in your home country), and if you are in NY for more than 183 days during the year, you have to
be present here for a temporary stay for the accomplishment of a particular purpose. Note that domicile is your
permanent home, where you always intend to return even after years of staying temporarily somewhere else.
The NY State Tax Department interprets "temporary stay" to be a maximum of three years, and "particular purpose" to
mean you are working on a specific assignment that has readily ascertainable and specific goals and conclusions. In
other words, you must be here on something that resembles a project, not for general duties. These interpretations do
not constitute law, however NYS Tax Dept. is using them steadfastly as if they were.
The New York State Tax Dept. has been very aggressive in the past few years auditing nonresident returns and has
sometimes taken its prerogative of going back up to 3 years. Even though the law is quite vague and widely open to
interpretation, NYS Tax Dept. is nonetheless a very tough adversary. Please be aware if you choose NY nonresidency
and later need my assistance because of a NYS inquiry or audit, all of my time will be billable at $200 per hour.
If your return is selected, it is likely that either a) your tax liability will be adjusted to that of a New York State resident (so,
if you are expecting a refund, it could be reduced or eliminated before you receive it), or b) you will get the refund and
then be audited later. In the latter case, interest and late payment penalties would be added, depending on when it
happens. Lately, they have more commonly been choosing the first option.
I have provided extensive information on this subject at http://www.jamesdance.com/nonresidency.htm
If you find this is still insufficient information for making a decision, I will be happy to discuss your situation with you but
it would be billable time in addition to your regular tax preparation fee.
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James Maertin CPA, www.jamesdance.com, Email: james@jamesdance.com, Tel. 212-541-5523; Fax 212-937-3731
2008 Higher Education
Degree/Program Study at Eligible Educational Institution during 2008
TAXPAYER Freshman or Sophomore Undergraduate - Other Graduate - MBA Graduate - Other Other*
SPOUSE Freshman or Sophomore Undergraduate - Other Graduate - MBA Graduate - Other Other*
* Other, Specify:
Name of college or university attended:
Tuition & Fees Paid in 2008
TAXPAYER SPOUSE
Total amount of tuition & fees $ $
Required books & supplies $ $
The expenses above may qualify for you for the hope credit, lifetime learning credit, or tuition deduction.
Scholarship and Fellowship Income Received in 2008
$ 1 Total amount of scholarship/fellowship grants received
$ 2 Amt of line 1 received for performing services (e.g., teaching, research, or any other service).
This should be reported on a Form W2 or Form 1042-S (income codes 16-19). It is taxable as wages.
$ 0 3 (Amt of scholarship received for which no services were performed.)
$ 4 Enter the amount from line 3 that your scholarship or fellowship required you to use for anything
other than tuition, fees, books & supplies (e.g., room & board, travel, etc.)
$ 0 5
$ 6 Enter the amount from line 5 that was used for tuition, fees & required books, supplies.
(This is the tax-free part of your scholarship)
$ 0 7
$ 0 8 (This is the taxable part of your scholarship)
Did you participate in an employer provided educational assistance program? Yes No
Work Related Education Deduction
If you qualify, you may be able to deduct your graduate tuition and course expenses in full.
Warning: Because the deduction is often large and the rules are subject to interpretation, the IRS has increased
audits in this area. Click here to read more information before answering the following questions.
so, do you want to take the improve your skills in a expense?
IfDid your graduate education education as a businessprofession you had already established?
Yes No
If so, do you want to claim the work related education deduction? Yes No
Claiming a credit for your dependent child's tuition
Amount of tuition and fees you paid for your child's college/university education during 2008: $
Child must be:
1 Claimed as a dependent on your tax return
2 Between the ages of 18 and 23 during 2008
3 A full-time student
Name of child:
College Attended: Freshman or Sophomore Undergraduate - Other Graduate
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