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MAi Tax and Business Services
2010 Tax Organizer
PLEASE ENTER YOUR NAME(S) HERE:
1 Tab 2 - "Misc Questions" is mandatory! If a question applies to you, you may be directed to
complete another section of this organizer or enclose statements or additional information.
2 If a page does not apply to you, indicate by entering an X in the field at the top of the page.
3 Please save this as a new Excel file. Select "File" on the menu bar, click on "Save As"
type in your name and the year in the "File Name" box, then click on "Save."
Remember to save your work periodically to ensure against losing input data.
4 To move between pages, click on the numbered tabs at the bottom of the screen.
5 Input cells are highlighted in yellow; pressing the Tab key will move you to the next input field.
6 Throughout this organizer, please label input items as Taxpayer (T), Spouse (S) or Joint (J).
7 To provide additional information, please use tab 9-Notes, or provide explanatory
notes with your supporting documentation when submitting your organizer.
8 After you have entered all information, save your file and see page 9-Notes.
9 If you encounter any problems with this organizer, please contact us:
Phone: 330-908-1041 Fax: 330-908-1047
Email: pam.visti@maitax.com randy.hyde@maitax.com
10 We encourage you to use our secure online client portal to upload documents and files that you
wish to send us. If you haven't received our ShareFile login instructions with a User Name and
Password please contact us right away.
Table of Contents
Topic Tab
Taxpayer information 1
Miscellaneous informational questions 2
Miscellaneous income and adjustments; IRAs 3
Rent and royalty income 4
Itemized deductions 5
Foreign work day travel calendar 6
Foreign residency information 7
Foreign bank account information 8
Notes and closing information 9
7c424755-3678-4db8-9690-8cfefbcd2382.xls
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1 - Taxpayer Information 0
RETURNING CLIENTS: Enter only changed/updated information or indicate in
blue box with a "Y" if your personal info is the same as last year
NEW CLIENTS: Answer questions and enclose copies of SS or ITIN cards Taxpayer Spouse
First Name and Middle Initial………………………………………………………………….
Last Name……………………………………………………………………………………….
Occupation ……………………………………………………………………………………..
Birthdate ………………………………………………………………………………………..
Citizenship (if non US indicate if you are a US green card holder) …………………….
Are you eligible to be claimed as a dependent on another return? …………………….
Are you or your spouse legally blind (B) or disabled (D)? ……………………………….
X if you want to Contribute to Presidential Campaign Fund ………………………………
X if you authorize taxing authority to discuss your return with MAi……………………….
Street Address Home Phone
Business Phone
City Fax
State/Province ZIP/Postal Code Email
County School district Cell Phone
Country Other
If you would like to use a different address on the tax return, please indicate so on the Notes page (tab 9)
Filing Status: Single Married Filing Jointly
Head of Household Married Filing Separately
Qualifying Widower ------------------> Year that spouse died:
Did your marital status change during the past year? If so, please explain:
Who should we contact with questions? Taxpayer Spouse
Dependent Information
Enclose copies of SS or ITIN cards Months in US Citizen or
Full name (first name, middle initial, last name) US* Birthdate Code ** resident alien?
* Enter the number of months dependent lived with you, and/or your spouse if married filing jointly, in the US
** For dependent code, enter one of the following:
L = Dependent child who lived with you Q = Not dependent, but is a person who qualifies you for the earned
N = Dependent child who didn't live with you income credit and/or child care credit
due to divorce or separation A = Adopted dependent child with expenses that may qualify for tax
S = Student aged 19-23 credit; supply details on the continuation sheet
D = Disabled over 19 yrs old O = Other dependent
Did you provide over half the support for any other person during the tax year (e.g., parent)? If so, please explain:
__________________________________________________________________________________________________________________
6/25/2011 TAX ORGANIZER 7c424755-3678-4db8-9690-8cfefbcd2382.xls
2 - Miscellaneous Questions 0
Enter an 'X' in either the Yes or No columns. If explanation is needed for "YES" answers, explain on Tab 9-Notes.
Yes No
PERSONAL INFORMATION (Tab 1)
Did your marital status change during the year?
Did your residence change during the year?
Can you be claimed as a dependent by another taxpayer?
We are required to e-file your return; if you object, indicate with an X; you will be required to
sign additional federal and state forms to opt out of e-filing.
Are you a US citizen?
Is your spouse a US citizen?
Would you like to have your refund direct deposited? (Enclose voided check or copy of a check)
Do you want to allocate $3 to the Presidential Election Campaign Fund?
DEPENDENT INFORMATION (Tab 1)
Do you have any dependents that are not US citizens?
Were there any changes in dependents from the prior year?
Did any of your children (< age 19 or college students < age 24) have investment income > $950?
Did you pay any student loan interest this year? Enclose statement.
Did you, or will you, contribute to an Education Savings Account (529 plan) this year? Enclose statement.
Did you maintain a home or provide over half of the support for someone not claimed as a dependent?
Did you pay for child care (babysitting, daycare)? Enclose statement or complete the
dependent care supplement available for download from www.maitax.com
Did you adopt a child during the year, or are you planning to adopt in the coming year?
INCOME INFORMATION
Did you receive wage income? If so, enclose copies of all Forms W-2.
Did you receive any tip income? If so, provide details on a separate sheet.
Did you receive interest income? If so, enclose copies of all Forms 1099-INT.
Did you receive dividend income? If so, enclose copies of all Forms 1099-DIV.
Did you receive refunds from any tax agencies? If so, enclose Forms 1099-G
Did you sell stocks, bonds, or mutual funds, or receive capital gain distributions? If so,
enclose copies of all Forms 1099-B, cost basis statements and other documentation.
Did you make rollovers or withdrawals from any retirement account? Enclose statements.
Did you receive any Social Security benefit payments? If so, enclose statements.
Did you exercise stock options? If so, enclose statements showing the type of options [ISO, NQO],
grant date, exercise date, grant price, exercise price, number of shares exercised and sold.
Did you sell stock purchased under an employee stock purchase plan? If so, enclose statements with
purchase / sale details and information from the plan on Tab 9-Notes.
Did you have self-employment/business income? If so, complete the SE Supplement (go to maitax.com).
Did you receive any other types of income, such as disability, unemployment, director's fees, jury duty,
trustee's or executor's fees, gambling winnings, personal injury awards or child benefit payments,
family allowances, employer provided adoption benefits, etc.? If so provide details.
Did you have rental income or expenses? If so, complete Tab 4-Rent.
Did you cash in any US Savings Bonds? If so, enclose statements.
Did you receive educational assistance paid by your employer?
Did your college student receive educational benefits?
Did you receive or pay alimony (not child support)?
Did you receive K-1's from partnerships, estates, trusts, or S corporations? If so,
enclose copies of all K-1 forms and related documents.
Do you have any other income not mentioned above or sell other personal assets? If so provide details.
Did you receive payments from a Long Term Care insurance contract, or pay LTC insurance premiums?
PURCHASE, SALES AND DEBT INFORMATION
Did you purchase or sell real property or refinance a mortgage? If so, provide copy of closing statements (HUD-1).
If you sold your principal residence, when did you purchase/occupy that home?
If you took out a mortgage after Dec. 31, 2007, are you paying Private Mortgage Insurance (PMI)?
Did you take out a home equity loan or line of credit?
Do you expect to qualify as a first-time homebuyer related to your home purchase this year?
Did you claim a First-Time Homebuyer Credit for a home purchased in 2008?
Did you purchase a 'clean fuel' or electric hybrid vehicle this year?
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DEDUCTION INFORMATION (Tab 5)
Did you make charitable contributions during the year? If so, see Tab 5-Itemized Deductions
Did you pay real estate/property or other deductible taxes (even if you don't itemize)?
Did you have significant medical expenses (exceeding 7.5% of your income)? Enter details on Tab 5-ID.
Did you have deductible interest expense (e.g., mortgage, home equity, investment, etc.)?
Did you have unreimbursed employee business expenses? Complete Tab 5-ID.
Did you make estimated tax payments during the year? Complete Tab 5-ID.
Did you work out of town for any part of the year?
Did you have educational expenses for you or your dependents?
Did you have moving or job-search expenses?
Did you incur any unreimbursed casualty or theft loss?
Did you pay unsubsidized health insurance premiums for yourself or family?
Did you have a Health Savings Account (HSA) or Medical Savings Account (MSA)? See Tab 3.
Do you own or invest in a business that would be considered manufacturing?
Did you make expenditures for solar or fuel cell equipment during the year?
Did you make qualified energy improvements to your personal residence? Provide details on Tab 9-Notes.
Did you purchase any special fuels for non-highway use?
Did you use part of your home for business purposes? If so, complete the SE Supplement (see maitax.com).
Did you use your personal car on the job (other than to/from work)?
FOREIGN INFORMATION (Tabs 6, 7 and 8)
Do you have foreign income?
Did you pay foreign income taxes? If so, enclose documentation and copies of foreign returns.
Did you have an interest in or signature authority over a financial account in a foreign country (personal or business)?
Are you a foreign national with US source income? If so provide copies of passport and US Visa.
Did you live overseas during the year? If so, complete Tab 6, 7 and 8. Returns will not be started without this info.
MISCELLANEOUS INFORMATION
Are you in the military or National Guard?
Did you or your spouse make any gifts in excess of $13,000 to anyone during the year?
Did you engage in any bartering transactions?
Are you covered by a pension plan?
Did you make Roth, SEP, KEOGH or other IRA contributions this year, or convert a regular IRA to a Roth IRA?
Did you experience debt forgiveness, foreclosure or bankruptcy during the year? Provide details.
Did either you or your spouse attain age 70 1/2 during the year?
If so, did you take the required minimum distribution from IRAs?
Did you receive correspondence from the IRS or state/local tax authority that has not been
resolved? If so, enclose a copy.
Did you have and make payments to a household employee? If so provide details on Tab 9-Notes.
Did you make out of state purchases (e.g., internet, media, catalog) on which sales tax was not charged?
If so, provide total of purchases on Tab 9-Notes.
Did you make a loan to someone at an interest rate below market rates?
Are you a member of the clergy? If so and you receive a housing allowance, provide the details of your
qualified housing expenses and other ministry expenses on Tab 9-Notes or on a separate schedule.
Please save this as a new Excel file. Select "File" on the menu bar, click on "Save As," type in
your name and the year in the "File Name" box, then click on "Save" (example: "Jones09.xls").
Remember to save your work periodically to ensure against losing input data.
6/25/2011 TAX ORGANIZER 7c424755-3678-4db8-9690-8cfefbcd2382.xls
3 - Miscellaneous Income & Adjustment to Income & Expense; IRAs 0
'X' if this page does not apply to you:
Miscellaneous Income
List below other miscellaneous income including director's fees, jury duty fees, trustee's fees, alimony,
executor's fees, gambling winnings, payments from a US or non-US government pension/social
security plan or for child benefit payments, family allowances, etc.
State where
T, S or J Description earned Amount
Total other miscellaneous income 0
Other Adjustments
Amount of penalty paid on early withdrawal of savings
Amount of qualified student loan interest paid during the year (enclose statements)
Instructional/classroom out of pocket expenses for elementary and secondary school teachers
Other adjustment to income
Describe other adjustment
Did you contribute to an educational IRA (529) plan during the year? If so, enclose statements
Recipient's Social Security Number Amount
Alimony paid
Individual Retirement Arrangement (IRA) and Other Retirement Arrangements
Send a copy of IRA year end statements with your organizer.
Note: IRA contributions must be made on or before tax return due date (April 15).
Taxpayer Spouse
Amount contributed to your traditional IRA(s)
Amount contributed to your Roth IRA
Amount contributed to your SEP, Keogh or SIMPLE
Indicate X if you were eligible to participate in a qualified employer retirement plan
Health Savings Accounts (HSA)
If you participate in an HSA, enclose your Form 1099-SA that reports distributions for the year.
Total out of pocket medical expenses for the year
Out of pocket medical expenses for qualified dependents
Moving Expenses and Storage Costs in Connection with Employment
Unreimbursed Moving Expenses Amount
Storage costs
Transportation expenses in moving household goods and effects
Travel and lodging expenses in moving from old residence to new residence
Mileage
Number of miles from your old residence to your new work place
Number of miles from your old residence to your old work place
Workplace
Old workplace location (city and state/country)
New workplace location (city and state/country)
'X' if this page does not apply to you: 0
6/25/2011 TAX ORGANIZER 7c424755-3678-4db8-9690-8cfefbcd2382.xls
4 - Rent and Royalty Income and Expense 0
If you have more than two properties use page 9 'X' if this page does not apply to you:
Property A:
Kind of property
Location of property
Indicate X for Rental income Royalty other than oil & gas
type of property: Royalty with oil & gas depletion Royalty with no depletion
Indicate X if: You materially participated in the operation of the activity during the year*
You actively participated in the operation of the activity during the year*
Property B:
Kind of property
Location of property
Indicate X for Rental income Royalty other than oil & gas
type of property: Royalty with oil & gas depletion Royalty with no depletion
Indicate X if: You materially participated in the operation of the activity during the year*
You actively participated in the operation of the activity during the year*
General Information
Property A Property B
Owner of property (Taxpayer, Spouse or Joint)
Indicate X if this property was used for personal purposes for more than the greater
of 14 days or 10% of the total days rented at fair market value?
Indicate X if this property was your principal residence before becoming a rental?
If you disposed of the property, please indicate the date of sale
Date converted to rental property
Note: If income/expenses are summarized, send summary and do not complete these sections
Rent or Royalty Income
Income
Other income
Total income 0 0
Rent or Royalty Expense
Advertising
Auto and travel
Cleaning and maintenance
Commissions
Insurance
Legal and other professional fees
Management fees
Mortgage interest paid to financial institutions
Mortage interest paid to individuals
Other interest
Repairs
Supplies
Taxes
Utilities
Yard maintenance
Other Expense:
Total expenses 0 0
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Depreciation
Enter all property and equipment used in your rental activity.
Date placed Cost or
in service basis
Property A: (MM/DD/YY)
Building
Land
Improvements
Property B:
Building
Land
Improvements
'X' if this page does not apply to you: 0
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5 - Itemized Deductions 0
'X' if this page does not apply to you:
Federal, State and City Payments of Tax
Note: Enter the amounts that were actually paid and the date of payment for each installment.
Federal
Date paid Amount
(MM/DD/YY)
Prior year overpayment applied to current year
1st installment (due 4/15)
2nd installment (due 6/15)
3rd installment (due 9/15)
4th installment (due 1/15)
Total federal tax paid 0
Name of Name of
State and/or Local Tax Payments: State: City or State:
Date paid Amount Date paid Amount
(MM/DD/YY) (MM/DD/YY)
Prior year estimated tax paid in current year
Prior year state extension paid in current year
Prior year balance due paid in current year
Prior year overpayment applied to current year
1st installment (due 4/15)
2nd installment (due 6/15)
3rd installment (due 9/15)
4th installment (due 1/15)
Total state or city tax paid 0 0
Other Deductible Taxes
Real estate taxes (Do not include taxes shown on the Rent and Royalty Income and Expense page)
Description Type * Amount
* Types include: (a) Reported on 1098, (b) Paid at closing, or (c) Paid directly
Personal property taxes (e.g., automobile excise tax [n/a in Ohio])
Sales tax (must have actual receipts to claim, otherwise table amounts will be used)
Total deductible taxes 0
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Interest Expense
Mortgage Interest Paid to a Financial Institution * Enclose copy of Form 1098 Amount
Total 0
Mortgage Interest Paid to an Individual *
Name and Address Social Security Number Amount
Total 0
Qualified mortgage insurance premiums - total paid during the year:
Points Paid * Start date of loan Life of loan in years Amount
X if loan is a refinancing
X if points were paid at closing
X if points not reported on Form 1098
* Do not include amounts previously provided under the Rental Income section.
Investment Interest Expense Amount
Total 0
Medical and Dental Expenses Amount
Insurance reimbursements for medical expenses Less:
Total medical & dental expenses 0
Miles driven for qualified medical purposes
Charitable Contributions
Deductions can only be claimed if you have a receipt or cancelled check!
Cash Contributions
Name of organization Amount
Total 0
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Non-cash Contributions
Description Date of
of Property Donated Donee Name Address Contribution
1
2
3
4
5
Method used to
Description Date Property FMV of Determine Amount of
of Property Donated Acquired Your Cost Property FMV Deduction
1
2
3
4
5
Miles driven for charitable purposes
Miscellaneous Employee Business Expense Deductions
Amount
Travel expenses (exclude meals)
Meals and entertainment
Parking and tolls
Telephone used for employer's business (allocate costs)
Professional organization or union dues
Educational expenses required to maintain your job
Tools and equipment
Safety and protective clothing
Uniform costs
Professional journals and subscriptions
Job search costs
Total 0
Other Expenses:
• Include expenses related to investment income, investment counsel or advisory fees,
tax return preparation fees, casualty and theft loss, etc. Amount
Total 0
'X' if this page does not apply to you: 0
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6 - Travel Calendar for Workdays Outside the US 0
Tax Year: 2010 'X' if this page does not apply to you:
If you lived or worked overseas during the year, this must be completed in full!
A B Total Days Number of
Country Name Date Left Country Name Date Arrived in Country B Work Days
Total 0 0
Did you live outside the US during the year? If so, complete questions on page 7-Foreign
Domicile (The state or country you consider your permanent residence)
-- Where were you domiciled prior to your foreign assignment?
-- Upon termination of your foreign assignment, where do you expect your
permanent residence to be located?
6/25/2011 TAX ORGANIZER 7c424755-3678-4db8-9690-8cfefbcd2382.xls
7 - Foreign Residence - General Information 0
If you lived overseas during the year, this must be completed in full!
Employer Information: 'X' if this page does not apply to you:
Name of employer (Mandatory):
Employer's U.S. address:
Employer's foreign address:
Employer is: (Indicate X for each applicable description)
A foreign entity…………………. A foreign affiliate of a U.S. company…………………………
A U.S. company……………….. Self………………………………………………………………
Other……………………………. Specify other……………………
Prior Year Exclusions: Enter last year (after 1981) that you filed Form 2555 to claim either the foreign earned income and/or
the foreign housing exclusion:
Residency Information: Country of citizenship if not a U.S. citizen………………………………………………
Where did you live during this year and when did you move there, even if the date was before the beginning of this year?
Indicate X if you will be residing or maintaining a tax home outside the U.S. on April 15 of the current year
Kind of Living Quarters in Foreign Country: Indicate X for type of living quarters in foreign country:
Purchased house Rented room
Rented house/apartment Quarters furnished by employer
Your Family: Indicate X if your family lived with you abroad during any part of the tax year
If so, who and for what period…………….
Foreign Country:
Indicate X if you have submitted a statement to the authorities of the foreign country in which you claim
bona fide residence that you are NOT a resident of that country
Did you pay income tax to the foreign country in which you reside? If so, enclose copies of tax returns
('X' if the foreign country had no income tax)
Employment Abroad: List any contractual terms or other conditions relating to the length of your employment abroad:
Indicate the type of visa under which you entered the foreign country
If your visa contains any limitations as to the length of your stay or employment, please explain below:
Indicate X if you maintained a home in the U.S. while living abroad
If so, was home rented?
Indicate the address of your home and the names and relationships of the occupants, if any, to you:
Qualified Foreign Housing Expenses:
Indicate below the amount of housing expenses incurred in the foreign country. Please be sure to indicate whether
the expenses were paid by you or your employer. If the amounts are in foreign currency, please indicate currency.
Amount Amounts you
reimbursed paid that were
to you/paid not reimbursed Total
Currency on your behalf Currency by your employer expenses
Rent 0
Fair Market Value of employer-owned
housing furnished to you 0
Utilities (but not telephone charges) 0
Repairs and maintenance 0
Furniture rental 0
Foreign real estate, occupancy taxes
or television taxes 0
Real and personal property insurance 0
Key money or other similar non-refundable
deposits 0
Other expenses (list below):
0
0
0
Total expense 0 0 0
6/25/2011 TAX ORGANIZER 7c424755-3678-4db8-9690-8cfefbcd2382.xls
8 - Foreign Bank/Security Account(s) 0
Were you or your spouse the owner of or have signature authority over any bank, securities or
other financial account(s) located outside the US during the prior year? -------> Yes or No
If yes, did the aggregate value of all accounts exceed $10,000 at any time during the year? Y/N
If yes, provide the following information for all accounts outside the U.S.:
Account Number 1
I. Account ownership: T = Taxpayer, S = Spouse, J = Joint
Name(s) in which account is maintained:
Name and mailing address of financial institution:
Account number or other designation:
Maximum value in the account during the year:
Indicate X for type of account: Bank………………………………………………………………….
Securities……………………………………………………………
Other
Was this an account for which you had signature authority (i.e., not a personal account)?
If this account is owned by a corporation, is it being reported by the corporation as part of a
consolidated report? If so, be sure to include information for all accounts for which you
have signature authority
Account Number 2
II. Account ownership: T = Taxpayer, S = Spouse, J = Joint
Name(s) in which account is maintained:
Name and mailing address of financial institution:
Account number or other designation:
Maximum value in the account during the year:
Indicate X for type of account: Bank………………………………………………………………….
Securities……………………………………………………………
Other
Was this an account for which you had signature authority (i.e., not a personal account)?
If this account is owned by a corporation, is it being reported by the corporation as part of a
consolidated report? If so, be sure to include information for all accounts for which you
have signature authority
If you have more than two accounts to report, download the FBAR Supplement from our website
to report all of your accounts.
Failure to report foreign bank accounts can result in penalties!
For further information, follow this link to review the form and filing requirements:
Report of Foreign Bank or Financial Account
6/25/2011 TAX ORGANIZER 7c424755-3678-4db8-9690-8cfefbcd2382.xls
9 - Notes Sheet and Completion Instructions 0
Thank you for completing your tax organizer!
1 Please rename with your name and year (e.g., Jones10.xls) and print a copy for your records.
2 Return the completed file to MAi via email (encrypt* first), snail mail, fax, or upload it to your folder on our
secure client portal - click on this link: MAi ShareFile (contact us if you need login instructions)
3 Send your supporting documentation and signed Client Service Agreement to:
Mail address: Street Address for courier delivery:
MAi MAi
PO Box 560233 176 Pickwick Drive
Macedonia, OH 44056 Northfield Center, OH 44067
Phone: 330-908-1041 Fax: 330-908-1047
Email: pam.visti@maitax.com
randy.hyde@maitax.com
* Free encryption software is available for download (e.g., 7zip) - just 'google' it, download, apply the
encryption and be sure to password protect the file. Don't forget to send the password in a separate email.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Use this section to provide additional information.
If you have nothing for this continuation sheet, you are finished with this organizer.
6/25/2011 TAX ORGANIZER 7c424755-3678-4db8-9690-8cfefbcd2382.xls
6/25/2011 TAX ORGANIZER 7c424755-3678-4db8-9690-8cfefbcd2382.xls
