Name of Taxpayer: Taxpayer Date of Birth: Name of Spouse: Spouse Date of Birth: Taxpayer W-2 Wages: $ Federal Withholding: $ Spouse W-2 Wages: $ Federal Withholding: $ 1099 Income: $ Any Federal Withholding? $ Other Income: (Schedule C, E, Etc.) $ Any Federal Withholding or estimated payments? $ Marital Status as of December 31, 2009:   Single   Married  Divorced  Separated  Widow Name of Dependant: Relationship: Date of Birth: Does dependant live with you? Yes No Name of Dependant: Relationship: Date of Birth: Does dependant live with you? Yes No Name of Dependant: Relationship: Date of Birth: Does dependant live with you? Yes No Do you have any Child Care Expenses for a Dependant Child in 2009? Yes No        If yes, Amount: $ Did you pay for any college or vocational courses? Yes No        If yes, Amount: $ Did you change your job and move more than 50 miles in 2009? Yes No        If yes, Amount: $ Did you pay Sales or Excise tax on a NEW car purchased in 2009?? Yes No        If yes, Amount: $ Did you pay Real Estate taxes in 2009? Yes No        If yes, Amount: $ We will use the STANDARD DEDUCTION to calculate your estimated refund unless you have an amount in the Itemized Deductions block below. Itemized Deductions: $       Taxstar   © 2009   All rights reserved.       Privacy Policy  |  Terms & Conditions                                                                                                   Website by Maestas Creative