Tax Organizer Form - North Dakota Page 2

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DID YOU HAVE ANY OTHER INCOME FROM ANY OTHER SOURCE?
Source
_____________________________________
Amount
$_______________
Source
_____________________________________
Amount
$_______________
Source
_____________________________________
Amount
$_______________
SOCIAL SECURITY
How much did you receive? $_______________ How much did your spouse receive? $_____________ (Attach SSA 1099s)
If you paid any individuals or Partnership $600.00 or more for rent or services for business purposes, you are required to file 1099s prior to
February 28th. If you would like us to prepare these, please contact us right away.
BUSINESS INCOME / BUSINESS EXPENSES (FOR SELF EMPLOYED)
What is the main business activity?________________________________________________________________________________________________
Business Name_____________________________________________________________________________________
Business Address____________________________________________________________________________________
HOW MUCH IS YOUR GROSS BUSINESS INCOME ? $____________________ (Attach 1099 Miscs)
HOW MANY MILES DID YOU DRIVE FOR BUSINESS PURPOSES? _______________________________
Merchandise
$________________
Real Estate Taxes
$________________
Costs of Goods
$________________
Other Taxes & Licenses
$________________
Materials & Supplies
$________________
Travel (no meals)
$________________
Advertising
$________________
Meals & Entertainment
$________________
Bad Debts
$________________
Utilities & Telephone
$________________
Car & Truck Expense
$________________
Wages & Salaries
$________________
Commissions
$________________
Bank Service Charges
$________________
Insurance (other than health)
$________________
Tools
$________________
Mortgage Interest
$________________
Uniforms
$________________
Other Interest Paid
$________________
Safety Items
$________________
Legal & Professional Fees
$________________
Freight & Shipping
$________________
Office Expenses
$________________
Dues & Publications
$________________
Rent on Business Property
$________________
Laundry & Cleaning
$________________
Equipment Rentals
$________________
(other)
$________________
Repairs
$________________
(other)
$________________
Supplies
$________________
(other)
$________________
INCOME FROM PROPERTY RENTAL
RENTAL 1
RENTAL 2
RENTAL 3
Rents Received (Attach all 1099s)
$__________________
$__________________
$__________________
Advertising Costs
$__________________
$__________________
$__________________
Association Dues
$__________________
$__________________
$__________________
Auto & Travel
$__________________
$__________________
$__________________
Cleaning & Maintenance
$__________________
$__________________
$__________________
Commissions
$__________________
$__________________
$__________________
Gardening
$__________________
$__________________
$__________________
Insurance
$__________________
$__________________
$__________________
Legal & Professional Fees
$__________________
$__________________
$__________________
Licenses & Permits
$__________________
$__________________
$__________________
Management Fees
$__________________
$__________________
$__________________
Miscellaneous
$__________________
$__________________
$__________________
Mortgage Interest
$__________________
$__________________
$__________________
Other Interest Paid
$__________________
$__________________
$__________________
Painting & Decorating
$__________________
$__________________
$__________________
Painting Equipment ( brushes, ladders, etc. )
$__________________
$__________________
$__________________
Pest Control
$__________________
$__________________
$__________________
Plumbing & Electrical
$__________________
$__________________
$__________________
Repairs
$__________________
$__________________
$__________________
Supplies
$__________________
$__________________
$__________________
Cleaning Supplies
$__________________
$__________________
$__________________
Tools
$__________________
$__________________
$__________________
Taxes
$__________________
$__________________
$__________________
Telephone
$__________________
$__________________
$__________________
Utilities
$__________________
$__________________
$__________________
Wages & Salaries
$__________________
$__________________
$__________________
RENTAL INCOME (continued)
What type of property is the rental? (i.e. four bedroom house, warehouse, trailer park, etc.)
RENTAL 1________________________
RENTAL 2________________________
RENTAL 3________________________
When did you purchase your rental property? (Mm/Yy)
RENTAL 1................_______/_______
RENTAL 2................_______/_______
RENTAL 3 ...............________/_______
How much did the rental property cost you?
RENTAL 1 $______________________
RENTAL 2 $______________________
RENTAL 3 $_____________________
Did you have any Farm Rental Income? __________ If yes, attach information. Did you have any Royalties? __________If yes, attach information & 1099s. Did you receive an Education
Distribution?______
2

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