Form 2106 And Pennsylvania Ue-1 Employee Business Expense Form

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Form 2106 and Pennsylvania UE-1 Employee Business Expense Form
Rev 12/10/15
Taxpayer
Is your employment covered by Department of Transportation rules (Truckers, Railroad workers etc.)? Y / N
Expenses (Actual amounts and advise that employer may need to sign statement.)
Union Dues (Only Dues and assessments no pension or strike funds.)
__________
Small tools need for work
__________
Business Phone (Must be required by employer.)
__________
Special Clothing (Items not useable for normal wear in public. Cleaning also.)
__________
License/Fees
__________
Other
__________
Supplies used for work
__________
Days away Meals (IRS can use Per Diem for Pennsylvania must use Actual cost)
__________
Travel (IRS can use Per Diem for Pennsylvania must use Actual cost)
__________
Continuing Education
__________
Reimbursements
__________
Business Use of Home (Must be required by employer)
Home Size
__________ Mortgage Interest
__________ Insurance
__________
Rooms Size
__________ Property Taxes
__________ Utilities
__________
Rent
__________ Repairs & Maintenance
__________
Depreciation
Item
Date in Service
MACRS
Class Value when placed in use
1) __________________
__________
__________
__________________
2) __________________
__________
__________
__________________
Vehicle Expenses (Standard Mileage only. Must follow between work rules or home office rules)
Item
Date in Service
Total Miles
Bus. Miles
1) __________________
__________
__________
__________
Spouse
Is your employment covered by Department of Transportation rules (Truckers, Railroad workers etc.)? Y / N
Expenses (Actual amounts and advise that employer may need to sign statement.)
Union Dues (Only Dues and assessments no pension or strike funds.)
__________
Small tools need for work
__________
Business Phone (Must be required by employer.)
__________
Special Clothing (Items not useable for normal wear in public. Cleaning also.)
__________
License/Fees
__________
Other
__________
Supplies used for work
__________
Days away Meals (IRS can use Per Diem for Pennsylvania must use Actual cost)
__________
Travel (IRS can use Per Diem for Pennsylvania must use Actual cost)
__________
Continuing Education
__________
Reimbursements
__________
Business Use of Home (Must be required by employer)
Home Size
__________
Mortgage Interest
__________
Insurance
__________
Rooms Size
__________
Property Taxes
__________
Utilities __________
Rent
__________
Repairs & Maintenance
__________
Depreciation
Item
Date in Service
MACRS Class
Value when placed in use
1) __________________
__________
__________
__________________
2) __________________
__________
__________
__________________
Vehicle Expenses (Standard Mileage only. Must follow between work rules or home office rules)
Item
Date in Service
Total Miles
Bus. Miles
1) __________________
__________
__________
__________

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