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22 S. Second Street
Campbell, CA 95008

Phone (408) 370 6699
Fax (408) 379 1823

Tax Preparation Form

TAX YEAR ORGANIZER 2002
   
Your Name
   
Your SSN
E-mail:
       
Spouse's Name
   
Spouse's SSN
Address
   
State
City
   
Zip
County
   
School District
Home Phone
   
Work Phone
Occupation
   
Spouse's Occupation
 
Do you want $3.00 to go to the President Election Campaign Fund?
Yes

No

   
Your Age
Legally blind?
Does your spouse want $3.00 to go to the Presidential Election Campaign Fund?
No    
Spouse's Age
Legally blind?
           
Dependent #1
First Name
Last Name
Social Security Number
Relationship
No. of months lived with you
Age/DOB
Qualifying child care expenses incurred and paid in 2000
Portion of qualifying expenses provided by your employer
Hope Credit qualified expenses paid
Lifetime Learning Credit qualified expenses paid
   
Dependent #2
First Name
Last Name
Social Security Number
Relationship
No. of months lived with you
Age/DOB
Qualifying child care expenses incurred and paid in 2000
Portion of qualifying expenses provided by your employer
Hope Credit qualified expenses paid
Lifetime Learning Credit qualified expenses paid
   
Dependent #3
First Name
Last Name
Social Security Number
Relationship
No. of months lived with you
Age/DOB
Qualifying child care expenses incurred and paid in 2000
Portion of qualifying expenses provided by your employer
Hope Credit qualified expenses paid
Lifetime Learning Credit qualified expenses paid
   
Wages and Salary - 2002

W-2 is for:
 
Employer's name
   
Employer's address
   
Employer's federal id
   
Employer's state id
   
       
Wages , salary ,or tips
State
Federal tax withheld
 
S.S. wages
State wages
S.S tax withheld
 
Medicare wages
State tax
Medicare tax withheld
 
S.S tips
Locality
Allocated tips
 
Advancd E.I.C
Local wages
Dependent care benefits
 
Are you a statutory employee?
Local tax
Are you covered by a pension plan
 
       

W-2 is for:
 
Employer's name
   
Employer's address
   
Employer's federal id
   
Employer's state id
   
       
Wages , salary ,or tips
State
Federal tax withheld
 
S.S. wages
State wages
S.S tax withheld
 
Medicare wages
State tax
Medicare tax withheld
 
S.S tips
Locality
Allocated tips
 
Advancd E.I.C
Local wages
Dependent care benefits
 
Are you a statutory employee?
Local tax
Are you covered by a pension plan
 
       

W-2 is for:
 
Employer's name
   
Employer's address
   
Employer's federal id
   
Employer's state id
   
       
Wages , salary ,or tips
State
Federal tax withheld
 
S.S. wages
State wages
S.S tax withheld
 
Medicare wages
State tax
Medicare tax withheld
 
S.S tips
Locality
Allocated tips
 
Advancd E.I.C
Local wages
Dependent care benefits
 
Are you a statutory employee?
Local tax
Are you covered by a pension plan
 
       
     
     



 
 
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