Simi Valley, CA Accounting & Tax Services | Schechter Inc.



QuestionsPlease ONLY write in YES if appropriate and include any necessary details and documentationYes New Tax Law Questions Do you invest, trade or use Cryptocurrency? Have you received a letter from the IRS?Do you receive income from State Medicaid for a family member you care for in your home?Are you a Veteran, combat injured and receive/d disability payment/s after Jan 17, 1991?Did you donate to any 501(c)(3)? Even if you do not itemize you can claim up to $300.COVID-19 ImplicationsDid you receive the first round of Stimulus, how much? __________________Did you receive the second round of Stimulus, how much? __________________Please provide Notice 1444 from the IRSDid you/spouse experience economic loss due to COVID-19 (loss of job, closed business)?Were you/spouse unemployed for any portion of the year due to COVID-19?Did you/spouse receive wages from your employer even if you were unable to work?Did you/spouse receive a distribution from a retirement plan (401K, IRA, etc)?If you/spouse own a business, did you continue to pay employees when they could not work?If you/spouse own a business, did you delay withholding FICA taxes from employee’s pay?If you/spouse own a business, did you receive a PPP Loan? If yes, has it been forgiven, or do you plan to apply for forgiveness?If you/spouse own a business, were you unable to work due to COVID-19, would you have qualified for sick or family leave if employed by someone other than yourself?PersonalDid your marital status change during the year? If yes, explain: _________________________Did your address change from last year?Can you be claimed as a dependent by another taxpayer, are you 23 or younger and a full time-student or 24 and older with income less than $4,300?Do you want any refund or balance due directly deposited or withdrawn?Did you change any bank accounts that have been used for Direct Deposit?Did you renew your Driver’s License this past year? If yes, please provide updated.If you are a new client, please provide identification.Have you, your spouse or any dependents been a victim of identity theft, did the IRS issue you an Identity Protection PIN? If yes, provide this years’ IRS CP01A.Dependent InformationWere there any changes in dependents from the prior year? If yes, explain: _______________Can another person qualify to claim any of your dependents?Do you have any children under age 18 with investment income more than $2,200?Do you have dependents who must file a tax return, have wages to report?Will any of your dependents be turning 17 this year, 2021? Did you provide over half the support for any other person during the year and were they a member of the household? Did you pay for childcare while you worked, receive any benefit from your employer?Did you pay any expenses related to the adoption of a child during the year?If you are divorced or separated with child(ren), do you have a divorce decree, Form 8332?INITIALS ______________Yes Health Care InformationDid you or any member of your ‘tax family’ purchase health insurance through the Marketplace, Covered California(1095-A)? Provide Insurance coverage 1095 form/s for each individual claimed, if dependent also filed a 2020 return, provide return.Did you receive any distributions from a Health savings account this year (HSA/MSA)?Income, Retirement, and Debt InformationDid you receive any state or local tax refunds from prior years?Did you receive tip income not reported to your employer this year?Did you receive any unemployment benefits or any disability income during the year?Did you cash any U.S. savings bonds issued after 1989?Did you receive any lump-sum payments from a pension, profit sharing or 401(k) plan?Did you make any withdrawals from or contributions to a qualified retirement plan (IRA/401k)? Did you convert a Traditional IRA to a Roth?Did you receive any Social Security benefits during the year?Did you receive OR pay alimony and/or make any changes to a previous agreement?Did any of your life insurance policies mature, or did you surrender any policies?Did you have any debts canceled or forgiven this year?Does anyone owe you money that has become uncollectable?Small Businesses, Purchases, SalesDid you start a new business, purchase rental, acquire an LLC, partnership, or S corporation?Are you a business owner with independent contractors?Are you an independent contractor, receive a 1099?Are you a cosmetologist, pay chair or space rent?Did you sell an existing business, rental property, or other property during the year?Did you receive income or incur expenses associated with; a fantasy sport league, car sharing (Lyft/Uber), freelancing (1099-K), fashion sharing, crowdfunding? ______________________Did you purchase any business asset or covert any assets to business use? If yes, provide cost, date placed in service and business use percentage.Did you rent out your home, receive income or have expense for a short-term rental?Did you sell, exchange, or purchase any real estate during the year?Did you purchase, sell, foreclose or abandon a principal residence during the year? If yes provide closing documentation for the purchase and sale of the home.Did you take out a home equity loan or refinance a principal residence or 2nd home this year?If yes provide all escrow, closing and other documentation (what was loan used for).Did you purchase a qualified fuel cell motor or electric vehicle?Did you acquire or dispose of any stock, bonds or other investments during the year?Y/N Foreign (please write YES or NO next to each question)Did you have any foreign income or pay any foreign taxes during the year?Do you have financial accounts maintained by a foreign bank totaling more than $50,000 on the last day of the year or more than $75,000 at any time during the year ($100,000 and $150,000 for married filing joint).Were you a grantor for a foreign trust, or do you have an interest in or a signature authority over a bank account, securities account, or other financial account in a foreign country?IF Yes, did the aggregate value of all accounts located in a foreign county exceed $10,000 at any time during the year?INITIALS ______________Yes Itemized Deduction InformationDid you incur a casualty or theft loss during the year?Did you pay out-of-pocket medical expenses exceeding 7.5% of your AGI (Co-pays, Rx, etc.)?Did you pay long-term health care premiums for yourself or your family?Did you pay any COBRA health care coverage continuation premiums?Did you pay any real estate property taxes or personal taxes during the year?Did you pay any mortgage interest during the year?Do you have evidence to substantiate any charitable contributions to a 501(c)(3)?Did you make any noncash charitable contributions (clothes, furniture, etc.), provide details?Did you donate a vehicle or boat during the year? If yes, attach Form 1098-C.Did you make any major purchases during the year (cars, boats, etc.)?Did you have gambling winnings or losses during the year?Did you have any job-related expenses that were not reimbursed by your employer?Did you use your vehicle on the job, excluding commuting?Did you work out of town; use your home for an office?Education InformationDid you have any educational expenses for yourself, your spouse, or a dependent?Did you pay any student loan interest this year?Did you make any contributions or withdrawals from an Education Savings Account or Qualified Tuition Program (529 Plan)?Miscellaneous InformationDid you make gifts of more than $15,000 to any individual?Did you make any contributions to a Health savings account (HSA) or Archer MSA?Did you engage in any bartering transactions?Did you retire or change jobs this year?Did you incur moving expenses during the year (related to employment or military)?Did you pay any individual $2,200 or more as a household employee during the year (babysitter, caretaker, housekeeper, cook)?Did you make any energy-efficient improvements to your main home during the year?Did you install solar this year or plan to in the near future?Did you own interest or shares in a Qualified Opportunity Fund?Did you apply an overpayment of 2019 taxes to your 2020 taxes?If you have a refund on your 2020 taxes do you want it applied to your 2021 estimated tax?Did you make any estimated payments toward your 2020 taxes?Did you make any out-of-state purchases that state sales or use tax was not collected?May the IRS discuss your tax return with your preparer?Did you receive any correspondence from the State or the Internal Revenue Service?If yes, please explain: _________________________________________________________If you received any notices or settled any tax examinations concerning prior year’s returns, please provide tax agency notices and settlement reports.Do you want to designate $3 to the Presidential Election Campaign Fund?If you check yes, it will not change your tax or reduce your refund.Would you like a printed copy of your return as well as the access of it electronically through our Secure Client Portal?INITIALS ______________If Schechter Inc has not previously prepared your return – please provide a copy of your last two tax returns filed.Taxpayer Name:Taxpayer Signature: Date:Spouse Name:Spouse Signature: Date:SCHECHTER INCRUNYAN TAX SERVICEDBA: RS Tax Plus1128 El Monte DrSimi Valley, California 93065(818) 889-7521 ................
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