Please fill out the list below and submit:

Name:
Email:

1. Did pay medical/ dental expenses (Including medical Insurance) for yourself, your spouse, or your dependent/s?
 YES  NO

2. Did you pay mortage interest for self occupied home?
 YES  NO

3. Did you pay real estates taxes for self occupied home?
 YES  NO

4.Did you pay mortgage Insurance Premium with a new loan in 2015?
 YES  NO

5. Did you use your car on job (other than to and from work)?
 YES  NO

6. If answer to the question above is YES, did you maintain a mileage log? Logs are required to sustainate business/work related use of vehicles.
 YES  NO

7. Did you spend for work related expenses in course of employment which is not reimbursed by employers?
 YES  NO

8. Did you make monetary charitable contribution?
 YES  NO

9. if so, do you have bank record or letter from organization?
 YES  NO

10. Did you work from home in order to claim home office deduction?
 YES  NO

11. Did you spend towards work related education expense?
 YES  NO

Other Deductions/Credit

12. Did you move during year 2015?
 YES  NO

13. Did you pay student loan interest in 2015?
 YES  NO

14. Did you pay tutition fess in 2015?
 YES  NO