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TaxStar Express FREE Estimator Form
 
Name of Taxpayer:
Taxpayer Date of Birth:
Name of Spouse:
Spouse Date of Birth:
Taxpayer W-2 Wages: $ Federal Withholding: $
Spouse W-2 Wages: $ Federal Withholding: $
1099 Income: $ Any Federal Withholding? $
Other Income:
(Schedule C, E, Etc.)
$ Any Federal Withholding or estimated payments? $
Marital Status as of December 31, 2009:   Single   Married  Divorced  Separated  Widow
Name of Dependant: Relationship:
Date of Birth: Does dependant live with you? Yes No
Name of Dependant: Relationship:
Date of Birth: Does dependant live with you? Yes No
Name of Dependant: Relationship:
Date of Birth: Does dependant live with you? Yes No
Do you have any Child Care Expenses for a Dependant Child in 2009?
Yes No        If yes, Amount: $
Did you pay for any college or vocational courses?
Yes No        If yes, Amount: $
Did you change your job and move more than 50 miles in 2009?
Yes No        If yes, Amount: $
Did you pay Sales or Excise tax on a NEW car purchased in 2009??
Yes No        If yes, Amount: $
Did you pay Real Estate taxes in 2009?
Yes No        If yes, Amount: $

We will use the STANDARD DEDUCTION to calculate your estimated refund unless you have an amount in the
Itemized Deductions block below.
Itemized Deductions: $
 
 
 
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