Worksheet Lopeza services - Lopeza Services

Impuestos / Taxes:

Tax payer name:

Name

Apellidos

LOPEZA customer number:

Address

City

Estate

Zip-code

Phone:

Email

Confirm Email

Fecha de nacimiento:

Spouse:

Yes

No

Spouse Date of Birth:

Form of presentation:

Has dependents:

Yes

No

How many dependents do you have:

Dependents

Name

Middle name or initial

Apellidos

Has lived with you during the reporting period:

Yes

No

Añadir dependiente Eliminar dependiente

Ingresos

Presentation documents:

Social Security

MASS ID

ITIN

Aplicar o renovar ITIN

Date of entry to the United States:

Adjuntar copia de pasaporte:

Maximum file size: 5MB

Adjuntar documentación:

Maximum file size: 5MB

Impuestos de Negocio o Contratista

Reporta Negocio o Contratista

Yes

No

Impuestos de negocio o contratista (continuación)…

Ingreso

1099 Misc

1099K

1099NEC

Cash

Adjuntar formularios de negocios:

Maximum file size: 5MB

cash income:

Material expenses:

Gastos Contratistas:

Rent expenses:

Mobile Phone Expense:

Cost of work clothes:

Gas expense:

Electrical energy expense:

Reporta vehículo:

Yes

No

Modelo

Precio

Fecha de compra

Millaje a fecha de compra

Millaje a finalizar

house taxes

1098 INT (Mortgage Company)

Yes

No

Adjuntar documentación:

Maximum file size: 5MB

Home taxes (continued)

Date of purchase (provide package delivered at purchase):

Rental Income:

Loan interest:

Real estate Tax:

Hazard Insurance:

Water:

Repairs:

Expenses / Gastos

Rent expenses:

Transportation:

E-ZPass:

Donations:

Other expenses:

Gastos estudiantiles:

Yes

No

Gastos estudiantiles (monto anual):

Adjuntar 1098T (Gastos estudiantiles):

Maximum file size: 5MB

1098E:

Yes

No

1098E (annual amount):

Attach 1098E:

Maximum file size: 5MB

Daycare:

Yes

No

Daycare (annual amount):

Attach Daycare vouchers:

Maximum file size: 5MB

Medical Form

1095 A

Yes

No

Adjuntar documento:

Maximum file size: 5MB

1095 B

Yes

No

Adjuntar documento:

Maximum file size: 5MB

1095 «C»

Yes

No

Adjuntar documento:

Maximum file size: 5MB

Masshealth

Yes

No

Gastos de dentista:

Yes

No

Deposito Directo

Desea deposito directo:

Yes

No

Datos Banco:

Nombre del banco:

Nombre de la cuenta:

Número de cuenta:

Routing number:

Impuestos / Taxes:

Dependents

Ingresos

Impuestos de Negocio o Contratista

Impuestos de negocio o contratista (continuación)…

house taxes

Home taxes (continued)

Expenses / Gastos

Medical Form

Deposito Directo

Datos Banco:

We are New England's leading tax preparation company.