TAX BY FAX PRINTABLE WORKSHEET

PART IV - TAX YEAR 2005 QUESTIONS FOR OTHER INCOME


Simply print out the form below, fill in the information and fax or mail these copies to us,
as they pertain to you. 

A) Miscellaneous Income
   In 2005 did you or your spouse receive income from the following sources?
   (Please note: mark T for Taxpayer or S for Spouse)


  T/S                                                  Amount

________ Tips not reported to employer:           $______________

________ Alimony                                  $______________

________ Misc. Income e.g. Prizes, Awards         $______________


B) Business Income
   In 2005 did you or your spouse receive income from the following sources?
   By marking any of the following, one of our experienced tax preparers will contact 
   you shortly for more information.
  
  T/S                                             

________ Self-employment and/or business operation

________ Farming                                  

________ Residential Property Rental              

________ Business Property Rental                 

________ Land Rental for Agriculture              

________ Other Rental Property                    

________ Royalties                                


C) Capital Gains Transactions
   In 2005 did you or your spouse sell any of the following types of properties?
   Again, by marking any of the following, one of our experienced tax preparers will 
   contact you shortly for more information.

 Yes     No     

_____   _____ Stocks, Bonds, Mutual Funds or any other securities

_____   _____ Personal Residence

_____   _____ Rental Property/Furnishings

_____   _____ Business Property/Equipment

_____   _____ Farm Equipment

_____   _____ Other Personal Property e.g. Antiques, Etc.


		FAX:	  802-773-9381
		ADDRESS:  4 Seasons Accounting, LLC
		          Tax By Fax
			  25 Curtis Ave.
			  Rutland, VT 05701

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