Anyone listed on the return considered disabled by law? _____________ If so whom? ______________________________________ can you provide SSA form or award letter? ______________ Any dependent or childcare expenses? _________________________________ if so to whom _______________________________________ provider’s business name EIN and amount paid must be submitted. Anyone listed on the return not a US resident? _____________________ Have received unemployment during tax year ________________________________________ Did you pay have to repay any unemployment? _______ if so what amount: _________________ Did you or anyone in your household receive insurance through the marketplace? _________ Do you have employer paid health insurance______ if so do you have proof: _________ Did you pay any medical expense, copays, hospital bills, pharmacy, and/or physician’s expense? ______ If so, can you provide proof: _____________________ Did you make any estimated payments or carry over payments for tax year? ______ Are you an educator and have any applicable educators’ expense up to amount set by federal guidelines? ____________________ Have you in cancelation of debt of any kind? ______________ if so what and how much _________ Did you have any gambling winnings ________________ if so do you have w2-G form ________ Did you purchase a home in 2008 and still qualify for First Time Homebuyer Credit? ________________ Have you received any rental payments for any rental properties: ______ do you have expense and deduction proofs(Credit cards, repair bills, payment receipts): ________________________