15-9. INCOME TAX WORKSHEET (Continued)
OTHER ITEMS OF INCOME
Type or Source of Income
Amount
Type or Source of Income
Amount
Taxable State Income Tax Refund Taxable Local Income Tax Refund
Royalty and/or Partnership Income
Estate and/or Trust Income
Alimony Received Business Income
Farm Income
Unemployment Compensation
Capital Gains & Losses (from below)
Social Security Benefits
Other Gains & Losses
Awards/Prizes/Bonus Payments
Capital Gains Distributions Taxable IRA Distributions Taxable Pensions Taxable Annuities
Other Income (explain)
Total Income From This Column:
Rental Income
Total Income from Column on the Left:
Total of This Column:
Total Income:
CAPITAL GAINS & LOSSES — SHORT TERM (Assets held one year or less)
Cost or Other Basis
Description of Property
Date Acquired Date Sold
Sale Price
Loss
Gain
Totals: CAPITAL GAINS & LOSSES — LONG TERM (Assets held more than one year)
Description of Property
Date Acquired Date Sold
Sales Price Cost or Other Basis
Loss
Gain
Totals:
CHAPTER 15: FEDERAL & STATE TAXES
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