BEST TAX SYSTEMS  2315 12TH STREET    LAKE CHARLES LA  
OFFICE# 337-436-6939    FAX 337-433-0104      ag@besttaxsystems.com
  This is the informaion we will  need, please print out and bring all necessary paperwork to your appointment. 
  NO MOBILE HOMES          &              NO OFFICE IN HOME 
1 INSURANCE:  (Bring Copy of all insurance papers)  IF NO INS PAID THEN BRING LIST OF DAMAGES
  $ _____________ TOTAL AMOUNT THAT INSURANCE PAID  & COPY OF THE INS. SUMMARY
  AMOUNT   F E M A  & RED CROSS PAID FOR HOME REPAIRS ( NOT $2000 TO EVACUTAE)
     FEMA $ _________________         RED CROSS $ __________________ (EXP : GENEARATOR)
2 MEASUREMENT:
  __________Sq. Ft. OF ROOF    
  __________Sq. Ft. OF   GARAGE   (IS IT  ATTACHED TO THE HOUSE)  (CIRCLE    YES OR  NO)
  __________ Sq. Ft. OF LIVING AREA (  THE AREA WITH  HEATING & COOLING)
  __________Sq. Ft. OF OTHER  DETACHED  STRUCTURES(EXP: SHOP OR STORAGE BUILDING)
  __________Sq Ft OF SHOP       &  ___________ SqFt  OF  OTHER  _______________  
3 COST   BASE:
  PURCHASE PRICE OR BUILDING PRICE   OF HOME   $ _____________  &  DATE  ___________
          OR   THE VALUE OF INHERITED PROPERTY         $ _____________  &  DATE  ___________
4 IMPROVEMENTS  MADE BEFORE HURRICANE "RITA"
   HOW MUCH DID YOU SPENT TO ADD-ON OR IMPROVE  YOUR HOME  
   AFTER YOU PURCHASED IT        "BUT"         BEFORE THE HURRICANE 
   KITCHEN  $ _________ , LIVING ROOM $ ________,    BATHS $ ________     PATIO $ _______, 
  NEW CARPET OR FLOORS $ _________   REPLACE A/C UNIT  $ ________    ROOF   $ _________
  SEWER $ ______  POOL $ ____________   FENCE$ ___________ WOOD BUILDING $ __________
5 CONTENTS LOST:
  TOTAL LIST OF ALL CONTENTS LOST DUE TO HURRICANE   (USE BACK OF PAGE)
  EXAMPLE:  ITEMS PURCHASE: (1)  SOFA          DATE  ________     COST $ _______
                                                   (2)   BEDROOM SET      DATE ________  COST $__________   
6 BRING COPY OF 2005 TAX RETURNS & ALL TAX INFO
    WE NEED ALL FEDERALSTATE, PROPERTY, & SALES TAX  INFO RELATED TO 2005
    EXAMPLE:   FROM THE SCH A:  WE NEEDS (1) MORTGAGE INTEREST PAID $ ________________ 
            PROPERTY TAXES PAID $ ________________ & OTHER DEDUCTIONS $ ______________
7  COPIES OF ALL W'2 AND 1099    ALSO  SCH "C "  & SCH "F"   (ALL INCOME REPORTED)
8 NAME                                         DATE OF BIRTH  &    S.S. #  OF EACH PERSON ON TAX RETURN
  NAME : _________________________    DB ___________   SS#  __________________
  NAME : _________________________    DB ___________   SS#  __________________
  NAME : _________________________    DB ___________   SS#  __________________
9 PROPERTY ADDRESS IN 2005: ___________________________________________________________
10 PHONE NUMBERS:    WE NEED TO BE ABLE TO REACH YOU  AT  HOME _____________________
          WORK _____________ HIS   CELLS ________________    HER   CELL _______________