Form FL-150, Income and Expense Declaration Instructions
This form contains 266 fields organized into 46 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Additional Income | ||
| Additional income. I received one-time money (lottery winnings, inheritance, etc.) in the last 12 months (specify source and amount) | CheckBox |
Check this box if you received any one-time money such as lottery winnings or inheritance in the last 12 months.
|
| Specify source and amount | Text |
Specify the source and amount of any one-time money received in the last 12 months.
|
| Additional Information | ||
| d | Text |
Enter any additional information or notes as required.
|
| e | Text |
Enter any additional information or notes as required.
|
| Other information I want the court to know concerning support in my case (specify) | Text |
Include any additional information you want the court to consider regarding support in your case. This could include special circumstances or other relevant details.
|
| Asset Information | ||
| real and | CheckBox |
Check this box if the asset is real property.
|
| personal | CheckBox |
Check this box if the asset is personal property.
|
| Attorney Fees | ||
| I still owe the following fees and costs to my attorney (specify total owed) | Number |
Specify the total amount of fees and costs you still owe to your attorney.
|
| My attorney's hourly rate is (specify) | Number |
Enter the hourly rate charged by your attorney.
|
| Attorney Information | ||
| STATE BAR NUMBER | Text |
Enter the state bar number of the attorney handling the case.
|
| NAME | Text |
Enter the full name of the attorney handling the case.
|
| FIRM NAME | Text |
Enter the name of the law firm representing the client.
|
| STREET ADDRESS | Text |
Enter the street address of the attorney's office.
|
| CITY | Text |
Enter the city where the attorney's office is located.
|
| STATE | Text |
Enter the state abbreviation (2 letters) where the attorney's office is located.
|
| ZIP CODE | Text |
Enter the ZIP code of the attorney's office location.
|
| TELEPHONE NO | Text |
Enter the telephone number of the attorney's office.
|
| FAX NO | Text |
Enter the fax number of the attorney's office, if available.
|
| E-MAIL ADDRESS | Text |
Enter the email address of the attorney handling the case.
|
| ATTORNEY FOR (name) | Text |
Enter the name of the client the attorney is representing.
|
| Case Information | ||
| PETITIONER | Text |
Enter the name of the petitioner in the case. This is the person who initiated the legal action.
|
| RESPONDENT | Text |
Enter the name of the respondent in the case. This is the person responding to the legal action.
|
| OTHER PARTY/PARENT/CLAIMANT | Text |
Enter the name of any other party, parent, or claimant involved in the case.
|
| CASE NUMBER | Text |
Enter the case number associated with this legal action.
|
| CASE NUMBER | Text |
Enter the case number associated with your family law case. This number is typically provided by the court.
|
| CASE NUMBER | Text |
Enter the case number associated with this legal matter.
|
| PETITIONER | Text |
Enter the name of the petitioner in this case.
|
| RESPONDENT | Text |
Enter the name of the respondent in this case.
|
| OTHER PARTY/PARENT/CLAIMANT | Text |
Enter the name of any other party, parent, or claimant involved in this case.
|
| Children Information | ||
| Names and ages of those children (specify) | Text |
List the names and ages of the children involved in the case. This information is crucial for determining child support and other related matters.
|
| Children's Needs | ||
| Children's educational or other special needs (specify below) | Text |
Specify any educational or special needs of the children that require financial support.
|
| Amount per month | Number |
Enter the amount you pay per month for the children's educational or special needs.
|
| Confirmation | ||
| Yes | CheckBox |
Check this box if the statement or condition applies.
|
| No | CheckBox |
Check this box if the statement or condition does not apply.
|
| Yes | CheckBox |
Check this box if the statement or condition applies.
|
| No | CheckBox |
Check this box if the statement or condition does not apply.
|
| Yes | CheckBox |
Check this box if the statement or condition applies.
|
| Court Information | ||
| SUPERIOR COURT OF CALIFORNIA, COUNTY OF | Text |
Enter the name of the county where the Superior Court of California is located.
|
| STREET ADDRESS | Text |
Enter the street address of the Superior Court of California.
|
| MAILING ADDRESS | Text |
Enter the mailing address of the Superior Court of California, if different from the street address.
|
| CITY AND ZIP CODE | Text |
Enter the city and ZIP code of the Superior Court of California.
|
| BRANCH NAME | Text |
Enter the name of the court branch where the case is being filed.
|
| CASE NUMBER | Text |
Enter the case number assigned to this family law case.
|
| Custody Information | ||
| percent of their time with me and | Number |
Enter the percentage of time the children spend with you. This is used to determine custody arrangements.
|
| percent of their time with the other parent | Number |
Enter the percentage of time the children spend with the other parent. This is used to determine custody arrangements.
|
| (If you're not sure about percentage or it has not been agreed on, please describe your parenting schedule here.) | Text |
If you are unsure about the custody percentage or it has not been agreed upon, describe your current parenting schedule here.
|
| Dependent Financial Information | ||
| That person's gross monthly income | Number |
Enter the gross monthly income of the first person related to you, if applicable.
|
| Yes | CheckBox |
Check this box if the first person related to you has income.
|
| No | CheckBox |
Check this box if the first person related to you does not have income.
|
| That person's gross monthly income | Number |
Enter the gross monthly income of the second person related to you, if applicable.
|
| Yes | CheckBox |
Check this box if the second person related to you has income.
|
| No | CheckBox |
Check this box if the second person related to you does not have income.
|
| Dependent Information | ||
| a | Text |
Enter the name of the first person related to you, such as a child or dependent.
|
| Age | Text |
Enter the age of the first person related to you, such as a child or dependent.
|
| How the person is related to me (ex: son) | Text |
Describe how the first person is related to you, for example, 'son' or 'daughter'.
|
| b | Text |
Enter the name of the second person related to you, such as a child or dependent.
|
| Age | Text |
Enter the age of the second person related to you, such as a child or dependent.
|
| How the person is related to me (ex: son) | Text |
Describe how the second person is related to you, for example, 'son' or 'daughter'.
|
| c | Text |
Enter the name of the third person related to you, such as a child or dependent.
|
| Age | Text |
Enter the age of the third person related to you, such as a child or dependent.
|
| Education Background | ||
| Yes | CheckBox |
Check this box if you have completed high school.
|
| No | CheckBox |
Check this box if you have not completed high school.
|
| If no, highest grade completed (specify) | Text |
If you have not completed high school, specify the highest grade you completed.
|
| Number of years of college completed (specify) | Number |
Enter the number of years you have completed in college.
|
| Degree(s) obtained | CheckBox |
Check this box if you have obtained any degrees.
|
| (specify) | Text |
Specify the degree(s) you have obtained.
|
| Number of years of graduate school completed (specify) | Number |
Enter the number of years you have completed in graduate school.
|
| Degree(s) obtained | CheckBox |
Check this box if you have obtained any graduate degrees.
|
| (specify) | Text |
Specify the graduate degree(s) you have obtained.
|
| Employment Information | ||
| Employer | Text |
Enter the name of your current employer.
|
| Employer's address | Text |
Enter the address of your current employer.
|
| Employer's phone number | Text |
Enter the phone number of your current employer.
|
| Occupation | Text |
Enter your current occupation or job title.
|
| Date job started | Date |
Enter the date you started your current job.
|
| If unemployed, date job ended | Date |
If you are unemployed, enter the date your last job ended.
|
| Number of hours per week that I work | Number |
Enter the number of hours you work per week at your current job.
|
| owner/sole proprietor | CheckBox |
Check this box if you are the owner or sole proprietor of a business.
|
| business partner | CheckBox |
Check this box if you are a business partner.
|
| other | CheckBox |
Check this box if your employment status is other than owner/sole proprietor or business partner.
|
| (specify) | Text |
Specify your employment status if 'other' is selected.
|
| Number of years in this business (specify) | Text |
Enter the number of years you have been in this business.
|
| Name of business (specify) | Text |
Enter the name of your business.
|
| Type of business (specify) | Text |
Specify the type of business you are involved in.
|
| Expense Reporting | ||
| Estimated expenses | CheckBox |
Check this box if the expenses you are reporting are estimated rather than actual.
|
| Actual expenses | CheckBox |
Check this box if the expenses you are reporting are actual expenses incurred.
|
| Proposed needs | CheckBox |
Check this box if you are reporting proposed needs or anticipated expenses.
|
| Expenses | ||
| Number |
Enter the amount for a specific type of expense. This field is part of a list of expenses you need to declare.
|
|
| Number |
Enter the amount for a specific type of expense. This field is part of a list of expenses you need to declare.
|
|
| Number |
Enter the amount for a specific type of expense. This field is part of a list of expenses you need to declare.
|
|
| Number |
Enter the amount for a specific type of expense. This field is part of a list of expenses you need to declare.
|
|
| Number |
Enter the amount for a specific type of expense. This field is part of a list of expenses you need to declare.
|
|
| Number |
Enter the amount for a specific type of expense. This field is part of a list of expenses you need to declare.
|
|
| Number |
Enter the amount for a specific type of expense. This field is part of a list of expenses you need to declare.
|
|
| Number |
Enter the amount for a specific type of expense. This field is part of a list of expenses you need to declare.
|
|
| Number |
Enter the amount for a specific type of expense. This field is part of a list of expenses you need to declare.
|
|
| Number |
Enter the amount for a specific type of expense. This field is part of a list of expenses you need to declare.
|
|
| Number |
Enter the amount for a specific type of expense. This field is part of a list of expenses you need to declare.
|
|
| Number |
Enter the amount for a specific type of expense. This field is part of a list of expenses you need to declare.
|
|
| Other (specify) | Number |
Specify any other type of expense not listed above and provide the amount.
|
| Number |
Enter the amount for the 'Other' expense specified in the previous field.
|
|
| Number |
Enter the total amount of all expenses listed above.
|
|
| Number |
Enter any additional expenses not covered in the previous fields.
|
|
| Family Relationships | ||
| How the person is related to me (ex: son) | Text |
Specify the relationship of the person to you, such as 'son', 'daughter', 'spouse', etc.
|
| Age | Text |
Enter the age of the person related to you.
|
| How the person is related to me (ex: son) | Text |
Specify the relationship of the person to you, such as 'son', 'daughter', 'spouse', etc.
|
| Age | Text |
Enter the age of the person related to you.
|
| How the person is related to me (ex: son) | Text |
Specify the relationship of the person to you, such as 'son', 'daughter', 'spouse', etc.
|
| Financial Hardship Explanation | ||
| The expenses listed in a, b, and c create an extreme financial hardship because (explain) | Text |
Provide an explanation of how the expenses listed in sections a, b, and c create an extreme financial hardship. This information is used to assess financial needs and support requirements.
|
| Financial Information | ||
| Last month | Number |
Enter the income or expense amount for the last month.
|
| Average monthly | Number |
Enter the average monthly income or expense amount.
|
| Last month | Number |
Enter the income or expense amount for the last month.
|
| Average monthly | Number |
Enter the average monthly income or expense amount.
|
| Last month | Number |
Enter the income or expense amount for the last month.
|
| Average monthly | Number |
Enter the average monthly income or expense amount.
|
| currently receiving | CheckBox |
Check this box if you are currently receiving income from this source.
|
| Last month | Number |
Enter the income or expense amount for the last month.
|
| Average monthly | Number |
Enter the average monthly income or expense amount.
|
| from this marriage | CheckBox |
Check this box if the income is from this marriage.
|
| from a different marriage | CheckBox |
Check this box if the income is from a different marriage.
|
| Amount per month | Number |
Enter the amount you pay per month for a specific expense related to the children or family.
|
| Amount per month | Number |
Enter the amount you pay per month for a specific expense related to the children or family.
|
| Amount per month | Number |
Enter the amount you pay per month for a specific expense related to the children or family.
|
| Amount per month | Number |
Enter the amount you pay per month for a specific expense related to the children or family.
|
| For how many months | Text |
Specify the number of months for which the expense is expected to continue.
|
| Amount per month | Number |
Enter the amount you pay per month for a specific expense related to the children or family.
|
| For how many months | Text |
Specify the number of months for which the expense is expected to continue.
|
| Amount per month | Number |
Enter the monthly amount related to the financial information being reported. This could pertain to income, expenses, or other financial figures.
|
| For how many months | Text |
Specify the number of months for which the financial amount is applicable. This helps in understanding the duration of the financial situation being reported.
|
| Amount per month | Number |
Enter the monthly amount related to the financial information being reported. This could pertain to income, expenses, or other financial figures.
|
| Financial Obligations | ||
| For | Text |
Specify the purpose or reason for the payment or financial obligation.
|
| Amount | Number |
Enter the total amount of the payment or financial obligation.
|
| Balance | Number |
Provide the remaining balance of the payment or financial obligation.
|
| Date of last payment | Date |
Enter the date when the last payment was made for this obligation.
|
| Paid to | Text |
Specify the person or entity to whom the payment was made.
|
| For | Text |
Specify the purpose or reason for the payment or financial obligation.
|
| Amount | Number |
Enter the total amount of the payment or financial obligation.
|
| Balance | Number |
Provide the remaining balance of the payment or financial obligation.
|
| Date of last payment | Date |
Enter the date when the last payment was made for this obligation.
|
| Paid to | Text |
Specify the person or entity to whom the payment was made.
|
| For | Text |
Specify the purpose or reason for the payment or financial obligation.
|
| Amount | Number |
Enter the total amount of the payment or financial obligation.
|
| Balance | Number |
Provide the remaining balance of the payment or financial obligation.
|
| Date of last payment | Date |
Enter the date when the last payment was made for this obligation.
|
| Paid to | Text |
Specify the person or entity to whom the payment was made.
|
| For | Text |
Specify the purpose or reason for the payment or financial obligation.
|
| Financial Totals | ||
| Total | Number |
Enter the total amount for the first category of financial details.
|
| Total | Number |
Enter the total amount for the second category of financial details.
|
| Total | Number |
Enter the total amount for the third category of financial details.
|
| Financial Transactions | ||
| Amount | Number |
Enter the amount of the payment made.
|
| Balance | Number |
Enter the remaining balance after the payment.
|
| Date of last payment | Date |
Enter the date when the last payment was made.
|
| Paid to | Text |
Enter the name of the person or entity to whom the payment was made.
|
| For | Text |
Enter the purpose or reason for the payment.
|
| Amount | Number |
Enter the amount of the payment made.
|
| Balance | Number |
Enter the remaining balance after the payment.
|
| Date of last payment | Date |
Enter the date when the last payment was made.
|
| Paid to | Text |
Enter the name of the person or entity to whom the payment was made.
|
| For | Text |
Enter the purpose or reason for the payment.
|
| Amount | Number |
Enter the amount of the payment made.
|
| Balance | Number |
Enter the remaining balance after the payment.
|
| Date of last payment | Date |
Enter the date when the last payment was made.
|
| Form Actions | ||
| For your protection and privacy, please press the Clear This Form button after you have printed the form | Button |
Press this button to clear the form after printing for privacy protection.
|
| Print this form | Button |
Press this button to print the form.
|
| Save this form | Button |
Press this button to save the form.
|
| Clear this form | Button |
Press this button to clear all fields in the form.
|
| Form Information | ||
| Number of pages attached | Number |
Enter the number of additional pages attached to this form.
|
| Date | Date |
Enter the date on which this form is being completed.
|
| General | ||
| (specify number) | Text |
Specify the number related to the context of the form, such as the number of children or other relevant figures.
|
| General Information | ||
| No | CheckBox |
Indicate whether the statement 'No' applies to the context of the form. This checkbox is likely part of a yes/no question.
|
| Health Insurance | ||
| I do | CheckBox |
Check this box if you do have health insurance for the children involved.
|
| I do not | CheckBox |
Check this box if you do not have health insurance for the children involved.
|
| Name of insurance company | Text |
Enter the name of the insurance company providing coverage.
|
| Housing Expenses | ||
| Rent or | CheckBox |
Check this box if you are reporting rent as part of your housing expenses.
|
| mortgage | CheckBox |
Check this box if you are reporting mortgage payments as part of your housing expenses.
|
| Number |
Enter the total amount of your rent or mortgage payment.
|
|
| Number |
Enter the principal amount of your mortgage payment.
|
|
| Number |
Enter the interest amount of your mortgage payment.
|
|
| Number |
Enter any additional housing expenses not covered by rent or mortgage.
|
|
| Number |
Enter any other expenses related to housing that are not specified elsewhere.
|
|
| Number |
Enter any other expenses related to housing that are not specified elsewhere.
|
|
| Number |
Enter any other expenses related to housing that are not specified elsewhere.
|
|
| Number |
Enter any other expenses related to housing that are not specified elsewhere.
|
|
| Number |
Enter any other expenses related to housing that are not specified elsewhere.
|
|
| Income Changes | ||
| Change in income. My financial situation has changed significantly over the last 12 months because (specify) | CheckBox |
Check this box if your financial situation has changed significantly over the last 12 months.
|
| Specify here | Text |
Specify the reasons for any significant changes in your financial situation over the last 12 months.
|
| Income Details | ||
| per hour | CheckBox |
Check this box if your income is calculated on an hourly basis.
|
| federally taxable | CheckBox |
Indicate whether the income is federally taxable by checking this box.
|
| Last month | Text |
Enter the amount of income received last month.
|
| Average monthly | Text |
Enter the average monthly income received.
|
| Last month | Text |
Enter the amount of income received last month from the specified source.
|
| Average monthly | Text |
Enter the average monthly income received from the specified source.
|
| Last month | Text |
Enter the amount of income received last month from the specified source.
|
| Average monthly | Text |
Enter the average monthly income received from the specified source.
|
| Last month | Text |
Enter the amount of income received last month from the specified source.
|
| Average monthly | Text |
Enter the average monthly income received from the specified source.
|
| Last month | Text |
Enter the amount of income received last month from the specified source.
|
| Average monthly | Text |
Enter the average monthly income for the specified category. This may include wages, salary, or other regular income sources.
|
| Last month | Text |
Enter the income received last month for the specified category. This may include wages, salary, or other income sources.
|
| Average monthly | Text |
Enter the average monthly income for the specified category. This may include wages, salary, or other regular income sources.
|
| Last month | Text |
Enter the income received last month for the specified category. This may include wages, salary, or other income sources.
|
| Average monthly | Text |
Enter the average monthly income for the specified category. This may include wages, salary, or other regular income sources.
|
| Last month | Text |
Enter the amount received last month for the specified category. This may include specific types of income or benefits.
|
| Average monthly | Text |
Enter the average monthly amount for the specified category. This may include specific types of income or benefits.
|
| Last month | Text |
Enter the amount received last month for the specified category. This may include specific types of income or benefits.
|
| Average monthly | Text |
Enter the average monthly amount for the specified category. This may include specific types of income or benefits.
|
| Last month | Text |
Enter the amount received last month for the specified category. This may include specific types of income or benefits.
|
| Average monthly | Text |
Enter the average monthly amount for the specified category. This may include specific types of income or benefits.
|
| Income Information | ||
| I get paid | Number |
Enter the amount you get paid before taxes and deductions.
|
| per month | CheckBox |
Check this box if you get paid on a monthly basis.
|
| per week | CheckBox |
Check this box if you get paid on a weekly basis.
|
| Average monthly | Number |
Enter your average monthly income from all sources.
|
| Last month | Number |
Enter your total income for the last month.
|
| Average monthly | Number |
Enter your average monthly income from all sources.
|
| That person's gross monthly income | Number |
Enter the gross monthly income of the person related to you.
|
| That person's gross monthly income | Number |
Enter the gross monthly income of the person related to you.
|
| That person's gross monthly income | Number |
Enter the gross monthly income of the person related to you.
|
| Income Source | ||
| from this domestic partnership | CheckBox |
Check this box if the income is from this domestic partnership.
|
| from a different domestic partnership | CheckBox |
Check this box if the income is from a different domestic partnership.
|
| Social Security (not SSI) | CheckBox |
Check this box if the income is from Social Security (not SSI).
|
| State disability (SDI) | CheckBox |
Check this box if the income is from State Disability Insurance (SDI).
|
| Private insurance | CheckBox |
Check this box if the income is from private insurance.
|
| Insurance Information | ||
| Address of insurance company | Text |
Enter the address of the insurance company that provides health insurance for the children involved in the case.
|
| The monthly cost for the children's health insurance is or would be (specify) | Number |
Specify the monthly cost of the children's health insurance. If you are not currently paying for insurance, estimate the cost.
|
| Legal Expenses | ||
| To date, I have paid my attorney this amount for fees and costs (specify) | Number |
Enter the total amount you have paid to your attorney for fees and costs.
|
| The source of this money was (specify) | Text |
Specify the source of the money used to pay your attorney.
|
| Monthly Financial Details | ||
| Last month | Number |
Enter the amount of income or expense for the first item listed for the last month.
|
| Last month | Number |
Enter the amount of income or expense for the second item listed for the last month.
|
| Last month | Number |
Enter the amount of income or expense for the third item listed for the last month.
|
| Last month | Number |
Enter the amount of income or expense for the fourth item listed for the last month.
|
| Last month | Number |
Enter the amount of income or expense for the fifth item listed for the last month.
|
| Last month | Number |
Enter the amount of income or expense for the sixth item listed for the last month.
|
| Last month | Number |
Enter the amount of income or expense for the seventh item listed for the last month.
|
| Other Income | ||
| Other (military allowances, royalty payments) (specify) | Text |
Specify and enter any other income received, such as military allowances or royalty payments.
|
| Last month | Number |
Enter the amount of other income received last month, such as military allowances or royalty payments.
|
| Average monthly | Number |
Enter the average monthly amount of other income, such as military allowances or royalty payments.
|
| Other (specify) | Text |
Specify and enter any other income or financial details not covered by the previous categories.
|
| Last month | Number |
Enter the amount received last month for any other income or financial details not covered by the previous categories.
|
| Other Party's Financial Information | ||
| Other party's income. I estimate the gross monthly income (before taxes) of the other party in this case at (specify) | Number |
Estimate and enter the gross monthly income (before taxes) of the other party involved in this case.
|
| This estimate is based on (explain) | Text |
Provide an explanation for the basis of your estimate of the other party's income.
|
| Party Information | ||
| PETITIONER | Text |
Enter the full name of the petitioner in the case.
|
| RESPONDENT | Text |
Enter the full name of the respondent in the case.
|
| OTHER PARTY/PARENT/CLAIMANT | Text |
Enter the full name of any other party, parent, or claimant involved in the case.
|
| PETITIONER | Text |
Enter the name of the petitioner involved in the case.
|
| RESPONDENT | Text |
Enter the name of the respondent involved in the case.
|
| OTHER PARTY/PARENT/CLAIMANT | Text |
Enter the name of any other party, parent, or claimant involved in the case.
|
| Payment Details | ||
| Paid to | Text |
Specify the person or entity to whom a particular payment is made.
|
| Personal Information | ||
| My age is (specify) | Text |
Enter your current age in years.
|
| (TYPE OR PRINT NAME) | Text |
Enter the full name of the person completing this form. Use either typed or printed text.
|
| Professional Qualifications | ||
| professional/occupational license(s) | CheckBox |
Check this box if you hold any professional or occupational licenses.
|
| (specify) | Text |
Specify the professional or occupational license(s) you hold.
|
| vocational training | CheckBox |
Check this box if you have completed any vocational training.
|
| (specify) | Text |
Specify the vocational training you have completed.
|
| Signature | ||
| Date | Date |
Enter the current date.
|
| (TYPE OR PRINT NAME OF ATTORNEY) | Text |
Type or print the name of your attorney.
|
| State Tax Information | ||
| California | CheckBox |
Check this box if you file taxes in California.
|
| other | CheckBox |
Check this box if you file taxes in a state other than California.
|
| (specify state) | Text |
Specify the state where you file taxes, if not California.
|
| Tax Filing Status | ||
| single | CheckBox |
Check this box if your tax filing status is 'single'.
|
| head of household | CheckBox |
Check this box if your tax filing status is 'head of household'.
|
| married, filing separately | CheckBox |
Check this box if your tax filing status is 'married, filing separately'.
|
| married, filing jointly with | CheckBox |
Check this box if your tax filing status is 'married, filing jointly'.
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| (specify name) | Text |
Specify the name of the person you are filing jointly with, if applicable.
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| Tax Information | ||
| I last filed taxes for tax year | CheckBox |
Indicate whether you last filed taxes for the specified tax year by checking this box.
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| (specify year) | Text |
Enter the year for which you last filed taxes.
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| I claim the following number of exemptions (including myself) on my taxes (specify) | Text |
Enter the total number of exemptions you claim on your taxes, including yourself.
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| federally tax deductible | CheckBox |
Check this box if the expense is federally tax deductible.
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