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Idaho Simplified Financial Statement (FS)
FORM FS (Obsolete) is obsolete, and is no longer supported by the Idaho Department of Revenue.
Extracted from PDF file 2017-idaho-form-fs.pdf, last modified May 2012Simplified Financial Statement (FS)
FS F O R M EFO00208 IDAHO STATE TAX COMMISSION FINANCIAL STATEMENT 05-18-12 Your Name Spouse’s Name Cell phone number Daytime phone number Cell phone number Daytime phone number Address Address Social Security Number Age Spouse’s Social Security Number Age Employer How long? Employer How long? Email address/webpage Email address/webpage Number of dependent children living with you: Children’s ages: Are there any other persons living with you? Please attach an explanation. Name, address and phone number of a close living relative: BANKING, INVESTMENT INFORMATION, and ACCOUNTS RECEIVABLE Bank Accounts Account Numbers Name of bank Name of bank Name of bank Name of bank Retirement / 401K Stocks and bonds Does anyone owe you money? Balance Checking # Checking # Savings # Savings # Please list names and reason below. If self-employed and using a credit card machine at place of business, please list Routing Transaction Number (RTN). REAL ESTATE and MORTGAGE LOANS Name of Lender Year Acquired Value of Property Amount Owed Payment Amount MOTOR VEHICLES Including cars, trucks, motorcycles, camp trailers, boats, ATVs, snowmobiles, etc. Balance Year Make Model Value Owed Payment Amount Lien Holder Date Paid In Full AUTHORIZATION TO DISCLOSE: Under penalties of perjury, I declare that this statement of assets, liabilities, and other information on pages 1 and 2 of this form is true, correct, and complete. I (we) authorize the Idaho State Tax Commission to obtain a credit report and to verify any information on this financial statement. ____________________________________ __________ Your signature Date ___________________________________ _________ Spouse’s signature Date EFO00208p2 05-18-12 Finanical Statement Page 2 INCOME Monthly Amount Do you have income from self-employment? If so, please list the name and address of the business and your average monthly income._____________________________________________ ________________________________________________________________________ .......................................... Your Income - includes wages and/or retirement Gross: $_________________ ................................... Net Spouse’s income - includes wages and/or retirement Gross: $_________________ ................................... Net (Copies of your last two pay stubs required) Social Security .................................................................................................................................................................. Rental income .................................................................................................................................................................. Investment income ............................................................................................................................................................ Child support ..................................................................................................................................................................... Alimony .............................................................................................................................................................................. Other income (please list) _________________________________________________________ ............................... $ $ $ $ $ $ $ $ $ Income Total $ EXPENSES Monthly Amount House payment or rent ..................................................................................................................................................... 2nd mortgage or other property ......................................................................................................................................... Car and truck payments - total of all payments ................................................................................................................ Car maintenace and gas .................................................................................................................................................. Groceries .......................................................................................................................................................................... $ $ $ $ $ Balance Owed Utilities: Power ................................................................................. _$__________________ .................................................... Gas .................................................................................... ___________________ .................................................... $ Water and garbage ............................................................ $___________________ ................................................... Cell phone ......................................................................... ___________________ ................................................... $ $ Home phone ...................................................................... ___________________ ................................................... $ Cable or satellite TV .......................................................... ___________________ ................................................... $ Internet ............................................................................... ___________________ ................................................... $ $ $ $ $ $ $ Credit Cards (please list): $ ____________________________________________ ___________________ ................................................... $ ____________________________________________ ___________________ ................................................... $ ____________________________________________ ___________________ ................................................... $ ____________________________________________ ___________________ ................................................... $ $ $ $ $ Hospital, medical labs, and other service providers ............. ___________________ ................................................... $ Child support payments ........................................................ ___________________ ................................................... $ Life insurance ........................................................................ ___________________ ................................................... $ Health insurance.................................................................... ___________________ ................................................... $ Idaho State Tax Commission ................................................ ___________________ ................................................... $ Internal Revenue Service (IRS) ............................................ ___________________ ................................................... Other expenses (please list): $ ___________________________________________ ___________________ ................................................... $ ___________________________________________ ___________________ ................................................... $ ___________________________________________ ___________________ ................................................... $ ___________________________________________ ___________________ ................................................... $ $ $ $ $ $ $ $ $ $ Expense Total $ Income Minus Expenses $
FORM FS (Obsolete)
More about the Idaho FORM FS (Obsolete) Individual Income Tax
Obsolete
FORM FS (Obsolete) requires you to list multiple forms of income, such as wages, interest, or alimony 
.
We last updated the Simplified Financial Statement (FS) in April 2021, and the latest form we have available is for tax year 2017. This means that we don't yet have the updated form for the current tax year. Please check this page regularly, as we will post the updated form as soon as it is released by the Idaho State Tax Commission. You can print other Idaho tax forms here.
Other Idaho Individual Income Tax Forms:
TaxFormFinder has an additional 65 Idaho income tax forms that you may need, plus all federal income tax forms.
| Form Code | Form Name |
|---|---|
| FORM 24 | Idaho Grocery Credit Refund |
| FORM 40 | Idaho Individual Income Tax Return |
| FORM ID-VP | Income Tax Payment Voucher |
| FORM 51 | Estimated Payment of Idaho Individual Income Tax |
| FORM 39R | Idaho Supplemental Schedule (Resident) |
View all 66 Idaho Income Tax Forms
Form Sources:
Idaho usually releases forms for the current tax year between January and April. We last updated Idaho FORM FS (Obsolete) from the State Tax Commission in April 2021.
About the Individual Income Tax
The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.
Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!
Historical Past-Year Versions of Idaho FORM FS (Obsolete)
We have a total of five past-year versions of FORM FS (Obsolete) in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:
2014 FORM FS (Obsolete)
Form FS
2013 FORM FS (Obsolete)
Form FS
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