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2013 Tax Analysis Calculation

Complete and submit the following information to perform an analysis of the potential tax savings related to participation in Flexible Spending Accounts and other tax favored benefits:
Required fields are marked with an asterisk (*)

Do not include yourself in this number. Also, do not include your spouse in this number if you select a filing status of "Married Filing Jointly" above.
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This information will be used to determine your minimum state income tax rate, if applicable.

Some examples to include in this amount would be the per payroll pre-tax deductions you have for Medical, Dental or Vision Care premiums.