Name(s) shown on Form 1040 __________________________ Zip Code __________ Your Social Security Number _____-___-______
Your input may be used to develop and promote a budget that fits within the desires of the taxpayers, not the whims of the politicians and special interests. The EZ-TDB form allows taxpayers to set budget priorities in the simplest fashion.
1. How much Federal Income tax did you pay last year (not counting Social Security or Medicare)? _____
2. Below is a list of the Activities of the Federal Government and their percentage of the Federal Budget. The EZ TDB allows you to rate each budget activity on a scale from 0 to 10 (0=lowest priority). The President's Preference is in italics. Circle the priority you wish to that budget activity. Note : This is a sample form and does not represent any actual opinions of the President or Congress.
Activity % President Less < Your Choice> More Charity
Agriculture 3.0% 5 0 1 2 3 4 5 6 7 8 9 10 ________|__ Environment 4.0% 6 0 1 2 3 4 5 6 7 8 9 10 ________|__ Welfare 16.0% 6 0 1 2 3 4 5 6 7 8 9 10 ________|__ Health 17.5% 6 0 1 2 3 4 5 6 7 8 9 10 ________|__ Military 23.0% 3 0 1 2 3 4 5 6 7 8 9 10 ___xxxxx|xx Parks, Interior 1.5% 5 0 1 2 3 4 5 6 7 8 9 10 ________|__ General Fund 7.5% 4 0 1 2 3 4 5 6 7 8 9 10 ___xxxxx|xx Transportation 5.5% 5 0 1 2 3 4 5 6 7 8 9 10 ________|__ National Debt 18.0% 4 0 1 2 3 4 5 6 7 8 9 10 ___xxxxx|xx Education 4.0% 6 0 1 2 3 4 5 6 7 8 9 10 ________|__
Total 100.0% 50 ________|__
3. You may enter how much of any activity you would like to directly contribute to toward a charity/private sector provider for that activity. (xxxxx means not available). To determine the maximum amount of a charity contribution for any Activity, multiply the taxes you paid by the % for that Activity. Ideally, you might be able to attach a check for an accredited charity up to the percent of your taxes that go to that Activity and have that amount deducted from your tax bill.
________________ Place ________________ Stamp ________________ Here
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TDB Forms Available on WWW
at http://ourworld.compuserve.com/homepages/homestead/tdb