1.
   [See Line 3 on tax card]

2. 
   [See line 4]

3. 
   [See line 5]

4. 
   [Line 6]

5. 
   [Line 7]

6. Nur bei konfessionsverchiedener Ehe: ...
   Only for spouses with different denominations

7.
   [Something about the 630 DM]

8. Versorgungsbezuege (in Zeile 2 enthalten)
   Pension payments (contained in line 2)
   [Line 8/9?]

9. Ausserordentliche Einkuenfte, die ermaessigt besteuert werden sollen...
   Extraordinary income which should be taxed reduced

10. Arbeitslohn fuer mehrere jahre
    Wages for several years

11. Entschaedigungen (Bitte Vertragsunterlagen beifuegen)
    Renumerations (contract documents required)

12. Steuerabzugsbetraege zu den Zeilen 9 bis 11
    Amount of tax deductions lines 9-11

13. 

14. Steuerpflichtiger Arbeitslohn, von dem kein Steuerabzug vorgenommen worden
    ist
    Taxpayer wages that no deduction is made from

15. Steuerfreier Arbeitslohn, nach Doppelbesteuerungsabkommen
                              zwischenstaatlichen Uebereinkommen
    Taxpayer wages after double taxation agreements
                   intergovernmental conventions

16. nach Auslandstaetigkeitserlass
    according to the foreign activity decree

17. Zu zeile 15: Unter bestimmten Voraussetzungen erfolgt eine Mitteilung ueber
    die Hoehe des in Deutschland steuerfreien Arbeitslohns an den anderen Staat.
    Einwendungen gegen eine solche Weitergabe bitte als Anlage beifuegen.
    To line 15: Under certain conditions a message is made by the height of
    wages taxfree in Germany to the other state. Objections against such a
    passing on please as system attach. 

18. Grenzgaenger nach; beschaeftigungsland; Arbeitslohn in auslaendischer
    Waehrung
    Border crosser after; country of employment; Wages in foreign currency 

19. Schweizerische Abzugsteuer
    Swiss one deduction-expensively 

20.
    Tax deduction was expenditure compensation from activity, amount

21. 
    Part time money, winter failure cash, maternity benefit, loss of wage,
    compensation on the basis of the federal epidemic law, amount paid on
    the bases of the law on part time work, for elderly people, additional
    payment on the bases of the law on the elderly (lohnsteuerkarte)

22.
    Other wage compensation (unemployement benefit, unemployement subsidy,
    age transition benefit, interim funds with certificate of the arbeitsamt,
    sicknes benefit, maternity benefit)

23.
    Specifications for time and reason of unemployement (attach proof)

24.
    Specifications on the employee's extra savings attach certificate of the
    performance of investments of the company (anlage VI). 

25.
    Complete specifications of the precaution expenditures in 1999 old age
    pension insurance was not mandatory, however a claim on old pension
    for the erderly (totally or partly without own payment of fees) from
    the active contract 1. as a civil cervant 2. as a member of board of
    directors

26. 

27.

28.
    It didn't consist 1999 a legal old agfe pension obligation and also no
    claim on old age pension or a claim only due to own payment of fees of
    the activity 1. as a board member 2. in the framework of a work 
    contract of the spouse before 1.1.1967 was locked 3. as an intern or student

29.

30.
    I refered 1999 1. official legal pension payments on an equal footing
    2. age retirement pension from the legal old age pension insurance.

31.

32. Travel between home and workplace, expenditures for driving own vehicle
    or using

33.
    Own car, company car, motorbike, last amtl. flags [?], moped, bycicle

34.
    Work days/week, vacation time and sick leave, increased per mileage rate
    due to disabilities 1. disability is at least 70% 2. disability is
    at least 50%

35.
    Work place (city street)

36.

37.

38.
    Expenditures for public transportation; DEM;- tax free DEM;DEM

39. 
    Travel costs that were taxed by the employer or were tax free

40.
    Contributions to professional associations

41. 
    Expenditures for communication [?] (if it was not tax free). Please
    specify individually each type of media.

42.

43.

44.

45.
    Further advertistment [busines?] costs (training, travel expenses for
    official travel if were not tax free)

49.
    Lump sum expenditures for food

50. When changing place of activity; when driving

51.
    Absence maximum 8 hours (No of days X 10DM); Absence max. 14 hours
    (No of days X20DM), absence more than 24 hours (No of days x 46DM);\
    Total; - tax free from employer

52.
    
53.
    Expenditures for maintaining 2 households (it has to be justified with
    work related reasons). Place of employement.

54.
    Reason; on; and continued until

55.
    Own household Yes/no, in .... since ...., if no, is accomodation in
    previous place maintained?

56. The costs of the first travel to the workplace and the last travel back
    to own home 1. Public transportation 2. On vehicle, ...km X ... DM

57. Travel costs to home
    1. Public transportation 2. Own vehicle one way DM number of trips

58. Accomodation costs on the place or the workplace

59. Subsistance costs

60.
    Maximum 87 hr stay, No of days X 10 DM, maximum 14 hr days, ... dayx X 20 DM
    more than 24 hr days X 46 DM 

61.

62. Sum of lines 56-61

63. Special lump sum expenditures for certain occupational groups (please
    precisely define occupational group and attach list of tax free payments).