Income tax accounting project

xxy951128

Individualtaxprojectdocuments_spring2018.pdf

Home >Business & Finance homework help >Accounting homework help >Income tax accounting project

J- .. For Official Use Only

0MB No.1545-0008 2017 Form W-2 Wage & Tax Statement Department of the Treasury-- Internal Revenue Service O O O O I

22222 I I a Employee's social security number

Voidn 121-65-8791 b Employer identification number I d Control number 25-9875653

c Employer's name, address, and ZIP code

Crash and Burn Industries Inc. 100 West Avenue Jenkintown, PA 19046

Copy A For Social Security Administration -- Send this entire page with Form W-3 to the Social Security Administration; photocopies are not acceptable.

For Privacy Act and Paperwork Reduction Act Notice, see back of Copy D.

lsuff.

1 Wages, tips, other comp. 2 Federal income tax withheld

86000.00 12000.00 3 Social security wages 4 Social security tax withheld

93000.00 5766.00 5 Medicare wages and tips 6 Medicare tax withheld

93000.00 1349.00 7 Social security tips 8 Allocated tips

9 Verification code 10 Dependent care benefits

11 Nonqualified plans 12a See instructions for box 12

I e Employee's first name & initial I Last name DONALD DWEEB 13 Statutory employee ~l~~rement 1~dldp-frY 12b

I 222 Gullible Street X Philadelphia, PA 19128 14 12c

I 12d

f Employee's address and ZIP code I 15 State Employer's state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 ~~~~ity

-~~-1~-llli3J2 __________ - - - .51;3.P.P_0_._QQ _ __ .2J3_5_5_._QQ ____ 9_~QQQ .. 00 _ _ _ ;3_6_1_7_._QQ _ FtilLlt _

Do Not Cut, Fold, or Staple Forms on This Page -- Substitute Form W2 (Revised 10/16)

For Official Use Only

0MB No. 1545-0008 2017 Form W-2 Wage & Tax Statement Department of the Treasury -- Internal Revenue Service 0 0 0 0 I

22222 I la Employee's social security number I Voidn b Employer identification number I d Control number c Employer's name, address, and ZIP code

1 Wages, tips, other comp.

3 Social security wages

5 Medicare wages and tips

7 Social security tips

Copy A For Social Security Administration -- Send this entire page with 9 Verification code

2 Federal income tax withheld

4 Social security tax withheld

6 Medicare tax withheld

8 Allocated tips

10 Dependent care benefits Form W-3 to the Social Security Administration; photocopies are not acceptable.

f------------+------------1 1--_F_o_r_P_r_iv_ac_,y:....A_c_t_a_n.c;d....:P....:ap--'---'-erw_o_rk;,c...c.R:.:.e.ccdu.:....ct.:........cio_n....:A....:c:.:.t.:....N"'o-'-tic'-e::.e.,..::s.:..ee~b-=-ac=k.:....o:..:f....:Co:..:..cp;.;..y..:D:..:._---111 Nonqualified plans e Employee's first name & initial I Last name I Suff.

12a See instructions for box 12

I 14 12c

I 12d

f Employee's address and ZIP code I ~~ ~~l Employer's state ID number ____ _ 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax

------------~-----------------------------------

For.rto99-INT n CORRECTED (if checked) PAYER'S name, address, ZIP/postal code, country & phone no. Payer's RTN (optional) 0MB No. 1545-0112 Interest Big Deal Bank Income 2550 N 10th Street 1 Interest income

2017 Philadelphia, PA 19128 $ 4000.00 Form 1099-INT Department of the Treasury-- IRS

2 Early withdrawal penalty 3 Interest on U.S. Savings Bonds & Treas. obligations Copy2

$ $ To be filed with

PAYER'S federal identification number I RECIPIENTS identification number 4 Federal income tax 5 Investment expenses recipient's state withheld Income tax return, 41-7654321 121-65-8791 $ $ when required.

RECIPIENTS name, address, ZIP/postal code & country 6 Foreign tax paid 7 Foreign ~ountry or U.S. 8 Tax-exempt interest possession

Donna Dweeb $ $ Donald and 222 Gulllible Street 9

Specified private activity 10 Market discount 11 Bond premium bond interest

Philadelphia, PA 19128 $ $ $ 12 Bond premium on 13 Bond premium on 14

Tax-exempt and tax credit Treasury obligations tax-exempt bond bond CUSIP no.

$ $

15 State 16 State identification no. 17 State tax with held

FATCA filing requirement $ Account number (see instructions)

Form 1099-INT n CORRECTED (if checked) (keep for your records) PAYER'S name, address, ZIP/postal code, country & phone no. Payer's RTN (optional) 0MB No. 1545-0112 Interest Big Deal Bank Income 2550 N 10th Street 1 Interest income 2017 Philadelphia, PA 19128 $ 4000.00 Form 1099-INT Department of the Treasury-- IRS

2 Early withdrawal penalty 3 Interest on U.S. Savings CopyB Bonds & Treas. obligations $ $ For Recipient

PAYER'S federal identification number I RECIPIENTS identification number 4 Federal income tax 5 Investment expenses withheld 41-7654321 121-65-8791 $ $

RECIPIENTS name, address, ZIP/postal code & country 6 Foreign tax paid 7 Foreign ~ountry or U.S. 8 Tax-exempt interest possession

Donald and Donna Dweeb $ $ 222 Gulllible Street 9 Specified private activity 10 Market discount 11 Bond premium bond interest Philadelphia, PA 19128 $ $ $

12 Bond premium on 13 Bond premium on 14 Tax-exempt and tax credit Treasury obligations tax-exempt bond bond CUSIP no. $ $ 15 State 16 State identification no. 17 State tax with held

Account number (see instructions) FATCA filing requirement $

I n ---------- ------------------------------- ---------------------$ This is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction may be imposed on you if this income is taxable and the IRS determines that it has not been reported.

Inst. for Recipient--lnfo. provided may be different for covered & noncovered securities. For desc. of covered securities, see Inst. for Form 8949, For txbl. covered security acquired ata premium, unless you notified payer in writing in accordance with Reg. sec. 1.6045-1(nX5)that you did not want to amortize premium under sec.171, or for a tax-exempt covered security acquired at a premium, your payer may report either (1) net amt. of int. that reflects offset of amt. of int. paid to you by amt. of prem. amortization allocable to payment(s), or (2) gross amt. for both int. paid to you & premium amortization allocable to payment(s). If you did notify your payer that you did not want to amortize prem. on txbl. covered security, then your payer will only report gross amt. of interest paid to you. For noncovered security acquired ata premium, your payer is only required to report gross amt. of int. paid to you. RECIPIENTS TAXPAYER ID NUMBER. For your protection, this form may show only the last 4 digits of your SSN, ITIN, ATIN, or EIN, However, issuer has reported your complete ID number to IRS. FATCA FILING REQUIREMENT. If FATCA filing requirement box is checked, payer is reporting on this Form 1099 to satisfy its chapter 4acct. reporting requirement. You also may have filing requirement. See Inst. for Form 8938, ACCOUNT NO. May show acct. or other unique no. payer assigned to distinguish your account. BOX 1. Shows taxable interest paid to you during calendar year by payer. This does not include interest shown in box 3. May also show total amount of credits from clean renewable energy bonds, new clean renewable energy bonds, qualified energy conservation bonds, qualified zone academy bonds, qualified school construction bonds, & build America bonds that must be included In your interest income. These amts. were treated as paid to you during 2017 on credit allowance dates (March 15, June 15. Sept. 15, & Dec. 15). For more info., see Form 8912, See inst, for taxable covered security acquired at prem. BOX 2. Shows int. or principal forfeited because of early withdrawal of time savings. You may deduct this amt. to figure your AGI on your income tax return. See Inst, for Form 1040 to see where to take ded. BOX 3. Shows interest on U.S. Savings Bonds, Treasury bills, Treasury bonds, & Treasury notes. This may/may not all be txbl, See Pub. 550. This interest is exempt from state & local income taxes, This interest is not included in box 1. See inst. for txbl. covered security acquired at prem. BOX 4. Shows backup withholding. Generally, payer must backup withhold if you did not furnish your TIN or you did not furnish correct TIN to the payer, See Form W-9. Include this amt. on your income tax return as tax withheld. BOX 5. Any amount shown is your share of investment expenses of sin,11le-class REMIC. If you file Form 1040, you may deduct these expenses on "Other expenses line of Sch. A (Form 1040)subject to 2% limit. This amt. is included in box 1, BOX 6. Shows foreign tax paid. You may be able to claim this tax as ded. or credit on your Fm. 1040. See your Form 1040 inst. BOX 7. Shows country/U.S. possession to which foreign tax was paid. BOX 8. Shows tax-exempt interest paid to you during calendar year by payer. Reportthis amount on line Sb of Form 1040 or Form 1040A. This amount may be subj, to backup withholding. See box 4, See inst. for a tax-exempt covered security acquired at prem. BOX 9. Shows tax-exempt int. subject to alternative min. tax. This amt. is included in box 8. See Inst. for Form 6251. See inst. for tax-exempt covered security acquired at premium. BOX 10. For txbl. or tax-exempt covered security, if you made election under sec, 1278(b)to incl. market discount in income as it accrues & you notified your payer of election in writing in

accordance with Regulations section 1.6045-1(nX5), shows market discount that accrued on debt instrument during year while held by )IOU, unless it was reported on Form 1099-OID. For a taxable or tax-exempt covered security acquired on or after January 1, 2015, accrued market discount will be calculated on a constant vield basis unless vou notified vour oaver in writing in accordance with Regulations section 1.6045-1(nX5)that you did not wantto make a constant yield election for market discount under section 1276(b). Report accrued market discount on your income tax return as directed in the inst, for Form 1040 or 1040A. Market discount on tax-exempt security is includible in taxable income as interest income. BOX 11. For taxable covered security (other than U.S. Treasury obligation), shows amount of prem. amortization allocable to interest payment(s)1 unless you notified payer in writing in accordance with Regulations section 1.6045-1(nX5) that you did not want to amortize bond premium under sec, 171. If an amt. is reported in this box, see Inst. for Form 1040 (Sch. B)to determine net amt. of interest includible in income on Form 1040 with respect to security. If amt. is not reported in this box for a taxable covered security acquired at prem. & payer Is reporting premium amortization, payer has reported a net amt. of interest in box 1. If amt. in this box is greater than amt. of interest paid on covered security, see Reg. sec. 1, 171-2(aX4). BOX 12. For a U.S. Treasury obligation that is a covered security, shows amount of premium amortization allocable to int. payment(s). unless you notified payer in writing in accordance with Regulations sec. 1.6045-1(nX5)that you did not wantto amortize bond premium under sec. 171, If amt. is reported in this box, see Inst. for Fm. 1040 (Sch. B) to determine net amt. of interest includible in income on Form 1040 with respect to the U.S. Treasury obligation. If amt. is not reported in this box for U.S. Treasury obligation that is covered security acquired at prem. & payer is reporting prem, amortization, payer has reported net amount of interest in box 3, If amt. in this box is greater than amount of interest paid on U.S. Treasury obligation, see Regulations sec. 1.171-2(aX4). BOX 13, For tax-exempt covered security, shows amount of premium amortization allocable to interest payment(s). If an amount is not reported in this box for a tax-exempt covered security acquired at premium, payer has reported net amt. of interest in box 8 or 9, whichever is applicable, If amount in this box is greater than amount of interest paid on tax-exempt covered security, excess is a nondeductible loss. See Reg. sec. 1, 171-2(aX4Xii), BOX 14. Shows CUSIP no(s)for tax-exempt bond(s) on which tax-exempt interest was paid, or tax credit bond(s) on which taxable interest was paid or tax credit was allowed, to you during the calendar year. If blank, no CUSIP number was issued for bond(s). BOXES 15-17, State tax withheld reporting boxes. NOMINEES. If this form includes amts. belonging to another person(s), you are considered a nominee recipient. Complete a Form 1099-INTfor each of the other owners showing income allocable to each. File Copy A of form with IRS. Furnish Copy B to each owner. List yourself as "pa}·er" and other owner(s) as "recipient." File Form(s) 1099-INT with Form 1096 with the IRS Center for your area. On Form 1096 list yourself as "filer.• A spouse is not required to file a nominee return to show amounts owned by other spouse. FUTURE DEVELOPMENTS. For latest information about developments related to Form 1099-INTand its instructions, such as legislation enacted after they were published, go to www.irs.gov/form1099int. ·1099-INT 38-2099803

For:f099-DIV n CORRECTED PAYER'S name, address, ZIP/postal code, country & phone no. 1a Total ordinary dividends 0MB No. 1545-0110

Dividends and Vandelay Industries Inc. $ 6000.00 C/O G Costanza 1 b Qualified dividends 2017

Distributions

71 West 81st Street $ 4500.00 Form 1099-DIV Department of the Treasury-- IRS New York, NY 10001 2a Total capital gain distr. 2b Unrecap. Sec. 1250 gain Copy2

$ $ To be flled with

PAYER'S federal identification number I RECIPIENTS identification number 2c Section 1202 gain 2d Collectibles (28%) gain recipient's state Income tax return, 65-3575321 654-32-7190 $ $ when required.

RECIPIENTS name, address, ZIP/postal code & country 3 Nondividend 4 Federal income tax 5 Investment expenses distributions withheld

Donna Dweeb $ $ $ 222 Gullible Lane 6 Foreign tax paid 7 Foreign country or U.S. 8

Cash liquidation possession distributions

PA 19128 $ $ Philadelphia, 9 Noncash liquidation 10 Exempt-interest 11

Specified private activity bond interest dividends distributions dividends

$ $ $

12 State 13 State identification no. 14 State tax with held

Account number (see instructions) FATCA filing requirement $ I n ---------- ------------------------------- ---------------------$ 7 9DIV2BI NTF 2580781 Copyright 2017 Greatland/Nelco - Forms Software Only

Form 1099-DIV n CORRECTED (if checked) (keep for your records) PAYER'S name, address, ZIP/postal code, country & phone no. 1a Total ordinary dividends 0MB No. 1545-0110

Dividends and Vandelay Industries Inc. $ 6000.00 C/O G Costanza 1 b Qualified dividends 2017 Distributions 71 West 81st Street $ 4500.00 Form 1099-DIV Department of the Treasury-- IRS New York, NY 10001 2a Total capital gain distr. 2b Unrecap. Sec. 1250 gain CopyB

$ $ For Recipient

PAYER'S federal identification number I RECIPIENTS identification number 2c Section 1202 gain 2d Collectibles (28%) gain 65-3575321 654-32-7190 $ $

RECIPIENTS name, address, ZIP/postal code & country 3 Nondividend 4 Federal income tax 5 Investment expenses distributions withheld Donna Dweeb $ $ $ 222 Gullible Lane 6 Foreign tax paid 7 Foreign country or U.S. 8 Cash liquidation possession distributions Philadelphia, PA 19128 $ $

9 Noncash liquidation 10 Exempt-interest 11 Specified private activity distributions dividends bond interest dividends $ $ $ 12 State 13 State identification no. 14 State tax with held

Account number (see instructions) FATCA filing requirement $

Instructions for Recipient Recipient's taxpayer Identification number. For your protection, this form may show only the last four digits of your SSN, ITIN, ATIN, or EIN. However, the issuer has reported your complete identification number to the IRS. FATCA flllng requirement If the FATCA filing requirement box is checked, the payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting requirement. You also may have a filing requirement, See Instructions for Form 8938, Account number. May show an account or other unique number the payer assigned to distinguish your account. Box 1a. Shows total ordinary dividends that are taxable. Include this amount on line 9a of Form 1040 or 1040A. Also, report it on Sch. B (1040A or 1040), if required, Box 1b. Shows the portion of the amount in box 1a that may be eligible for reduced capital gains rates. See Form 1040/1040A instructions for how to determine this amount. Report the eligible amount on line 9b, Form 1040 or 1040A.

The amount shown may be dividends a corporation paid directly to you as a participant(or beneficiary of a participant) in an employee stock ownership plan (ESOP). Report itas a dividend on your Form 1040/1040A but treat itas a plan distribution, not as investment income, for any other purpose. Box 2a. Shows total capital gain distributions from a regulated investment company or real estate investment trust, Report amounts shown in box 2a on Sch. D (Form 1040), line 13, But, if no amount is shown in boxes 2c-2d & your only capital gains & losses are capital gain distribs., you may be able to report amounts shown in box 2a on line 13 of Form 1040 (line 10 of Form 1040A) rather than Schedule D, See Form 1040/1040A inst BOX 2b. Shows portion of the amount in box 2a that is unrecaptured section 1250 gain from certain depreciable real property. Reoort this amount on the Uncecaotqred Section 1250 Gain Worksheet--Line 19 in the Schedule D instructions (Form 1040). Box 2c. Shows the portion of the amount in box 2a that is section 1202 gain from certain small business stock that may be subject to an exclusion. See the Schedule D (Form 1040) instructions. Box 2d. Shows 28% rate gain from sales or exchanges of collectibles. If required, use this amount when completing the 28% Rate Gain Worksheet--Line 18 in the instructions for Schedule D (Form 1040).

Box 3. Shows the part of the distribution that is nontaxable because it is a return of your cost (or other basis). You must reduce your cost (or other basis) by this amount for figuring gain or loss when you sell your stock, But if you get back all your cost (or other basis), report future distributions as capital gains. See Pub. 550, BOX 4. Shows backup withholding. A payer must backup withhold on certain payments if you did not give your taxpayer identification number to the payer. See Form W-9, Request for Taxpayer Identification Number & Certification, for info. on backup with holding. Include this amount on your income tax return as tax with held. BOX 5. Shows your share of expenses of a nonpublicly offered regulated investment company, generally a nonpublicly offered mutual fund. If you file Form 1040, you may deduct these expenses on the "Other expenses" line on Schedule A(Form 1040) subject to the 2% limit, This amount is included in box 1a. BOX 6. Shows the foreign tax that you may be able to claim as a deduction or a credit on Form 1040. See the Form 1040 instructions, BOX 7. This box should be left blank if a regulated investment company reported the foreign tax shown in box 6,

Boxes 8 and 9. Shows cash and noncash liquidation distributions. Box 10. Shows exempt-interest dividends from a mutual fund or other regulated investment co. paid to you during calendar year. Incl. this amt. on line Bb of Form 1040/ 1040A as tax-exempt int. This amt. may be subjectto backup withholding. See box 4. Box 11. Shows exempt-interest dividends subject to the alternative minimum tax. This amount is included in box 10, See the Instructions for Form 6251. Boxes 12-14. State income tax withheld reporting boxes. Nominees. If this form includes amounts belonain.!J to another person, you are considered a nominee recipient, You must file Form 1099-DIV(with Form 1096)with IRS for each of the other owners to show their share of inc., & you must furnish Form 1099-DIV to each, A spouse is not required to file a nominee return to show amounts owned by the other spouse. See 2017 General Inst. for Certain Information Returns. Future developments. For latest info. about developments related to Form 1099-DIV and its instructions, such as legislation enacted after they were published, go to www.irs.gov/form1099div. 1099-DIV

• Form"1"099-MISC CORRECTED (if checked) (keep for your records) 0MB No, 1545-0115 PAYER'S name, street address, city or town, state or province, country, ZIP

or foreign postal code, and telephone no, 1 Rents

$ Vandelay Industries Inc. C/O G Costanza 71 West 81st Street New York, NY 10001

2 Royalties 2017 Miscellaneous

Income

$ Form 1099-MISC De artment of the Treasury-- IRS 3 Other income 4 Federal income tax withheld Copy B

For Recipient $ $ PAYER'S federal identification number RECIPIENT'S identification number 5 Fishing boat proceeds 6 Medical and health care

payments

65-3575321 654-32-7190 $ $ RECIPIENT'S name, address, ZIP/postal code & country 7 Nonemployee compensation 8 Substitute payments in lieu

of dividends or interest This is important tax information and is being furnished to

the Internal Revenue Service. If you are

required to file a return, a negligence

penalty or other sanction may be

imposed on you if this income is

taxable and the IRS determines that it

has not been reported.

Donna Dweeb 222 Gullible Street Philadelphia, PA 19128 $ 65000.00 $

9 Payer made direct sales of 10 Crop insurance proceeds $5,000 or more of consumer products to a buyer (recipient) for resale•

Account number (see instructions) FATCA filing 13 Excess golden parachute 14 Gross proceeds paid to an payments attorney

$ $

15a Section 409A deferrals 15b Section 409A income 16 State tax withheld 17 State/Payer's state no. 18 State income

$ $ ------------- $ $ $ $

Instructions for Recipient Recipient's taxpayer Identification number. For your protection, this form may show only the last four digits of your SSN, ITIN, ATIN, or EIN. However, the issuer has reported your complete identification number to the IRS. Account number. May show an account or other unique number the.o,av~r assioDed.to distinoyish v9ur account. FATCA flllng requirement. If the FATCA filing requirement box is checked, the payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting requirement. You also may have a filing requirement. See the Instructions for Form 8938. Amounts shown may be subject to self-employment (SE) tax. If your net income from self-employment is $400 or more, you must file a return & compute your SE tax on Sch. SE (Form 1040). See Pub. 334 for more information. If no income or social security and Medicare taxes were withheld & you are still receiving these pymts., see Form 1040-ES (or Form 1040-ES(NR)). Individuals must report these amounts as explained in box 7 instructions on this page. Corporations, fiduciaries, or partnerships must report the arnts. on proper line of their tax returns. Form 1099-MISC Incorrect? If this form is incorrect or has been issued in error, contact the payer. If you cannot get this form corrected, attach an explanation to your tax return and report your income correctly. Box 1. Report rents from real estate on Schedule E (Form 1040). However, report rents on Schedule C (Form 1040) if you provided significant services to the tenant, sold real estate as a business, or rented personal property as a business. Box 2. Report royalties from oil, gas, or mineral properties, copyrights, and p~tents on Schedule E (Form 1040). However, report payments for a working interest as explained in the box 7 instructions. For royalties on timber, coal, and iron ore, see Pub. 544. Box 3. Generally, report this amount on the "Other income" line of Form 1040 (or Form 1040NR) and identify the payment. The amount shown may be payments received as the beneficiary of a deceased employee, prizes, awards, taxable damages, Indian gaming profits, or other taxable income. See Pub. 525. If it is trade or business income, report this amount on Schedule C or F (Form 1040). Box 4. Shows backup withholding or withholding on Indian gaming profits. Generally, a payer must backup withhold if you did not furnish your taxpayer identification number. See Form W-9 and Pub. 505 for more info. Reoprt this amount on v9ur income tax return as tax withheld. Box 5. An amount in this box means fishing boat operator considers you self-employed. Report this amount on Sch. C (Form 1040). See Pub. 334. Box 6. For individuals, report on Schedule C (Form 1040).

Box 7. Shows nonemployee compensation. If you are in the trade or business of catching fish, box 7 may show cash you received for the sale of fish. If amount in this box is SE income, report it on Schedule C or_ F (Forry, 1040), and complete Schedule SE (Form 1040). You received this form instead of Form W-2 because the payer did not consider you an employee & did not withhold income tax or social security & Medicare tax. If you believe you are an employee and cannot get the payer to correct this form, report the amount from box 7 on Form 1040 line 7 (or Form 1040NR, line 8). You must also complete Form 8919 and attach it to your return. If you are not an employee but the amount in this box is not SE income (for example, it is income from a sporadic activity or a hobby), report it on Form 1040, line 21 (or Form 1040NR, line 21). Box 8. Shows substitute payments in lieu of dividends or tax-exempt interest received by your broker on your behalf as a result of a loan of your securities. Report on the "Other income" line of Form 1040 (or Form 1040NR). Box 9. If checked, $5,000 or more of sales of consumer products was paid to you on a buy-sell, deposit-commission, or other basis. A dollar amount does not have to be shown. Generally, report any income from your sale of these products on Schedule C (Form 1040). Box 10. Report this amount on Schedule F (Form 1040). Box 13. Shows your total compensation of excess golden parachute payments subject to a 20% excise tax. See the Form 1040 (or Form 1040NR) instructions for where to report. Box 14. Shows gross proceeds paid to an attorney in connection with legal services. Reoprt onlv Jhe taxable Dilrt as income on v9ur return. Box 15a. May show current year deferrals as a nonemployee under a nonqualified deferred compensation (NODC) plan that is subject to the requirements of section 409A, plus any earnings on current and prior year deferrals. Box 15b. Shows in~ome as a nonemployee under an NQDC plan that does not meet requirements of sec. 409A This amt. is also included in box 7 as nonemployee compensation. Any amount included in box 15a that is currently taxable is also included in this box. This income is also subject to a substantial additional tax to be reported on Form 1040 (or Form 1040NR). See "Total Tax" in Form 1040 (or Form 1040NR) inst. Boxes 16-18. Shows state or local income tax withheld from payments. Future developments. For the latest information about developments related to Form 1099-MISC and its instructions, such as legislation enacted after they were published, go to www.irs.gov/form1099misc. 1099_MISC

Form-'fl>99-R n CORRECTED (if checked) (keep for your records) PAYER'S name, street address, city or town, state or province, country, and ZIP 1 Gross distribution 0MB No. 1545-0119 Distributions From or foreign postal code Pensions, Annuities,

Retirement or Dummies R Us $ 12000.00 2017 Profit-Sharing Plans, 1660 Airbaa Lane 2a Taxable amount IRAs, Insurance Fender Ben er, OH Contracts, etc.

$ 12000.00 Form 1099-R Department of the Treasury -- IRS

2b Taxable amount n Total n CopyC not determined distribution For Recipient's PAYER'S federal identification RECIPIENT'S identification 3 Capital gain (included 4 Federal income tax Records number number in box2a) withheld

11-6517852 121-65-8791 $ $ 2400.00 RECIPIENT'S name, address, ZIP/postal code & country 5 Employee contributions 6 Net unrealized

/Designated Roth appreciation in

Donald Dweeb contributions or employer's securities 222 Gullible Lane

insurance premiums

Philadelphia, PA 19128 $ $ 7 Distribution IRA/ 8 Other

code(s) SEP/ This information is SIMPLE ,n $ '¾ being furnished to the Internal

9a Your percentage of total 9b Total employee contribs. Revenue Service. distribution o/c $

10 Amount allocable to IRA 11 1st year of desig. FATCA filing 12 State tax with held 13 State/Payer's state no. 14 State distribution within 5 years Roth contrib. requirement

$ ---------- j ________

n -----------$ $ $ Account number (see instructions) 15 Local tax with held 16 Name of locality 17 Local distribution

$ ---------- ----------- j ________

$ $

Form 1099-R n CORRECTED {if checked) PAYER'S name, street address, city or town, state or province, country, and ZIP 1 Gross distribution 0MB No. 1545-0119 Distributions From or foreign postal code Pensions, Annuities,

Dummies R Us $ 12000.00 Retirement or 2017 Profit-Sharing Plans, 1660 Airbaa Lane 2a Taxable amount IRAs, Insurance Fender Ben er, OH Contracts, etc. $ 12000.00 Form 1099-R Department of the Treasury -- IRS

2b Taxable amount n Total n Copy B not determined distribution Report this PAYER'S federal identification RECIPIENT'S identification 3 Capital gain (included 4 Federal income tax income on rour number number in box 2a) withheld federa tax

return. If this 11-6517852 121-65-8791 $ $ 2400.00 form shows federal income RECIPIENT'S name, address, ZIP/postal code & country 5 Employee contributions 6 Net unrealized tax withheld in

/Designated Roth appreciation in box 4, attach Donald Dweeb contributions or employer's securities 222 Gullible Lane

insurance premiums this copy to

Philadelphia, PA 19128 $ $ your return. 7 Distribution IRA/ 8 Other

code(s) SEP/ This information is SIMPLE n $ o/c being furnished to

the Internal 9a Your percentage of total 9b Total employee contribs, Revenue Service.

distribution %$ 10 Amount allocable to IRR 11 1st year of desig, FATCA filing 12 State tax with held 13 State/Payer's state no. 14 State distribution

with in 5 years Roth contrib. requirement $ $ n ----------- ----------- ---------$ $ $

Account number(see instructions) 15 Local tax with held 16 Name of locality 17 Local distribution $ $ ----------- ----------- ---------$ $

*** Box 7 Code 1 = premature distribution

***

R-.:;c;..1098-T n CORRECTED (if checked) (keep for your records) FILER'S name, address, ZIP/postal code, country & phone no. 1 Payments received for 0MB No. 1545-1574

Easy A University qualified tuition and related expenses Tuition 1100 Party On Drive $ 42000.00 2017 Statement Slackervill, e, FL 2 Amounts billed for

qualified tuition and related expenses

$ Form 1098-T Department of the Treasury-- IRS FILER'S federal identification no. I STUDENT'S taxpayer identification no. 3 If this box is checked, your educational institution Copy B 92-3564891 456-98-2105 changed its reporting method for 2017 n For Student

STUDENT'S name, address, ZIP/postal code & country 4 Adjustments made for a 5 Scholarships or grants This is important tax Dwayne Dweeb prior year information and is 222 Gullible Street $ $ 12000.00 being furnished to the Internal Revenue Philadelphia, PA 19128 6 Adjustments to 7 Checked if the amount Service. This form

scholarships or grants in box 1 or 2 includes must be used to for a prior year amounts for an academic complete Form 8863

period beginning January- to claim education March 2018 • n credits. Give it to $

I 8 Check if at least 9 C hacked if a graduate 10 Ins. contract reimb./refund

the tax preparer or Service Provider/Acct. No. (see instr.) use it to prepare

half-time student [x] student •••••••.. n $ the tax return.

Form 1098-T n CORRECTED (if checked) (keep for your records) FILER'S name, address, ZIP/postal code, country & phone no. 1 Payments received for 0MB No. 1545-1574

Easy A University qualified tuition and related expenses Tuition 1100 Party On Drive $ 42000.00 2017 Statement Slackervill, e, FL 2 Amounts billed for qualified tuition and related expenses

$ Form 1098-T Department of the Treasury-- IRS FIL ER'S federal identification no. I STUDENT'S taxpayer identification no. 3 If this box is checked, your educational institution Copy B 92-3564891 456-98-2105 changed its reporting method for 2017 n Duplicate

STUDENT'S name, address, ZIP/postal code & country 4 Adjustments made for a 5 Scholarships or grants

Dwayne Dweeb prior year

222 Gullible Street $ $ 12000.00 Philadelphia, PA 19128 6 Adjustments to 7 Checked if the amount

scholarships or grants in box 1 or 2 includes for a prior year amounts for an academic

period beginning January -

$ March 2018 • n

Service Provider/Acct. No. (see instr.)

I 8 Check if at least 9 Checked if a graduate 10 Ins. contract reimb./refund

Instructions for Student You, or the person who can claim you as a dependent, may be able to claim an education credit on Form 1040 or Form 1040A. This statement has been furnished to you by an eligible educational institution in which you are enrolled, or by an insurer who makes reimbursements or refunds of qualified tuition and related expenses to you. This statement is required to support any claim for an education credit. Retain this statement for your records. To see if you qualify for a credit, and for help in calculating the amount of your credit, see Pub. 970, Form 8883, and the Form 1040 or 1040A instructions.

Your institution must include its name, address, and information contact telephone number on this statement. It may also include contact information for a service provider, Although the filer or the service provider may be able to answer certain questions about the statement, do not contact the filer or the service provider for explanations of the requirements for (and how to figure)any education credit that you may claim.

Student's taxpayer Identification number lTIN\. For your protection, this form may show only the last four digits of your §SN, ITIN, ATIN, or EIN. However, the issuer has reported your complete TIN to the IRS. Caution: If your TIN is not shown in this box, your school was notable to provide it. Contact your school if you have questions.

Account number. May show an account or other unique number the filer assigned to distinguish your account.

Box 1. Shows the total payments received in 2017 from any source for qualified tuition and related expenses less any reimbursements or refunds made during 2017 that relate to those payments received during 2017.

Box 2. Shows the total amounts billed in 2017 for qualified tuition and related expenses less any reductions in charges made during 2017 that relate to those amounts billed during 2017.

Box 3. Shows whether your educational institution changed its reporting method for 2017. It has changed its method of reporting if the method (payments received or amounts billed) used for 2017 is different than the reporting method for 2018, You should be aware of this change in figuring your education credits.

Box 4. Shows any adjustment made for a prior year for qualified tuition and related expenses that were reported on a prior year Form 1098-T. This amount may reduce any allowable education credit that you claimed for the prior year (may result in an increase in tax liability for the year of the refund). Sea "recapture" in the index to Pub. 970 to report a reduction on your education credit or tuition and fees deduction.

Box 5. Shows the total of all scholarships or grants administered and processed by the eligible educational institution. The amount of scholarships or grants for the calendar year (including those not reported by the institution) may reduce the amount of the education credit you claim for the year.

TIP: You may be able to increase the combined value of an education credit and certain educational assistance (including Pell Grants) if the student includes some or all of the educational assistance in income in the year it is received. For details, see Pub. 970. BOX 6. Shows adjustments to scholarships or grants for a prior year. This amount mav affect the amount of anv allowable tuition and fees deduction or education credit that you claimed for the prior year. You may have to file an amended income tax return (Form 1040X)for the prior year.

Box 7. Shows whether the amount in box 1 or 2 includes amounts for an academic period beginning January-March 2018. See Pub. 970 for how to report these amounts. Box 8. Shows whetherJou are considered to be carrying at least one-half the normal full-time workloa for your course of study at the reporting institution. Box 9. Shows whether you are considered to be enrolled in a program leading to a graduate degree, graduate-level certificate, or other recognized graduate-level educational credential.

Box 10. Shows the total amount of reimbursements or refunds of qualified tuition and related expanses made by an insurer. The amount of reimbursements or refunds for the calendar year may reduce the amount of any education credit you can claim for the year (may result in an increase in tax liability for the year of the refund), Future developments. For the latest information about developments related to Form 1098-T and its instructions, such as legislation enacted after they were published, go to www.irs.gov/form1098t.

1098-T