TAX4001 - Week 3 Writing Assignment - Part 3

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Tax4001_Form1040ScheduleAcopy.pdf
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Fo rm1040 Department of the Treasury—Internal Revenue Service (99)U.S. Individual Income Tax Return 2019 OMB No. 1545-0074 IRS Use Only—Do not write or staple in this space.

Filing Status Check only one box.

Single Married filing jointly Married filing separately (MFS) Head of household (HOH) Qualifying widow(er) (QW)

If you checked the MFS box, enter the name of spouse. If you checked the HOH or QW box, enter the child’s name if the qualifying person is

a child but not your dependent.

Your first name and middle initial Last name Your social security number

If joint return, spouse’s first name and middle initial Last name Spouse’s social security number

Home address (number and street). If you have a P.O. box, see instructions. Apt. no.

City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).

Foreign country name Foreign province/state/county Foreign postal code

Presidential Election Campaign Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund. You Spouse

Standard Deduction

Someone can claim: You as a dependent Your spouse as a dependent

Spouse itemizes on a separate return or you were a dual-status alien

Age/Blindness You: Were born before January 2, 1955 Are blind Spouse: Was born before January 2, 1955 Is blind

If more than four dependents, see instructions and here

Dependents (see instructions): (2) Social security number (3) Relationship to you (4) if qualifies for (see instructions): (1) First name Last name Child tax credit Credit for other dependents

1 Wages, salaries, tips, etc. Attach Form(s) W-2 . . . . . . . . . . . . . . . . . . 1

2a Tax-exempt interest . . . . 2a b Taxable interest. Attach Sch. B if required 2b

3a Qualified dividends . . . . 3a b Ordinary dividends. Attach Sch. B if required 3b

4a IRA distributions . . . . . 4a b Taxable amount . . . . . . 4b

c Pensions and annuities . . . 4c d Taxable amount . . . . . . 4d

5a Social security benefits . . . 5a b Taxable amount . . . . . . 5b

6 Capital gain or (loss). Attach Schedule D if required. If not required, check here . . . . . . . 6

7a Other income from Schedule 1, line 9 . . . . . . . . . . . . . . . . . . . . 7a

b Add lines 1, 2b, 3b, 4b, 4d, 5b, 6, and 7a. This is your total income . . . . . . . . . . . 7b

8 a Adjustments to income from Schedule 1, line 22 . . . . . . . . . . . . . . . . . 8a

b Subtract line 8a from line 7b. This is your adjusted gross income . . . . . . . . . . . 8b

Standard Deduction for— • Single or Married

filing separately, $12,200

• Married filing jointly or Qualifying widow(er), $24,400

• Head of household, $18,350

• If you checked any box under Standard Deduction, see instructions.

9 Standard deduction or itemized deductions (from Schedule A) . . . . . 9

10 Qualified business income deduction. Attach Form 8995 or Form 8995-A . . . 10

11a Add lines 9 and 10 . . . . . . . . . . . . . . . . . . . . . . . . . 11a

b Taxable income. Subtract line 11a from line 8b. If zero or less, enter -0- . . . . . . . . . . . 11b

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Cat. No. 11320B Form 1040 (2019)

Form 1040 (2019) Page 2 12a Tax (see inst.) Check if any from Form(s): 1 8814 2 4972 3 12a

b Add Schedule 2, line 3, and line 12a and enter the total . . . . . . . . . . . . . . 12b

13a Child tax credit or credit for other dependents . . . . . . . . . . 13a

b Add Schedule 3, line 7, and line 13a and enter the total . . . . . . . . . . . . . . 13b

14 Subtract line 13b from line 12b. If zero or less, enter -0- . . . . . . . . . . . . . . . 14

15 Other taxes, including self-employment tax, from Schedule 2, line 10 . . . . . . . . . . . . 15

16 Add lines 14 and 15. This is your total tax . . . . . . . . . . . . . . . . . . 16

17 Federal income tax withheld from Forms W-2 and 1099 . . . . . . . . . . . . . . . 17

18 Other payments and refundable credits: • If you have a qualifying child, attach Sch. EIC.

• If you have nontaxable combat pay, see instructions.

a Earned income credit (EIC) . . . . . . . . . . . . . . . 18a

b Additional child tax credit. Attach Schedule 8812 . . . . . . . . . 18b

c American opportunity credit from Form 8863, line 8 . . . . . . . . 18c

d Schedule 3, line 14 . . . . . . . . . . . . . . . . . 18d

e Add lines 18a through 18d. These are your total other payments and refundable credits . . . . . 18e

19 Add lines 17 and 18e. These are your total payments . . . . . . . . . . . . . . . 19

Refund 20 If line 19 is more than line 16, subtract line 16 from line 19. This is the amount you overpaid . . . . . . 20 21a Amount of line 20 you want refunded to you. If Form 8888 is attached, check here . . . . . . 21a

Direct deposit? See instructions.

b Routing number c Type: Checking Savings

d Account number

22 Amount of line 20 you want applied to your 2020 estimated tax . . . . 22

Amount You Owe

23 Amount you owe. Subtract line 19 from line 16. For details on how to pay, see instructions . . . . . 23

24 Estimated tax penalty (see instructions) . . . . . . . . . . . 24

Third Party Designee (Other than paid preparer)

Do you want to allow another person (other than your paid preparer) to discuss this return with the IRS? See instructions. Yes. Complete below.

No Designee’s name

Phone no.

Personal identification number (PIN)

Sign Here

Joint return? See instructions. Keep a copy for your records.

Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Your signature Date Your occupation If the IRS sent you an Identity Protection PIN, enter it here (see inst.)

Spouse’s signature. If a joint return, both must sign. Date Spouse’s occupation If the IRS sent your spouse an Identity Protection PIN, enter it here (see inst.)

Phone no. Email address

Paid Preparer Use Only

Preparer’s name Preparer’s signature Date PTIN Check if:

3rd Party Designee

Self-employedFirm’s name Phone no.

Firm’s address Firm’s EIN

Go to www.irs.gov/Form1040 for instructions and the latest information. Form 1040 (2019)

SCHEDULE A (Form 1040 or 1040-SR) 2019(Rev. January 2020)

Itemized Deductions

Department of the Treasury Internal Revenue Service (99)

Go to www.irs.gov/ScheduleA for instructions and the latest information. Attach to Form 1040 or 1040-SR.

Caution: If you are claiming a net qualified disaster loss on Form 4684, see the instructions for line 16.

OMB No. 1545-0074

Attachment Sequence No. 07

Name(s) shown on Form 1040 or 1040-SR Your social security number

Medical and Dental Expenses

Caution: Do not include expenses reimbursed or paid by others. 1 Medical and dental expenses (see instructions) . . . . . . . 1 2 Enter amount from Form 1040 or 1040-SR, line 8b 2 3 Multiply line 2 by 7.5% (0.075) . . . . . . . . . . . . . 3 4 Subtract line 3 from line 1. If line 3 is more than line 1, enter -0- . . . . . . . . . 4

Taxes You Paid

5 State and local taxes. a

State and local income taxes or general sales taxes. You may include either income taxes or general sales taxes on line 5a, but not both. If you elect to include general sales taxes instead of income taxes, check this box . . . . . . . . . . . . . . . . . 5a

b State and local real estate taxes (see instructions) . . . . . . . 5b c State and local personal property taxes . . . . . . . . . . 5c d Add lines 5a through 5c . . . . . . . . . . . . . . . 5d e

Enter the smaller of line 5d or $10,000 ($5,000 if married filing separately) . . . . . . . . . . . . . . . . . . . 5e

6 Other taxes. List type and amount 6

7 Add lines 5e and 6 . . . . . . . . . . . . . . . . . . . . . . . 7 Interest You Paid Caution: Your mortgage interest deduction may be limited (see instructions).

8

Home mortgage interest and points. If you didn’t use all of your home mortgage loan(s) to buy, build, or improve your home, see instructions and check this box . . . . . . . . . . .

a

Home mortgage interest and points reported to you on Form 1098. See instructions if limited . . . . . . . . . . . . . . 8a

b

Home mortgage interest not reported to you on Form 1098. See instructions if limited. If paid to the person from whom you bought the home, see instructions and show that person’s name, identifying no., and address . . . . . . . . . . . . . . . . . . .

8b c

Points not reported to you on Form 1098. See instructions for special rules . . . . . . . . . . . . . . . . . . . . . 8c

d Mortgage insurance premiums (see instructions) . . . . . . . 8d e Add lines 8a through 8d . . . . . . . . . . . . . . . 8e

9 Investment interest. Attach Form 4952 if required. See instructions . 9 10 Add lines 8e and 9 . . . . . . . . . . . . . . . . . . . . . . . 10

Gifts to Charity Caution: If you made a gift and got a benefit for it, see instructions.

11

Gifts by cash or check. If you made any gift of $250 or more, see instructions . . . . . . . . . . . . . . . . . . . 11

12

Other than by cash or check. If you made any gift of $250 or more, see instructions. You must attach Form 8283 if over $500. . . . 12

13 Carryover from prior year . . . . . . . . . . . . . . 13 14 Add lines 11 through 13 . . . . . . . . . . . . . . . . . . . . . . 14

Casualty and Theft Losses

15

Casualty and theft loss(es) from a federally declared disaster (other than net qualified disaster losses). Attach Form 4684 and enter the amount from line 18 of that form. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Other Itemized Deductions

16 Other—from list in instructions. List type and amount

16 Total Itemized Deductions

17

Add the amounts in the far right column for lines 4 through 16. Also, enter this amount on Form 1040 or 1040-SR, line 9 . . . . . . . . . . . . . . . . . . . . 17

18

If you elect to itemize deductions even though they are less than your standard deduction, check this box . . . . . . . . . . . . . . . . . . . . . . . .

For Paperwork Reduction Act Notice, see the Instructions for Forms 1040 and 1040-SR. Cat. No. 17145C Schedule A (Form 1040 or 1040-SR) 2019

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