Patty Bayan is a single taxpayer living at 543 Space Drive, Houston, TX 77099. Her Social Security number is 466-33-1234. For 2012, Patty has no dependents, and her W-2 from her job at a local restaurant where she parks cars contains the following information:

These wages are Patty's only income for 2012. Please make your own assumption regarding the election to donate $3 to the Presidential Election Campaign Fund on this and subsequent problems. The election to donate does not affect tax liability in any way.
Required:
Complete Form 1040EZ on pages 1-41 and 1-42 for Patty Bayan for the 2012 tax year.

Transcribed Image Text:

22222Void a Employea's accial security number For Official Use Only OMB No, 1545-0008 466-33-1234 Wages, tips, other compensation tax 33-0714916 19,400 19,400 19,400 3,000 815 281 s Employer's name, address, and ZIP code 3 Social security wages 4 Sodial security tax withheld Burger Box 1234 Mountain Road Houston, TX 77099 5 Medicare wages and tips security ti tips d Control rumber 10 Dependent care benefis Employae's first name and initial Last name Suff. 11 plans 12a See instructions for bcx 12 Pa 12b 543 Space Drive Houston, TX 77099 14 Other 120 12d f Employee's address and ZIP code 15 to Employer's state ID number 18 State wages, tips, ate. 17 State incoma tax18 Local wages, tips, te19 Local iecome tar 20 Leeaity TX r Wage and Tax Statement 201 Department of the Treasury-Internal Revenue Service For Privaoy Ast and Paperwork Reduction Aet Notice, see the separato instruetions. Cat No. 10134D Copy A For Social Security Administration Send this entire page with Form W-3 to the Social Security Administration; photocopies are not acceptable. Do Not Cut. Fold. or Staple Forms on This Page