Charles Friend is an accountant and his wife, Monica, is a cook. They have four children. They also take care of Monica’s mother, who lives with them. They had bank interest of $500 from Chase Bank and dividends of $304 from GM stock. Use those amounts and their W-2 forms shown to complete a 1040A form for them.

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a Employee's social security number 000-00-0000 b Employer identification number (EIN) 00-0000000 Employer's name, address, and ZIP code Financial Planning 1040 A Street Benson, AZ 85602 d Control number 822356 Employee's first name and initial Charles Last name 234 Locust Lane Benson, AZ 85602 ↑ Employee's address and ZIP code 15 State Employer's state ID number 00-0000000 Friend OMB No. 1545-0008 Suff. Safe, accurate, FAST! Use 3 Sodal security wages 13 Wagas, tips, other compensation $56,940.00 $56,940.00 5 Medicare wages and tips $56,940.00 7 Sodal security p 9 Advance EC payment 11 Nonqualed plans Butubry 14 Other Fement e file They ckpay 16 State wages, ps, at 17 State income tax 18 Local wages, tips, etc. $56.940.00 $5.007.00 2 Federal income tax withhold $11,289.00 Visit the IRS website at www.irs.gowafle. 4 Social security tax withhold $3,530.28 6 Medicare tax withhold 8 Allocated tips 10 Dependent care benefits 12b $825.63 12 See Instructions for box 12 : 120 : 12d 19 Local Income taxx 20 Locality name