2018 Tax Return
Form 2108, schedule 1 and qualified dividends and capital gain tax worksheet.
eceved the following Form 1099-INT and 1099-DIV: CORRECTED (if checked) Pas HTN ptionat PAYER'S nma struet ackinea ety se tcwn he se prvio, certy 2 or faregn poutal cede and hawance nou CMB Na 1545-0 12 Boatman's Bank 300 City Avenue Springfield, MO 63126 Interest 2018 1 nlsl nnome Income 647.89 Fom 1099-INT 2 Eary widnual paty Copy B PAYERS TIN RECIFIENTS TIN 33-1234566 For Recipient 465-74-3321 3ntreet on u.S. Snge lencs and Truas natons RECIPIENT'S e 4 Feceral ncme ine wthhck 5 n Beverly and Ken Hair me expenacs This is importa tsx irformation ard i 8 Foreion 1x pak 7 Far prryar 35 pocsa ng furnishad to the Street addresa inclcire sot.re) IRS I you are racuired ta file a ratrn, negigenoa peraty ar ather sanction my be mpasad on you i tlis oame s txable and the IRS determings thet it bas. nat been reported S 3567 River Street B Tun-minores il Cty town, alto cr prewnoe, umtry, ad 21P or faragn pesal cader Springfield, MO 63126 10 Muket ciencuy 11 Bend premun FATCA 1ng S roqimen12 laatae ao Tuarot alrs 13 Ecra anr Ieerpl bord S Account number lcea inetncticns 15 Se 16 Stye denl1:1 14 Tas ont ard ta orect be CLEP na 17 Se tas wrhold 1T SIe ta whold Fomm 1099-INT koep for your records) www.rsgowFom1009NT Cepartment ct the Trary-Internal Rcnue Servioe CORRECTED (if checked) PAYERS eme, sbat accress, sly or 1own, ata er pronoe, ury, 2IP a fureign poalsl coce, ad telephenare 1a Tolal eninery didonda CMB No. 1545-0110 Green Corporation 900 South Orange Ave. Springfield, MO 63126 $300.00 Dividends and Distributions 2018 1b Oniled didercs S 300.00 Fom 1009-DIV 2 Toal captal gan d 2b Urrecsp Soc, 12G0 asio Copy B $ 20 Bactior 1202 gein PAYLHS TIN For Reciplent ALCIPENTS TIN 2d Colet ble20%1 gain 33-11223344 465-57-9934 S NECIPLNT'S rama a Nondiklend dstribudans Federal income tax wiinhold 4 Ken Hair This is importarnt in intormanen ard is bang tunshad to the IRS. It you ar requrec to fig a rtum, negigorca penally or other sangtion may be impcaacd on you if this incema la tacable and IRS determines that it has not boon raported 5 Sectior 19s dwne 6 Imasiment speos Etroct adkdrass ncucing apt. no S 3567 River Street 7 Fargn tax psc Fnury e LSsenin 8 City or tcwn stata nr prowince, cory, and 2IP cr foraign postal coda Springfield, MO 63126 Canh icudalicn clat buione 10 honcsh cation detrbrions S FATCA ng 11 Exerpt-imeroat dviklencs 12 Spocifed private activtly requreme bord interost dhidencs S Apooun numbar ratn.cliorel 13 State 14 San 10 Spae tax winheld Form 1099-DIV (keep for your records) www.rs.gowFarmi 0330IV Department af the Tresnry-Imernal Rovenue Service Ken is an excellent student at SMSU. He was given a $1,750 scholarship by the university to help pay educational expenses. The scholarship funds were used by Ken for tuition and books. Last year, Beverly was laid off from her former job and was unemployed during January 2018. She was paid $1,825 of unemployment compensation unfil she started work with her current employer, Cypress Corporation. Ken has a 4-year-old son, Robert R.Hair, from a prior marriage that ended in di- vorce in 2013. During 2018, he paid his ex-wife $300 per month in child support. Robert is claimed as a dependent by Ken's ex-wife. 2Gross Income and Exclusions During 2018, Ken's aunt died. The aunt, in her will, left Ken $15,000 in cash. Ken deposited this money in the Boatman's Bank savings account. Required: Complete the Hair's federal tax return for 2018 on Form 1040, Schedule 1, and the Qualified Dividends and Capital Gain Tax Worksheet -41- Need more information or fe yoe s 3P eceved the following Form 1099-INT and 1099-DIV: CORRECTED (if checked) Pas HTN ptionat PAYER'S nma struet ackinea ety se tcwn he se prvio, certy 2 or faregn poutal cede and hawance nou CMB Na 1545-0 12 Boatman's Bank 300 City Avenue Springfield, MO 63126 Interest 2018 1 nlsl nnome Income 647.89 Fom 1099-INT 2 Eary widnual paty Copy B PAYERS TIN RECIFIENTS TIN 33-1234566 For Recipient 465-74-3321 3ntreet on u.S. Snge lencs and Truas natons RECIPIENT'S e 4 Feceral ncme ine wthhck 5 n Beverly and Ken Hair me expenacs This is importa tsx irformation ard i 8 Foreion 1x pak 7 Far prryar 35 pocsa ng furnishad to the Street addresa inclcire sot.re) IRS I you are racuired ta file a ratrn, negigenoa peraty ar ather sanction my be mpasad on you i tlis oame s txable and the IRS determings thet it bas. nat been reported S 3567 River Street B Tun-minores il Cty town, alto cr prewnoe, umtry, ad 21P or faragn pesal cader Springfield, MO 63126 10 Muket ciencuy 11 Bend premun FATCA 1ng S roqimen12 laatae ao Tuarot alrs 13 Ecra anr Ieerpl bord S Account number lcea inetncticns 15 Se 16 Stye denl1:1 14 Tas ont ard ta orect be CLEP na 17 Se tas wrhold 1T SIe ta whold Fomm 1099-INT koep for your records) www.rsgowFom1009NT Cepartment ct the Trary-Internal Rcnue Servioe CORRECTED (if checked) PAYERS eme, sbat accress, sly or 1own, ata er pronoe, ury, 2IP a fureign poalsl coce, ad telephenare 1a Tolal eninery didonda CMB No. 1545-0110 Green Corporation 900 South Orange Ave. Springfield, MO 63126 $300.00 Dividends and Distributions 2018 1b Oniled didercs S 300.00 Fom 1009-DIV 2 Toal captal gan d 2b Urrecsp Soc, 12G0 asio Copy B $ 20 Bactior 1202 gein PAYLHS TIN For Reciplent ALCIPENTS TIN 2d Colet ble20%1 gain 33-11223344 465-57-9934 S NECIPLNT'S rama a Nondiklend dstribudans Federal income tax wiinhold 4 Ken Hair This is importarnt in intormanen ard is bang tunshad to the IRS. It you ar requrec to fig a rtum, negigorca penally or other sangtion may be impcaacd on you if this incema la tacable and IRS determines that it has not boon raported 5 Sectior 19s dwne 6 Imasiment speos Etroct adkdrass ncucing apt. no S 3567 River Street 7 Fargn tax psc Fnury e LSsenin 8 City or tcwn stata nr prowince, cory, and 2IP cr foraign postal coda Springfield, MO 63126 Canh icudalicn clat buione 10 honcsh cation detrbrions S FATCA ng 11 Exerpt-imeroat dviklencs 12 Spocifed private activtly requreme bord interost dhidencs S Apooun numbar ratn.cliorel 13 State 14 San 10 Spae tax winheld Form 1099-DIV (keep for your records) www.rs.gowFarmi 0330IV Department af the Tresnry-Imernal Rovenue Service Ken is an excellent student at SMSU. He was given a $1,750 scholarship by the university to help pay educational expenses. The scholarship funds were used by Ken for tuition and books. Last year, Beverly was laid off from her former job and was unemployed during January 2018. She was paid $1,825 of unemployment compensation unfil she started work with her current employer, Cypress Corporation. Ken has a 4-year-old son, Robert R.Hair, from a prior marriage that ended in di- vorce in 2013. During 2018, he paid his ex-wife $300 per month in child support. Robert is claimed as a dependent by Ken's ex-wife. 2Gross Income and Exclusions During 2018, Ken's aunt died. The aunt, in her will, left Ken $15,000 in cash. Ken deposited this money in the Boatman's Bank savings account. Required: Complete the Hair's federal tax return for 2018 on Form 1040, Schedule 1, and the Qualified Dividends and Capital Gain Tax Worksheet -41- Need more information or fe yoe s 3P
