2023 Form 1040 Schedule A item (description) 1. Medical and dental expenses (Line 1) 2. Enter amount from Form 1040, line 11, Adjusted Gross Income (Line 2) 3. Multiply line 2 by 7.5% (0.075) (Line 3) 4. Subtract line 3 from line 1. If line 3 is more than line 1, enter 0. (Line 4) 5. State and local income taxes (Line 5a) 6. Other taxes - real estate (Line 6) 7. Home mortgage interest and points reported on Form 1098 (Line 8a) 8. Investment interest (Line 9) 9. Gifts to charity - carryover from prior year (Line 13) 10. Total itemized deductions (Line 17) Amount 123 123 123 123 123 123 123 123 123 123 Eye Exam Statement EVE OPTICAL Account No.: 115 Mrs. Paula Oates 127 Orange Road EVE Optical 1 Riverside Park Smalltown, NC 23456 STATEMENT Statement Date: Aug-14-2023 Smalltown, NC 23456 Patient balance currently due: $300.00 Date Description Order Qty Price Discount Insurance Patient 14-Aug-2023 Frame - Calvin Viewlock 206 1 195.00 25.00 170.00 14-Aug-2023 Comprehensive Eye Exam 212 1 130.00 130.00 TOTALS 25.00 300.00 x Form W-2 (Read Only) a Employee's social security number OMB No. 1545-0008 22222 b Employer identification number (EIN) 012-34-5678 c Employer's name, address, and ZIP code CPA Firm Co. d Control number 1 Wages, tips, other compensation 37,500 3 Social security wages 37,500 5 Medicare wages and tips 37,500 7 Social security tips 9 Verification code 2 Federal income tax withheld 3,600 4 Social security tax withheld 2,325 6 Medicare tax withheld 544 8 Allocated tips 10 Dependent care benefits 12a See instructions for box 12 e Employee's first name and initial Last name Suff. 11 Nonqualified plans Paula Oates 13 Statutory Retirement employee plan Third-party sick pay 12b 14 Other 12c 12d f Employee's address and ZIP code 15 State Employer's state ID number 16 State wages, tips, etc. 37,500 17 State income tax 1,200 18 Local wages, tips, etc. 19 Local income tax 20 Locality name Form W-2 Wage and Tax Statement 2023 Department of the Treasury-Internal Revenue Service Receipt from CPA (Read Only) RECEIPT Paula Oates DATE. 3/15/2023 No 000001 FROM ADDRESS 127 Orange Road Smalltown, NC 23456 $ 200.00 FOR Tax preparation ACCT. 200 00 CASH PAID 200:00 CHECK MONEY ORDER FROM TO DUE 0:00 CREDIT CARD John Brown, CPA BY