a Employee's SSN 1 Wages, tips, other compensation 383-00-4863 40650.02 OMB No 1545-0008 3 Social security wages 40650.02 b Employer identification number 5 Medicare wages and tips 52-1759823 40650.02 c Employer's name address and ZIP code 2 Federal income tax withheld 447150 4 Social Security tax withheld 2520.30 6 Medicare tax withheld 589.43 In Your Face Attorneys 6793 Hassle Road Your City, Your State - Your ZIP e Employee's first name and initial Leslie Last name Maxwell Sult 1411 Winning Circle Drive Your City, Your State - Your ZIP 1 Employee's address and ZIP code d Control number 7 Social Security tips 8 Allocated tips 9 10 Dependent care benefits 11 Nonqualified plans 12a 14 12b 12c 12d 13 Statuary employee 15 State Employer's state ID number YS 530320311 Retirement plan 16 State wages, tips, etc Third party sick pey 40650.02 17 State income tax 2026.75 18 Local wages, tips, etc. 19 Local income tax 20 Locality name W-2 Form Wage and Tax Statement Copy B to be filed with employee's 20XX Federal Income Tax Return This information is being furnished to the Internal Revenue Service. If you are required to file a tax return, a negligence penalty or other sanction may be imposed on you if this income is taxable and you fail to report it. OMEN SESOT2 CORRECTED (I checked) PAYERSyron, stort 22 Pay foreground phone Franklin Commerce Bank PO Box 10135 Your City. Your State - Your ZIP $ 652.68 2 20XX For 1099-INT Interest Income PATERS $ FEUR 383-00-4863 Copy B For Recipient UL 54-1438602 Con Thaimport Woman tanged to the mente Service you RECIPIENTS Leslie Maxwell Sheetsedding pl.) 1411 Winning Circle Drive Cayer bun state or province country and forego postal code Your City, Your State - Your ZIP Song $ Teen adobe $ FAICA moment $ $ 12 $ 14 Tentang bond USP Anunterstudio 5 Form 1099-INT krep for your reconds) www.govtom10 Department of rey-Internal Revenue Service GMA N 15656 20XX Dividends and Distributions Form 1090-OV 2 US $ 24 Calle CopyB For Recipient CORRECTED (if checked) PAYERS, redress, oty or state or province, courty ZIP 1a Totoday vidende or foreign postal code and telephone na $15.00 RICHFOOD HOLDINGS to widende SHAREHOLDER SERVICES GROUP PO Box 4400 Your city. Your state - Your ZIP an Toscana PAYER S Federation number REOPENTSectionner 2 Sedion 1202 gan 54-1859982 383-00-4863 $ RECIPIENT'Same 3 Nondivided butions Leslie Maxwell 5 Section 105A distributions Sinddrot $ 1411 Winning Circle Drive For a pod 5 Clyor province, courly, and Portor postcode Your City, Your State - Your ZIP 9 Callion disting $ FATCA 11 Edis requirement $ Accuentos $ Income Thor $ ISOR Nonton $ 12 Speed 5 5 Department of the Treasury - Internal Revenue Service www.instorm 10996 Form 1099-DIV (keep for your records) DEPARTMENT OF THE TREASURY BUREAU OF THE PUBLIC DEBT TAXPAYER'S IDENTIFICATION NUMBER: INTEREST EARNED BY: Leslie Maxwell 1411 Winning Circle Drive Your City, Your State - Your Zip 383-00-4863 This consolidated statement, issued instead of IRS Form 1099-NT shows interest paid to you during the calendar year by the payer. This is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return a negligence penalty or other sanction may be imposed on you if this income is taxable and the IRS determines that it has not been reported. This reported interest is exempt from state and local income taxes. Do not attach this statement to your tax return, but keep it for your personal records RECIPIENT(S) ANNUAL ACCRUED FEDERAL INCOME STATE AND STATE INCOME INTEREST PAID INTEREST PAID TAX WITHHELD ID NO. TAX WITHHELD SERIES HHH 940.00 SERIES HHH 360.00 SERIES HHH 490.00 TOTALS 1790.00 TOTAL INTEREST PAID 1790.00 PAYER'S FEDERAL IDENTIFICATION NUMBER: SL.0985244 INTEREST INCOME FOR YEAR ENDING: 12/31/20XX National Bank Combined Tax Information If you have any questions regarding this information, please contact your National Bank Representative toll-free at 1-800-555-5555. Recipient Information: Leslie Maxwell 1411 Winning Circle Drive Your City, Your State - Your Zip 383-00-4863 THIS IMPORTANT TAX INFORMATION IS BEING FURNISHED TO THE IRS. IF YOU ARE REQUIRED TO FILE A RETURN, A NEGLIGENCE PENALTY OR OTHER SANCTION MAY BE IMPOSED ON YOU IF THIS ITEM(S) IS REQUIRED TO BE REPORTED AND THEIRS DETERMINES THAT IT HAS NOT BEEN REPORTED. 1099-INT TYPE ACCOUNT NUMBER CD BOX 1 850079667 INTEREST INCOME $158.67 TOTAL INTEREST $158.67 INTEREST REPORTED TO THE IRS $158.67 ADDITIONAL TAX INFORMATION MAY FOLLOW IF YOU HAVE INVESTMENT ACCOUNTS. TRUST ACCOUNTS, OR COLLECTION NOTES WITH NATIONAL BANK. YOUR TAX INFORMATION WILL BE REPORTED ONCE TO THE IRS FOR EACH ACCOUNT 20XX SUBSTITUTE 1099-INT 74 Answer the following question based on the tax retum you prepared for Leslie Maxwell Select the total income: GA) $43,267 B) $42,614 GC) $43,252 D) $43,108 SQLA-4 Copyright 2021. The Income Tax School Inc. - All Rights Reserved 8 Answer the following question based on the tax return you prepared for Leslie Maxwell Select the Adjusted Gross Income (AGI): A) $43,267 B) $42,614 C) $43,108 D) $43,252 9 Answer the following question based on the tax return you prepared for Leslie Maxwell Select the standard deduction amount: CA) $18,650 DB) $24.800 CC) $12,400 D) $26.100 10 Answer the following question based on the tax return you prepared for Leslie Maxwell Select the taxable income: A) $24.617 CB) $30,867 EC) $18.467 D) $28,250 10. Answer the following question based on the tax return you prepared for Leslie Maxwell. Select the taxable income: C A) $24,617 CB) $30,867 C) $18.467 CD) $28,250 11. Answer the following question based on the tax retum you prepared for Leslie Maxwell. Select the tax from the Tax Tables: A) $3,423 B) $3,508 GC) $2.758 CD) $3,190 12 Answer the following question based on the tax retum you prepared for Leslie Maxwell Select the total payments: CA) $6,992 EB) $ 0 EC) $6,498 D) $4.472 Copynght 2021, The Income Tax School Inc. All Rights Reserved SOLA 4.12 13 Answer the following question based on the tax return you prepared for Leslie Maxwell Select the refund DA) $ 984 FB) $3.484 C) $2,990 ED) $4,472