Alex Montgomery is single and lives at 3344 Bayview Drive, Richmond Hill, GA 31324. His SSN is 412-34-5670. He recently graduated from the Savannah College of Art and Design and works as a video game developer. His Form W-2 contained the following information Wages (box 1) = $61,011.30 Federal W/H (box 2) = $ 6,866.10 Social security wages (box 3) = $61,011.30 Social security W/H (box 4) = $ 3,782.70 Medicare wages (box 5) = $61,011.30 Medicare W/H (box 6) = $ 884.66 Required: Alex had qualifying health care coverage at all times during the year. Prepare a Form 1040 for Alex. (Input all the values as positive numbers. Round your final answers to the nearest whole dollar amount.) Use the appropriate Tax Tables. X Answer is not complete. 1040 for a single taxpayer with no dependents. 1040 PG 1 1040 PG 2 Page 1 of Form 1040. Use provided information and follow instructions on form. Form Department of the Treasury-Internal Revenue Service (99) 2019 OMB No 1545-0074 IRS Use Only-Do not write or staple in this space. 1040 U.S. Individual Income Tax Return Filing Status Single Married filing jointly Married filing separately (MFS) | Head of household (HOH) Qualifying widow(er) (QW) Check only If you checked the MFS box, enter the name of spouse. If you checked the HOH or QW box, enter the child's name if the qualifying person is one box a child but not your dependent. Your first name and middle initial Last name Your social security number (Enter as XXX-XX-XXXX) Alex Montgomery 412-34-5670 If joint return, spouse's first name and middle initial Last name Your social security number (Enter as XXX-XX-XXXX) (-- Home address number and street). If you have a P.O. box, see instructions. Apt. no. Presidential Election Campaign 3344 Bayview Drive City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Richmond Hill, GA 31324 Foreign country name Foreign province/state/county Foreign postal code Check here if you, or your spouse if filing jointly, want 53 to go to this fund. Checking a box below will not change your tax or refund. You Spouse If more than four dependents, see instructions and here Someone can You as a dependent Your spouse as a dependent Standard claim: Deduction Spouse itemizes on a separate return or you were a dual-status alien Age/Blindness You: Were born before January 2, 1955 2, Are blind Spouse: Was born before January 2, 1955 is blind Dependents (see instructions): (2) Social security number (3) Relationship to you 3 (4) Vif qualifies for (see instructions): (1) First name Last name (Enter as xxX-XX-XXXX) ) Child tax credit Credit for other dependents DODO 1 61,011 1 Wages, salaries, tips, etc. Attach Form(s) W-2 2a Tax-exempt interest 2a 2b 3a Qualified dividends 3a b Taxable interest. Attach Sch. B if required b Ordinary dividends. Attach Sch. B if required b b Taxable amount 3b 4a IRA distributions 4a 4b 4c d Taxable amount 4d c Pensions and annuities 5a Social security benefits 5a b b Taxable amount 5b 6 7 Standard Deduction for - Single or Married filing separately, $12.200 Married filing jointly or Qualifying widow(er) $24.400 Head of household $18.350 . If you checked any box under Standard Deduction, see instructions 6 Capital gain or loss). Attach Schedule D if required. If not required, check here Ta Other income from Schedule 1, line 9 , 9 b Add lines 1, 2, 3, 4, 40, 5b, 6, and 7a. This is your total income 8a Adjustments to income from Schedule 1, line 22 b Subtract line 8a from line 7b. This is your adjusted gross income 7b 61,011 8a 8b 61,011 9 Standard deduction or itemized deductions (from Schedule A) 9 12.200 10 Qualified business income deduction. Attach Form 8995 or Form 8995-A 10 11a Add lines 9 and 10 11a 12.200 b Taxable income. Subtract line 11a from line 8b 11b 48.811 Cat. No. For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. 11320B Form 1040 (2019) THIS FORM IS A SIMULATION OF AN OFFICIAL U.S. TAX FORM. IT IS NOT THE OFFICIAL FORM ITSELF. DO NOT USE THIS FORM FOR TAX FILINGS OR FOR ANY PURPOSE OTHER THAN EDUCATIONAL. 2020 McGraw-Hill Education. 1040 PG 1040 PG 2 > Form 1040 (2019) Alex Montgomery Page 2 412-34- 5670 O (1) 8814 (2) 4972 (3) 12a Tax (see inst.) Check if any from Form(s): 12a b Add Schedule 2, line 3. and line 12a and enter the total 12b 13a A 13b 14 6,721 % 13a Child tax credit or credit for other dependents b Add Schedule 3, line 7, and line 13a and enter the total 14 Subtract line 13b from line 12b. If zero or less, enter-O- . - 15 Other taxes, including self-employment tax, from Schedule 2 line 10 16 Add lines 14 and 15. This is your total tax 17 Federal income tax withheld from Forms W-2 and 1099 15 16 6,721 6,866 17 18 Other payments and refundable credits: . 18a If you have a qualifying child attach Sch. EIC If you have nontaxable combat pay, see instructions 18b a Earned income credit (EIC) b Additional child tax credit. Attach Schedule 8812 b . c American opportunity credit from Form 8863, line 8 d Schedule 3. line 14 18c 18d 18e e Add lines 18a through 18d. These are your total other payments and refundable credits 19 Add lines 17 and 18e. These are your total payments . 20 If line 19 is more than line 16, subtract line 16 from line 19. This is the amount you overpaid 19 0 6,866 144 20 Refund 21a Checking Savings Direct deposit? See instructions. 21a Amount of line 20 you want refunded to you. If Form 8888 is attached, check here Routing number c Type: d Account number d 22 Amount of line 20 you want applied to your 2020 estimated tax 23 Amount you owe. Subtract line 19 from line 16. For details on how to pay, see instructions 24 Estimated tax penalty (see instructions) 22 23 24 Amount You Owe Third Party Designee Do you want to allow another person (other than your paid preparer) to discuss this return with the IRS? See instructions. Yes. Complete below No Personal identification (Other than paid preparer) Designee's name Phone no. number (PIN) Sign Here Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge Your signature Date If the IRS sent you an Identity Your occupation Protection PIN, enter it here (see inst.) Snorca'. cinnatura If a inint return hath met cinn Inata If the IRS sent your spouse an Joint return? See instructions Keep a copy for CHIE=> arrination