Assume the taxpayer does NOT wish to contribute to the Presidential Election Fund, unless otherwise stated in the problem. In addition, the taxpayers did NOT receive, sell, send, exchange, or otherwise acquire any financial interest in any virtual currency during the year. Keisha Sanders, a divorced single taxpayer and practicing attorney, lives at 9551 Oak Lane in Boise, ID 83709. Her social security number is 412-34-5670 (date of birth 2/27/1977). Her W-2 contained the following information: Wages (box 1) = Federal W/H (box 2) = Social security wages (box 3) Social security W/H (box 4) = Medicare wages (box 5) Medicare W/H (box 6) = = In addition, Keisha made alimony payments totaling $10,800 for the year to her former husband Alex, an unemployed mine worker, whose social security number is 412-34-5671. This was in regards to a divorce decree that was completed prior to November 2017 and had not been amended post 2018. She also received a 1099 INT from Idaho State Credit Union in the amount of $254.85. Keisha also has the following information for her Schedule A itemized deductions: $ 84,601.55 $ 8,898.38 $ 84,601.55 $ 5,245.30 $ 84,601.55 $ 1,226.72 Interest expense Home mortgage (qualified residence interest) MasterCard (used exclusively for personal expenses and purchases) Car loan (personal use) Student loan interest Taxes paid State income tax withheld State income tax deficiency (for 2020) Real estate property taxes-principal residence Personal property taxes-car Registration fee-car Medical expenses Doctors' fees Prescription drugs Vitamins and over-the-counter drugs Dental implant to correct a bite problem Health club fee $ 8,100 675 710 1,750 2,950 350 1,700 75 125 635 260 250 1,600 400 (all required documentation is maintained) Cash: Mosque (made ratably throughout the year and no single contribution was greater than $250) United Way PBS annual campaign Property: Greater Boise Goodwill-used clothing and household items Date of donation November 15, 2021 Thrift shop value at date of donation Actual purchase price of the items 1040 for a single taxpayer with no dependents. Required: Prepare a Form 1040 with a Schedule 1, a Schedule A, and a Form 8283 for Keisha using any other appropriate worksheets. If manually preparing the return, the Student Loan Interest Deduction worksheet can be found in IRS Publication 970, Tax Benefits for Education. Use the appropriate Tax Tables. Note: Input all the values as positive numbers. Round your final answers to the nearest whole dollar amount. Instructions can be ound on certain cells within the forms. Do not skip rows, while entering Part I of Form 8283. 1040 PG 1 1040 PG 2 Form 1040 Schedule 1 PG Schedule 1 PG 1 2 Filing Status Check only one box. Your first name and middle initial Schedule A Keisha If inint return spouse's first name and middle initial Page 1 of Form 1040. Use provided information and follow instructions on form. Department of the Treasury-Internal Revenue Service (99) U.S. Individual Income Tax Return Married filing jointly 3,100 100 200 Form 8283 SLI Worksheet 2021 550 1,300 Last name X Answer is not complete. Sanders Single Married filing separately (MFS) Head of household (HOH) If you checked the MFS box, enter the name of your spouse. If you checked the HOH or QW box, enter the child's name if the qualifying person is a child but not your dependent. Last name OMB No. 1545-0074 IRS Use Only-Do not write or staple in this space. Qualifying widow(er) (QW) Your social security number (Enter as xxx-XX-XXXX) 412-34-5670 Spouse's social security number At any time during 2021, did you receive, sell, send, exchange, or otherwise acquire any financial interest in any virtual currency? Someone can claim: You as a dependent Standard Deduction Age/Blindness Dependents If more than four dependents, see instructions and check here Attach Schedule B if required. Standard Deduction for- Single or Married filing separately, $12,550 Married filing jointly or Qualifying widow(er) $25,100 Head of household, $18,800 If you checked any box under Standard Deduction, see instructions. Spouse itemizes on a separate return or you were a dual-status alien Were born before January 2, 1957 You: (see instructions): (1) First name Last name 1 Wages, salaries, tips, etc. Attach Form(s) W-2 2a Tax-exempt interest 3a Qualified dividends 4a IRA distributions (2) Social security number 2a 3a (Enter as xxx-XX-XXXX) 4a 5a Pensions and annuities 6a Social security benefits 7 Capital gain or (loss). Attach Schedule D if required. If not required, check here 8 Other income from Schedule 1, line 10 Your spouse as a dependent 5a 6a Are blind Spouse: 9 Add lines 1, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income 10 Adjustments to income from Schedule 1, line 26 11 Subtract line 10 from line 9. This is your adjusted gross income 12a Standard deduction or itemized deductions (from Schedule A) b Charitable contributions if you take the standard deduction (see instructions) c Add lines 12a and 12b 13 Qualified business income deduction from Form 8995 or Form 8995-A 14 Add lines 12c and 13 15 Taxable income. Subtract line 14 from line 11. If zero or less, enter -0- (3) Relationship to you b Taxable interest b Ordinary dividends b Taxable amount b Taxable amount b Taxable amount 12a Was born before January 2, 1957 12b Yes On No Child tax credit (4) if qualifies for (see instructions): 1 2b 3b 4b 5b 6b 7 8 9 10 11 12c 13 No 14 15 Is blind Credit for other dependents 84,602 255 84,857 12,077 72,780 0 16,900 16,900 55,880 X 1040 1040 PG 1 Form 1040 (2021) 1040 PG 2 If you have a qualifying child, attach Schedule EIC. Schedule 1 PG Schedule 1 PG 1 2 Page 2 of Form 1040. Some information does not carry over from Page 1. Use provided information and follow instructions on form. 412-34- 5670 (1) 8814 (2) 4972 Schedule A Keisha Sanders 16 Tax (see instructions). Check if any from Form(s): 17 Amount from Schedule 2, line 3 18 Add lines 16 and 17 Form 8283 SLI Worksheet 19 Nonrefundable child tax credit or credit for other dependents from Schedule 8812 20 Amount from Schedule 3, line 8 21 Add lines 19 and 20 22 Subtract line 21 from line 18. If zero or less, enter -0- 23 Other taxes, including self-employment tax, from Schedule 2, line 21 24 Add lines 22 and 23. This is your total tax 25 Federal income tax withheld from: a Form(s) W-2 b Form(s) 1099 c Other forms (see instructions) d Add lines 25a through 25c 26 2021 estimated tax payments and amount applied from 2020 return 27a Earned income credit (EIC) Check here if you had not reached the age of 19 by December 31, 2021, and satisfy all other requirements for claiming the EIC. See instructions b Nontaxable combat pay election c Prior year (2019) earned income 28 Refundable child tax credit or additional child tax credit from Schedule 8812 29 American opportunity credit from Form 8863, line 8 30 Recovery rebate credit. See instructions (3) 27b 27c 25a 25b 25c 27a 28 29 30 8,989 X 16 17 18 19 20 21 22 23 24 25d 26 Page 2 8,083 x 8,083 0 0 8,989 Refund Direct deposit? See instructions. Amount You Owe Third Party Designee Sign Here Joint return? See instructions. Keep a copy for your records. 30 Recovery rebate credit. See instructions 31 Amount from Schedule 3, line 15 32 Add lines 27a and 28 through 31. These are your total other payments and refundable credits 33 Add lines 25d, 26, and 32. These are your total payments 34 If line 33 is more than line 24, subtract line 24 from line 33. This is the amount you overpaid 35a Amount of line 34 you want refunded to you. If Form 8888 is attached, check here b Routing number c Type: d Account number 36 Amount of line 34 you want applied to your 2022 estimated tax 37 Amount you owe. Subtract line 33 from line 24. For details on how to pay, see instructions 38 Estimated tax penalty (see instructions) Do you want to allow another person to discuss this return with the IRS? See instructions Designee's name Phone no. Spouse's signature. If a joint return, both must sign. Date Checking Date 30 31 Spouse's occupation 36 38 Savings Personal identification number (PIN) 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 Your occupation 32 33 34 35a 37 If the IRS sent you an Identity Protection PIN, enter it here (see inst.) 0 8,989 Yes. Complete below. No If the IRS sent your spouse an Identity Protection PIN, enter it here (See inst) 1040 PG 1 1040 PG 2 Schedule 1 Page 1. SCHEDULE 1 Form 1040) Department of the Treasury Internal Revenue Service Schedule 1 PG Schedule 1 PG 1 2 Name(s) shown on Form 1040, 1040-SR, or 1040-NR Keisha Sanders Part I Other income: Schedule A Form 8283 SLI Worksheet Additional Income and Adjustments to Income Attach to Form 1040, 1040-SR, or 1040-NR. Go to www.irs.gov/Form1040 for instructions and the latest information. Additional Income 1 Taxable refunds, credits, or offsets of state and local income taxes 2a Alimony received b Date of original divorce or separation agreement (see instructions) 3 Business income or (loss). Attach Schedule C 4 Other gains or (losses). Attach Form 4797 5 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E 6 Farm income or (loss). Attach Schedule F 7 Unemployment compensation 8 OMB No. 1545-0074 Attachment Sequence No. 01 1 2a 2021 Your social security number 412-34-5670 3 4 5 6 7 6 Farm income or (loss). Attach Schedule F 7 Unemployment compensation 8 Other income: a Net operating loss b Gambling income c Cancellation of debt d Foreign earned income exclusion from Form 2555 e Taxable Health Savings Account distribution f Alaska Permanent Fund dividends g Jury duty pay h Prizes and awards i Activity not engaged in for profit income j Stock options k Income from the rental of personal property if you engaged in the rental for profit but were not in the business of renting such property I Olympic and Paralympic medals and USOC prize money (see instructions) m Section 951(a) inclusion (see instructions) n Section 951A(a) inclusion (see instructions) o Section 461(1) excess business loss adjustment p Taxable distributions from an ABLE account (see instructions) z Other income. List type and amount 9 10 Total other income. Add lines 8a through 8z Combine lines 1 through 7 and 9. Enter here and on Form 1040, 1040-SR, or 1040-NR, line 8 or Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 71479F 8a 8b 8c 8d 8e 8f 8g 8h 8i 8j 8k 81 8m 8n 80 8p 8z 7 9 0 Schedule 1 (Form 1040) 2021 10 Schedule 1 Page 2. Schedule 1 (Form 1040) 2021 Part II Adjustments to Income 11 Educator expenses 12 Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 13 Health savings account deduction. Attach Form 8889 14 Moving expenses for members of the Armed Forces. Attach Form 3903 15 Deductible part of self-employment tax. Attach Schedule SE 16 Self-employed SEP, SIMPLE, and qualified plans 17 Self-employed health insurance deduction 18 Penalty on early withdrawal of savings 19a Alimony paid b Recipient's SSN (Enter as xxx-xx-XXXX) C Date of original divorce or separation agreement (see instructions) 20 IRA deduction 21 Student loan interest deduction 22 Reserved for future use 23 Archer MSA deduction 24 Other adjustments: a Jury duty pay (see instructions) b Deductible expenses related to income reported on line 8k from the rental of personal property engaged in for profit c Nontaxable amount of the value of Olympic and Paralympic medals and USOC prize money reported on line 81 d Reforestation amortization and expenses e Repayment of supplemental unemployment benefits under the Trade Act of 1974 f Contributions to section 501(c)(18)(D) pension plans g Contributions by certain chaplains to section 403(b) plans 24a 24b 24c 24d 24e 24f 24g 11 12 13 14 15 16 17 18 19a 20 21 22 23 e Repayment of supplemental unemployment benefits under the Trade Act of 1974 f Contributions to section 501(c)(18)(D) pension plans g Contributions by certain chaplains to section 403(b) plans h Attorney fees and court costs for actions involving certain unlawful discrimination claims (see instructions) i Attorney fees and court costs you paid in connection with an award from the IRS for information you provided that helped the IRS detect tax law violations j Housing deduction from Form 2555 k Excess deductions of section 67(e) expenses from Schedule K-1 (Form 1041) z Other adjustments. List type and amount 24e 24f 6 24g 24h 24i 24j 24k 24z 25 Total other adjustments. Add lines 24a through 24z 26 Add lines 11 through 23 and 25. These are your adjustments to income. Enter here and on Form 1040 or 1040-SR, line 10, or Form 1040-NR, line 10a 25 26 Or 0 101010004 SCHEDULE A (Form 1040) Department of the Treasury Internal Revenue Service (99) Name(s) shown on Form 1040 or 1040-SR Sanders Keisha Medical and Dental Expenses Interest You Paid Caution: Your mortgage interest deduction may be limited (see instructions). 2 Enter amount from Form 1040 or 1040-SR, line 11 Taxes You 5 State and local taxes. Paid Caution: Do not include expenses reimbursed or paid by others. 1 Medical and dental expenses (see instructions) Itemized Deductions Go to www.irs.gov/ScheduleA for instructions and the latest information. Attach to Form 1040 or 1040-SR. Caution: If you are claiming a net qualified disaster loss on Form 4684, see the instructions for line 16. 2 3 Multiply line 2 by 7.5% (0.075) Subtract line 3 from line 1. If line 3 is more than line 1, enter -0- State and local income taxes or general sales taxes. You may include either income taxes or general sales taxes on line 5a, but not both. If you elect to include general sales taxes instead of income taxes, check this box b State and local real estate taxes (see instructions) c State and local personal property taxes d Add lines 5a through 5c e Enter the smaller of line 5d or $10,000 ($5,000 if married filing separately) 6 Other taxes. List type and amount 7 Add lines 5e and 6 8 Home mortgage interest and points. If you didn't use all of your home mortgage loan(s) to buy, build, or improve your home, see instructions and check this box a Home mortgage interest and points reported to you on Form 1098. See instructions if limited b Home mortgage interest not reported to you on Form 1098. See instructions if limited. If paid to the person from whom you bought the home, see instructions and show that person's name, identifying no., and address 1 3 5a 5b 5c 5d 5e 6 8a 8b 0 4 7 OMB No. 1545-0074 2021 Attachment Sequence No. 07 Your social security number 412-34-5670 0 0 Ch deduction may be limited (see instructions). Gifts to Charity Caution: If you made a gift and got a benefit for it, see instructions. Casualty and Theft Losses Other Itemized Deductions Total Itemized Deductions home, see instructions and show that person's name, identifying no., and address c Points not reported to you on Form 1098. See instructions for special rules d Mortgage insurance premiums (see instructions) e Add lines 8a through 8d 9 Investment interest. Attach Form 4952 if required. See instructions 10 Add lines 8e and 9 11 Gifts by cash or check. If you made any gift of $250 or more, see instructions 12 Other than by cash or check. If you made any gift of $250 or more, see instructions. You must attach Form 8283 if over $500 13 Carryover from prior year 14 Add lines 11 through 13 8b 8c 8d 8e 9 11 12 13 15 Casualty and theft loss(es) from a federally declared disaster (other than net qualified disaster losses). Attach Form 4684 and enter the amount from line 18 of that form. See instructions 16 Other-from list in instructions. List type and amount 17 Add the amounts in the far right column for lines 4 through 16. Also, enter this amount on Form 1040 or 1040-SR, line 12a 18 If you elect to itemize deductions even though they are less than your standard deduction, check this box 0 10 14 15 16 17 Cat. No. 17145C For Paperwork Reduction Act Notice, see the Instructions for Forms 1040 and 1040-SR. 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. 2022 McGraw-Hill Education. 0 0 0 Schedule A (Form 1040) 2021 1040 PG 1 Form 8283. Part I 1 A B D Form (Rev. December 2021) Department of the Treasury Internal Revenue Service Name(s) shown on your income tax return Keisha Sanders Note: Figure the amount of your contribution deduction before completing this form. See your tax return instructions. Section A. Donated Property of $5,000 or Less and Publicly Traded Securities- List in this section only an item (or a group of similar items) for which you claimed a deduction of $5,000 or less. Also list publicly traded securities and certain other property even if the deduction is more than $5,000. See instructions. Information on Donated Property-If you need more space, attach a statement. E 1040 PG 2 A B D E 8283 Part II 2 1 (a) Name and address of the donee organization 2 (e) Date acquired by donor (mo., yr.) Scneaule A Form 8283 ||SLI worksneet Noncash Charitable Contributions Attach one or more Forms 8283 to your tax return if you claimed a total deduction of over $500 for all contributed property. Go to www.irs.gov/Form8283 for instructions and the latest information. Information on Donated Property Check the box that describes the type of property donated Note: If the amount you claimed as a deduction for an item is $500 or less, you do not have to complete columns (e), (f), and (g). (d) Date of the contribution (f) How acquired by donor (g) Donor's cost or adjusted basis (mm/dd/yy) (b) If donated property is a vehicle (see instructions), check the box. Also enter the vehicle identification number (unless Form 1098-C is attached). I P OMB No. 1545-0908 (h) Fair market value (see instructions) Attachment Sequence No 155 Identifying number (Enter as xxx-xx-xxxx) 412-34-5670 (c) Description and condition of donated property (For a vehicle, enter the year, make, model, and mileage. For securities and other property, see instructions.) (i) Method used to determine the fair market value Part II Information on Donated Property 2 Check the box that describes the type of property donated. Art* (contribution of $20,000 or more) Qualified Conservation Contribution Equipment Note: 3 A B C AVE B C a b Other Real Estate Securities Collectibles** Art* (contribution of less than $20,000) Intellectual Property * Art includes paintings, sculptures, watercolors, prints, drawings, ceramics, antiques, decorative arts, textiles, carpets, silver, rare manuscripts, historical memorabilia, and other similar objects. ** Collectibles include coins, stamps, books, gems, jewelry, sports memorabilia, dolls, etc., but not art as defined above. In certain cases, you must attach a qualified appraisal of the property. See instructions. d (d) Date acquired by donor (month, year) e f g h For Paperwork Reduction Act Notice, see separate instructions. (e) How acquired by donor g (a) Description of donated property (if you need more space, (b) If any tangible personal property or real property was donated, give a brief summary of the overall attach a separate statement) physical condition of the property at the time of the gift. (f) Donor's cost or adjusted basis h i 000 Vehicles Clothing and household items Other (g) For bargain sales, enter amount received and attach a separate statement. (c) Appraised fairmarket value (h) Amount claimed as a deduction (see instructions) (i) Date of contribution (see instructions) Cat. No. 62299J Form 8283 (Rev. 12-2021) 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 2022 McGraw-Hill Education 1040 PG 1 1040 PG 2 Schedule 1 PG Schedule 1 PG 1 2 Student Loan Interest Deduction Worksheet. Schedule A Student Loan Interest Deduction Worksheet-Schedule 1, Line 20 Before you begin: Form 8283 SLI Worksheet Keep for Your Records Figure any write-in adjustments to be entered on the dotted line next to Schedule 1, line 22 (see the instructions for Schedule 1, line 22). Be sure you have read the Exception in the instructions for this line to see if you can use this worksheet instead of Pub. 970 to figure your deduction. No. Skip lines 6 and 7, enter -0- on line 8, and go to line 9. Yes. Subtract line 5 from line 4 1 Enter the total interest you paid in 2021 on qualified student loans (see the instructions for line 21). Don't enter more than $2,500 2 Enter the amount from Form 1040 or 1040-SR, line 9 3 Enter the total of amounts from Schedule 1, line 11 through 20, and 23 and 25 4 Subtract line 3 from line 2 5 Enter the amount shown below for your filing status. Single, head of household, or qualifying widow(er)-$70,000 Married filing jointly-$140,000 6 Is the amount on line 4 more than the amount on line 5? 8 Multiply line 1 by line 7 9 Student loan interest deduction. Subtract line 8 from line 1. Enter the result here and on Schedule 1, line 21. 2 3 4 6 7 Divide line 6 by $15,000 ($30,000 if married filing jointly). Enter the result as a decimal (rounded to at least three places). If the result is 1.000 or more, enter 1.000 Don't include this amount in figuring any other deduction on your return (such as on Schedule A, C, E, etc.) 5 0 THIS FORMIS A SIMULATION OF AN OFFICIAL ILS TAY FORM IT IS NOT THE OFFICIAL FORM ITSELE DO NOT USE THIS FORM FOR 1 7 8 9 11 0 0