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. . Comp problem 1 Insurance 700.00 1.330.00 Meals and entertainment Miscellaneous Payroll Taxes 0.00 3.840.00 Professional Fees 1.700.00 8,400.00 Rent Travel 1,231.00 1.254.00 utilities

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. . Comp problem 1 Insurance 700.00 1.330.00 Meals and entertainment Miscellaneous Payroll Taxes 0.00 3.840.00 Professional Fees 1.700.00 8,400.00 Rent Travel 1,231.00 1.254.00 utilities Velide Express Wages 0.00 25.113.00 Total Expenses 55,650,00 Nel Operating Income $25,201.00 Detail of the Arc's meals and entertainment: $400 60 Meals associated with business travel Overtime meals for employees Sports tickets for entertaining large customers 078 $1,338 Travel costs are business related and do not include meals. Noah and loan paid the following amounts during the year (all by check): Political contributions $250 Church donations (for which a written adunowledgment was received) 5,025 Real estate taxes on their home 2,375 Medical co-pays for doctor visits 700 Mortgage interest for purchase of home (SAR Farm 1098) Tax return preparation fees 350 Credit card interest 220 Automobile insurance premium 500 Uniforms for Joan 125 Contribution to Noah's individual retirement account (made on 0,000 April 1, 2020) Noah has a long-term capital loss carryover from last year of $2,400. 3. Ncah and Ican own a condo and use it as a rental property. The condo is located at 15 Oakwood Ave, Unit A, Dayton, OH 4540,9. Noah provides he management services for the rental induding selection of terents, maintenance, repairs, rent collection, and other services as needed. On berage, Noah spends about 2 hours per week on the mental activity. It was rented for 305 days. The revenue and expenses for the year areas follows: Rental income $13.800 Insurance 575 Interest expense Property taxes Miscellaneous expenses 6,870 1,016 700 the home was acquired for $85,000 in 2003. No improvements have been made to the property The Arcs paid Ohio general sales tax of $970 during the year Required: You are to prepare the Are's federal income tax return in good form. You are not to complete an Chlo state income tax retum. The following forms and schedules are required and may be found in parts 1, 2, 3 Part 1 Part 2 Form 1040 Schedule Part 3 Form 2441 (Only page 1 is required) Schedule Schedule 1 Schedule 2 Form 4562 Schedule D Schedule SE Only Da 1 is required) Form 3949 Qualified Dividends and Capital Gain Tac Worksheet Schedule 3 Schedule 8812 Schedule For 1995 Schedule B Child Tax Credit Worksheet Additional instructions . Click here to access the tax table to use for this problem. Neither luxpayer wants to make a contribution to the presidential election campaign. The taxpayers elect to use the foreign tax credit in lieu of the deduction Enter all amounts as positive numbers, except for a "loss. If required, enter a "loss" as a negative number on the tax form. . If an amount box does not require an entry or the answer is zero, enter "o", If required, round your answers to the nearest dollar. On Schedule SE, use the rounded amounts in subsequent computations. Make realistic assumptions about any missing data that you may need. Check My Work Substitute 1099 Statement from Charlotte Squab Financial Services Charlotte Squab Financial Services 123 Wall Street New York, NY 10005 Joan and Noah Arc 1265 W. Riverview Avenue Dayton, OH 45402 SSN: 456-87-5432 Date Substitute 1099 Statement December 31, 2019 Dividends Box 11 Tax- Box la Ordinary Dividends Box 1b Qualified Dividends Box 2a Capital Gain Distribution Box 4 Federal Income Tax withheld Box 7 Foreign Tax Paid exempt Dividends Payor ExxonMobil 312.00 312.00 0.00 0.00 0.00 0.00 Texas Util. 1,188.00 1,188.00 0.00 0.00 0.00 0.00 CS Growth Fund 418.00 418.00 245.00 0.00 19.00 0.00 Stock Transactions Description Date Acq. Date Sold Proceeds Basis (reported to IRS) 100 shs. Blue Corp. 02/11/2009 08/15/2019 4,537.00 2,576.00 50 shs. Yellow Corp. 01/13/2019 06/05/2019 6,090.00 5,345.00 25 shs. Red Co. 10/02/2010 10/07/2019 12,212.00 1,655.00 Roundup Day Care Center Statement ROUNDUP DAY CARE CENTER 245 N. WILKINSON STREET DAYTON, OH 45402 January 12, 2020 Joan and Noah Arc 1265 W. Riverview Avenue Dayton, OH 45402 Dear Joan and Noah, Thank you for a great 2019 at Roundup! We appreciate your patronage during the year and hope to continue to provide excellent service for Mary Sue in 2020. We have provided the tax information for calendar year 2019 below. Please let us know if you need any additional information. Sincerely, Charles F. Burgundian Charles F. Burgundian Executive Director, Roundup Day Care EIN 54-0983456 Date of service Amount Paid Child January 1, 2019 - December 31, 2019 $3,000.00 Mary Sue Arc Complete Form 1040. Form Department of the Treasury-Internal Revenue Service (99) 1040 U.S. Individual Income Tax Return 2019 OMB No. 1545-0074 IRS Use Only Filing Status Your first name and middle initial Noah Last name Arc Your social security number 434-11-3311 If joint return, spouse's first name and middle initial Joan Last name Arc Spouse's social security number 456-87-5432 Apt. no. , Home address (number and street). If you have a P.O. box, see instructions. 1265 W. Riverview Ave. Presidential Election Campaign Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund. City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Dayton, OH 45402 Foreign country name Foreign province/state/county Foreign postal code If more than four dependents, see instructions and here Standard Deduction Someone can claim: You: Age/Blindness Spouse: (2) Social security number (3) Relationship to you (4) if qualifies for (see instructions): Dependents (see instructions): (1) First name ( Last name Child tax credit Credit for other dependents Billie Bob Arc 599-01-2345 Son Mary Sue Arc 554-33-2411 Daughter 1 2b 3b 1 Wages, salaries, tips, etc. Attach Form(s) W-2 b Taxable interest. Attach Sch. B 2a Tax-exempt Interest .. 2a if required b Ordinary dividends. Attach 3a Qualified dividends... Sch. B If required 4a IRA distributions ..... 4a b Taxable amount C Pensions and annuities 4c d Taxable amount 5a Social security benefits 5a b Taxable amount.. 6 Capital gain or (loss). Attach Schedule D if required. If not required, check here. 4b 4d 5h 6 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 7a Other income from Schedule 1, line 9 7a b Add lines 1, 2b, 36, 4b, 40, 5b, 6, and 7a. This is your total income 7b 8a Adjustments to Income from Schedule 1, line 22 8a b Subtract line sa from line 7b. This is your adjusted gross income 8b 9 9 Standard deduction or itemized deductions (from Schedule A) ....... Qualified business income deduction. Attach Form 8995 or Form 8995-A..... 10 10 Complete the Schedule 1 OMB No. 1545-0074 SCHEDULE 1 (Form 1040 or 1040-SR) Additional Income and Adjustments to Income 2019 Department of the Treasury Internal Revenue Service Attach to Form 1040 or 1040-SR. Go to www.irs.gov/ Form 1040 for instructions and the latest information. Attachment Sequence No. 01 Your social security number 434-11-3311 Name(s) shown on Form 1040 or 1040-SR Noah and Joan Arc Part I Additional Income 1 Taxable refunds, credits, or offsets of state and local income taxes 2a Alimony received 1 2a b Date of original divorce or separation agreement (see instructions) 3 Business income or loss). Attach Schedule C. 3 4 Other gains or losses). Attach Form 4797 4 5 5 6 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E. Farm income or loss). Attach Schedule F.. Unemployment compensation .... 6 7 7 8 Other income. List type and amount 8 9 10 9 Combine lines 1 through 8. Enter here and on Form 1040 or 1040-SR, line 7a. Part II Adjustments to Income 10 Educator expenses. Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 ..... Health savings account deduction. Attach Form 8889 Moving expenses for members of the Armed Forces. Attach Form 3903 11 11 12 12 13 13 14 14 Deductible part of self-employment tax. Attach Schedule SE 15 Self-employed SEP, SIMPLE, and qualified plans 16 Self-employed health insurance deduction 15 16 17 Penalty on early withdrawal of savings. 17 18a 18a Alimony paid.. b Recipient's SSN c Date of original divorce or separation agreement (see instructions) 19 IRA deduction. 19 20 Student loan interest deduction 20 21 Reserved for future use... 21 22 Add lines 10 through 21. These are your adjustments to income. Enter here and on Form 1040 or 1040-SR, line 8a.... 22 For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 71479F Schedule 1 (Form 1040 or 1040-SR) 2019 Complete the Arc's Schedule 2. OMB No. 1545-0074 SCHEDULE 2 (Form 1040 or 1040-SR) Additional Taxes 2019 Department of the Treasury Internal Revenue Service Attach to Form 1040 or 1040-SR. Go to www.irs.gov/Form 1040 for instructions and the latest information. Attachment Sequence No. 02 Name(s) shown on Form 1040 or 1040-SR Noah and Joan Arc Your social security number 434-11-3311 Part I 1 Alternative minimum tax. Attach Form 6251 ... 1 2 Excess advance premium tax credit repayment. Attach Form 8962 2 3 Add lines 1 and 2. Enter here and include on Form 1040 or 1040-SR, line 12b. 3 Part II Other Taxes 4 Self-employment tax. Attach Schedule SE 4 5 5 6 Unreported social security and Medicare tax from Form: a 4137 b o 8919 Additional tax on IRAs, other qualified retirement plans, and other tax-favored accounts. Attach Form 5329 if required ... Household employment taxes. Attach Schedule H. 6 7 a 7a b 7b Repayment of first-time homebuyer credit from Form 5405. Attach Form 5405 if required Taxes from: a Form 8959 b o Form 8960 Instructions; enter code(s) 8 8 9 Section 965 net tax liability installment from Form 965-A... 9 10 Add lines 4 through 8. These are your total other taxes. Enter here and on Form 1040 or 1040-SR, line 15 10 For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 71478U Schedule 2 (Form 1040 or 1040-SR) 2019 Schedule Complete the Arc's Schedule 3. Additional Credits and Payments SCHEDULE 3 OMB No. 1545-0074 (Form 1040 or 1040-SR) 2019 Attachment Department of the Treasury Attach to Form 1040 or 1040-SR. Internal Revenue Service Go to www.irs.gov/Form 1040 for instructions and the latest information. Sequence No. 03 Name(s) shown on Form 1040 or 1040-SR Your social security number Noah and Joan Arc 434-11-3311 Part I Nonrefundable Credits 1 Foreign tax credit. Attach Form 1116 if required 1 2 Credit for child and dependent care expenses. Attach Form 2441 2 3 Education credits from Form 8863, line 19... 3 4 4 Retirement savings contributions credit. Attach Form 8880 5 Residential energy credit. Attach Form 5695 5 6 Other credits from Form: a 3800 b 8801 CO 6 7 7 Add lines 1 through 6. Enter here and include on Form 1040 or 1040-SR, line 13b... Part II Other Payments and Refundable Credits 8 9 10 8 2019 estimated tax payments and amount applied from 2018 return 9 Net premium tax credit. Attach Form 8962. 10 Amount paid with request for extension to file (see instructions) 11 Excess social security and tier 1 RRTA tax withheld . 12 Credit for federal tax on fuels. Attach Form 4136 13 Credits from Form: a 2439 bo Reserved CO 8885 do 11 12 13 14 Add lines 8 through 13. Enter here and on Form 1040 or 1040-SR, line 18d 14 For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 71480G Schedule 3 (Form 1040 or 1040-SR) 2019 Schedule A Complete Schedule A In order to determine whether the taxpayers will itemize their deductions or use the standard deduction SCHEDULE A OMB No. 1545-0074 Itemized Deductions (Form 1040 or 1040-SR) Go to www.irs.gov/ Schedulen for instructions and the latest information. 2019 Attach to Form 1040 or 1040-SR. Department of the Treasury Caution: If you are claiming a net qualified disaster loss on Form 4684, see the Attachment Internal Revenue Service (99) instructions for line 15 Sequence No. 07 Name(s) shown on Form 1040 or 1040-SR Your social security number Noah and Joan Arc 434-11-3311 Caution: Do not include expenses reimbursed or paid by others. Medical 1 Medical and dental expenses (see instructions) ......... and Dental 2 Enter amount from Form 1040 or 1040- Expenses 2 SR, line 3 3 Multiply line 2 by 10% (0.10). 3 4 Subtract line 3 from line 1. If line 3 is more than line 1, enter-O-................ Taxes You 5 State and local taxes. Paid a 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..... 5a b b State and local real estate taxes (see Instructions) Sb c State and local personal property taxes 50 d Add lines sa through 5c ........... sd e Enter the smaller of line 5d or $10,000 ($5,000 if married filing separately)... 5e 6 Other taxes. List type and amount 6 6 7 Add lines Se and 6 ........ Interest You Paid 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 Home mortgage interest not reported to you on Form 1098. Ir paid to the person from whom you bought the home, see instructions and show that person's name, identifying no, and address Caution: Your mortgage interest deduction may be limited (see instructions) Ba ab Points not reported to you on Form 1098. See instructions for special rules........... Bc d Reserved 3d 9 e Add lines Ba through 8c..... Investment interest, Attach Form 4952 if required. See instructions 10 Add lines Be and 9.............. 11 Gifts by cash or check. If you made any gift of $250 or more, 10 Gifts to Charity see instructions ... 11 14 12 Other than by cash or check. If you made any gift of $250 or more, Caution: If you made a see instructions. You must attach Form 0203 it over $500 12 gift and got a 13 Carryaver from prior year......... 13 benefit for it, see Instructions. 14 Add lines 11 through 13 14 Add lines 11 through 13........... Casualty and 15 Casualty and theft loss(es) from a federally declared disaster (other than net qualified disaster Thelt Losses losses). Attach Form 4604 and enter the amount from line 18 of that form. See instructions Other 16 Other-from list in instructions. List type and amount Itemized Deductions 15 16 Total 17 Add the amounts in the far right column for lines 4 through 16. Also, enter this amount on Form 1040 or 1040-5R, line 9...... 17 Itemized 18 If you clect to itemize deductions even though they are less than your standard deduction, Deductions check this box................ For Paperwork Reduction Act Notice, see the Instructions Cat. No. 17145C Schedule A (Form 1040 or 1040-5R) 2019 for Forms 1040 and 1040-SR. Complete Schedule B. OMB No. 1545-0074 SCHEDULE B (Form 1040 or 1040-SR) Interest and Ordinary Dividends Department of the Treasury Internal Revenue Service (99) 2019 Go to www.irs.gov/Schedule for instructions and the latest information. Attachment Attach to Form 1040 or 1040-SR. - Sequence No. 08 Your social security number 434-11-3311 Name(s) shown on return Noah and Joan Arc Part 1 Amount 1 List name of payer. If any interest is from a seller-financed mortgage and the buyer used the property as a personal residence, see the instructions and list this interest first. Also, show that buyer's social security number and address Interest (See instructions and the instructions for Forms 1040 and 1040-SR, line 2b.) 1 Note: If you received a Form 1099-INT, Form 1099-OID, or substitute statement from a brokerage firm, list the firm's name as the payer and enter the total interest shown on that form. 2 3 2 Add the amounts on line 1. 3 Excludable interest on series EE and I U.S. savings bonds issued after 1989. Attach Form 8815... 4 Subtract line 3 from line 2. Enter the result here and on Form 1040 or 1040-SR line 2b.... Note: If line 4 is over $1,500, you must complete Part III. 5 List name of payer 4 Amount Part II Ordinary Dividends (See instructions and the instructions for Forms 1040 and 1040-SR, line 3b.) Note: If you 5 recelved a Form 1099-DIV or substitute statement from a brokerage firm, list the firm's name as the payer and enter the ordinary dividends shown on that form. 6 Add the amounts on line 5. Enter the total here and on Form 1040 or 1040-SR, - line 3b ....................... 6 Note: If line 6 is over $1,500, you must complete Part III. Part III You must complete this part if you (a) had over $1,500 of taxable interest or ordinary dividends; (b) had a foreign account; or (c) received a distribution from, or were a grantor of, or a transferorto, a foreign Yes No Foreign trust. Accounts 7a At any time during 2019, did you have a financial interest in or signature authority over a financial and Trusts account (such as a bank account, securities account, or brokerage account) located in a foreign country? See instructions .......................... Caution: 11 required, failure If "Yes," are you required to file FinCEN Form 114, Report of Foreign Bank and Financial Accounts to file FinCEN (FBAR), to report that financial interest or signature authority? See FinCEN Form 114 and its instructions for filing requirements and exceptions to those requirements ........... Form 114 may result in b If you are required to file FinCEN Form 114, enter the name of the foreign country where the substantial penalties. financial account is located See 8 During 2019, did you receive a distribution from, or were you the grantor of, or transferorto, a instructions foreign trust? If "Yes, you may have to file Form 3520. See instructions .... For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 17146N Schedule B (Form 1040 or 1040-SR) 2019 Comp problem 1 any box under Standard Deduction, see instructions. 9 9 Standard deduction or itemized deductions (from Schedule A) ............. Qualified business income deduction. Attach Form 1995 or Form 8995 A... 10 10 11a Add lines 9 and 10.... 11a b Taxable income. Subtract linella from line 8b. If zero or less, enter-O-......... 11b For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Cat. No. 11320B Form 1040 (2019) Form 1040 (2019) Noah & Joan Arc 434-11-3311 Page 2 12a Tax (see inst.) Check if any from Form(s): 1 8914 2 4972 30 12a b Add Schedule 2, line 3, and line 12a and enter the total..... 12b 13a Child tax credit or credit for other dependents .. 13a b Add Schedule 3, line 7, and line 13a and enter the total 13b 14 Subtract line 13b from line 12b. If zero or less, enter -|- . , --- 14 15 Other taxes, including self-employment tax, from Schedule 2, line 10 15 16 Add lines 14 and 15. This is your total tax 16 17 Federal income tax withheld from Forms W-2 and 1099 17 If you have a 18 Other payments and refundable credits: Qualifying child attach Sch. FIC a Carned income credit (EIC)... 18a . If you have b Additional child tax credit. Attach Schedule 8812 18b nontaxable combat pay, see c American apportunity credit from Farm 8863, line 8 18c instructions d Schedule 3, line 14................ 180 e Add lines 18a through 18d. These are your total other payments and refundable credits.. .......... 18e 19 Add lines 17 and 13e. These are your total payments 19 Refund 20 If line 19 is more than line 16, subtract line 15 from line 19. This is the amount you overpald.......................................... 20 21a Amount of line 20 you want refunded to you. If Form 8899 is attached, check here 21a Direct deposit b Routing number TIC Type: - Checking - Savings See instructions. d Account number 22 Amount of line 2D you want applied to your 2020 estimated tax..... 22 23 Amount Amount you owe. Subtract line 19 from line 16. For details on how to pay, see instructions ........... 23 You Owe 24 Estimated tax penalty (see instructions)................ 24 Third Party Do you want to allow another person (ather than your paid preparer) to discuss this return with Yes. Complete below. the IRS? See Instructions. Designee (Other than Designee's Phone Personal identification paid preparer) ) name - number (PIN) sign 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 Here taxpayer) is based on all information of which preparer has any knowledge Your signature Date Your occupation If the IRS sent you an Identity Joint return? Protection PIN, enter it here See Pet Store Owner (see inst.) instructions, Keep a copy for Spouse's signature. If a joint Date Spouse's occupation If the IRS sent your spouse an your records return, both must sign. Identity Protection PIN, enter it here Firefighter (see Inst.) Phone no. Preparer's name Email address Preparer's signature Paid Date PTIN Check if: 3rd Party Designee Self-employed Preparer Firm's name Phone no. Use Only Firm's address Go to www.irs.gov/Form1040 for instructions and the latest information. Firm's EIN Form 1040 (2019) . . Comp problem 1 Insurance 700.00 1.330.00 Meals and entertainment Miscellaneous Payroll Taxes 0.00 3.840.00 Professional Fees 1.700.00 8,400.00 Rent Travel 1,231.00 1.254.00 utilities Velide Express Wages 0.00 25.113.00 Total Expenses 55,650,00 Nel Operating Income $25,201.00 Detail of the Arc's meals and entertainment: $400 60 Meals associated with business travel Overtime meals for employees Sports tickets for entertaining large customers 078 $1,338 Travel costs are business related and do not include meals. Noah and loan paid the following amounts during the year (all by check): Political contributions $250 Church donations (for which a written adunowledgment was received) 5,025 Real estate taxes on their home 2,375 Medical co-pays for doctor visits 700 Mortgage interest for purchase of home (SAR Farm 1098) Tax return preparation fees 350 Credit card interest 220 Automobile insurance premium 500 Uniforms for Joan 125 Contribution to Noah's individual retirement account (made on 0,000 April 1, 2020) Noah has a long-term capital loss carryover from last year of $2,400. 3. Ncah and Ican own a condo and use it as a rental property. The condo is located at 15 Oakwood Ave, Unit A, Dayton, OH 4540,9. Noah provides he management services for the rental induding selection of terents, maintenance, repairs, rent collection, and other services as needed. On berage, Noah spends about 2 hours per week on the mental activity. It was rented for 305 days. The revenue and expenses for the year areas follows: Rental income $13.800 Insurance 575 Interest expense Property taxes Miscellaneous expenses 6,870 1,016 700 the home was acquired for $85,000 in 2003. No improvements have been made to the property The Arcs paid Ohio general sales tax of $970 during the year Required: You are to prepare the Are's federal income tax return in good form. You are not to complete an Chlo state income tax retum. The following forms and schedules are required and may be found in parts 1, 2, 3 Part 1 Part 2 Form 1040 Schedule Part 3 Form 2441 (Only page 1 is required) Schedule Schedule 1 Schedule 2 Form 4562 Schedule D Schedule SE Only Da 1 is required) Form 3949 Qualified Dividends and Capital Gain Tac Worksheet Schedule 3 Schedule 8812 Schedule For 1995 Schedule B Child Tax Credit Worksheet Additional instructions . Click here to access the tax table to use for this problem. Neither luxpayer wants to make a contribution to the presidential election campaign. The taxpayers elect to use the foreign tax credit in lieu of the deduction Enter all amounts as positive numbers, except for a "loss. If required, enter a "loss" as a negative number on the tax form. . If an amount box does not require an entry or the answer is zero, enter "o", If required, round your answers to the nearest dollar. On Schedule SE, use the rounded amounts in subsequent computations. Make realistic assumptions about any missing data that you may need. Check My Work Substitute 1099 Statement from Charlotte Squab Financial Services Charlotte Squab Financial Services 123 Wall Street New York, NY 10005 Joan and Noah Arc 1265 W. Riverview Avenue Dayton, OH 45402 SSN: 456-87-5432 Date Substitute 1099 Statement December 31, 2019 Dividends Box 11 Tax- Box la Ordinary Dividends Box 1b Qualified Dividends Box 2a Capital Gain Distribution Box 4 Federal Income Tax withheld Box 7 Foreign Tax Paid exempt Dividends Payor ExxonMobil 312.00 312.00 0.00 0.00 0.00 0.00 Texas Util. 1,188.00 1,188.00 0.00 0.00 0.00 0.00 CS Growth Fund 418.00 418.00 245.00 0.00 19.00 0.00 Stock Transactions Description Date Acq. Date Sold Proceeds Basis (reported to IRS) 100 shs. Blue Corp. 02/11/2009 08/15/2019 4,537.00 2,576.00 50 shs. Yellow Corp. 01/13/2019 06/05/2019 6,090.00 5,345.00 25 shs. Red Co. 10/02/2010 10/07/2019 12,212.00 1,655.00 Roundup Day Care Center Statement ROUNDUP DAY CARE CENTER 245 N. WILKINSON STREET DAYTON, OH 45402 January 12, 2020 Joan and Noah Arc 1265 W. Riverview Avenue Dayton, OH 45402 Dear Joan and Noah, Thank you for a great 2019 at Roundup! We appreciate your patronage during the year and hope to continue to provide excellent service for Mary Sue in 2020. We have provided the tax information for calendar year 2019 below. Please let us know if you need any additional information. Sincerely, Charles F. Burgundian Charles F. Burgundian Executive Director, Roundup Day Care EIN 54-0983456 Date of service Amount Paid Child January 1, 2019 - December 31, 2019 $3,000.00 Mary Sue Arc Complete Form 1040. Form Department of the Treasury-Internal Revenue Service (99) 1040 U.S. Individual Income Tax Return 2019 OMB No. 1545-0074 IRS Use Only Filing Status Your first name and middle initial Noah Last name Arc Your social security number 434-11-3311 If joint return, spouse's first name and middle initial Joan Last name Arc Spouse's social security number 456-87-5432 Apt. no. , Home address (number and street). If you have a P.O. box, see instructions. 1265 W. Riverview Ave. Presidential Election Campaign Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund. City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Dayton, OH 45402 Foreign country name Foreign province/state/county Foreign postal code If more than four dependents, see instructions and here Standard Deduction Someone can claim: You: Age/Blindness Spouse: (2) Social security number (3) Relationship to you (4) if qualifies for (see instructions): Dependents (see instructions): (1) First name ( Last name Child tax credit Credit for other dependents Billie Bob Arc 599-01-2345 Son Mary Sue Arc 554-33-2411 Daughter 1 2b 3b 1 Wages, salaries, tips, etc. Attach Form(s) W-2 b Taxable interest. Attach Sch. B 2a Tax-exempt Interest .. 2a if required b Ordinary dividends. Attach 3a Qualified dividends... Sch. B If required 4a IRA distributions ..... 4a b Taxable amount C Pensions and annuities 4c d Taxable amount 5a Social security benefits 5a b Taxable amount.. 6 Capital gain or (loss). Attach Schedule D if required. If not required, check here. 4b 4d 5h 6 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 7a Other income from Schedule 1, line 9 7a b Add lines 1, 2b, 36, 4b, 40, 5b, 6, and 7a. This is your total income 7b 8a Adjustments to Income from Schedule 1, line 22 8a b Subtract line sa from line 7b. This is your adjusted gross income 8b 9 9 Standard deduction or itemized deductions (from Schedule A) ....... Qualified business income deduction. Attach Form 8995 or Form 8995-A..... 10 10 Complete the Schedule 1 OMB No. 1545-0074 SCHEDULE 1 (Form 1040 or 1040-SR) Additional Income and Adjustments to Income 2019 Department of the Treasury Internal Revenue Service Attach to Form 1040 or 1040-SR. Go to www.irs.gov/ Form 1040 for instructions and the latest information. Attachment Sequence No. 01 Your social security number 434-11-3311 Name(s) shown on Form 1040 or 1040-SR Noah and Joan Arc Part I Additional Income 1 Taxable refunds, credits, or offsets of state and local income taxes 2a Alimony received 1 2a b Date of original divorce or separation agreement (see instructions) 3 Business income or loss). Attach Schedule C. 3 4 Other gains or losses). Attach Form 4797 4 5 5 6 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E. Farm income or loss). Attach Schedule F.. Unemployment compensation .... 6 7 7 8 Other income. List type and amount 8 9 10 9 Combine lines 1 through 8. Enter here and on Form 1040 or 1040-SR, line 7a. Part II Adjustments to Income 10 Educator expenses. Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 ..... Health savings account deduction. Attach Form 8889 Moving expenses for members of the Armed Forces. Attach Form 3903 11 11 12 12 13 13 14 14 Deductible part of self-employment tax. Attach Schedule SE 15 Self-employed SEP, SIMPLE, and qualified plans 16 Self-employed health insurance deduction 15 16 17 Penalty on early withdrawal of savings. 17 18a 18a Alimony paid.. b Recipient's SSN c Date of original divorce or separation agreement (see instructions) 19 IRA deduction. 19 20 Student loan interest deduction 20 21 Reserved for future use... 21 22 Add lines 10 through 21. These are your adjustments to income. Enter here and on Form 1040 or 1040-SR, line 8a.... 22 For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 71479F Schedule 1 (Form 1040 or 1040-SR) 2019 Complete the Arc's Schedule 2. OMB No. 1545-0074 SCHEDULE 2 (Form 1040 or 1040-SR) Additional Taxes 2019 Department of the Treasury Internal Revenue Service Attach to Form 1040 or 1040-SR. Go to www.irs.gov/Form 1040 for instructions and the latest information. Attachment Sequence No. 02 Name(s) shown on Form 1040 or 1040-SR Noah and Joan Arc Your social security number 434-11-3311 Part I 1 Alternative minimum tax. Attach Form 6251 ... 1 2 Excess advance premium tax credit repayment. Attach Form 8962 2 3 Add lines 1 and 2. Enter here and include on Form 1040 or 1040-SR, line 12b. 3 Part II Other Taxes 4 Self-employment tax. Attach Schedule SE 4 5 5 6 Unreported social security and Medicare tax from Form: a 4137 b o 8919 Additional tax on IRAs, other qualified retirement plans, and other tax-favored accounts. Attach Form 5329 if required ... Household employment taxes. Attach Schedule H. 6 7 a 7a b 7b Repayment of first-time homebuyer credit from Form 5405. Attach Form 5405 if required Taxes from: a Form 8959 b o Form 8960 Instructions; enter code(s) 8 8 9 Section 965 net tax liability installment from Form 965-A... 9 10 Add lines 4 through 8. These are your total other taxes. Enter here and on Form 1040 or 1040-SR, line 15 10 For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 71478U Schedule 2 (Form 1040 or 1040-SR) 2019 Schedule Complete the Arc's Schedule 3. Additional Credits and Payments SCHEDULE 3 OMB No. 1545-0074 (Form 1040 or 1040-SR) 2019 Attachment Department of the Treasury Attach to Form 1040 or 1040-SR. Internal Revenue Service Go to www.irs.gov/Form 1040 for instructions and the latest information. Sequence No. 03 Name(s) shown on Form 1040 or 1040-SR Your social security number Noah and Joan Arc 434-11-3311 Part I Nonrefundable Credits 1 Foreign tax credit. Attach Form 1116 if required 1 2 Credit for child and dependent care expenses. Attach Form 2441 2 3 Education credits from Form 8863, line 19... 3 4 4 Retirement savings contributions credit. Attach Form 8880 5 Residential energy credit. Attach Form 5695 5 6 Other credits from Form: a 3800 b 8801 CO 6 7 7 Add lines 1 through 6. Enter here and include on Form 1040 or 1040-SR, line 13b... Part II Other Payments and Refundable Credits 8 9 10 8 2019 estimated tax payments and amount applied from 2018 return 9 Net premium tax credit. Attach Form 8962. 10 Amount paid with request for extension to file (see instructions) 11 Excess social security and tier 1 RRTA tax withheld . 12 Credit for federal tax on fuels. Attach Form 4136 13 Credits from Form: a 2439 bo Reserved CO 8885 do 11 12 13 14 Add lines 8 through 13. Enter here and on Form 1040 or 1040-SR, line 18d 14 For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 71480G Schedule 3 (Form 1040 or 1040-SR) 2019 Schedule A Complete Schedule A In order to determine whether the taxpayers will itemize their deductions or use the standard deduction SCHEDULE A OMB No. 1545-0074 Itemized Deductions (Form 1040 or 1040-SR) Go to www.irs.gov/ Schedulen for instructions and the latest information. 2019 Attach to Form 1040 or 1040-SR. Department of the Treasury Caution: If you are claiming a net qualified disaster loss on Form 4684, see the Attachment Internal Revenue Service (99) instructions for line 15 Sequence No. 07 Name(s) shown on Form 1040 or 1040-SR Your social security number Noah and Joan Arc 434-11-3311 Caution: Do not include expenses reimbursed or paid by others. Medical 1 Medical and dental expenses (see instructions) ......... and Dental 2 Enter amount from Form 1040 or 1040- Expenses 2 SR, line 3 3 Multiply line 2 by 10% (0.10). 3 4 Subtract line 3 from line 1. If line 3 is more than line 1, enter-O-................ Taxes You 5 State and local taxes. Paid a 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..... 5a b b State and local real estate taxes (see Instructions) Sb c State and local personal property taxes 50 d Add lines sa through 5c ........... sd e Enter the smaller of line 5d or $10,000 ($5,000 if married filing separately)... 5e 6 Other taxes. List type and amount 6 6 7 Add lines Se and 6 ........ Interest You Paid 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 Home mortgage interest not reported to you on Form 1098. Ir paid to the person from whom you bought the home, see instructions and show that person's name, identifying no, and address Caution: Your mortgage interest deduction may be limited (see instructions) Ba ab Points not reported to you on Form 1098. See instructions for special rules........... Bc d Reserved 3d 9 e Add lines Ba through 8c..... Investment interest, Attach Form 4952 if required. See instructions 10 Add lines Be and 9.............. 11 Gifts by cash or check. If you made any gift of $250 or more, 10 Gifts to Charity see instructions ... 11 14 12 Other than by cash or check. If you made any gift of $250 or more, Caution: If you made a see instructions. You must attach Form 0203 it over $500 12 gift and got a 13 Carryaver from prior year......... 13 benefit for it, see Instructions. 14 Add lines 11 through 13 14 Add lines 11 through 13........... Casualty and 15 Casualty and theft loss(es) from a federally declared disaster (other than net qualified disaster Thelt Losses losses). Attach Form 4604 and enter the amount from line 18 of that form. See instructions Other 16 Other-from list in instructions. List type and amount Itemized Deductions 15 16 Total 17 Add the amounts in the far right column for lines 4 through 16. Also, enter this amount on Form 1040 or 1040-5R, line 9...... 17 Itemized 18 If you clect to itemize deductions even though they are less than your standard deduction, Deductions check this box................ For Paperwork Reduction Act Notice, see the Instructions Cat. No. 17145C Schedule A (Form 1040 or 1040-5R) 2019 for Forms 1040 and 1040-SR. Complete Schedule B. OMB No. 1545-0074 SCHEDULE B (Form 1040 or 1040-SR) Interest and Ordinary Dividends Department of the Treasury Internal Revenue Service (99) 2019 Go to www.irs.gov/Schedule for instructions and the latest information. Attachment Attach to Form 1040 or 1040-SR. - Sequence No. 08 Your social security number 434-11-3311 Name(s) shown on return Noah and Joan Arc Part 1 Amount 1 List name of payer. If any interest is from a seller-financed mortgage and the buyer used the property as a personal residence, see the instructions and list this interest first. Also, show that buyer's social security number and address Interest (See instructions and the instructions for Forms 1040 and 1040-SR, line 2b.) 1 Note: If you received a Form 1099-INT, Form 1099-OID, or substitute statement from a brokerage firm, list the firm's name as the payer and enter the total interest shown on that form. 2 3 2 Add the amounts on line 1. 3 Excludable interest on series EE and I U.S. savings bonds issued after 1989. Attach Form 8815... 4 Subtract line 3 from line 2. Enter the result here and on Form 1040 or 1040-SR line 2b.... Note: If line 4 is over $1,500, you must complete Part III. 5 List name of payer 4 Amount Part II Ordinary Dividends (See instructions and the instructions for Forms 1040 and 1040-SR, line 3b.) Note: If you 5 recelved a Form 1099-DIV or substitute statement from a brokerage firm, list the firm's name as the payer and enter the ordinary dividends shown on that form. 6 Add the amounts on line 5. Enter the total here and on Form 1040 or 1040-SR, - line 3b ....................... 6 Note: If line 6 is over $1,500, you must complete Part III. Part III You must complete this part if you (a) had over $1,500 of taxable interest or ordinary dividends; (b) had a foreign account; or (c) received a distribution from, or were a grantor of, or a transferorto, a foreign Yes No Foreign trust. Accounts 7a At any time during 2019, did you have a financial interest in or signature authority over a financial and Trusts account (such as a bank account, securities account, or brokerage account) located in a foreign country? See instructions .......................... Caution: 11 required, failure If "Yes," are you required to file FinCEN Form 114, Report of Foreign Bank and Financial Accounts to file FinCEN (FBAR), to report that financial interest or signature authority? See FinCEN Form 114 and its instructions for filing requirements and exceptions to those requirements ........... Form 114 may result in b If you are required to file FinCEN Form 114, enter the name of the foreign country where the substantial penalties. financial account is located See 8 During 2019, did you receive a distribution from, or were you the grantor of, or transferorto, a instructions foreign trust? If "Yes, you may have to file Form 3520. See instructions .... For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 17146N Schedule B (Form 1040 or 1040-SR) 2019 Comp problem 1 any box under Standard Deduction, see instructions. 9 9 Standard deduction or itemized deductions (from Schedule A) ............. Qualified business income deduction. Attach Form 1995 or Form 8995 A... 10 10 11a Add lines 9 and 10.... 11a b Taxable income. Subtract linella from line 8b. If zero or less, enter-O-......... 11b For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Cat. No. 11320B Form 1040 (2019) Form 1040 (2019) Noah & Joan Arc 434-11-3311 Page 2 12a Tax (see inst.) Check if any from Form(s): 1 8914 2 4972 30 12a b Add Schedule 2, line 3, and line 12a and enter the total..... 12b 13a Child tax credit or credit for other dependents .. 13a b Add Schedule 3, line 7, and line 13a and enter the total 13b 14 Subtract line 13b from line 12b. If zero or less, enter -|- . , --- 14 15 Other taxes, including self-employment tax, from Schedule 2, line 10 15 16 Add lines 14 and 15. This is your total tax 16 17 Federal income tax withheld from Forms W-2 and 1099 17 If you have a 18 Other payments and refundable credits: Qualifying child attach Sch. FIC a Carned income credit (EIC)... 18a . If you have b Additional child tax credit. Attach Schedule 8812 18b nontaxable combat pay, see c American apportunity credit from Farm 8863, line 8 18c instructions d Schedule 3, line 14................ 180 e Add lines 18a through 18d. These are your total other payments and refundable credits.. .......... 18e 19 Add lines 17 and 13e. These are your total payments 19 Refund 20 If line 19 is more than line 16, subtract line 15 from line 19. This is the amount you overpald.......................................... 20 21a Amount of line 20 you want refunded to you. If Form 8899 is attached, check here 21a Direct deposit b Routing number TIC Type: - Checking - Savings See instructions. d Account number 22 Amount of line 2D you want applied to your 2020 estimated tax..... 22 23 Amount Amount you owe. Subtract line 19 from line 16. For details on how to pay, see instructions ........... 23 You Owe 24 Estimated tax penalty (see instructions)................ 24 Third Party Do you want to allow another person (ather than your paid preparer) to discuss this return with Yes. Complete below. the IRS? See Instructions. Designee (Other than Designee's Phone Personal identification paid preparer) ) name - number (PIN) sign 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 Here taxpayer) is based on all information of which preparer has any knowledge Your signature Date Your occupation If the IRS sent you an Identity Joint return? Protection PIN, enter it here See Pet Store Owner (see inst.) instructions, Keep a copy for Spouse's signature. If a joint Date Spouse's occupation If the IRS sent your spouse an your records return, both must sign. Identity Protection PIN, enter it here Firefighter (see Inst.) Phone no. Preparer's name Email address Preparer's signature Paid Date PTIN Check if: 3rd Party Designee Self-employed Preparer Firm's name Phone no. Use Only Firm's address Go to www.irs.gov/Form1040 for instructions and the latest information. Firm's EIN Form 1040 (2019)

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