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complete a 1040 (2019) Donna Jones, an administrative assistant. resides at 123 Main Street, Lawrenceville, NJ V0048. She is single and has no dependents. Her

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Donna Jones, an administrative assistant. resides at 123 Main Street, Lawrenceville, NJ V0048. She is single and has no dependents. Her social security number is 123-44-5500. She received $26,159.00 in wages and had $2.200.00 of federal income tax withheld during 2019. Donna also had $390.00 in interest income from her bank account and made $150.00 of charitable contributions during the year. Prepare her 2019 1040. One box UTU Treasury Internal Revenue Service ) U.S. Individual Income Tax Retur al Income Tax Return 2019 Filing Status Single Married singley Check only Married fingrar O Married fingrarway (MFS) If you checked the MFS box, enter the name of our sh o w box e a child but not your dependent Your name and midden Last name Donna jautru so's first name and midde initial MN 1548-0074 Head of household (OH) child's name the quality IRS Use Only-Do not writes Qualifying widower) (GW) person Jones 123-44-5566 Last name Spouse's social security number Home adress number and stre) you have POBOK, seenwructions 123 Main Street City town or post office state, and ZIP code you have a foreigners, complete Lawrenceville NS 84048 Foreign country name Foreign provincest county below (see instructions) Presidential Election Campaign Check here if you, or your spouse ng Jointly want to go to this fund. Checking a box below will not change your tax or refund You Spouse more than four depende se inst, and have Foreign postal code Standard Deduction Someone can claim: You dependent Scouse antes en la superato asena seperate ruum or you were a Your soul status allen a dependent AgarBlindness You: Ware bon before Jawa2 1855 Dependents (see instructions): Are bind Spouse: (2) Social security number Wes bombefore January 2, 1956 (3) Relationship to you (4) CNM tax credit qualified for free Instruction credit for other dependents 1 159 required 2b 3b 4b 4d 5b 1 Wages, salaries, tips, etc. Attach Forms) W-2 2a Tax-exempt interest 2a b Taxable interest. Attach Sch. B 3a Qualified dividends 3a Jb Ordinary divsAt. Sch. BY 4a IRA distributions b Taxable amount c Pensions and annuities d Taxable amount standard Deduction for 5a Soc. secten b Taxable amount Singer Maria Ning way 6 Capital gain or (04). Attach Schedule Difrequired. If not required, check here Mawing 7a Other income from Schedule 1, line 9 orang Add lines 1, 2b, 3b, 46, 4, 5, 6, and 7a. This is your total income 104,400 8a Adjustments to Income from Schedule 1, line 22 b Subtract line 8a from line 7b. This is your adjusted gross income $18.360 Vo l 9 Standard deduction or itemized deductions (from Schedule A) any box und Standard 10 Qualified business income deduction. Attach Form 8995 or Form 8995-A Dedicto carrers 11a Add lines 9 and 10 b Taxable income. Subtract line 11 from Ine Sb. zero or less, enter-O- For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, seo separate instructions. X 7a 70 26,549 8b o 8a 11a 12.200 Form 1040 (2019 12a Taxi ) Check it any from Format 16114 482 "Leel Add Schaden andre 12 and the 13a tax red or for other dependent Ad Schedule 3 7 and line 13 andare 14 Subtract line 13b tromline b o rs, antro- 15 Other including e mployant om Schedule 2.tine 10 16 Addlines 14 and 15. This is your total tax 17 Federal income tax had trom Farms W-2 and 1090 18 Operater Earned inconcret Additional de Atach Sched 12 6 American opportunity c o m Form 103 line 8 d Schedule 3. line 14 Add lines through 18d. These are your total other payments and refundable credits. 19 Adds and Be The your total payments 20 in 1 more than the 16, sub line 16 from In 1 This is the amount you overpaid... 21a Amount of line 20 you want refunded to you. If Form is attached, check here Routing number Checking Savings d Account number 22 Amount of time you want applied to your 2020 estimated tax 23 Amount you owe Subtract line from ine 16. For details on how to pay, so instructions 24 Estimated tax penalyne instructions) 24 Do you want to own person than your pad prepared i n the RS Ser J Refund Amount You Owe Third Party Designee ions Yes. Complete below Sign Here app administrative assistante pen Spous t on Paty w Paid Preparer F Use Only rame Go to www. powForm 100 for instructions and the latest information Form 1040 SCHEDULE 1 (Form 1040 or 1040-SR) Additional Income and Adjustments to Income 145.00 2019 Go to www.rs.powF Attach to Form 1040 or 1040-SR 0 40 for instructions and the latest Information Buusscere ...... Yes No Do Soxes time during 2019, did you receive, sell, send, exchange or otherwise acquire any financial interest in any Wil currency Part 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 Business income or dos). Attach Schedule C Other gains or losses). Attach For 4797 Rental real estate, royalties, partnerships, Scorporations, trusts, etc. All Farm income or loss). Attach Schedule F Unemployment compensation 8 Other income List type and amount ... 12 9 Combine lines 1 through 8 Enter here and on Form 1040 1040-SR, n a Part 11 Adjustments to Income 10 Educator expenses Certain business expenses of reservists, performing artists, and fee-basis government of Form 2106 Health savings account deduction. Altach Form 8889 13 Moving expenses for members of the Armed Forces. Attach Form 3903 Deductible part of self-employment tax. Attach Schedule SE 16 Self-employed SEP, SIMPLE, and qualified plans 16 Self-employed health insurance deduction 17 Penalty on early withdrawal of savings 18a Alimony paid Recipient's SSN c Date of original divorce or separation agreement (see instructions) 9 RA deduction Student loan interest deduction Tuition and fees. Attach Form 8917 Add lines 20 through 21. These are your adjustments to income. Enter here and on Form 1040 or 1040-SR, ne sa aperwork Reduction Act Notice, see your tax return instructions. 15 16 17 18a Schedule 1 (Form 1040 or 1040-SR) 2019 U Payments ON 1845. 2019 Searchio 02 123-44-sscore CHEDULE 2 Additional Taxes Form 1040 or 1040-SR) Attach to Form 1040 or 1040-SR. Department of the Tree W Serie Go to www.irs.gow Form 1040 for instructions and the latest information 1040 10 Donna Jones Part I Tax 1 Aberative minimum tax. Attach Form 6251 Excess advance premium tax credit repayment. Attach Form 8962 Add lines 1 and 2 Enter here and include on Form 1040 or 1040 SR line 12b Part 1 Other Taxes Self-employment tax. Attach Schedule SE Unreported social security and Medicare tax from Forma 4137 8 919 Additional tax on IRAs, other qualified retirement plans, and other tax avored accounts. Attach Form 5329 if required Ta Household employment taxes. Attach Schedule Repayment of first time homebuyer credit from Form 5405. Attach Form 5405 required & Taxes from: Form 6e Form 8960 Instructions, enter code(s) 9 Section 365 nel tax liability installment from Form 965-A 9 10 Add lines 4 through &. These are your total other taxes. Enter here and on Form 1040 or 1040-SR line 15 For Paperwork Reduction Act Notice, see your tax return instructions Schedule 2 (Form 1040 or 1040-SR) 2019 OM NO 10.04 SCHEDULE 3 Additional Credits and Payments 2019 (Form 1040 OF 1940-SR Allan No 03 Anach to Form 1040 or 1040-SR. Go to www.lrs.gowForm100 for instructions and the latest Information -44-3566 W on Form 1040 or 1000 GR Donna ONS Part Nonrefundable Credits 1 Foreign tax credit. Attached Form 1116 if required .............. ... Credit for child and dependent care expenses. Altach Form 2441 ............. 3 Education credits from Form 8863, line 10....... 4 Retirement savings contributions credit. Attach Form 8880 .............. Residential energy credits Attach Form 5695 6 Other credits from Form: a 3800 8801 C 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 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 Ex social security and tier 1 RRTA tax withheld ........................ .. 12 Credit for federal tax on fuels. Attach Form 4136 13 Credits from Form a 2439 Reserved 8885 14 Add Ines a through 13. Enter here and on Form 1049 or 1040-SR line 18 For Paperwork Reduction Act Notice, see your tax return instructions Schedule 3 (Form 1040 or 1040-SR) 2019

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