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Complete the recreated version of Form 1040, page 1 & 2-lines 1 through 12a (TAX) in the active cels only for Sam Sosa (round to

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Complete the recreated version of Form 1040, page 1 & 2-lines 1 through 12a (TAX) in the active cels only for Sam Sosa (round to the nearest dollar) using the following information: Do not use, or $ in your answers. Sam is single Sam had $63,500 in W2 wages Sam had $9,700 withheld from his salary for Federal Income Taxes Sam had $350 of municipal bond interest income Sam had $500 of interest income from Wells Fargo Bank Sam had $4,000 of qualified dividends Sam had itemized deductions of $10,700 Sam does not owe AMT Sam does not have any qualified business income 63506 b Taxable interest 26 b Ordinary dividends 36 Single or Married filing 1 Wages, salaries, tips, etc. Attach Form(s) W-2 separately, $12,2 00 Married filing 2a Tax-exempt interest Za jointly or Qualifying widower), $24,4 3a Qualified dividends Ba 0 0 4a IRAs, pensions, and Ha Head of annuities household, $18,3 5 5a Social security benefits Sa 0 If you checked any box 4000 b Taxable amount 46 b Taxable amount 50 6 Capital gain or loss). Attach Schedule Dif required. if not check here under Standard 7a Other income from Schedule 1, line 9 deduction, see b Add lines 1, 2b, 35, 46, 4d, 56, 6 and 7a. This instructions is your total income 8a Adjustments to income from Schedule 1, line 22 b Subtract line 8a from line 76. This is your adjusted gross income 10700 10 118 11b Lot No. 112/08Form 2043 2049 9 Standard deduction or itemized deductions (from Schedule A) 10 Qualified business Income deduction. Attach Form 8995 or Form 8995-A 11a Add lines 9 and 10 b Taxable income Subtract line 11a from line 8b. If zero or less, enter-O- Ort and Paperwork Reduction Act Notice, see separate instructions. 63500 2a b Taxable interest 2b 3b b Ordinary dividends Ba Single or Married filing 1 Wages, salaries, tips, etc. Attach Form(s) W-2 separately, $12,2 00 Married filing 2a Tax-exempt interest jointly or Qualifying widow(er), $24,4 3a Qualified dividends 0 0 4a IRAs, pensions, and Head of annuities household, $18,3 5a Social security benefits 5 0 If you checked any box 4000 b Taxable amount 40 Ma b Taxable amount 56 70 6 Capital gain or (loss). Attach Schedule Dif required. If not check here under Standard 7a Other income from Schedule 1, line 9 deduction, see b Add lines 1, 2b, 36, 4b, 40, 5b, 6 and 7a. This instructions. is your total income 8a Adjustments to income from Schedule 1, line 22 b Subtract line 8a from line 76. This is your adjusted gross income 10700 10 110 9 Standard deduction or itemized deductions (from Schedule A) 10 Qualified business income deduction. Attach Form 8995 or Form 8995-A 11a Add lines 9 and 10 Taxable income. Subtract line 11a from line 8b. If zero or less, enter-O- and Paperwork Reduction Act Notice, see separate instructions, Koe No. 112 Form 100.000 Complete the recreated version of Form 1040, page 1 & 2-lines 1 through 12a (TAX) in the active cels only for Sam Sosa (round to the nearest dollar) using the following information: Do not use, or $ in your answers. Sam is single Sam had $63,500 in W2 wages Sam had $9,700 withheld from his salary for Federal Income Taxes Sam had $350 of municipal bond interest income Sam had $500 of interest income from Wells Fargo Bank Sam had $4,000 of qualified dividends Sam had itemized deductions of $10,700 Sam does not owe AMT Sam does not have any qualified business income 63506 b Taxable interest 26 b Ordinary dividends 36 Single or Married filing 1 Wages, salaries, tips, etc. Attach Form(s) W-2 separately, $12,2 00 Married filing 2a Tax-exempt interest Za jointly or Qualifying widower), $24,4 3a Qualified dividends Ba 0 0 4a IRAs, pensions, and Ha Head of annuities household, $18,3 5 5a Social security benefits Sa 0 If you checked any box 4000 b Taxable amount 46 b Taxable amount 50 6 Capital gain or loss). Attach Schedule Dif required. if not check here under Standard 7a Other income from Schedule 1, line 9 deduction, see b Add lines 1, 2b, 35, 46, 4d, 56, 6 and 7a. This instructions is your total income 8a Adjustments to income from Schedule 1, line 22 b Subtract line 8a from line 76. This is your adjusted gross income 10700 10 118 11b Lot No. 112/08Form 2043 2049 9 Standard deduction or itemized deductions (from Schedule A) 10 Qualified business Income deduction. Attach Form 8995 or Form 8995-A 11a Add lines 9 and 10 b Taxable income Subtract line 11a from line 8b. If zero or less, enter-O- Ort and Paperwork Reduction Act Notice, see separate instructions. 63500 2a b Taxable interest 2b 3b b Ordinary dividends Ba Single or Married filing 1 Wages, salaries, tips, etc. Attach Form(s) W-2 separately, $12,2 00 Married filing 2a Tax-exempt interest jointly or Qualifying widow(er), $24,4 3a Qualified dividends 0 0 4a IRAs, pensions, and Head of annuities household, $18,3 5a Social security benefits 5 0 If you checked any box 4000 b Taxable amount 40 Ma b Taxable amount 56 70 6 Capital gain or (loss). Attach Schedule Dif required. If not check here under Standard 7a Other income from Schedule 1, line 9 deduction, see b Add lines 1, 2b, 36, 4b, 40, 5b, 6 and 7a. This instructions. is your total income 8a Adjustments to income from Schedule 1, line 22 b Subtract line 8a from line 76. This is your adjusted gross income 10700 10 110 9 Standard deduction or itemized deductions (from Schedule A) 10 Qualified business income deduction. Attach Form 8995 or Form 8995-A 11a Add lines 9 and 10 Taxable income. Subtract line 11a from line 8b. If zero or less, enter-O- and Paperwork Reduction Act Notice, see separate instructions, Koe No. 112 Form 100.000

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