Comprehensive Problem 8 1 America Los Rios (age 36) is a single taxpayer, living at 4700 Oak Drive, Sacramento, CA 95841 Her Social Security number is 976 23 5132 America's earnings and income tax withholding as the manager of a local supermarket store for 2015 are Earnings $69,000 Federal income tax withheld 14,800 State income tax withheld 2,300 America's other income includes qualifying dividends on American River Corporation stock of $4,400 and interest on a long term certificate of deposits at Bank of Sacramento of $5,205 During the year, America paid the following amounts (all of which can be substantiated) Home mortgage interest $10,600 Credit card interest 550 Auto loan interest 1,700 Life insurance (universal policy) 750 Property taxes on personal residence 1,150 Blue Cross medical insurance premiums 650 Other medical expenses 790 Income tax preparation fee 250 Charitable contributions (in cash) 575 In her spare time, America trades stocks and bonds During the year, she sold several stocks and received a Form 1099 B, which showed the following Stock Acquired Sold Price Basis Red Co 02 01 05 10 05 15 $5,500 $2,500 Green Co 06 11 15 08 03 15 4,000 5,000 Blue Co 12 12 14 09 22 15 6,200 5,000 White Co 05 12 04 10 15 15 7,000 4,000 Black Co 09 15 08 11 01 15 5,500 6,750 Required Complete America's federal tax return for 2015 Use Form 1040, Schedule A, Schedule B, Schedule D, Form 8949, and the Qualified Dividends and Capital Gain Tax Worksheet to complete this tax return (she is not subject to Alternative Minimum Tax) Make realistic assumptions about any missing data Click here to access the tax table to use for this problem If required, enter a loss as a negative number on the tax form Do not enter deductions as negative numbers If an amount box does not require an entry or the answer is zero, enter 0 If required, round your answers to nearest dollar Form 1040 Department of the TreasuryInternal Revenue Service (99) U S Individual Income Tax Return 2015 OMB No 1545 0074 IRS Use Only For the year Jan 1Dec 31, 2015, or other tax year beginning , 2015, ending , 20 See separate instructions Your first name and initial America Last name Los Rios Your social security number 976 23 5132 If a joint return, spouse's first name and initial Last name Spouse's social security number Home address (number and street) If you have a P O box, see instructions 4700 Oak Drive Apt no Make sure the SSN(s) above and on line 6c are correct City, town or post office, state, and ZIP code If you have a foreign address, also complete spaces below (see instructions) Sacramento, CA 95841 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 You Spouse Foreign country name Foreign province state country Foreign postal code Filing Status Single Exemptions 6a Yes Yourself If someone can claim you as a dependent, do not check box 6a Boxes checked on 6a and 6b b No Spouse No of children on 6c who lived with you c Dependents (2) Dependent's social security number (3) Dependent's relationship to you (4) if child under age 17 qualifying for child tax credit (see instructions) (1) Firstname Lastname did not live with you due to divorce or separation (see instructions) If more than four dependents, see instructions and check here Dependents on 6c not entered above Add numbers on lines above d Total number of exemptions claimed Income Attach Form(s) W 2 here Also attach Forms W 2G and 1099 R if tax was withheld If you did not get a W 2, see instructions 7 Wages, salaries, tips, etc Attach Form(s) W 2 7 8a Taxable interest Attach Schedule B if required 8a b Tax exempt interest Do not include on line 8a 8b 9a Ordinary dividends Attach Schedule B if required 9a b Qualified dividends 9b 10 Taxable refunds, credits, or offsets of state and local income taxes 10 11 Alimony received 11 12 Business income or (loss) Attach Schedule C or C EZ 12 13 Capital gain or (loss) Attach Schedule D if required If not required, check here 13 14 Other gains or (losses) Attach Form 4797 14 15a IRA distributions 15a b Taxable amount 15b 16a Pensions and annuities 16a b Taxable amount 16b 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc Attach Schedule E 17 18 Farm income or (loss) Attach Schedule F 18 19 Unemployment compensation 19 20a Social security benefits 20a b Taxable amount 20b 21 Other income List type and amount 21 22 Combine the amounts in the far right column for lines 7 through 21 This is your total income 22 Adjusted Gross Income 23 Educator expenses 23 24 Certain business expenses of reservists, performing artists, and fee basis government officials Attach Form 2106 or 2106 EZ 24 25 Health savings account deduction Attach Form 8889 25 26 Moving expenses Attach Form 3903 26 27 Deductible part of self employment tax Attach Schedule SE 27 28 Self employed SEP, SIMPLE, and qualified plans 28 29 Self employed health insurance deduction 29 30 Penalty on early withdrawal of savings 30 31a Alimony paid b Recipient's SSN 31a 32 IRA deduction 32 33 Student loan interest deduction 33 34 Tuition and fees Attach Form 8917 34 35 Domestic production activities deduction Attach Form 8903 35 36 Add lines 23 through 35 36 37 Subtract line 36 from line 22 This is your adjusted gross income 37 For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions Cat No 11320B Form 1040 (2015) Form 1040 (2015) Page 2 38 Amount from line 37 (adjusted gross income) 38 Tax and Credits 39a Check if You were born before January 2, 1951, Blind Spouse was born before January 2, 1951, Blind Total boxes checked 39a b If your spouse itemizes on a separate return or you were a dual status alien, check here 39b Standard Deduction for People who check any box on line 39a or 39b or who can be claimed as a dependent, see instructions All others Single or Married filing separately, $6,300 Married filing jointly or Qualifying widow(er), $12,600 Head of household, $9,250 40 Itemized deductions (from Schedule A) or your standard deduction (see left margin) 40 41 Subtract line 40 from line 38 41 42 Exemptions If line 38 is $154,950 or less, multiply $4,000 by the number on line 6d Otherwise, see instructions 42 43 Taxable income Subtract line 42 from line 41 If line 42 is more than line 41, enter 0 43 44 Tax (see instructions) Check if any from a Form(s) 8814 b Form 4972 c 44 45 Alternative minimum tax (see instructions) Attach Form 6251 45 46 Excess advance premium tax credit repayment Attach Form 8962 46 47 Add lines 44, 45, and 46 47 48 Foreign tax credit Attach Form 1116 if required 48 49 Credit for child and dependent care expenses Attach Form 2441 49 50 Education credits from Form 8863, line 19 50 51 Retirement savings contributions credit Attach Form 8880 51 52 Child tax credit Attach Schedule 8812, if required 52 53 Residential energy credit Attach Form 5695 53 54 Other credits from Form a 3800 b 8801 c 54 55 Add lines 48 through 54 These are your total credits 55 56 Subtract line 55 from line 47 If line 55 is more than line 47, enter 0 56 Other Taxes 57 Self employment tax Attach Schedule SE 57 58 Unreported social security and Medicare tax from Form a 4137 b 8919 58 59 Additional tax on IRAs, other qualified retirement plans, etc Attach Form 5329 if required 59 60a Household employment taxes from Schedule H 60a b First time homebuyer credit repayment Attach Form 5405 if required 60b 61 Health care individual responsibility (see instructions) Full year coverage 61 62 Taxes from a Form 8959 b Form 8960 c Instructions enter code(s) 62 63 Add lines 56 through 62 This is your total tax 63 Payments 64 Federal income tax withheld from Forms W 2 and 1099 64 If you have a qualifying child, attach Schedule EIC 65 2015 estimated tax payments and amount applied from 2014 return 65 66a Earned income credit (EIC) 66a b Nontaxable combat pay election 66b 67 Additional child tax credit Attach Schedule 8812 67 68 American opportunity credit from Form 8863, line 8 68 69 Net premium tax credit Attach Form 8962 69 70 Amount paid with request for extension to file 70 71 Excess social security and tier 1 RRTA tax withheld 71 72 Credit for federal tax on fuels Attach Form 4136 72 73 Credits from Form a 2439 b Reserved c 8885 d 73 74 Add lines 64, 65, 66a, and 67 through 73 These are your total payments 74 Refund 75 If line 74 is more than line 63, subtract line 63 from line 74 This is the amount you overpaid 75 76a Amount of line 75 you want refunded to you If Form 8888 is attached, check here 76a Direct deposit See instructions b Routing number c Type Checking Savings d Account number 77 Amount of line 75 you want applied to your 2016 estimated tax 77 Amount You Owe 78 Amount you owe Subtract line 74 from line 63 For details on how to pay, see instructions 78 79 Estimated tax penalty (see instructions) 79 Third Party Designee Do you want to allow another person to discuss this return with the IRS (see instructions) Yes Complete below No Designee's name Phone no Personal identification number (PIN) Sign Here Joint return See instructions Keep a copy for your records 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 America Los Rios Date Your occupation Supermarket Manager Daytime phone number Spouse's signature If a joint return, both must sign Date Spouse's occupation If the IRS sent you an Identity Protection PIN, enter it here (see inst ) Paid Preparer Use Only Print Type preparer's name Preparer's signature Date Check if self employed PTIN Firm's name Firm's EIN Firm's address Phone no www irs gov form1040 Form 1040 (2015) SCHEDULE A (Form 1040) Department of the Treasury Internal Revenue Service (99) Itemized Deductions Information about Schedule A and its separate instructions is at www irs gov schedulea Attach to Form 1040 OMB No 1545 0074 2015 Attachment Sequence No 07 Name(s) shown on Form 1040 America Los Rios Your social security number 976 23 5132 Caution Do not include expenses reimbursed or paid by others Medical and Dental Expenses 1 Medical and dental expenses (see instructions) 1 2 Enter amount from Form 1040, line 38 2 3 Multiply line 2 by 10 ( 10) But if either you or your spouse was born before January 2, 1951, multiply line 2 by 7 5 ( 075) instead 3 4 Subtract line 3 from line 1 If line 3 is more than line 1, enter 0 4 Taxes You Paid 5 State and local a Income taxes 5 b General Sales Taxes 6 Real estate taxes (see instructions) 6 7 Personal property taxes 7 8 Other taxes List type and amount 8 9 Add lines 5 through 8 9 Interest You Paid Note Your mortgage interest deduction may be limited (see instructions) 10 Home mortgage interest and points reported to you on Form 1098 10 11 Home mortgage interest not reported to you on Form 1098 If paid to the person from whom you bought the home, see instructions and show that person's name, identifying no , and address 11 12 Points not reported to you on Form 1098 See instructions for special rules 12 13 Mortgage insurance premiums (see instructions) 13 14 Investment interest Attach Form 4952 if required (See instructions ) 14 15 Add lines 10 through 14 15 Gifts to Charity If you made a gift and got a benefit for it, see instructions 16 Gifts by cash or check If you made any gift of $250 or more, see instructions 16 17 Other than by cash or check If any gift of $250 or more, see instructions You must attach Form 8283 if over $500 17 18 Carryover from prior year 18 19 Add lines 16 through 18 19 Casualty and Theft Losses 20 Casualty or theft loss(es) Attach Form 4684 (See instructions ) 20 Job Expenses and Certain Miscellaneous Deductions 21 Unreimbursed employee expensesjob travel, union dues, job education, etc Attach Form 2106 or 2106 EZ if required (See instructions ) 21 22 Tax preparation fees 22 23 Other expensesinvestment, safe deposit box, etc List type and amount 23 24 Add lines 21 through 23 24 25 Enter amount from Form 1040, line 38 25 26 Multiply line 25 by 2 ( 02) 26 27 Subtract line 26 from line 24 If line 26 is more than line 24, enter 0 27 Other Miscellaneous Deductions 28 Otherfrom list in instructions List type and amount 28 Total Itemized Deductions 29 Is Form 1040, line 38, over $154,950 No Your deduction is not limited Add the amounts in the far right column for lines 4 through 28 Also, enter this amount on Form 1040, line 40 29 Yes Your deduction may be limited See the Itemized Deductions Worksheet in the instructions to figure the amount to enter 30 If you elect to itemize deductions even though they are less than your standard deduction, check here For Paperwork Reduction Act Notice, see Form 1040 instructions Cat No 17145C Schedule A (Form 1040) 2015 SCHEDULE B (Form 1040A or 1040) Department of the Treasury Internal Revenue Service (99) Interest and Ordinary Dividends Attach to Form 1040A or 1040 Information about Schedule B and its instructions is at www irs gov scheduleb OMB No 1545 0074 2015 Attachment Sequence No 08 Name(s) shown on return America Los Rios Your social security number 976 23 5132 Part I Interest (See instructions on back and the instructions for Form 1040A, or Form 1040, line 8a ) 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 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 instructions on back and list this interest first Also, show that buyer's social security number and address Amount 1 2 Add the amounts on line 1 2 3 Excludable interest on series EE and I U S savings bonds issued after 1989 Attach Form 8815 3 4 Subtract line 3 from line 2 Enter the result here and on Form 1040A, or Form 1040, line 8a 4 Note If line 4 is over $1,500, you must complete Part III Amount Part II Ordinary Dividends (See instructions on back and the instructions for Form 1040A, or Form 1040, line 9a ) Note If you received 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 5 List name of payer 5 6 Add the amounts on line 5 Enter the total here and on Form 1040A, or Form 1040, line 9a 6 Note If line 6 is over $1,500, you must complete 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 transferor to, a foreign trust Yes No Part III Foreign Accounts and Trusts (See instructions on back ) 7a At any time during 2015, did you have a financial interest in or signature authority over a financial account (such as a bank account, securities account, or brokerage account) located in a foreign country See instructions If Yes, are you required to file FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR), to report that financial interest or signature authority See FinCEN Form 114 and its instructions for filing requirements and exceptions to those requirements b If you are required to file FinCEN Form 114, enter the name of the foreign country where the financial account is located 8 During 2015, did you receive a distribution from, or were you the grantor of, or transferor to, a foreign trust If Yes, you may have to file Form 3520 See instructions on back For Paperwork Reduction Act Notice, see your tax return instructions Cat No 17146N Schedule B (Form 1040A or 1040) 2015 SCHEDULE D (Form 1040) Department of the Treasury Internal Revenue Service (99) Capital Gains and Losses Attach to Form 1040 or Form 1040NR Information about Schedule D and its separate instructions is at www irs gov scheduled Use Form 8949 to list your transactions for lines 1b, 2, 3, 8b, 9, and 10 OMB No 1545 0074 2015 Attachment Sequence No 12 Name(s) shown on return America Los Rios Your social security number 976 23 5132 Part I Short Term Capital Gains and LossesAssets Held One Year or Less See instructions for how to figure the amounts to enter on the lines below (d) Proceeds (salesprice) (e) Cost (or otherbasis) (g) Adjustments to gain or loss from Form(s) 8949, Part I, line 2, column (g) (h) Gain or (loss) Subtract column (e) from column (d) and combine the result with column (g) This form may be easier to complete if you round off cents to whole dollars 1a Totals for all short term transactions reported on Form 1099 B for which basis was reported to the IRS and for which you have no adjustments (see instructions) However, if you choose to report all these transactions on Form 8949, leave this line blank and go to line 1b 1b Totals for all transactions reported on Form(s) 8949 with Box A checked 2 Totals for all transactions reported on Form(s) 8949 with Box B checked 3 Totals for all transactions reported on Form(s) 8949 with Box C checked 4 Short term gain from Form 6252 and short term gain or (loss) from Forms 4684, 6781, and 8824 4 5 Net short term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K 1 5 6 Short term capital loss carryover Enter the amount, if any, from line 8 of your Capital Loss Carryover Worksheet in the instructions

Comprehensive Problem 8-1 America Los Rios (age 36) is a single taxpayer, living at 4700 Oak Drive, Sacramento, CA 95841. Her Social Security number is

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Total Itemized Deductions

Is Form 1040, line 38, over $154,950?

No. Your deduction is not limited. Add the amounts in the far right column for lines 4 through 28. Also, enter this amount on Form 1040, line 40.

. . . . . .

Yes. Your deduction may be limited. See the Itemized Deductions Worksheet in the instructions to figure the amount to enter.

If you elect to itemize deductions even though they are less than your standard deduction, check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Comprehensive Problem 8-1

America Los Rios (age 36) is a single taxpayer, living at 4700 Oak Drive, Sacramento, CA 95841. Her Social Security number is 976-23-5132. America's earnings and income tax withholding as the manager of a local supermarket store for 2015 are:

Earnings	$69,000
Federal income tax withheld	14,800
State income tax withheld	2,300

America's other income includes qualifying dividends on American River Corporation stock of $4,400 and interest on a long-term certificate of deposits at Bank of Sacramento of $5,205.

During the year, America paid the following amounts (all of which can be substantiated):

Home mortgage interest	$10,600
Credit card interest	550
Auto loan interest	1,700
Life insurance (universal policy)	750
Property taxes on personal residence	1,150
Blue Cross medical insurance premiums	650
Other medical expenses	790
Income tax preparation fee	250
Charitable contributions (in cash)	575

In her spare time, America trades stocks and bonds. During the year, she sold several stocks and received a Form 1099-B, which showed the following:

*Stock*	*Acquired*	*Sold*	*Price*	*Basis*
Red Co.	02/01/05	10/05/15	$5,500		$2,500
Green Co.	06/11/15	08/03/15	4,000		5,000
Blue Co.	12/12/14	09/22/15	6,200		5,000
White Co.	05/12/04	10/15/15	7,000		4,000
Black Co.	09/15/08	11/01/15	5,500		6,750

Required:

Complete America's federal tax return for 2015. Use Form 1040, Schedule A, Schedule B, Schedule D, Form 8949, and the Qualified Dividends and Capital Gain Tax Worksheet to complete this tax return (she is not subject to Alternative Minimum Tax). Make realistic assumptions about any missing data.

Click here to access the tax table to use for this problem.

If required, enter a "loss" as a negative number on the tax form. Do not enter deductions as negative numbers.

If an amount box does not require an entry or the answer is zero, enter "0". If required, round your answers to nearest dollar.

Form 1040

Department of the TreasuryInternal Revenue Service (99) U.S. Individual Income Tax Return

2015

OMB No. 1545-0074

IRS Use Only

For the year Jan. 1Dec. 31, 2015, or other tax year beginning	, 2015, ending , 20	See separate instructions.
Your first name and initial America	Last name Los Rios	Your social security number 976-23-5132
If a joint return, spouse's first name and initial	Last name	Spouse's social security number
Home address (number and street). If you have a P.O. box, see instructions. 4700 Oak Drive	Apt. no.	Make sure the SSN(s) above and on line 6c are correct.
City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Sacramento, CA 95841	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. You Spouse
Foreign country name	Foreign province/state/country	Foreign postal code

Filing Status

Single

Exemptions	6a	Yes	Yourself. If someone can claim you as a dependent, do not check box 6a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	}	Boxes checked on 6a and 6b
b	No	Spouse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	No. of children on 6c who: lived with you
	c	Dependents:	(2) Dependent's social security number	(3) Dependent's relationship to you	(4) if child under age 17 qualifying for child tax credit (see instructions)
	(1)Firstname	Lastname	did not live with you due to divorce or separation (see instructions)
If more than four dependents, see instructions and check here
					Dependents on 6c not entered above

						Add numbers on lines above
d	Total number of exemptions claimed . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Income Attach Form(s) W-2 here. Also attach Forms W-2G and 1099-R if tax was withheld. If you did not get a W-2, see instructions.	7	Wages, salaries, tips, etc. Attach Form(s) W-2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	7
8a	Taxable interest. Attach Schedule B if required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	8a
b	Tax-exempt interest. Do not include on line 8a . . . . . . . . .	8b
9a	Ordinary dividends. Attach Schedule B if required . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	9a
b	Qualified dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	9b
10	Taxable refunds, credits, or offsets of state and local income taxes . . . . . . . . . . . . . . . .	10
11	Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	11
12	Business income or (loss). Attach Schedule C or C-EZ . . . . . . . . . . . . . . . . . . . . . . . . . .	12
13	Capital gain or (loss). Attach Schedule D if required. If not required, check here		13
14	Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	14
15a	IRA distributions . . . . . . . . . . .	15a		b Taxable amount . . .	15b
16a	Pensions and annuities . . . . . .	16a		b Taxable amount . . .	16b
17	Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E	17
18	Farm income or (loss). Attach Schedule F . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	18
19	Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	19
20a	Social security benefits	20a		b Taxable amount . . .	20b
21	Other income. List type and amount _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _	21
22	Combine the amounts in the far right column for lines 7 through 21. This is your total income		22
Adjusted Gross Income	23	Educator expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	23
24	Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 or 2106-EZ	24
25	Health savings account deduction. Attach Form 8889 . . . . .	25
26	Moving expenses. Attach Form 3903 . . . . . . . . . . . . . . . . . .	26
27	Deductible part of self-employment tax. Attach Schedule SE	27
28	Self-employed SEP, SIMPLE, and qualified plans . . . . . . . . .	28
29	Self-employed health insurance deduction . . . . . . . . . . . . .	29
30	Penalty on early withdrawal of savings . . . . . . . . . . . . . . . .	30
31a	Alimony paid b Recipient's SSN	31a
32	IRA deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	32
33	Student loan interest deduction . . . . . . . . . . . . . . . . . . . . .	33
34	Tuition and fees. Attach Form 8917 . . . . . . . . . . . . . . . . .	34
35	Domestic production activities deduction. Attach Form 8903	35
36	Add lines 23 through 35 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	36
37	Subtract line 36 from line 22. This is your adjusted gross income . . . . . . . . . . . . .		37

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions.

Cat. No. 11320B

Form 1040 (2015)

Form 1040 (2015)

Page 2

Amount from line 37 (adjusted gross income) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Tax and Credits

39a

Check if:

{

You were born before January 2, 1951, Blind. Spouse was born before January 2, 1951, Blind.

}

Total boxes checked 39a

If your spouse itemizes on a separate return or you were a dual-status alien, check here 39b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Standard Deduction for

People who check any box on line 39a or 39b or who can be claimed as a dependent, see instructions.

All others:

Single or Married filing separately, $6,300

Married filing jointly or Qualifying widow(er), $12,600

Head of household, $9,250

Itemized deductions (from Schedule A) or your standard deduction (see left margin)

Subtract line 40 from line 38 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Exemptions. If line 38 is $154,950 or less, multiply $4,000 by the number on line 6d. Otherwise, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0-

Tax (see instructions). Check if any from: a Form(s) 8814 b Form 4972 c

Alternative minimum tax (see instructions). Attach Form 6251 . . . . . . . . . . . . . . . .

Excess advance premium tax credit repayment. Attach Form 8962 . . . . . . . . . . . . . . .

Add lines 44, 45, and 46 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Foreign tax credit. Attach Form 1116 if required . . . . . . . . . . .

Credit for child and dependent care expenses. Attach Form 2441

Education credits from Form 8863, line 19 . . . . . . . . . . . . . . . .

Retirement savings contributions credit. Attach Form 8880 . . .

Child tax credit. Attach Schedule 8812, if required . . . . . . . . . .

Residential energy credit. Attach Form 5695 . . . . . . . . . . . . .

Other credits from Form: a 3800 b 8801 c

Add lines 48 through 54. These are your total credits . . . . . . . . . . . . . . . . . . . . . . . . . .

Subtract line 55 from line 47. If line 55 is more than line 47, enter -0- . . . . . . . . . . .

Other Taxes

Self-employment tax. Attach Schedule SE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Unreported social security and Medicare tax from Form: a 4137 b 8919 . . . . . . .

Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required

60a

Household employment taxes from Schedule H . . . . . . . . . . . . . . . . . . . . . . . . . . . .

60a

First-time homebuyer credit repayment. Attach Form 5405 if required . . . . . . . . . . . .

60b

Health care: individual responsibility (see instructions)

Full-year coverage

Taxes from: a Form 8959 b Form 8960 c Instructions; enter code(s) _ _ _ _ _

Add lines 56 through 62. This is your total tax . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Payments	64	Federal income tax withheld from Forms W-2 and 1099 . . . . . . .	64
If you have a qualifying child, attach Schedule EIC.	65	2015 estimated tax payments and amount applied from 2014 return	65
66a	Earned income credit (EIC) . . . . . . . . . . . . . . . . . . . . . . . . .	66a
b	Nontaxable combat pay election . . . .	66b
67	Additional child tax credit. Attach Schedule 8812 . . . . . . . . . . . .	67
	68	American opportunity credit from Form 8863, line 8 . . . . . . . . . .	68
	69	Net premium tax credit. Attach Form 8962 . . . . . . . . . . . . . . . . .	69
	70	Amount paid with request for extension to file . . . . . . . . . . . . . .	70
	71	Excess social security and tier 1 RRTA tax withheld . . . . . . . . . .	71
	72	Credit for federal tax on fuels. Attach Form 4136 . . . . . . . . . . . .	72
	73	Credits from Form: a 2439 b Reserved c 8885 d		73
	74	Add lines 64, 65, 66a, and 67 through 73. These are your total payments . . . . . . . . .		74

Refund

If line 74 is more than line 63, subtract line 63 from line 74. This is the amount you overpaid

76a

Amount of line 75 you want refunded to you. If Form 8888 is attached, check here

76a

Direct deposit? See instructions.

Routing number

c Type: Checking Savings

Account number

Amount of line 75 you want applied to your 2016 estimated tax

Amount You Owe

Amount you owe. Subtract line 74 from line 63. For details on how to pay, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Estimated tax penalty (see instructions) . . . . . . . . . . . . . . . . . . . .

Third Party Designee

Do you want to allow another person to discuss this return with the IRS (see instructions)? Yes. Complete below. No

Designee's name

Phone no.

Personal identification number (PIN)

Sign Here Joint return? See instructions. Keep a copy for your records.

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 America Los Rios

Date

Your occupation Supermarket Manager

Daytime phone number

Spouse's signature. If a joint return, both must sign.

Date

Spouse's occupation

If the IRS sent you an Identity Protection PIN, enter it here (see inst.)

Paid Preparer Use Only		Print/Type preparer's name	Preparer's signature	Date	Check if self-employed	PTIN
Firm's name	Firm's EIN
Firm's address	Phone no.
www.irs.gov/form1040	Form 1040 (2015)

SCHEDULE A (Form 1040) Department of the Treasury Internal Revenue Service (99)	Itemized Deductions *Information about Schedule A and its separate instructions is at www.irs.gov/schedulea.* Attach to Form 1040.	OMB No. 1545-0074
2015 Attachment Sequence No. 07

Name(s) shown on Form 1040 America Los Rios	Your social security number 976-23-5132
		Caution. Do not include expenses reimbursed or paid by others.
Medical and Dental Expenses	1	Medical and dental expenses (see instructions) . . . . . . . . . . . . . .	1
2	Enter amount from Form 1040, line 38	2
3	Multiply line 2 by 10% (.10). But if either you or your spouse was born before January 2, 1951, multiply line 2 by 7.5% (.075) instead
3
4	Subtract line 3 from line 1. If line 3 is more than line 1, enter -0- . . . . . . . . . . . . . . . . . . .	4
Taxes You Paid	5	State and local
	a Income taxes	}	. . . . . . . . . . . . . . . . . . . . . . . . .	5
	b General Sales Taxes
6	Real estate taxes (see instructions) . . . . . . . . . . . . . . . . . . . . . .	6
7	Personal property taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	7
8	Other taxes. List type and amount _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _	8
9	Add lines 5 through 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	9
Interest You Paid Note. Your mortgage interest deduction may be limited (see instructions).	10	Home mortgage interest and points reported to you on Form 1098	10
11	Home mortgage interest not reported to you on Form 1098. If paid to the person from whom you bought the home, see instructions and show that person's name, identifying no., and address _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
	_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _	11
12	Points not reported to you on Form 1098. See instructions for special rules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	12
13	Mortgage insurance premiums (see instructions) . . . . . . . . . . . . .	13
14	Investment interest. Attach Form 4952 if required. (See instructions.)	14
15	Add lines 10 through 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	15
Gifts to Charity If you made a gift and got a benefit for it, see instructions.	16	Gifts by cash or check. If you made any gift of $250 or more,
see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	16
17	Other than by cash or check. If any gift of $250 or more, see instructions. You must attach Form 8283 if over $500 . . . . . . . . .	17
18	Carryover from prior year . . . . . . . . . . . . . . . . . . . . . . . . . . . .	18
19	Add lines 16 through 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	19
Casualty and Theft Losses	20	Casualty or theft loss(es). Attach Form 4684. (See instructions.) . . . . . . . . . . . . . . . . . . . . .	20
Job Expenses and Certain Miscellaneous Deductions	21	Unreimbursed employee expensesjob travel, union dues, job education, etc. Attach Form 2106 or 2106-EZ if required.
(See instructions.) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _	21
22	Tax preparation fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	22
23	Other expensesinvestment, safe deposit box, etc. List type
and amount _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
	_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _	23
24	Add lines 21 through 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	24
25	Enter amount from Form 1040, line 38	25
26	Multiply line 25 by 2% (.02) . . . . . . . . . . . . . . . . . . . . . . . . . . .	26
27	Subtract line 26 from line 24. If line 26 is more than line 24, enter -0- . . . . . . . . . . . . . . . . .	27
Other Miscellaneous Deductions	28	Otherfrom list in instructions. List type and amount _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
	28

For Paperwork Reduction Act Notice, see Form 1040 instructions.

Cat. No. 17145C

Schedule A (Form 1040) 2015

SCHEDULE B (Form 1040A or 1040) Department of the Treasury Internal Revenue Service (99)	Interest and Ordinary Dividends Attach to Form 1040A or 1040. *Information about Schedule B and its instructions is at www.irs.gov/scheduleb.*	OMB No. 1545-0074
2015 Attachment Sequence No. 08

Name(s) shown on return America Los Rios	Your social security number 976-23-5132
Part I Interest (See instructions on back and the instructions for Form 1040A, or Form 1040, line 8a.) 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.	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 instructions on back and list this interest first. Also, show that buyer's social security number and address		Amount







	1



2	Add the amounts on line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	2
3	Excludable interest on series EE and I U.S. savings bonds issued after 1989. Attach Form 8815 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	3
4	Subtract line 3 from line 2. Enter the result here and on Form 1040A, or Form 1040, line 8a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	4
	Note: If line 4 is over $1,500, you must complete Part III.		Amount
Part II Ordinary Dividends (See instructions on back and the instructions for Form 1040A, or Form 1040, line 9a.) Note. If you received 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.	5	List name of payer _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _






	5






6	Add the amounts on line 5. Enter the total here and on Form 1040A, or Form 1040, line 9a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	6
Note: If line 6 is over $1,500, you must complete 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 transferor to, a foreign trust.	Yes	No
Part III Foreign Accounts and Trusts (See instructions on back.)	7a	At any time during 2015, did you have a financial interest in or signature authority over a financial account (such as a bank account, securities account, or brokerage account) located in a foreign country? See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

	If "Yes," are you required to file FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR), to report that financial interest or signature authority? See FinCEN Form 114 and its instructions for filing requirements and exceptions to those requirements . . . . . . . . . . .

b	If you are required to file FinCEN Form 114, enter the name of the foreign country where the financial account is located _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
	8	During 2015, did you receive a distribution from, or were you the grantor of, or transferor to, a foreign trust? If "Yes," you may have to file Form 3520. See instructions on back . . . . . . . . .

For Paperwork Reduction Act Notice, see your tax return instructions.

Cat. No. 17146N

Schedule B (Form 1040A or 1040) 2015

SCHEDULE D (Form 1040) Department of the Treasury Internal Revenue Service (99)	Capital Gains and Losses Attach to Form 1040 or Form 1040NR. *Information about Schedule D and its separate instructions is at www.irs.gov/scheduled.* Use Form 8949 to list your transactions for lines 1b, 2, 3, 8b, 9, and 10.	OMB No. 1545-0074
2015 Attachment Sequence No. 12

Name(s) shown on return America Los Rios

Your social security number 976-23-5132

Part I

Short-Term Capital Gains and LossesAssets Held One Year or Less

See instructions for how to figure the amounts to enter on the lines below.	(d) Proceeds (salesprice)	(e) Cost (or otherbasis)	(g) Adjustments to gain or loss from Form(s) 8949, Part I, line 2, column (g)	(h) Gain or (loss) Subtract column (e) from column (d) and combine the result with column (g)
This form may be easier to complete if you round off cents to whole dollars.
1a	Totals for all short-term transactions reported on Form 1099-B for which basis was reported to the IRS and for which you have no adjustments (see instructions). However, if you choose to report all these transactions on Form 8949, leave this line blank and go to line 1b . . . . . . . . . . . . . . . . . . . . . . . .
1b	Totals for all transactions reported on Form(s) 8949 with Box A checked . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2	Totals for all transactions reported on Form(s) 8949 with Box B checked . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3	Totals for all transactions reported on Form(s) 8949 with Box C checked . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4	Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684, 6781, and 8824 . . . . . . .	4
5	Net short-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-1 . . .	5
6	Short-term capital loss carryover. Enter the amount, if any, from line 8 of your Capital Loss Carryover Worksheet in the instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .