Follow the instructions on the Joe Riley 2 file (click next at the bottom of this page) to prepare Joe's 2019 federal income taxes. You will find all of the 2019 tax forms that you will need at the bottom of the Modules page under "Tax Forms." You are to hand write on the forms or type in a fillable pdf form. Do not use tax preparation software. You must attach computations for any box that includes more than one amount as well as the computation of tax. 
THE LIFE OF RILEY-FIFTH YEAR ON THE JOB Joe Riley had just finished 4 1/2 years at Harris Bank and Trust. His annual income was now $48,000. He worked hard and it had been a great year! He even received a year-end bonus check of $2,000 at the end of December. Harris was actually a pretty good place to work. They paid his medical care premiums of $390 a month for a good coverage policy. He had an option to pay into their dental insurance plan but he decided not to participate. He averaged 2 check-ups a year at $80 a visit so the $25 payment a month was not worth it. After working at Harris for four years, he had earned the right to rent a parking space at $125 per month. He was tired of the train and had bought a Camry. His monthly car payments were $359. His annual statement from the bank showed that he had paid $2,100 in principal and $2,208 in interest for the year. He paid a $45 parking ticket in September for parking in a reserved space. Of course, Harris was not a bed of roses. Time pressure to meet deadlines for reviews was stressful and there were some people no one could please. Cutting down on caffeine and going to the YMCA regularly had really helped. The monthly fee of $50 was very reasonable. Joe had been able to put away part of his salary over the last four years. He had $10,555 in the bank which earned $450 in interest and $5,340 in Fidelity mutual funds which produced $675 in dividends (all qualified). On February 10, he sold 50 shares of GE stock for $300. He had originally purchased the stock on January 30 for $330. Joe decided he didn't like the stress of the stock market and was going to stick with mutual funds from now on. But some of Joe's coworkers convinced him to join their investment partnership in June. They promised to teach him about investing. Joe's share of the ABC Partnerships taxable interest income was $175. Joe received $100 as a distribution from the partnership In addition, Joe inherited $7,000 from his Grandma Riley, who passed away this year. He used the $7,000 to purchase a City of Joliet school bond. He earned $225 in interest. For the first time in his life, Joe was beginning to feel financially independent and secure. In August, he had given his sister, Sue, $1,000 to help pay for her college tuition. After all, his parents had helped him and now it was his turn. He also had managed to give $3,000 to his church during the year. First, he would get home, finances, and taxes in order. Then, he would ask Julie to marry him. His whole future depended on her answer. It was funny how they had met. When his cat, Ninja, had become seriously ill, he had rushed him to the nearest vet and there was Juliecalm, reassuring, and competent. Long after Ninja was completely well, Joe continued to make appointments until he finally had the courage to ask her out. It was hard to believe that was only a year ago. He had never been so happy or so anxious. Tax Forms Assignment Complete Joe's 2019 Form 1040 and all required schedules for him. You will need Form 1040, Sch D, and Form 8949. Prepare the forms as if you were mailing them to the IRS, except you do not need to attach the Form W-2 and you may use pencil. Please attach any computations used in preparing the return (for example, if you add more than one number to a line and your computation of the tax). The forms must be hand written; no computer programs allowed. a Employee's social security number 22222 249-77-5433 b Employer identification number (EIN) c Employer's name, address, and ZIP code Harris Bank and Trust Chicago, IL OMB No. 1545-0008 1 Wages, tips, other compensation 50,000.00 3 Social security wages 50,000.00 6 Medicare wages and tips 50.000.00 7 Social security tips 2 Federal income tax withheld 9.700.00 4 Social security tax withheld 3.100.00 6 Medicare tax withheld 725.00 8 Allocated tips d Control number Advance EIC payment 10 Dependent care benefits Last name Sutt. 11 Nonqualified plans 128 Employee's first name and initial Joseph A. Riley 715 1st Street Joliet, Il 60431 13 Saluty Tplos ervarent plan Thinchperty sy 12b 14 Other 12c a 120 1 Employee's address and ZIP code 18 State Employer's state ID number 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name IL 16 State wages, tips, etc. 50,000.00 1,500.00 Department of the Treasury-internal Revenue Service Form Statement Copy 1-For State, City, or Local Tax Department W-2 Wage and Tax Department of the Treasury-Internal Revenue Service (99) U.S. Individual Income Tax Return 2019 OMB No. 1545-0074 IRS Use Only-Do not write or staple in this space. Filing Status Single Married filing jointly Married filing jointly Married filing separately (MFS) Head of household (HOH) Qualifying widow(er) (QW) Check only If you checked the MFS box, enter the name of spouse. If you checked the HOH or QW box, enter the child's name if the qualifying person is one box. a child but not your dependent. Your first name and middle initial Last name Your social security number If joint return, spouse's first name and middle initial Last name Spouse's social security number Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Presidential Election Campaign Check here if you, or your spouse if filing jointly, want $3 to go to this fund. City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Checking a box below will not change your tax or refund. You Spouse Foreign country name Foreign province/state/county Foreign postal code of more than four dependents, see instructions and heren Standard Someone can claim: You as a dependent Your spouse as a dependent Deduction Spouse itemizes on a separate return or you were a dual-status alien Age/Blindness You: Were born before January 2, 1955 Are blind Spouse: Was born before January 2, 1955 Is blind Dependents (see instructions): (2) Social security number (3) Relationship to you (4) if qualifies for (see instructions): (1) First name Last name Child tax credit Credit for other dependents 1 2b 3b 4b 4d 5b 6 7a 1 1 Wages, salaries, tips, etc. Attach Form(s) W-2 2a Tax-exempt interest 2a b Taxable interest. Attach Sch. B if required Qualified dividends Standard b Ordinary dividends. Attach Sch. B if required Deduction for 4a IRA distributions. 4a b Taxable amount Single or Married Pensions and annuities 4c d Taxable amount filing separately, $12,200 5a Social security benefits 5a b Taxable amount Married filing jointly or Qualifying 6 Capital gain or loss). Attach Schedule D if required. If not required, check here widow(er). 7a Other income from Schedule 1, line 9.. $24,400 Head of b Add lines 1, 2, 3, 4b, 40, 5b, 6, and 7a. This is your total income household, 8a $18,350 Adjustments to income from Schedule 1, line 22 If you checked b Subtract line 8a from line 7b. This is your adjusted gross income any box under Standard 9 Standard deduction or itemized deductions (from Schedule A) 9 Deduction 10 Qualified business income deduction. Attach Form 8995 or Form 8995-A 10 see instructions. 11a Add lines 9 and 10. b Taxable income. Subtract line 11a from line 8b. If zero or less, enter-O- For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Cat. No. 11320B 7b 8 8b 11a 11b Form 1040 (2019) Form 1040 (2019) Page 2 12a ) 8814 Tax (see inst.) Check if any from Form(s): 1 08814 2 04972 3 D 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-O- 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 W 17 If you have a 18 Other payments and refundable credits: qualifying child, Earned income credit (EIC). 18a attach Sch. EIC. b Additional child tax credit. Attach Schedule 8812 18b If you have nontaxable c American opportunity credit from Form 8863, line 8 18C combat pay, see instructions. d Schedule 3, line 14. 18d e Add lines 18a through 18d. These are your total other payments and refundable credits 18e 19 Add lines 17 and 18e. These are your total payments 19 Refund 20 If line 19 is more than line 16, subtract line 16 from line 19. This is the amount you overpaid 20 21a Amount of line 20 you want refunded to you. If Form 8888 is attached, check here 21a Direct deposit? Routing number c Type: Checking Savings See instructions. d Account number 22 Amount of line 20 you want applied to your 2020 estimated tax Amount 23 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 (other than your paid preparer) to discuss this return with the IRS? See instructions. Yes. Complete below. Designee No (Other than Designee's Phone Personal identification paid preparer) name no. 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 taxpayer) is based on all information of which preparer has any knowledge. Here Your signature Date Your occupation If the IRS sent you an Identity Protection PIN, enter it here Joint return? (see inst.) See instructions. Spouse's signature. If a joint return, both must sign. Date Spouse's occupation If the IRS sent your spouse an Keep a copy for Identity Protection PIN, enter it here your records. (see inst.) Phone no. Email address Preparer's name Preparer's signature Date PTIN Check if: Paid 3rd Party Designee Preparer Firm's name Phone no. Self-employed Use Only Firm's address Firm's EIN Go to www.irs.gov/Form 1040 for instructions and the latest information. Form 1040 (2019) 22 SCHEDULE D (Form 1040 or 1040-SR) OMB No. 1545-0074 Capital Gains and Losses Attach to Form 1040, 1040-SR, or 1040-NR. Go to www.irs.gov/Scheduled for instructions and the latest information. Use Form 8949 to list your transactions for lines 1b, 2, 3, 8b, 9, and 10. 2019 Department of the Treasury Intemal Revenue Service (99) Name(s) shown on return Attachment Sequence No. 12 Your social security number Did you dispose of any investment(s) in a qualified opportunity fund during the tax year? Yes No If "Yes," attach Form 8949 and see its instructions for additional requirements for reporting your gain or loss. Parti Short-Term Capital Gains and Losses-Generally Assets Held One Year or Less (see instructions) See instructions for how to figure the amounts to enter on the (g) (h) Gain or loss) lines below. (d) (e) Adjustments Subtract column (0) Proceeds Cost to gain or loss from from column (d) and This form may be easier to complete if you round off cents to (sales price) (or other basis) Form(s) 8949, Part 1 combine the result whole dollars. line 2 column (9) with column (g) 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. 6 7 Net short-term capital gain or loss). Combine lines 1a through 6 in column (h). If you have any long- term capital gains or losses, go to Part II below. Otherwise, go to Part III on the back 7 Part II Long-Term Capital Gains and Losses - Generally Assets Held More Than One Year (see instructions) See instructions for how to figure the amounts to enter on the (g) g (h) Gain or loss) lines below. (d) (e) Adjustments Subtract column (e) Proceeds Cost to gain or loss from from column (d) and This form may be easier to complete if you round off cents to (sales price) (or other basis) Form(s) 8949, Part II, combine the result whole dollars. line 2, column(a) with column (9) 8a Totals for all long-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 8b 8b Totals for all transactions reported on Form(s) 8949 with Box D checked .. 9 Totals for all transactions reported on Form(s) 8949 with Box E checked 10 Totals for all transactions reported on Form(s) 8949 with Box F checked. 11 Gain from Form 4797, Part 1; long-term gain from Forms 2439 and 6252; and long-term gain or (loss) from Forms 4684, 6781, and 8824 11 12 Net long-term gain or loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-1 12 13 Capital gain distributions. See the instructions 13 14 Long-term capital loss carryover. Enter the amount, if any, from line 13 of your Capital Loss Carryover Worksheet in the instructions 14 15 Net long-term capital gain or loss). Combine lines 8a through 14 in column (h). Then go to Part III on the back. ....... 15 For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 11338H Schedule D (Form 1040 or 1040-SR) 2019 ) Schedule D (Form 1040 or 1040-SR) 2019 Page 2 Part III Summary 16 Combine lines 7 and 15 and enter the result 16 If line 16 is a gain, enter the amount from line 16 on Form 1040 or 1040-SR, line 6; or Form 1040-NR, line 14. Then go to line 17 below. If line 16 is a loss, skip lines 17 through 20 below. Then go to line 21. Also be sure to complete line 22. If line 16 is zero, skip lines 17 through 21 below and enter -- on Form 1040 or 1040-SR, line 6; or Form 1040-NR, line 14. Then go to line 22. 17 Are lines 15 and 16 both gains? Yes. Go to line 18. No. Skip lines 18 through 21, and go to line 22. 18 If you are required to complete the 28% Rate Gain Worksheet (see instructions), enter the amount, if any, from line 7 of that worksheet 18 19 If you are required to complete the Unrecaptured Section 1250 Gain Worksheet (see instructions), enter the amount, if any, from line 18 of that worksheet 19 20 Are lines 18 and 19 both zero or blank? Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions for Forms 1040 and 1040-SR, line 12a (or in the instructions for Form 1040-NR, line 42). Don't complete lines 21 and 22 below. No. Complete the Schedule D Tax Worksheet in the instructions. Don't complete lines 21 and 22 below. 21 If line 16 is a loss, enter here and on Form 1040 or 1040-SR, line 6; or Form 1040-NR, line 14, the smaller of: The loss on line 16; or ($3,000), or if married filing separately, ($1,500) } 21 K Note: When figuring which amount is smaller, treat both amounts as positive numbers. 22 Do you have qualified dividends on Form 1040 or 1040-SR, line 3a; or Form 1040-NR, line 10b? Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions for Forms 1040 and 1040-SR, line 12a (or in the instructions for Form 1040-NR, line 42). No. Complete the rest of Form 1040, 1040-SR, or 1040-NR. Schedule D (Form 1040 or 1040-SR) 2019 Fom 8949 Department of the Treasury Internal Revenue Service Name(s) shown on return OMB No. 1545-0074 Sales and Other Dispositions of Capital Assets Go to www.irs.gov/Form8949 for instructions and the latest information. 2019 File with your Schedule D to list your transactions for lines 1b, 2, 3, 8b, 9, and 10 of Schedule D. Attachment Sequence No. 12A Social security number or taxpayer identification number Before you check Box A, B, or C below, see whether you received any Form(s) 1099-B or substitute statement(s) from your broker. A substitute statement will have the same information as Form 1099-B. Either will show whether your basis (usually your cost) was reported to the IRS by your broker and may even tell you which box to check. Part Short-Term. Transactions involving capital assets you held 1 year or less are generally short-term (see instructions). For long-term transactions, see page 2 Note: You may aggregate all short-term transactions reported on Form(s) 1099-B showing basis was reported to the IRS and for which no adjustments or codes are required. Enter the totals directly on Schedule D, line 1a; you aren't required to report these transactions on Form 8949 (see instructions). You must check Box A, B, or below. Check only one box. If more than one box applies for your short-term transactions, complete a separate Form 8949, page 1, for each applicable box. If you have more short-term transactions than will fit on this page for one or more of the boxes, complete as many forms with the same box checked as you need. (A) Short-term transactions reported on Form(s) 1099-B showing basis was reported to the IRS (see Note above) (B) Short-term transactions reported on Form(s) 1099-B showing basis wasn't reported to the IRS (C) Short-term transactions not reported to you on Form 1099-B Adjustment, if any, to gain or loss. 1 le) If you enter an amount in column (g). (h) (c) (d) Cost or other basis. enter a code in column (0) Gain or loss). (b) Date sold or Proceeds See the Note below See the separate instructions. Subtract column (e) Description of property Date acquired disposed of (sales price) and see Column (e) from column (d) and (Example: 100 sh.XYZ Co.) (Mo., day, yr.) (Mo., day, yr) (see instructions) in the separate (g) combine the result instructions Code(s) from Amount of with column (9) instructions adjustment (a) 2 Totals. Add the amounts in columns (d), (e), (g), and (h) (subtract negative amounts). Enter each total here and include on your Schedule D. line 1b (if Box A above is checked), line 2 (if Box B above is checked), or line 3 (if Box C above is checked) Note: If you checked Box A above but the basis reported to the IRS was incorrect, enter in column (e) the basis as reported to the IRS, and enter an adjustment in column (g) to correct the basis. See Column (g) in the separate instructions for how to figure the amount of the adjustment. For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 37768Z Form 8949 (2019) Form 8949 (2019) Name(s) shown on retur. Name and SSN or taxpayer identification no. not required if shown on other side Attachment Sequence No. 12A Page 2 Social security number or taxpayer identification number Before you check Box D, E, or F below, see whether you received any Form(s) 1099-B or substitute statement(s) from your broker. A substitute statement will have the same information as Form 1099-B. Either will show whether your basis (usually your cost) was reported to the IRS by your broker and may even tell you which box to check Part II Long-Term. Transactions involving capital assets you held more than 1 year are generally long-term (see instructions). For short-term transactions, see page 1. Note: You may aggregate all long-term transactions reported on Form(s) 1099-B showing basis was reported to the IRS and for which no adjustments or codes are required. Enter the totals directly on Schedule D, line 8a; you aren't required to report these transactions on Form 8949 (see instructions). You must check Box D, E, or F below. Check only one box. If more than one box applies for your long-term transactions, complete a separate Form 8949, page 2, for each applicable box. If you have more long-term transactions than will fit on this page for one or more of the boxes, complete as many forms with the same box checked as you need. (D) Long-term transactions reported on Form(s) 1099-B showing basis was reported to the IRS (see Note above) (E) Long-term transactions reported on Form(s) 1099-B showing basis wasn't reported to the IRS (F) Long-term transactions not reported to you on Form 1099-B Adjustment, if any, to gain or loss. 1 (e) If you enter an amount in column (g) (h) (c) (d) Cost or other basis. enter a code in column (f). (b) Gain or loss). (a) Date sold or Proceeds Description of property See the Note below See the separate instructions. Subtract column (e) Date acquired (Mo., day, yr.) disposed of (sales price) Example: 100 sh.XYZ Co.) from column (d) and and see Column (e) (Mo., day, yr.) (see instructions) in the separate (1) (g) combine the result instructions Code(s) from Amount of with column (g) instructions adjustment 2 Totals. Add the amounts in columns (d), (e), (g), and (h) (subtract negative amounts). Enter each total here and include on your Schedule D, line 8b (if Box D above is checked), line 9 (if Box E above is checked), or line 10 of Box F above is checked) Note: If you checked Box D above but the basis reported to the IRS was incorrect, enter in column (e) the basis as reported to the IRS, and enter an adjustment in column (g) to correct the basis. See Column (g) in the separate instructions for how to figure the amount of the adjustment. Form 8949 (2019) THE LIFE OF RILEY-FIFTH YEAR ON THE JOB Joe Riley had just finished 4 1/2 years at Harris Bank and Trust. His annual income was now $48,000. He worked hard and it had been a great year! He even received a year-end bonus check of $2,000 at the end of December. Harris was actually a pretty good place to work. They paid his medical care premiums of $390 a month for a good coverage policy. He had an option to pay into their dental insurance plan but he decided not to participate. He averaged 2 check-ups a year at $80 a visit so the $25 payment a month was not worth it. After working at Harris for four years, he had earned the right to rent a parking space at $125 per month. He was tired of the train and had bought a Camry. His monthly car payments were $359. His annual statement from the bank showed that he had paid $2,100 in principal and $2,208 in interest for the year. He paid a $45 parking ticket in September for parking in a reserved space. Of course, Harris was not a bed of roses. Time pressure to meet deadlines for reviews was stressful and there were some people no one could please. Cutting down on caffeine and going to the YMCA regularly had really helped. The monthly fee of $50 was very reasonable. Joe had been able to put away part of his salary over the last four years. He had $10,555 in the bank which earned $450 in interest and $5,340 in Fidelity mutual funds which produced $675 in dividends (all qualified). On February 10, he sold 50 shares of GE stock for $300. He had originally purchased the stock on January 30 for $330. Joe decided he didn't like the stress of the stock market and was going to stick with mutual funds from now on. But some of Joe's coworkers convinced him to join their investment partnership in June. They promised to teach him about investing. Joe's share of the ABC Partnerships taxable interest income was $175. Joe received $100 as a distribution from the partnership In addition, Joe inherited $7,000 from his Grandma Riley, who passed away this year. He used the $7,000 to purchase a City of Joliet school bond. He earned $225 in interest. For the first time in his life, Joe was beginning to feel financially independent and secure. In August, he had given his sister, Sue, $1,000 to help pay for her college tuition. After all, his parents had helped him and now it was his turn. He also had managed to give $3,000 to his church during the year. First, he would get home, finances, and taxes in order. Then, he would ask Julie to marry him. His whole future depended on her answer. It was funny how they had met. When his cat, Ninja, had become seriously ill, he had rushed him to the nearest vet and there was Juliecalm, reassuring, and competent. Long after Ninja was completely well, Joe continued to make appointments until he finally had the courage to ask her out. It was hard to believe that was only a year ago. He had never been so happy or so anxious. Tax Forms Assignment Complete Joe's 2019 Form 1040 and all required schedules for him. You will need Form 1040, Sch D, and Form 8949. Prepare the forms as if you were mailing them to the IRS, except you do not need to attach the Form W-2 and you may use pencil. Please attach any computations used in preparing the return (for example, if you add more than one number to a line and your computation of the tax). The forms must be hand written; no computer programs allowed. a Employee's social security number 22222 249-77-5433 b Employer identification number (EIN) c Employer's name, address, and ZIP code Harris Bank and Trust Chicago, IL OMB No. 1545-0008 1 Wages, tips, other compensation 50,000.00 3 Social security wages 50,000.00 6 Medicare wages and tips 50.000.00 7 Social security tips 2 Federal income tax withheld 9.700.00 4 Social security tax withheld 3.100.00 6 Medicare tax withheld 725.00 8 Allocated tips d Control number Advance EIC payment 10 Dependent care benefits Last name Sutt. 11 Nonqualified plans 128 Employee's first name and initial Joseph A. Riley 715 1st Street Joliet, Il 60431 13 Saluty Tplos ervarent plan Thinchperty sy 12b 14 Other 12c a 120 1 Employee's address and ZIP code 18 State Employer's state ID number 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name IL 16 State wages, tips, etc. 50,000.00 1,500.00 Department of the Treasury-internal Revenue Service Form Statement Copy 1-For State, City, or Local Tax Department W-2 Wage and Tax Department of the Treasury-Internal Revenue Service (99) U.S. Individual Income Tax Return 2019 OMB No. 1545-0074 IRS Use Only-Do not write or staple in this space. Filing Status Single Married filing jointly Married filing jointly Married filing separately (MFS) Head of household (HOH) Qualifying widow(er) (QW) Check only If you checked the MFS box, enter the name of spouse. If you checked the HOH or QW box, enter the child's name if the qualifying person is one box. a child but not your dependent. Your first name and middle initial Last name Your social security number If joint return, spouse's first name and middle initial Last name Spouse's social security number Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Presidential Election Campaign Check here if you, or your spouse if filing jointly, want $3 to go to this fund. City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Checking a box below will not change your tax or refund. You Spouse Foreign country name Foreign province/state/county Foreign postal code of more than four dependents, see instructions and heren Standard Someone can claim: You as a dependent Your spouse as a dependent Deduction Spouse itemizes on a separate return or you were a dual-status alien Age/Blindness You: Were born before January 2, 1955 Are blind Spouse: Was born before January 2, 1955 Is blind Dependents (see instructions): (2) Social security number (3) Relationship to you (4) if qualifies for (see instructions): (1) First name Last name Child tax credit Credit for other dependents 1 2b 3b 4b 4d 5b 6 7a 1 1 Wages, salaries, tips, etc. Attach Form(s) W-2 2a Tax-exempt interest 2a b Taxable interest. Attach Sch. B if required Qualified dividends Standard b Ordinary dividends. Attach Sch. B if required Deduction for 4a IRA distributions. 4a b Taxable amount Single or Married Pensions and annuities 4c d Taxable amount filing separately, $12,200 5a Social security benefits 5a b Taxable amount Married filing jointly or Qualifying 6 Capital gain or loss). Attach Schedule D if required. If not required, check here widow(er). 7a Other income from Schedule 1, line 9.. $24,400 Head of b Add lines 1, 2, 3, 4b, 40, 5b, 6, and 7a. This is your total income household, 8a $18,350 Adjustments to income from Schedule 1, line 22 If you checked b Subtract line 8a from line 7b. This is your adjusted gross income any box under Standard 9 Standard deduction or itemized deductions (from Schedule A) 9 Deduction 10 Qualified business income deduction. Attach Form 8995 or Form 8995-A 10 see instructions. 11a Add lines 9 and 10. b Taxable income. Subtract line 11a from line 8b. If zero or less, enter-O- For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Cat. No. 11320B 7b 8 8b 11a 11b Form 1040 (2019) Form 1040 (2019) Page 2 12a ) 8814 Tax (see inst.) Check if any from Form(s): 1 08814 2 04972 3 D 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-O- 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 W 17 If you have a 18 Other payments and refundable credits: qualifying child, Earned income credit (EIC). 18a attach Sch. EIC. b Additional child tax credit. Attach Schedule 8812 18b If you have nontaxable c American opportunity credit from Form 8863, line 8 18C combat pay, see instructions. d Schedule 3, line 14. 18d e Add lines 18a through 18d. These are your total other payments and refundable credits 18e 19 Add lines 17 and 18e. These are your total payments 19 Refund 20 If line 19 is more than line 16, subtract line 16 from line 19. This is the amount you overpaid 20 21a Amount of line 20 you want refunded to you. If Form 8888 is attached, check here 21a Direct deposit? Routing number c Type: Checking Savings See instructions. d Account number 22 Amount of line 20 you want applied to your 2020 estimated tax Amount 23 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 (other than your paid preparer) to discuss this return with the IRS? See instructions. Yes. Complete below. Designee No (Other than Designee's Phone Personal identification paid preparer) name no. 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 taxpayer) is based on all information of which preparer has any knowledge. Here Your signature Date Your occupation If the IRS sent you an Identity Protection PIN, enter it here Joint return? (see inst.) See instructions. Spouse's signature. If a joint return, both must sign. Date Spouse's occupation If the IRS sent your spouse an Keep a copy for Identity Protection PIN, enter it here your records. (see inst.) Phone no. Email address Preparer's name Preparer's signature Date PTIN Check if: Paid 3rd Party Designee Preparer Firm's name Phone no. Self-employed Use Only Firm's address Firm's EIN Go to www.irs.gov/Form 1040 for instructions and the latest information. Form 1040 (2019) 22 SCHEDULE D (Form 1040 or 1040-SR) OMB No. 1545-0074 Capital Gains and Losses Attach to Form 1040, 1040-SR, or 1040-NR. Go to www.irs.gov/Scheduled for instructions and the latest information. Use Form 8949 to list your transactions for lines 1b, 2, 3, 8b, 9, and 10. 2019 Department of the Treasury Intemal Revenue Service (99) Name(s) shown on return Attachment Sequence No. 12 Your social security number Did you dispose of any investment(s) in a qualified opportunity fund during the tax year? Yes No If "Yes," attach Form 8949 and see its instructions for additional requirements for reporting your gain or loss. Parti Short-Term Capital Gains and Losses-Generally Assets Held One Year or Less (see instructions) See instructions for how to figure the amounts to enter on the (g) (h) Gain or loss) lines below. (d) (e) Adjustments Subtract column (0) Proceeds Cost to gain or loss from from column (d) and This form may be easier to complete if you round off cents to (sales price) (or other basis) Form(s) 8949, Part 1 combine the result whole dollars. line 2 column (9) with column (g) 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. 6 7 Net short-term capital gain or loss). Combine lines 1a through 6 in column (h). If you have any long- term capital gains or losses, go to Part II below. Otherwise, go to Part III on the back 7 Part II Long-Term Capital Gains and Losses - Generally Assets Held More Than One Year (see instructions) See instructions for how to figure the amounts to enter on the (g) g (h) Gain or loss) lines below. (d) (e) Adjustments Subtract column (e) Proceeds Cost to gain or loss from from column (d) and This form may be easier to complete if you round off cents to (sales price) (or other basis) Form(s) 8949, Part II, combine the result whole dollars. line 2, column(a) with column (9) 8a Totals for all long-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 8b 8b Totals for all transactions reported on Form(s) 8949 with Box D checked .. 9 Totals for all transactions reported on Form(s) 8949 with Box E checked 10 Totals for all transactions reported on Form(s) 8949 with Box F checked. 11 Gain from Form 4797, Part 1; long-term gain from Forms 2439 and 6252; and long-term gain or (loss) from Forms 4684, 6781, and 8824 11 12 Net long-term gain or loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-1 12 13 Capital gain distributions. See the instructions 13 14 Long-term capital loss carryover. Enter the amount, if any, from line 13 of your Capital Loss Carryover Worksheet in the instructions 14 15 Net long-term capital gain or loss). Combine lines 8a through 14 in column (h). Then go to Part III on the back. ....... 15 For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 11338H Schedule D (Form 1040 or 1040-SR) 2019 ) Schedule D (Form 1040 or 1040-SR) 2019 Page 2 Part III Summary 16 Combine lines 7 and 15 and enter the result 16 If line 16 is a gain, enter the amount from line 16 on Form 1040 or 1040-SR, line 6; or Form 1040-NR, line 14. Then go to line 17 below. If line 16 is a loss, skip lines 17 through 20 below. Then go to line 21. Also be sure to complete line 22. If line 16 is zero, skip lines 17 through 21 below and enter -- on Form 1040 or 1040-SR, line 6; or Form 1040-NR, line 14. Then go to line 22. 17 Are lines 15 and 16 both gains? Yes. Go to line 18. No. Skip lines 18 through 21, and go to line 22. 18 If you are required to complete the 28% Rate Gain Worksheet (see instructions), enter the amount, if any, from line 7 of that worksheet 18 19 If you are required to complete the Unrecaptured Section 1250 Gain Worksheet (see instructions), enter the amount, if any, from line 18 of that worksheet 19 20 Are lines 18 and 19 both zero or blank? Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions for Forms 1040 and 1040-SR, line 12a (or in the instructions for Form 1040-NR, line 42). Don't complete lines 21 and 22 below. No. Complete the Schedule D Tax Worksheet in the instructions. Don't complete lines 21 and 22 below. 21 If line 16 is a loss, enter here and on Form 1040 or 1040-SR, line 6; or Form 1040-NR, line 14, the smaller of: The loss on line 16; or ($3,000), or if married filing separately, ($1,500) } 21 K Note: When figuring which amount is smaller, treat both amounts as positive numbers. 22 Do you have qualified dividends on Form 1040 or 1040-SR, line 3a; or Form 1040-NR, line 10b? Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions for Forms 1040 and 1040-SR, line 12a (or in the instructions for Form 1040-NR, line 42). No. Complete the rest of Form 1040, 1040-SR, or 1040-NR. Schedule D (Form 1040 or 1040-SR) 2019 Fom 8949 Department of the Treasury Internal Revenue Service Name(s) shown on return OMB No. 1545-0074 Sales and Other Dispositions of Capital Assets Go to www.irs.gov/Form8949 for instructions and the latest information. 2019 File with your Schedule D to list your transactions for lines 1b, 2, 3, 8b, 9, and 10 of Schedule D. Attachment Sequence No. 12A Social security number or taxpayer identification number Before you check Box A, B, or C below, see whether you received any Form(s) 1099-B or substitute statement(s) from your broker. A substitute statement will have the same information as Form 1099-B. Either will show whether your basis (usually your cost) was reported to the IRS by your broker and may even tell you which box to check. Part Short-Term. Transactions involving capital assets you held 1 year or less are generally short-term (see instructions). For long-term transactions, see page 2 Note: You may aggregate all short-term transactions reported on Form(s) 1099-B showing basis was reported to the IRS and for which no adjustments or codes are required. Enter the totals directly on Schedule D, line 1a; you aren't required to report these transactions on Form 8949 (see instructions). You must check Box A, B, or below. Check only one box. If more than one box applies for your short-term transactions, complete a separate Form 8949, page 1, for each applicable box. If you have more short-term transactions than will fit on this page for one or more of the boxes, complete as many forms with the same box checked as you need. (A) Short-term transactions reported on Form(s) 1099-B showing basis was reported to the IRS (see Note above) (B) Short-term transactions reported on Form(s) 1099-B showing basis wasn't reported to the IRS (C) Short-term transactions not reported to you on Form 1099-B Adjustment, if any, to gain or loss. 1 le) If you enter an amount in column (g). (h) (c) (d) Cost or other basis. enter a code in column (0) Gain or loss). (b) Date sold or Proceeds See the Note below See the separate instructions. Subtract column (e) Description of property Date acquired disposed of (sales price) and see Column (e) from column (d) and (Example: 100 sh.XYZ Co.) (Mo., day, yr.) (Mo., day, yr) (see instructions) in the separate (g) combine the result instructions Code(s) from Amount of with column (9) instructions adjustment (a) 2 Totals. Add the amounts in columns (d), (e), (g), and (h) (subtract negative amounts). Enter each total here and include on your Schedule D. line 1b (if Box A above is checked), line 2 (if Box B above is checked), or line 3 (if Box C above is checked) Note: If you checked Box A above but the basis reported to the IRS was incorrect, enter in column (e) the basis as reported to the IRS, and enter an adjustment in column (g) to correct the basis. See Column (g) in the separate instructions for how to figure the amount of the adjustment. For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 37768Z Form 8949 (2019) Form 8949 (2019) Name(s) shown on retur. Name and SSN or taxpayer identification no. not required if shown on other side Attachment Sequence No. 12A Page 2 Social security number or taxpayer identification number Before you check Box D, E, or F below, see whether you received any Form(s) 1099-B or substitute statement(s) from your broker. A substitute statement will have the same information as Form 1099-B. Either will show whether your basis (usually your cost) was reported to the IRS by your broker and may even tell you which box to check Part II Long-Term. Transactions involving capital assets you held more than 1 year are generally long-term (see instructions). For short-term transactions, see page 1. Note: You may aggregate all long-term transactions reported on Form(s) 1099-B showing basis was reported to the IRS and for which no adjustments or codes are required. Enter the totals directly on Schedule D, line 8a; you aren't required to report these transactions on Form 8949 (see instructions). You must check Box D, E, or F below. Check only one box. If more than one box applies for your long-term transactions, complete a separate Form 8949, page 2, for each applicable box. If you have more long-term transactions than will fit on this page for one or more of the boxes, complete as many forms with the same box checked as you need. (D) Long-term transactions reported on Form(s) 1099-B showing basis was reported to the IRS (see Note above) (E) Long-term transactions reported on Form(s) 1099-B showing basis wasn't reported to the IRS (F) Long-term transactions not reported to you on Form 1099-B Adjustment, if any, to gain or loss. 1 (e) If you enter an amount in column (g) (h) (c) (d) Cost or other basis. enter a code in column (f). (b) Gain or loss). (a) Date sold or Proceeds Description of property See the Note below See the separate instructions. Subtract column (e) Date acquired (Mo., day, yr.) disposed of (sales price) Example: 100 sh.XYZ Co.) from column (d) and and see Column (e) (Mo., day, yr.) (see instructions) in the separate (1) (g) combine the result instructions Code(s) from Amount of with column (g) instructions adjustment 2 Totals. Add the amounts in columns (d), (e), (g), and (h) (subtract negative amounts). Enter each total here and include on your Schedule D, line 8b (if Box D above is checked), line 9 (if Box E above is checked), or line 10 of Box F above is checked) Note: If you checked Box D above but the basis reported to the IRS was incorrect, enter in column (e) the basis as reported to the IRS, and enter an adjustment in column (g) to correct the basis. See Column (g) in the separate instructions for how to figure the amount of the adjustment. Form 8949 (2019)
