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Greg Jones (birthdate June 6, 1981) moved from California to Washington in December 2018. His earnings and income tax withholding for 2021 for his job

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Greg Jones (birthdate June 6, 1981) moved from California to Washington in December 2018. His earnings and income tax withholding for 2021 for his job as a manager at a Washington apple-processing plant are:

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Johns other income includes interest on a Certificate of Deposit reported on a Form 1099-INT:

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John received the following Form 1098 reporting mortgage interest and property taxes:

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During 2021, John paid the following amounts (all of which can be substantiated):

Auto loan interest 1,575

Credit card interest 655

State sales tax 1,285

Assisted living charges for Gala 5,250

Doctor bills 2,550

Other deductible medical expenses 760

Income tax preparation fee 500

Job-hunting expenses 925

Cash charitable donation to the Jonagold Research Center 400

Johns employer offers a retirement plan, but John does not participate. Instead, he made a $4,000 contribution to a Roth IRA.

John also provides 100 percent of the support for his mother, Gala Fuji (Social Security number 323-11-4455). Gala is chronically ill and lives in an assisted living facility in Yakima. Her only income is interest of about $400 on a modest savings account. John can claim the $500 other dependent credit for Gala.

Required: Complete Johns federal tax return for 2021. Use Form 1040, and Schedule A as needed to complete this tax return. Make realistic assumptions about any missing data.

a Employee's social security number 571-78-5974 Employer identification number EIN 34-7654321 c Employer's name, address, and ZIP code Granny Smith Apple Co. 200 Ahtanum Road Yakima, WA 98903 Safe, accurate, Visit the website at OMB No. 1545-0008 me-file www.spowletio FASTI Use Wages, tips, other compensation 2 Federal income tax withheld 77,300.00 8,100.00 3 Social security wages 4 Social security tax withheld 77,300.00 4,792.60 5 Medicare wages and tips 6 Medicare tax withheld 77,300.00 1,120.85 7 Social Security tips & Allocated tips d Control number 9 10 Dependent care benefits Suft. 11 Nonqualified plans 12a See instructions for box 12 . Employee's first name and initial Last name John Fuji 468 Bonnie Doon Avenue Yakima, WA 98902 12b 14 Other 120 120 Employee's address and ZIP code 15 State Employer's state ID number WAL 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality and W-2 Wage and Tax 2019 Department of the Treasury - Internal Revenue Service Form Statement Copy B-To Be Filed With Employee's FEDERAL Tax Return. This information is being furnished to the Internal Revenue Service 2019 CORRECTED (if checked) PAYERS name, street address, city or town, state or province, country, ZIP Payer's RTN (optional OMU NO. 1545-0112 or foreign postal code and telephone no Braeburn National Bank Interest 1600 W. Nob Hill Blvd. 1 Interest income Income Yakima, WA 98902 $ 1,433.00 Form 1099-INT 2 Early withdrawal penalty Copy B PAYER'S TIN RECIPIENT'S TIN $ For Recipient 54-9019016 571-78-5974 3 Interest on U.S. Savings Bonds and Treas, obligations Is RECIPIENTS name 4 Federal income tax with investment expenses This is important tax John Fuji $ 0.00 Is information and is Foreign tax paid 7 Foreign country or U.S. possession peing furnished to the IRS. If you are Street address including pt. no.) $ required to file a 468 Bonnie Doon Ave. 8 Tac-exempt interest Specified private bond return, a negligence penalty or other sanction City or town, state or province, country, and ZIP or foreign postal code $ I$ imposed on your Yakima, WA 98902 10 Market discount 11 Bond premium this income is taxable and the IRS determines that it has FATCA ingls $ not been reported requirement 12 Bordpremium on Turbo 13 Bond premium ontem bond $ Account numbers instructions 14 The-exempt and tax credit 15 Se 16 State identification no. 17 State tax withheld bond CUSP no may be Form 1099-INT (keep for your records) www.is.gov/Form 1090INT Department of the Treasury Internal Revenue Service VOID CORRECTED RECIPIENTS/LENDER'S name, street address, city or town, state or OMB No. 1545-1380 province, country, ZIP or foreign postal code, and telephone no. Mortgage Braeburn National Bank 2019 Interest 1600 W. Nob Hill Blvd. Statement Yakima, WA 98902 Form 1098 1 Mortgage interest received from payersborrowers) 7,775.13 Copy C RECIPIENTS/LENDER'S TIN For Recipient/ PAYERS/BORROWER'S TIN 2 Outstanding mortgage principal 3 Mortgage origination date Lender 54-9019016 571-78-5974 $ 255,321.78 12/1/2017 4 Refund of Overpeid 5 Mortgage Insurance interest premiums $ PAYERS/BORROWER'S name For Privacy Act and Paperwork John Fuji Points paid on purchase of principal residence Reduction Act $ Notice, see the Street address including apt. no.) 2019 General 7 address of property securing mortgage is the same Instructions for 468 Bonnie Doon Ave. as PAYERS/BORROWER'S address, check the box, or enter Certain the address or description in box 8. Information City or town, state or province, country, and ZIP or foreign postal code Returns Address or description of property securing mortgage (see instructions Yakima, WA 98902 Number of properties securing the 10 Other mortgage 1 Prop. Taxes $2,100 11 Mortgage acquisition date Account numbers instructions Form 1098 www.in.gowForm1098 Department of the Treasury Internal Revenue Service a Employee's social security number 571-78-5974 Employer identification number EIN 34-7654321 c Employer's name, address, and ZIP code Granny Smith Apple Co. 200 Ahtanum Road Yakima, WA 98903 Safe, accurate, Visit the website at OMB No. 1545-0008 me-file www.spowletio FASTI Use Wages, tips, other compensation 2 Federal income tax withheld 77,300.00 8,100.00 3 Social security wages 4 Social security tax withheld 77,300.00 4,792.60 5 Medicare wages and tips 6 Medicare tax withheld 77,300.00 1,120.85 7 Social Security tips & Allocated tips d Control number 9 10 Dependent care benefits Suft. 11 Nonqualified plans 12a See instructions for box 12 . Employee's first name and initial Last name John Fuji 468 Bonnie Doon Avenue Yakima, WA 98902 12b 14 Other 120 120 Employee's address and ZIP code 15 State Employer's state ID number WAL 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality and W-2 Wage and Tax 2019 Department of the Treasury - Internal Revenue Service Form Statement Copy B-To Be Filed With Employee's FEDERAL Tax Return. This information is being furnished to the Internal Revenue Service 2019 CORRECTED (if checked) PAYERS name, street address, city or town, state or province, country, ZIP Payer's RTN (optional OMU NO. 1545-0112 or foreign postal code and telephone no Braeburn National Bank Interest 1600 W. Nob Hill Blvd. 1 Interest income Income Yakima, WA 98902 $ 1,433.00 Form 1099-INT 2 Early withdrawal penalty Copy B PAYER'S TIN RECIPIENT'S TIN $ For Recipient 54-9019016 571-78-5974 3 Interest on U.S. Savings Bonds and Treas, obligations Is RECIPIENTS name 4 Federal income tax with investment expenses This is important tax John Fuji $ 0.00 Is information and is Foreign tax paid 7 Foreign country or U.S. possession peing furnished to the IRS. If you are Street address including pt. no.) $ required to file a 468 Bonnie Doon Ave. 8 Tac-exempt interest Specified private bond return, a negligence penalty or other sanction City or town, state or province, country, and ZIP or foreign postal code $ I$ imposed on your Yakima, WA 98902 10 Market discount 11 Bond premium this income is taxable and the IRS determines that it has FATCA ingls $ not been reported requirement 12 Bordpremium on Turbo 13 Bond premium ontem bond $ Account numbers instructions 14 The-exempt and tax credit 15 Se 16 State identification no. 17 State tax withheld bond CUSP no may be Form 1099-INT (keep for your records) www.is.gov/Form 1090INT Department of the Treasury Internal Revenue Service VOID CORRECTED RECIPIENTS/LENDER'S name, street address, city or town, state or OMB No. 1545-1380 province, country, ZIP or foreign postal code, and telephone no. Mortgage Braeburn National Bank 2019 Interest 1600 W. Nob Hill Blvd. Statement Yakima, WA 98902 Form 1098 1 Mortgage interest received from payersborrowers) 7,775.13 Copy C RECIPIENTS/LENDER'S TIN For Recipient/ PAYERS/BORROWER'S TIN 2 Outstanding mortgage principal 3 Mortgage origination date Lender 54-9019016 571-78-5974 $ 255,321.78 12/1/2017 4 Refund of Overpeid 5 Mortgage Insurance interest premiums $ PAYERS/BORROWER'S name For Privacy Act and Paperwork John Fuji Points paid on purchase of principal residence Reduction Act $ Notice, see the Street address including apt. no.) 2019 General 7 address of property securing mortgage is the same Instructions for 468 Bonnie Doon Ave. as PAYERS/BORROWER'S address, check the box, or enter Certain the address or description in box 8. Information City or town, state or province, country, and ZIP or foreign postal code Returns Address or description of property securing mortgage (see instructions Yakima, WA 98902 Number of properties securing the 10 Other mortgage 1 Prop. Taxes $2,100 11 Mortgage acquisition date Account numbers instructions Form 1098 www.in.gowForm1098 Department of the Treasury Internal Revenue Service

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