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And The Roone, LLL Amour You Therdery Design Sign Here Paid Prepare Use Only SCHEDULE For 10 Additional Income and Adjustments to Income 2020 1 Now fom Part Additional Income + Texable round, creditor of social income za Alemany received Date of original divorce bewon agreement on 3 Business income or Attach Schedule + Other gains or Alichom 5 Reale per corpo, 7:44 Income Tax Final - 1... SCHEDULE Additional income and Adjustments to Income 2020 4 7 10 Part Additional income 1 Table refunds, credits, or offset of state and local income 2 Almony odved... Date of original divorce or to get 3 Business income or Schedule 3 4 Ore gainerAttach Form 4787 Rental letteries, partit. Scorpion AB Form Income or on Attach Scheuf 7 Unemployment.com & Oncome type and out . Combine Ines through & Enterhed on Form 100 100 Part Adjustments to Income 10 Education 11 Certaines person, db of Attach Form 2106 12 Heath savings account deduction Attach Fam380 13 Moving expenses for member the Armed Forces Amach Fom300 14 Deductible part of a planta. Allwch Schedule 15 Self-employed SEP, SIMPLE, and quid plans 16 Self-employed health and deduction 17 Paralyonary withdrawal of nine 18 Almond 180 b Recipes SSN Date of original divorce or in 19 Anduction 20 Student loan dodation 21 Tuition and foes deduction Altach Form 1057 22 Add the 10through 21. These are your adjustments to income Enter and on Form 1046, 1040 SR or 1045- R. Brete 11 12 13 14 15 16 17 RE SCHEDULE Itemized Deductions 2019 Medical and Der 17 Perally on any withdrawal of songs da Almond Recipients BSN Date of original divorce reparation agreement 19 Auction 20 Studier loans decation 21 Tulsion and foes deduction Artech Form 22 Add line 10 through 21. These we your time to income on Form 1040,1080 SR2000100 ERE SCHEDULE Itomized Deductions 2019 Medical and Dental Espen Tee You come calon were You Oby Cari 18 Hiland Deduction Total IT A Hom Declection you ho SCHEDULE Interest and Ordinary Dividende 2020 Part 1 Interest way www. Othe Deduction Total Hamid Deductions 7 of 8 SCHEDULE Interest and Ordinary Dividende 2020 Parti Interest Partit Ordinary Dividends Part tortor Your Foreign Away we ring des and Trusts i Sierra you do APBAR were og During SCHEDULE For 10 Additional Credits and Payments 1 2 Name Thonom 150.00 Part Nonrefundable Credite 1 Foreign tax credit. Attach Form 1116 required 2 Credit for child and dependent compenses. Attach Form 21 3 Education credits from Formos, line 19 . Proving credit chrome 5 Residente credits Attach Form & Other credit from Form 3800 0 0 7 Aadness through there and on Form 104, 1040-S 1000-120 Part Other Payments and Refundabile Credits & Not premium tax credit. A 4 5 6 7 Arred for denne 7:44 .. Income Tax Final -1... Part In Your conce Foreign Towy w 2001 Accounts and Trusts AFAR to be election Songs mm you to GEN Branded SCHEDULE For 10 Additional Credits and Payment 020 1 3 . 5 . T Part Norvetundable Credito 1 Foreign tax credit. Attach Fom 1986 2 Credit for child and dependente. Attachrom 2041 3 Education and its from Form 883 in 10.. 4 Retirement savings contributions credit. Attach Form Residential energy credits Attach Form Other credits from Fome a co 7 Assines throu. Enter there and on Form 1046 1040 Part Other Payments and Refundable Credits & Net premium tax credit. Attach Form 2012 Amount paid with out for extension to the trutions 10 ces social security and the TARTA 11 Credit for tederal tax antech For 4036 12 Other payments or table credits - Form 2430 Qualified sick and family have credits from schon For 2012 e Healthcared from From 1886 Other Deferal for certain Schedule Horseraction Add thus through 12 13 Add lines B trough 12. Enter the end on Form 1040 1000-SA 31 . 30 11 wing the attached for Being with the Incentration Semcombined resoundthem wathi 1312 nd S/MYCcm Twins Umenielement Commi11.00 Questo doctor - 1.200 Studenti interest - $.Sc for each powtore. Racomotions fath pose contributed medium lent there and the do not have to plant work . Docton De $1 . $ 2 . Our the country medicines membership $ 100 Medicale $1,000 Personal Property Real Estatem Mortgage interest $10,000 Credit card $1.000 Investment interest $4.500 Coming $450 Stock - $10.000, Costa Gambing to 1040 .. U.S. Individual Income Tax Retu 2020 ON 15- Filing Status Single Married fingy Manted filings of four Outlying widow Choreonty you checked the MFS box enter the name of your scanne.you checked HOHON bessere person is a child but not your dependent You are and middle Home remedy Perrine Petection Canada Check Chytowe, police you have alreads, he completo Sort wentonga horowe Foreign country om Yow to At any time during 2000, did you recei, sell, and exchange, or otherwise garantirarci interest in any OY ON Standard Someone can claim you as dependent Yours pendent Deduction pour leis an earums your de Ago/Bindnere You Were bombatore 2198 Are blind pe was bomber 2004 Oblind Dependents the con more han four dependents ostructions and check here 1 Wages, salat, Ahow- Allah 2a Tareers Sch! 3a Qualified dividende Da Ordinary vidende 4 A dribution Pensions de se Te amount Standard Ga Social security benefits Table amount de Daduction to Capital gain or om Attach Sched Drogired. The required, check here 7 . More. One noorterom Schedule 1.tr . www. 13,00 Addres 1, 2, 3, 4, 5, 6, 7, and your to Martine 10 Adesto home bundy . From Schedule tine 22 Charitable contributions you take the standard detection Structions . Add testa and C. These are your totalmente . BA 11 Subtractine 10 from line. This is your doo 11 you checked 12 Standard deduction or Hemlad deductions from Schedule sta 15 Qualified business Income deduction Anach from 100 or Form Deductor Add the 12 and 13 14 15 Texable income. Subtractine 14 tromfne 11. renter 15 . Page 2 Form 1040020 16 Taxis instructions Check it any trom Forms 18814 24972 30 16 17 Amount from Schedule 2 line 3 17 18 Addines 16 and 17. 18 19 Child tax creditor credit for other dependents 19 20 Amount from Schedule 3. Ine 7 20 21 Addnes 10 and 20... 21 22 Subtract line 21 from line 16. If zere or less enter- 23 Other aces, including all-employment tax, from Schedule 2. line 10 23 24 Add fines 22 and 23. This is your total tax 24 25 Federal income tax withheld from a Form) W-2 25 b Form1099 Other forms see Instruction 25 d Addnes 25 through 250 you 26 2020 estimated tax payments and not applied from 2019 return 27 farved income credit (EC) 27 anachok, EC 20 Additional child tax credit. Attach Schedule 8012 29 29 Amerim opportunity credit from Form 8863, line 3 29 compy. erotrudin 30 Recovery rebate credit. See Instructions 30 31 Amount from Schedule 3, Ine 13 31 32 Add lines 27 through 31. These are your total other payments and refundable credits 33 Addines 250, 25, and 82. There are your total payments Refund 4 tine 33 is more than line 24, subtractine 24 from line 33. This is the amount you overald 34 35 Amount of line 34 you want refunded to you. I Form 8888 is attached, check here 35 Direct deal? b Routing number Type Checking Savinge Stefon Account sumber 36 Amount of line 3d you want applied to your 2021 estimated tax 35 Amount 37 Subtractine 33 from time 24. This is the amount you owe now You Owe Note Schedule and Schedule Se flors, line 37 may not represent all of the taxes you own for For details on how to pay 2020. See Schedule 3, Ine 12, and its instructions for details instruction 38 Estimated tax penalty Instructions Third Party Do you want to allow another person to discuss this retum with the RS? See Designee Instructions Yes. Complete below. ONO Designs Penendencation norme PA Sign under person, der hamined in and accompanying schedule and statements, and to the best of my knowledon and Here belalteyard ton, and complete. Declaration of prepare the personal information of which preprasny wedge Your coupon you any Protection Namen Joint set Se instructions paipate Cone's signature. 1a jorratur, both mustige Die Sant your spot writy Praction Nanterre Yo Pald Preparer's signature Preparer Use Only Go to www.inpoucm 100 for instructions and the latest omation PTIN Check Sellpy Phone n. FEIN Tom 1040 SCHEDULE A Itemized Deductions GMSN 1565-003 Form 1040 ar 1040-SR) Go to www.sgow Schedule for instructions and the latest information flowy 2006 2019 Dean of the Attach to Form 1940 or 1045-SR. Aachent homila Caution you are coming and leaders om een line 16 07 Non Form 100 - Your social security number Medical Caution: Do not include expenses reimbursed or paid by others and 1 Medical and dental expenses (see instructions 1 Dental 2 Erter amount from Form 1040 or 1040-S, Inet 2 Expenses 3. Multiply line 2 by 7,5% 0.075) 4 Subtractine 3 from line 1. I line 3 is more than line 1. enter- Taxes You 5 State and locales Pald a State and local income taxes or general sales taxe. You may include the income tax or general sales taxes on line 5, but not both you clect to include general sales taxes instead of income taxes check this box State and local real estate instructions State and local personal property taxes dAdd lines a tough SC Enter the smaller of line 5d or $10,000 $5,000 married fling separately 6 Other taxes. List type and amount 7 Add lines 5e and 6 Interest 8 Home mortgage interest and points you didn't use all of your home You Paid mortgage loans to buy build, of improve your home. See Cauti Yow instructions and check this box mortgages and maybe a Home mortgage interest and points reported to you on Form 1095 Sed see See instructional limited und bHome mortgage Interest not reported to you on Form 109. See Instructions it limited. I paid to the person from whom you bought the home, so instructions and show that person's name identifying no. and address 288 28 c Points not reported to you on Form 1098. See instructions for special rules 8c d Mortgage Insurance premium se instructions e Add lines through ad. Be Investment interest. Attach Form 1952 required. See instructions 9 10 Add lines Be and 9 Gifts to 11 Gifts by cash or check. If you made any gift of $250 or more, see Charity instructions Cation. If you 12 Other than by cash or check. If you made any gift of $250 or more meiden see instructions. You must attach Form 283 fover $500 12 ructions 13 Carryover from prior year 13 14 Add fines 11 through 13 Casualty and 15 Casualty and theft of trom a federally declared disaster other than not qualified Theft Losses disaster losses. Attach Form 4684 and enter the amount from Ine 18 of that form. See instructions Other 16 Other--from list in instructions. List type and amount Itemized Deductions Total 17 Add the amounts in the far right column for lines 4 through 16. Ao enter is amount on Itemized Form 1040 1040-SR.in 17 Deductions 18 If you clect to itemize deductions even though they are less than your standard deduction check this bar For Paperwork Reduction Act Notice, see the instructions for Forms 1040 and 1040-SR. Schede A110 or 104-2010 SCHEDULEB (Form 10401 Depren eta internet Service Nema wanatum Interest and Ordinary Dividends Go to www.gr/chee for instructions and the latest information Attach to Form 1040 1045-SR. OMB No 1545-6074 2020 Attachment Sen 08 Your social security number Part 1 1 List name of payer. If any interest is from a stranded mortgage and the Amount buyer used the property as a personal residence the instructions and let this Interest Interest first. Also, show that buyer's social security number and address See instructions and the Instructions for Forms 1040 and 1040-SR in 20) Not you received a Form 1099-INT.Form 1090 OD OF substitute statement from a brokerage in ist the firm's name as the payer and enter the total interest shown on that fom. 2 Add the amounts on line 1 2 3 Excludable interest on series EE and I US wings bonds issued after 1989 Attach Form 8815. 3 4 Subtract line 3 from line 2. Enter the result here and on Form 1040 or 1040-SR line 2 4 Note: If fine 4 is over $1,500, you must complete Part Amount Part II 5 Lt name of payer Ordinary Dividends See Instruction and the instructions for Fons 1040 and 1040-SR. Iine 3) Note: If you received a Form 1029-DIV or subotu statement from a brokerage firm, at the fres name as the payer and enter the ordinary dividends shown on that fom. 6 Add the amounts on line 5. Enter the total here and on Form 1040 or 1040-SR line 36 Note: If line is over $1,500, you must complete Part Part III You must complete this part of you falhadow $1.500 of table interest or ordinary dividends had a foreign account or received a distribution from or were a gantoret, or a transferorto, a foreign trust Yes No Foreign 78 At any time during 2020, did you have a financial interest in or signature authority over a financial Accounts account such as a bank account, securities account, or brokerage account located in a foreign and Trusts country See Instructions Caution "Yes," are you required to file FINCEN Form 114. Report of Foreign Bark and Financial required. Gailure Accounts FBAR, to report that financial interest or signature authority See FinCEN Form 114 to tle FINCEN Form 114 may and its instructions for filing requirements and exceptions to those requirements In If you are required to file FINCEN Form 114. enter the name of the foreign country where the substantie financial account is located penatis. See During 2020, did you receive a distribution from, or were you the grantor of, or transferorto, a Instructions foreign trust? "Yes you may have to file Form 3520. Seinstructions For Paperwork Reduction Act Notice, see your tax return instructions Schade Form 10401 2020 OMB No 1545-0074 Attachment Seguro Ne 03 1 2 3 4 6 7 SCHEDULE 3 Form 1040) Additional Credits and Payments 2020 Department of Tray Attach to Form 1040, 040-SR, or 1040-NR. Inimal Revenue Barica Go to www.n.gov/Form 1080) for instructions and the latest information. Name(a) shown on Form 1040 1040-SR, or 1040-NA Your social security number Part Nonrefundable Credits 1 Foreign tax credit. Attach Form 1116 if required 2 Credit for child and dependent care expenses. Attach Form 2441 3 Education credits from Form 8863, line 19.... 4 Retirement savings contributions credit. Attach Form 8880 5 Residential energy credits. Attach Form 5695 5 6 Other credits from Form: a3800 8801 co 7 Add lines 1 through 6. Enter here and on Form 1040, 1040-SR, or 1040-NR, line 20 Part 1 Other Payments and Refundable Credits 8 Net premium tax credit. Attach Form 8962.. 8 9 Amount paid with request for extension to file (see instructions) 10 Excess social security and tier 1 RRTA tax withheld 11 Credit for federal tax on fuels. Attach Form 4136 12 Other payments or refundable credits: a Form 2439 b Qualified sick and family leave credits from Schedule(s) Hand Form(s) 7202 c Health coverage tax credit from Form 8885 12c d Other: e Deferral for certain Schedule H or SE filers (see instructions) 1 Add lines 12a through 120 13 Add lines 8 through 121. Enter here and on Form 1040, 1040-SR, or 1040-NR, line 31 13 For Paperwork Reduction Act Notion, see your tax return instructions 9 10 11 12al 12b 12d 12e 121 Cul No. 714000 Schedule a form 10402020 General Information Traver: Use any Fictitious name and SSN and assume Occupations Office Manager Song: Use any Fictitious name and SSN and assume age under Soccupation is High School Teacher Filing Status MAI Address: Use any Fictitious addrest. Dependents Assume 2 children living with tagayers, Use any fictious fames and assume one child is over 17 and one child is under 17 Income Information Salary-Assume combined salaries of taxpayer and poune to be 55.6. Federal income Withholdin3.912 and NYS/NYC Income Tax White SLS Interest Income - This should be equal to last four digits of your social security number Unemployment.compensation: $11,000 Gambling Winnings $1,000 Others and Politie Deductions Out of Pocket Educates for home - $1,200 Student interest - $1,500 for each spouse for a total of 1,000 IBA contribution. Each spouse contributed maximum allowed to each of their seperate RA's and they do not have a retirement plan at work Medical Espen Health insurance $6.000 Doctor Dentists $1.000 Prescriptions $ 250 Over the counter medicine $500 Gym membership $ 800 Medical Miles Continent TA Personal Property Toes 51.000 Real Estate Taxes $ 5.000 Interest Mortgage Interest $10,000 Credit card interest $3,000 Investment interest $4.500 Charity . Cash contributions $3,656 Clothing $ 456 Stock in BM-Value $10,000, Costas 54.000 Other . Urembursed employee expenses $3.500 . Gambling losses $1.500 U.S. Individual Income Tax Return 2020 11040 Filling Status Single Married fingjanty Married fling seperty MFS Head of household HCM Quallying widowe (om Check only one box you checked the MFS box, enter the name of your one you checked the HOH or Gw box, enter the child's name the quallying persona a child but not your dependent Your first name and middle intal Laser Your socle ecurity unter ar pour name and midden Last name Seourly number Home address runter and street, you have aP.Box, orcions Apt.no Presidentialection Campaign Check you, or your Chy, town, or out of it you have a foreign compaces below Pode spouse at Sing joy, want to go to wind, hinga box below will not change Foreign country name Formige procurity Foreign postal code your tax refund You Spouse Mary time during 2000, did you receive, selond, exchange, or otherwise coquine any financial interest in any virtual currency OYNo Standard Someone can claim you as a dependent Your spouse as a dependent Deduction Spouse tamtes on a separate retum cr you were a dus-statuslen Aprindere You Were he before Jary 2, 1054 Aretind Spouse Wustom before dowary 2, 1066 bind Dependents were instruction Sey Relation MV questo con more Petare to you Child tax credit and brother than four dependents, to instructions and check here 1 Wagn, series, tips, etc. Attach For W-2 1 Allach 2 Tax-exempt interest Sch. Table interest 2b Se e Qualified dividende Gud. Sb Ordinary dividende 4a IRA distribution. Table amount 4b Se Perwions and annuities Tube Bb Standard 68 Social y benefits be Tabout ib Deduction for 7 Capital gain or loss. Attach Schedule Drequired. The required, check here 7 - Single Marg . Other Income from Schedule 1. in 9. 2.400 Add line 1, 2, 3, 4, 5, 6, 7, and le your income O - Maring 10 Adjustments to income ry 100 Quy From Schedule 1, line 22 widow b Charitable contributions if you take the standard deduction Sonstruction 10 - Addines 10 and 10. These are your totalement to come 100 tud, $18.950 11 Subtractine 16ctromine. This is your usted grow income 11 If you are 12 Standard deduction or homized deduction from Schedule 12 any bender Sta 10 unified business Income Geduction Attach Fom005 or FormA 14 Add line 12 and 13 14 15 Taxable incoma. Subtract line 14 from Ine 11.rearstwo 15 For Disclosure, Pey Act, and Paperwork Reduction Act Noti, practione om 10400 Page 2 Form 1000 20001 16 Tax free instructions. Check if any from Forms 1 8814 24972 30 17 Amount from Schedule 2, line 3 17 18 Add lines 16 and 17 18 19 Child tax credit or credit for other dependents 19 20 Amount from Schedule 3, Ine 7 20 21 Add line 19 and 20 21 22 Subtract line 21 from line 18. If zero or less enter-O- 22 23 Other taxes, including self-employment tax, from Schedule 2 line 10 a 24 Add lines 22 and 23. This is your total tax 24 25 Federal income tax withheld from a Formis W-2 25 Forms 1099 25 Other forms (see instructional 25 d Add lines 25a through 250 il youtuva 26 2020 estimated tax payments and amount applied from 2019 return qualifying 27 Barned income credit (EIC). 27 attach sich - If you are 28 Additional child tax credit. Attach Schedule 8812 28 nonable copy 29 American opportunity credit from Form 360, in 8. 29 we lethicone 30 Recovery rebate credit. See Instructions 30 31 Amount from Schedule a, line 13 31 32 Add lines 27 through 31. These are your total other payments and refundable credits 32 33 Add fines 250, 26, and 32. There are your total payments 39 Refund 34 line 33 is more than line 24, subtract line 24 from line 33. This is the amount you overald 34 35 Amount of line 34 you want refunded to you. Form 8888 is attached, check here O 38 Direct deposit Routing number Soinution Account number Type: Checking Savings > Amount of line 34 you want applied to your 2021 estimated tax. 38 Amount 37 Subtractine 33 from line 24. This is the amount you owe now You Owe For details on Note: Schedule H and Schedule Se flers, Ine 37 may not represent all of the as you owe for 2020. See Schedule 3, Ine 120, and its instructions for details Instructore 38 Estimated tax penaly (see Instructions Third Party Do you want to allow another person to discuss this retum with the RS? See Designee Instructions. Yes. Complete below. No Designe's Phone Ponderficie Sign Under penalties of pesu. Iedere that I have examined his retum and accompanying schedule They knowledge and beliet, they are correct, and complete. Declaration of prepare other than twee based on all information of which proper has any knowledge Here Your signature Date Your compution then you and Panter it here Joint Serruction Dute Spouse's signature. Tajoindretum, both most sign Spouse's cupation Keep a copy for Poon Planter the your records Phone no In address Properer's name | Preparer's signature De Paid C2 Semployed Preparer Prm's mane Use Only PEN Go to www.n.pouform 100 for instructions and the west Information om 1040 SCHEDULE! Form Additional Income and Adjustments to Inco 2020 Part Additional income Table refunds, creditor 2 Amay received Detergirl diverse arrin 3 Business income or Schedule 4 Oherine Ancho 47 Portal For income ormach Schedule 7 Unemployment comercio a 11 13 12 14 . Continens up there Part Adjustments to Income 10 Eur repere 1 Certaines per och tachome 12 custom 13 Mingor members of the Armed Forum 4 Deductible parte importach 15 loped EP,MPLE 16 Selection 17 Peratynewly with long Fecipient's SSN Date of originaldation 20 Show duction 21 Tutin westion A Fom. 22 Addes 10 though. There we your smart Form 100 1082 180 NR. Pue 10 12 BRE SCHEDULE Itemired Deductions and S? Tan You w You SCHEDULE A Itemized Deductions OM 145.00 Form 1040 1040- 100 Go to www.ched for instructions and the latest Information 2019 Attach to form 1040 or 1040-5R Stormwa Can you reconeguiden Fome the firstorine 16 Detay B07 Nandito show on Form 1000 1040 BR | Your secil seturity number Medical Caution: Do not include expenses bursed or paid by others. and 1 Medical and dental expenses instructions 1 Dental 2 Enter amount from Forn 1040 or 1000-SR, toe 21 Expenses 3 Multiply the 2 by 7.5% 0.00) 4 Subtractine 3 trom in 1. W line 3 is more than line 1.ester- Taxes You 5 State and locales. Paid a State and local income taxes or general sales taxes. You may include the income taxes or general sales taxes on line 5a, but not both you efect to include general al twinstead of income tas check this box Sa State and local real estate to construction 5 c State and local personal property 50 dAddinas 5a through Sc Sd e Enter the smaller of lines of $10.000 (55.000 married fing wy 6 Othertaxes List type and amount 7 Add Ines 5 and 6 Interest Home mortgage interest and points. If you didn't use all of your home You Paid mortgage loan to buy build, or improve your home. tee Can Your instructions and check this box d a Home mortgage interest and points reported to you on Form 1036 See instructions imited bome mortgage rato reported to you on Form 1000. See instructions mited. paid to the person from whom you bought the home, so instructions and show that person's rame, identifying no and address ec 8d Bo Points not reported to you an Form 1008 See Instructions for special d Mortgage in a premiums instructions e Addinsta trough 9 Investment interest. Altach Form 4952 required. See Instructions 10 Add ins Be and 9 Gifts to 11 Gifts by cash or check, you made mynt of $250 or more see Charity Inactions 11 Caution 12 Other than by cath or check you made any gift of $250 or more go for it. see instructions. You must attach Form 1283 over $500 12 13 Carrow from prior year 14 Addnes 11 through 13 Casualty and 15 Casualty and the loss from a federaly declared disaster (other than not qualified Theft Losses dosteron Attach Form 1684 and enter the amount from line 18 of that for Sue instructions Other 16 Other-from list in instructions. Listype and amount Itemized Deductions Total 17 Add the amounts in the far right column for nas 4 through 16. Also, enter this amount on Itemized Form 104 1040-SR, ne Deductions 18 you clect totemize deductions even though they are less than your standard deduction check this box For Paperwork Reduction Act Notice, see the instructions for Forms 1040 and 1040-St. Cut Me Schule From 1940 or 100-300 SCHEDULEB CANON Form 1040) Interest and Ordinary Dividends 2020 O of the They do to www.ge/Schedule for nation and the test infomation Windows Service Attach to . None on Part 1 1 List name of payer of any interest is from a sele-financed mortgage and the Amount buyer used the property as a personal residenon, see the instructions and find this Interest Interest first. Also, show that buyer's social security number and address e instruction and the intruction for Forms 1040 wid 1040-6, in Noter you received a form 1030 INT.Form 1000-ORD. substitute statement from t v thef's name as the paper and enter the total art showmonth form 2 Add the amounts on in 3 Excludable interest on series EE and I U.S. savings bonded after Attach Form 2015 3 4 Subtract line from Ine 2. Enter the result here and on Form 1040 or 1540-SR Ine 2 4 Note: I ne 4 is over $1,500, you must complete Part Ill. Amount Part II 5 Une fpeyer Ordinary Dividends fleri and the netructions for Forms 1060 and 1060 GR, e36 Not you received for 1020 OVP bute statement from a brokerage om, in the namese paper andere the ordinary didends shown. Add the amounts on line 5. Enter the total here and on Form 1040 or 1040-SR on the form line Notet if he is over $1,000, you must complete Part Part III You must complete this part of you al had over $1.500 of taxable interest or ordinary dividends had a foreign account or received a distribution from, or were a grant of or a transferar to, a foreign trust Yes No Foreign 78 At any time during 2000, did you have a financial interest in or signature authority over a francia Accounts account such as a bank account sourite count or brokerage account located in a foreign and Trusts country? See Instructions Caution W "Yes," are you required to file FINCEN Form 154, Report of Foreign Bark and Financial required for Account (FBAR, to report that financial interest of signature authority See FEN Form 114 to the CEN and its instructions for filing requirements and exceptions to the requirements Form 114 may ruin you are required to file FCEn Form 114, enter the name of the foreign country where the subal financial account is located peru. See . During 2020, did you receive a distrbution from, or were you the grantor of transfer to instruction foreign trust? Yes, you may have to fleForm 3520. See instructions. For Paperwork Reduction Act Notice, see your fecretum Instruction. Sche Form 1042020 Segune No. 03 4 6 SCHEDULE 3 OMB No. 1545-0074 (Form 1040) Additional Credits and Payments Department of the Treasury 2020 Attach to Form 1040, 1040-SR, or 1040-NR. Informal Revenue Service Go to www.irsgow Form 1040 for instructions and the latest information. Attachment Name(s) shown on Form 1040, 1040-SR, or 1040-NR Your social security number Part Nonrefundable Credits 1 Foreign tax credit. Attach Form 1116 if required 1 2 Credit for child and dependent care expenses. Attach Form 2441 2 3 Education credits from Form 8863, line 19 3 4 Retirement savings contributions credit. Attach Form 8880 5 Residential energy credits. Attach Form 5695 5 6 Other credits from Form: a 3800 8801 co 7 Add lines 1 through 6. Enter here and on Form 1040, 1040-SR, or 1040-NR, line 20 7 Part II Other Payments and Refundable Credits 8 Net premium tax credit. Attach Form 8962.... 9 Amount paid with request for extension to file (see Instructions) 10 Excess social security and tier 1 RRTA tax withheld .. 10 11 Credit for federal tax on fuels. Attach Form 4136 11 12 Other payments or refundable credits: a Form 2439 12a b Qualified sick and family leave credits from Schedule(s) Hand Form(s) 7202 12b c Health coverage tax credit from Form 8885 12c Other: 12d e Deferral for certain Schedule H or SE filers (see instructions) 12e + Add lines 12a through 12e 121 13 Add lines 8 through 121. Enter here and on Form 1040, 1040-SR, or 1040-NA, line 31 13 For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 714806 Schedule Form 10402020 8 9 General Informatie TARIE: Use any Fictitious name and SSN and super. Occupations Office Manager Sport: Use any Petitious name and and enumere under so. Cerupation is School Teacher Filling Status MRI Address: Use any Fictitious address Dependents Assume 2 children living with taxpayersthe any fictitious names and assume one child is over 17 and one child is under 17 Income Information Salary-Asume combined alates of taxpayer and out to be $65.466. Feste come to Withholdingo 1.912 and NYSZNIC Income To Within SILS Interest income - This should be equal to last four digital your social security number Unemployment Compensation $11.000 Samhlint Winnines $1,000 Other Expenses and possible Detection Out of Pocket Educator penses for the $1.200 Studente interest - $1.500 for each pouse for a tal of 1.000 IBA.contributions: Each spouse contributed maximum allowed to each of their separates and they do not have a retirement plant work Medical Expenses Doctor, Dentists $1.00 Prescription $ 250 . Over the counter medicine 500 Gym membership $ 800 Medical Miles Continued on next ne Personal Property Taxes $1000 Real Estate Taxes $ 5.000 Internat Mortgage Interest $10,000 Credit card interest $3.000 Investment interest 54,500 Cash contributions Clothing $ 456 Stockin BM-Value $10,000, Costhesis: 54.000 Unreimbursed employee expenses $3,500 Gambling losses $1.500 U.S. Individual Income Tax Return 2020. N. 1845.0074 meu say.com 1040 Det store Filling Status Single Manied fing jointly Married fling separately MFS Head of household HOH Oullying widower) (OW Check only one box you checked the MFS box, enter the name of your spouse you checked the HOH or GW box, enter the child's name the qualityling person is a child but not your dependent Your first name and micile in Lastrame | Your social security number joint rebum. Spes franare and midde initial Lastnom Spessoal security ube Home Address runter and stres. If you have PO, Bor, me rructions Presidenten Campo Check here you, or your City, town, or postin I you have a foreign address, also complete pacies below Su spouse sing jointly wants to go to this fund. Checkinga box below will not change Foreign country name Foreign prohoto Fornecede your tax refund You pe At any time during 2020, did you receive, sell, nond, exchange, or otherwise negdre any financial Interest in any virtual currency You No Standard Someone can claim you as a dependent Your spouse as a dependent Deduction Spouse itemizes on a separate return or you were a dus-status allen Age/Blindness You Were bom before January 2, 1956 Are blind Spouse was bom before January 2, 1956 sind Dependents free instruction Buty line View it more Finan to you On the than four dependents, se instructions and check here 1 Wages, salaries, tips, oo. Altach FormW-2 Attach 23 Tax-exempt interest 2 Sch BV 2b Taxable interest de Qualified dividends required b Ordinary dividends 3b v RA Huon Taxable amount 4b Sa Pensions and truites 50 Texable amount 50 standard a Social Security benefits Ga Table amount Gb Deduction for 7 Capital gain oras. Attach Schedule D required. not required, check here 7 - Singer Marted 8 Other income from Schedule 1. in 9. worly 9 $12,400 Addines 1, 2, 3, 4, 5, 6, 7 and 8. This is your total income - Marding 10 Adjustments to income yar Owing From Schedule 1, the 22 100 widow 4.800 Charitable contributions if you take the standard deduction. See Instruction 10b Head Addines 10a and 10h. There are your total adjustments to income 10 household 158,660 11 11 Subtract line 10c from line. This is your adjusted gross income - you checked 12 Standard deduction or itemized deductions from Schedule A) 12 wyborunder 13 Qualified business income deduction, Attach Form 300 or Form 1995-A Deduction sense 14 Add lines 12 and 13 14 15 Taxable income. Subtractine 14 from the 11.0 or less enter 15 For Disclosure, Privacy Act, and Paperwork Reduction et Motion, sepertiestructions al Porn 1040 - Page 2 Form 1040 2020 16 Tax see instructions. Check it any trom Format 15814 2472 0 16 17 Amount from Schedule 2. line 3 17 18 Add lines 16 and 17 18 19 Child tax credit or credit for other dependents 19 20 Amount from Schedule 3, line 7 20 21 Add lines 19 and 20. 21 22 Subtract line 21 from line 18. If zero or less, enter 22 23 Other taxes, including sell-employment tax, from Schedule 2. the 10 23 24 Add lines 22 and 23. This is your totalta 24 28 Federal income tax withheld from a Formis) W-2 28 b Form 1090 250 Other forms (see Instructions 25 d Add lines 25 through 250 If you have a 26 2020 estimated tax payments and amount applied from 2019 retum tyngde 27 Earned Income credit (EC) atach schic - If you have 28 Additional child tax credit. Attach Schedule 8812 28 nortable combull pay 29 American opportunity credit from Form 8863, Ine 8. 29 Incions 30 Recovery rebate credit. See Instructions 30 31 Amount from Schedule 3. line 13 31 32 Add lines 27 through 31. These are your total other payments and refundable credits 32 33 Add lines 25, 26, and 32. These are your total payments Refund 34 fine 33 is more than line 24, subtract line 24 from line 33. This is the amount you overald 34 350 Amount of line 34 you want refunded to you. I Form 3888 sched, check here O asa Direct deposl? b Routing number Type Checking Savings See Instructions Account number 36 Amount of line 34 you want applied to your 2021 estimated tax Amount 37 Subtract line 39 from line 24. This is the amount you are now You Owe For details on Noter Schedule Hand Schedule Se fiers, Ine 37 may not represent of the taxes you owe for how to pay 2020. See Schedule 3, line 12, and its instructions for details inairector38 Estimated tax penaty face instruction Third Party Do you want to allow another person to discuss this retum with the RS? See Designee instructions. Yes. Complete below. ONO Designe's Phone Personal data Sign Under penalties of perjury declare that an examined this retum companying schedule and statements, and to the best of my knowledge and beliet, they are true, correct, and complete. Declaration of properesher than these and information of which preperer has any knowledge Here Your signature the went you an identity Protection PIN enter there Joint retur? Se instructions Spouse's signature and retum hmaslig Spoon the Rent your spousen Keep a copy for de Protection PIN enter the tres Phone no. Emel Preparer's name Prepares grature PTN Check Paid Preparer employed Use Only Phone ne Pum's EN Go to www.n.pouForm 10 for instructions and the latest information From 1040 s OMB No 1545-0074 2a 6 7 SCHEDULE 1 Form 1040) Additional Income and Adjustments to Income 2020 Department of the Treaty Attach to Form 1040, 101-SR 104-NR wana Rene Bence Go to www.n.poulForm10 for instruction and latest omation Attachment pe 01 Names shown on Form 1040, 1040-SR, or 1040-NA Your social security number Part Additional Income 1 Taxable refunds, credits, or offsets of state and local income taxes 1 2a Alimony received .. b Date of original divorce or separation agreement (see instructions) 3 Business income or (loss. Attach Schedule C 3 4 Other gains or losses). Attach Form 4797 4 5 Rental real estate, royalties, partnerships, Scorporations, trusts, etc. Attach Schedule E 5 6 Farm income or (loss). Attach Schedule F 7 Unemployment compensation.. 8 Other income. List type and amount 8 9 Combine lines 1 through B. Enter here and on Form 1040, 1040-SR, or 1040-NR. line 8 9 Part II Adjustments to Income 10 Educator expenses. 10 11 Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 12 Health savings account deduction. Attach Form 8889 13 Moving expenses for members of the Armed Forces. Attach Form 3903 14 Deductible part of self-employment tax. Attach Schedule SE 15 Self-employed SEP, SIMPLE, and qualified plans 15 16 Self-employed health Insurance deduction 16 17 Penalty on early withdrawal of savings 18a Alimony paid. 18a b Recipient's SSN c Date of original divorce or separation agreement (see instructions) 19 IRA deduction 20 Student loan interest deduction 20 21 Tuition and fees deduction. Attach Form 8917 21 22 Add lines 10 through 21. These are your adjustments to income. Enter here and on Form 1040, 1040-SR, or 1040-NR, line 103 22 For Paperwork Reduction Act Notion, see your tax return instructions Schedule 1 Form 10401 2000 11 12 13 14 17 19 1545-004 SCHEDULE A Itemized Deductions Form 1040 or 1049-SRI Flex 2000 Go to www.ingowisicheduled for instruction and the latest information Ach to form 10101010-5 Department of the Caution you are ingan dos someone for 16 Non Form 104010-GR 2019 Medical and Dental Expenses Taxes You Pald a Caution: Do not include expenses reunbursed or paid by others 1 Medical and dental expenses se instructions 2 Enter amount from Form 1040 or 1040 S. Ineto 12 3. Multiply line 2 by 7.5% 0.079) 4 Subtract line from fino 1. line 3 is more than one 1 enter-O- 5 State and locales a State and local income tases or generales taxesYou may include the income or generalistes on ne sa, but not both you elect to include galletas instead of income Check this box State and local real estate avesse instructions Sb State and local personal property taxes Sc dAdd lines sa through Enter the smaller of line 5d or $10.000 55.000 married fing party 6 Others List type and amount 7 Add Ines Seando Home mortgage interest and points. If you didn't use of your home mortgage loan to buy, build or improve your home, see instructions and check this box Home mortgage interest and points reported to you on Form 1008 See instructions il limited bHome mortgage interest not reported to you on Form 1098. See instructions inted paid to the person from whom you bought the home, so instructions and show that person's name, identifying to and address Interest You Paid Casino re med cPoints not reported to you on Form 1098. Soe instructions for specie Tues Bc d Mortgage Insurance premium se instructions 8 e Add lines Bathrough Sd Be 9 Investment interest. Attach Form 4962 if required. See instructions 10 Add neste and 10 Gifts to 11 Gifts by cash or check. If you made any gift of $250 or more Charity Instructions 11 Calon 12 Other than by cash or check. If you made any gift of $250 or more nades and se instructions. You must attach Form 5263 Over $500 12 13 Carryover from priore 13 14 Add fines 11 through 13 Casualty and 15 Casualty and Theft losses from a federally declared disaster other than not qualified Theft Losses disasters. Attach Form 4884 and enter the amount from line 15 of that form. See instructions 15 Other 16 Other-from Fistin instructions. List type and amount itemized Deductions Total 17 Add the amounts in the far right column for through 16. Also, this amount on itemized Form 1046 1040-SR 17 Deductions 18 you set to bemice deductions even though they are less than your standard deduction check this box For Paperwork Reduction Act Notice, see the instructions for Forms 1040 and 1940-S. C. Schom 100 - SCHEDULEB Form 1040 Interest and Ordinary Dividends 2020 Det hem Go to www.in.goSchotter Instructors and west information Altan interesante Benin Attach to Sen 08 None shown on tum Your social security number Part 1 1 List name of payer. It any interest istom a financed mortgage and the Amount buyer used the property as a personal residence, so the instructions and this Interest interest first. Also, show that buyer's social security number and address See instruction and the instructions for Forms 1040 and 1040-SR,Ine 26.) Note If you received Farm 1000 NT, Form 1090-ORD, sutatuta wment from a brokerage firm list the firm's name as the payer and enter the total interest shown on that form. 2 Add the amounts on line 1 Excludable interest on series EE and IUS. sings bonds issued after 19 Attach Form 6815 3 4 Subtract line 3 tromine 2. Enter the rest here and on Form 1040 or 1040-SR line 2 4 Note: If ine 4 is over $1,500, you must complete Patil Amount Part II 5 List of payer Ordinary Dividends Se instruction and the natructions for Form 1010 and 1040-SR, in 30.) Noteyou received a Form 1000-OV er substitute statement from a brokerage for is the firm's name as the payer anderer the ordinary dividends shown on that com 6 Add the amounts on line 5. Enter the total here and on Form 1040 or 1040-SR line 3 Note: Il ne 8 is over $1.500 you must completa Part Part III You must complete this part you al had over $1.500 of cable Interest or ordinary dividends had a foreign account or received a dirbution from wantorot or a transferorto, a foreign trust Yes No Foreign Ta At any time during 2020, did you have a financial interest or signature authority over a financial Accounts account such as a bank account, curs account, or brokerage account located in a foreign and Trusts country See instructions... Caution "Yes," are you required to file FinCEN Form 114. Report of Foreign Bank and Financial required, allure Accounts FBAR, to report that financial rest or sigur authority? See FOCEN Form 114 to e FinCEN and its instructions for ting requirements and exceptions to those requirements Tom 114 may un you are required to file FinCEn Form 114 teame of the foreign country where the substant financial account is located penalties. See 8 During 2020, did you receive a distribution from, or were you the grantor of, or transferorto, a Instructions foreign trust? "Yes, you may have to the Fom 3520. See Instructions For Paperwork Reduction Act Notice, so your tax return instructions Schedule Form 1042020 nournil Amare fe 00 1 2 3 lol SCHEDULE 3 CIB N. 1546-6074 (Form 1040) Additional Credits and Payments 2020 Department of the Attach to Form 1040 1040-5, ar 1040-NR. eller Service Go to www.rsgow Form 1040 for instructions and the latest information. Narnelis) shown on Form 1040, 1040-SR, or 1040-NA Your social security number Part Nonrefundable Credits 1 Foreign tax credit. Attach Form 1116 if required 2 Credit for child and dependent care expenses. Attach Form 2441 3 Education credits from Form 8863, line 19 4 Retirement savings contributions credit. Attach Form BB80 4 5 Residential energy credits. Attach Form 5695.. 5 6 Other credits from Form: a3800 b8801 co 7 Add lines 1 through 6. Enter here and on Form 1040, 1040-SR, or 1040-NR, Iine 20 7 Part II Other Payments and Refundable Credits 8 Net premium tax credit. Attach Form 8962 8 . Amount paid with request for extension to file (see instructions) 10 Excess social security and tier 1 RRTA tax withheld. 11 Credit for federal tax on fuels. Attach Form 4136 11 12 Other payments or refundable credits: a Form 2439 120 Qualified sick and family leave credits from Schedule(s) H and Form(s) 7202 12b c Health coverage tax credit from Form 8885 120 d Other 12d Deferral for certain Schedule H or Se flers (see instructions) 12e Add lines 12a through 12e 121 13 Add lines 8 through 121. Enter here and on Form 1040, 1040-SR, or 1040-NA, line 31 13 For Paperwork Reduction Act Nation, see your tax return instructions Cat. No. 714800 9 10 het om 100 s General Informatie TARY Use any Fictitious name and SSN and sumeer. Occupations Office Manager Seous: Use any Fictitious name and Sand umeage under so. Gerupation High School Teacher Filling Status MRI Address: Use any Fictitious address Dependents Assume 2 children living with taxpayer: Use any fictitious names and assume one child is over 17 and one child is under 17 Income Information: Salary-Asume combined salaries of taxpayer and spouse to be 5.466. fede comes Withholdingo 1.912 and NYSZNIC Income Tax withokineet Interest income - This should be equal to last four digital your social security number Unemployment Comptes: $11,000 Samhlint Winnin $1,000 Other Expenses and possible Destions Out of Pocket Educate penes for the so-$1.200 Studente interest-$1.500 for each spouse for a lof.000 BA.centributions Each spouse contributed maximum lowed to each of their separate it's and they do not have a retirement plan at work. Medical Expenses Doctor, Dentists $1.000 Prescription . Over the counter medicine 500 Gym membership $300 Medical Miles 75 Personal Property Taxes $1000 Real Estate Taxes $ 5.000 Internat Mortgage interest $10,000 Credit card interest $3.000 Investment interest $4.500 Cash contributions $3,656 Clothing $ 456 Shockin BM-Value $10,000, Costas: 54.000 Unreimbursed employee expenses $3,500 Gambling losses $1,500 General Information: Taxpayer: Use any Fictitious name and SSN and assume age is over 50. Occupation is Office Manager Spouse: Use any Fictitious name and SSN and assume age under 50. Occupation is High School Teacher Filing Status: MFI Address: Use any Fictitious address. Dependents: Assume 2 children living with taxpayers; Use any fictitious names and assume one child is over 17 and one child is under 17 Income Information: Salary Assume combined salaries of taxpayer and spouse to be $65,466. Federal Income Tax Withholding of $8,912 and NYS/NYC Income Tax Withholding of $11,528 Interest Income - This should be equal to last four digits of your social security number Unemployment Compensation: $11,000 Gambling Winnings: $1,000 Other Expenses and possible Deductions: Out of Pocket Educator Expenses for the spouse - $1,200 Student loan interest - $1,500 for each spouse for a total of $3,000 IRA contributions: Each spouse contributed maximum allowed to each of their separate IRA's and they do not have a retirement plan at work. Medical Expenses: Health Insurance $6,000 Doctors, Dentists, $1,000 Prescriptions $ 250 Over the counter medicine $ 500 Gym membership $ 800 Medical Miles 75 Continued on next pare Taxes: Personal Property Taxes $1,000 Real Estate Taxes $ 5,000 Interest Mortgage Interest $10,000 Credit card interest $ 3,000 Investment interest $4,500 Charity Cash contributions $3,656 Clothing $ 456 Stock in IBM -Value $10,000; Cost basis: $4,000 Other: Unreimbursed employee expenses $3,500 Gambling Losses $1,500 um 2020 OMB No 1545-0074 Use Only On wir staple in this space 1040 Department of the Treasury-Internal Revenue Senice U.S. Individual Income Tax Return Filing Status Single Married filing jointly Married filing separately MFS Head of household HOH Qualifying widower) (om Check only If you checked the MFS box, enter the name of your spouse. Il you checked the HOH or GW box, enter the child's name If the quallying person is a child but not your dependent Your first name and middle initial Your social security number of joint retum, spouse's first name and middle initial Spouse's social security number one box. Last name Last name 1 Home address number and street). If you have a P.O. bor, she instructions Apt.no Presidential Election Campaign Check here if you, or your City, town, or post office. Il you have a foreign address, also complete spaces below State ZIP code spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change Foreign country name Foreign procesitate/county Foreign postal code your tax or refund. You Spouse At any time during 2020, did you receive, sell, send, exchange, or otherwise acquire any financial interest in any virtual currency? Yes No Standard Someone can claim: You as a dependent Your spouse as a dependent Deduction Spouse itemizes on a separate return or you were a dus-status alien Age/Blindness You: Were born before January 2, 1956 Are bind Spouse Was bom before January 2, 1956 is blind Dependents (see Instructions: Socialty Relationship 16V qualifies for the instructions (1) First name more Last name number to you Child tax credit Credit for other dependents than four dependents, seo Instructions and check here Wages, salaries, tips, etc. Attach Formis) W-2 Attach 20 Tax-exempt interest. 20 b Tatable interest 2b Sch. Bu 38 Qualified dividends 3a required. 3b b Ordinary dividends 4a IRA distributions. Taxable amount 4b 5a Pensions and annuities ba Table amount 5b Standard 6a Social security benefits ba b Table amount 6b Deduction for 7 Capital gain or (016). Attach Schedule Dif required. W not required. check here 7 Single or Married fing 8 Other Income from Schedule 1. line 9 8 separately, 9 $12,400 Add lines 1, 2, 3, 4, 5, 6, 7, and 8. This is your total income 9 Married fing 10 Adjustments to Income: jointly or a From Schedule 1, line 22 100 $24.800 b Charitable contributions if you take the standard deduction See Instructions 10b Head of c Add lines 10a and 10b. These are your total adjustments to income 10c household $18,650 11 Subtract line 16c from line 3. This is your adjusted gross income 11 If you checked 12 Standard deduction or itemized deductions from Schedule A) 12 any box under Standard 13 Qualified business income deduction. Attach Form 8995 or Form 8996-A 13 Deduction 14 14 Add lines 12 and 13 monstructions 15 Taxable income. Subtract line 14 from Iine 11. If zero or less, enter 15 For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions Form 10400201 4a Middle Cat No. 113200 & XNXX 250 Form 1040 2020 Page 2 16 Tax (see instructions. Check if any from Forms: 1 8814 24972 30 16 17 Amount from Schedule 2 line 3 17 18 Add lines 16 and 17 18 19 Child tax credit or credit for other dependents 19 Amount from Schedule 3, line 7 20 21 Add lines 19 and 20.. 21 Subtract line 21 from ine 18. If zero or less, enter-O- 22 Other taxes, including self-employment tax, from Schedule 2 line 10 23 24 Add lines 22 and 23. This is your total tax 24 25 Federal income tax withheld from: a Formis) W-2 b Form(s) 1099 25b Other forms (see instructions) 25c d Addines 25a through 250 25d If you have a 26 2020 estimated tax payments and amount applied from 2019 return. 26 qualifying child. 27 Earned Income credit (EIC). 27 attach Sch. BC. - If you have 28 Additional child tax credit. Attach Schedule 8812 28 nontabile 29 American opportunity credit from Form 8863, line 8. 29 combat pay. so Instruction. 30 Recovery rebate credit. See Instructions 30 31 Amount from Schedule 3, line 13 31 32 Add lines 27 through 31. These are your total other payments and refundable credits 32 33 Add lines 25d, 26, and 32. These are your total payments 33 Refund 34 34 Wine 33 is more than line 24, subtract line 24 from line 33. This is the amount you overpaid 35a Amount of line 34 you want refunded to you. I Form 8888 is attached, check here O 350 Direct depost? b Routing number Type: Checking Savings See Instructions Account number 36 Amount of line 34 you want applied to your 2021 estimated tax.. 36 Amount 37 Subtract line 33 from fine 24. This is the amount you owe now. You Owe Note: Schedule H and Schedule SE filers, line 37 may not represent all of the taxes you owe for For details on 2020. See Schedule 3, Ine 12e, and its instructions for details. how to pay, se Instructions 38 Estimated tax penalty (see Instructions). Third Party Do you want to allow another person to discuss this return with the IRS? See Designee Instructions Yes. Complete below. No Designer's Phone Personal Identification name no Fumber PN Sign Under penalties of perjury, I declare that I have examined this retum and accompanying schedules and statements, and to the best of my knowledge and beliet, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparar has any knowledge. Here Your signature Date Your occupation the IRS sent you an identity Protection PIN, enter it here Joint return? free Inst) Seo Instruction Spouse's signature. If a joint return, both must sign Date Spouse's occupation the is sent your spouse an Keep a copy for Identity Protection PIN enter there your records free in Phone no. Email address Preparer's name Date Preparer's signature PTIN Paid Check it Preparer Self-employed Firm's name Phone No. Use Only Firm's address Fam's EN Go to www.is.powiForm 1040 for instructions and the latest information Fom 10400 1 8 9 SCHEDULE 1 OMS NO. 1545-007 (Form 1040) Additional Income and Adjustments to Income 2020 Department of the Treasury Attach to Form 1040, 1040-SR, or 1040-NR. Attachment Intemal Revenue Service Go to www.ins-gowlForm 1040 for instructions and the latest information. Seno Me 01 Name(s) shown on Form 1040, 1040-SR, or 1040-NR Your social security number Part Additional Income 1 Taxable refunds, credits, or offsets of state and local income taxes 2a Alimony received 2a b Date of original divorce or separation agreement (see instructions) 3 Business income or (loss). Attach Schedule C 3 4 Other gains or losses). Attach Form 4797.. 4 5 Rental real estate, royalties, partnerships, Scorporations, trusts, etc. Attach Schedule E 5 6 Farm income or (loss). Attach Schedule F 6 7 Unemployment compensation ... 7 8 Other income. List type and amount 8 9 Combine lines 1 through 8. Enter here and on Form 1040, 1040-SR, or 1040-NR, line 8. 9 Part II Adjustments to Income 10 Educator expenses. 10 11 Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 11 12 Health savings account deduction. Attach Form 8889 13 Moving expenses for members of the Armed Forces. Attach Form 3903 13 14 Deductible part of self-employment tax. Attach Schedule SE 14 15 Self-employed SEP, SIMPLE, and qualified plans 15 16 Self-employed health insurance deduction. 17 Penalty on early withdrawal of savings 17 18a Alimony paid.. 18a b Recipient's SSN c Date of original divorce or separation agreement (see instructions) 19 IRA deduction 19 20 Student loan interest deduction 20 21 Tuition and fees deduction. Attach Form 8917 21 22 Add lines 10 through 21. These are your adjustments to income. Enter here and on Form 1040, 1040-SR, or 1040-NR, line 10a 22 For Paperwork Reduction Act Notice, see your tax return instructions. Cat No. 7149 Schedule 1 For 10402020 12 16 SCHEDULE A Itemized Deductions CM 1545-0014 Form 1049 or 1040-SRI Go to www.ingouicheduled for instructions and the latest information Thy 2000 2019 Attach to Form 1010 1040-S small Caution you are cleared on om het te 16 07 Non Form TB1010 Your security Medical Caution: Do not include exposurd or paid and 1 Medical and dental expenses instruction 1 Dental 2 Enter amount from Form 1040 1045-SR. In 21 Expenses 3 Multiply line 2 by 750.00 3 4 Subtracting from ine 1. in 3 is more than line 1 Taxes You 5 State and locals Paid a State and local income taxes or general sa You may include the income tes or generates online but not both you clect to include general state of income Check this box State and local real estate assertion State and local personal property dAdd line sa tough Enter the sale of line 5 $10.000 55.000 married in 6 Others List type and amount 7 AddSines de Interest Home mortgage interest and points. If you didn't all of your home You Paid mortgage loans to buy, build or improve your home se structions and check this box onay Home more interest and points reported to you on For 1008 win See instructions med Home mortgage interest not reported to you an For 1000. See instructions imited. paid to the person to whom you bought the home, instructions and show that person's menting no and address 13 c Points not reported to you on Form 1006. Soe instructions for clie Mortgage intrane premium instruction 60 Addnes though Be Investment interest. Attach For 1952.gad. Seestructions 9 10 Add instead 10 Gifts to 11 Gns by cash or check you made any of $250 or more Charity Instructions Cadouri 12 Other than by cash or check you made any of $250 or more gu. se instructions. You must attach Form 1983 over $500 13 Carryover from priory 14 Addis 11 through 13 Casualty and 15 Casualty and that is from a fodrally declared Gaaster (other than not qualified Theft Losses disaster Altach Fomandate the amount om line 18 of that form. See structions 15 Other 16 Other--from list in instructions. List type and amount Itemized Deductions 10 Total 17 Adid the amounts in the far right column for fines through 16. Also enter this amount on itemized Form 1040 1040-SR, Deductions 10 if you feel to deductions even though they are than your standard deduction check this bok For Paperwork Reduction Act Notice, see the instructions for Forma 1040 1040-SRCE. He the schedule Form 104 or 4040-SR 2010 SCHEDULEB OMON 1545-001 Form 1040 Interest and Ordinary Dividends 2020 Dette Go to www.in.gov/cha for instruction des information Alten non Senin 100 Attach to 1040 Sen 08 Nonown on um Your sold security unter Part 1 1 List name of payer. I any interest is from a ser-financed mortgage and the Amount buyer used the property as a personal residence the instructions and at this Interest interest first. Also, show that buyer's social security number and address See Instructions and the instruction for Forms 1040 and 1040-SR,Ine 20) Notes you received Farm 1000-INT, Form 1090 ORD OF suite sement from a brokerage firm Ister's name as the payer and enter the total interest shown on that form. 2 Add the amounts on line 1 Excludable interest on