its FEDERAL TAX

1 / 3 Exercise Number Two (itemized Deductions) Forms Included: Form 1040, Schedule A, Schedule B Client's Social Security Number 257-00-4703 Filing Status Married Filing Joint Taxpayer's Date of Birth 03/01/1967 Spouse's Date of Birth 06/15/1968 Neither Taxpayer nor Spouse is Blind or Deceased Client's First Name, Initial, and Last Name James T. Kirk Secondary First Name, Initial, and Last Name Sherry S. Kirk Secondary SSN 258-00-4704 Street Address Zip Code Daytime Telephone E-Mail Taxpayer's Occupation Secondary's Occupation 389 Davant Street 32920 (Cape Canaveral, Florida) 904-868-0985 ikirk@yahoo.com Astronaut Nurse Dependent Information First Dependent Name Brandon D. Kirk Dependent's Birthday 05/03/2004 Dependent's SSN 345-00-5557 Relationship Son Number of Months Lived in Home 12 Taxpayer has not released claim for Brandon to another person. (Qualifies for Child Tax Credit) Second Dependent Name Dependent's Birthday Dependent's SSN Relationship Number of Months Lived in Home Andrea D. Kirk 08/01/2004 259-00-5588 Niece 12 No Dependent Care Expenses Taxpayer has not released claim for Andrea to another person Search Rex Ebooks - X Union Cox 3 WebAdvis x Plan & Sc X case 2 Orx aloads/2019_Tax_Program_Exercise_Number_2.pdf Exercise Number Two (Page 2) Health Care Coverage Information: Mr.Kirk's entire family is enrolled under employer sponsored health insurance Health insurance was NOT purchased through the Exchange. I W-2 Information Taxpayer Employer Identification Number 58-6987451 Employer Name/Address NASA 101 Cape Canaveral Way Cape Canaveral, FL 32920 Wages 94600.00 Federal Withholding 12100.00 State FL State ID Number None State Tax Withheld None Spouse Employer identification Number Employer Name/Address Wages Federal Withholding State State ID Number State Tax Withheld 58-6412038 RCS 610 Ronald Reagan Drive Evans, GA 30809 43500.00 5200.00 GA 28-594178 740.00 Schedule B Information: Regular interest Payer's Name Interest Income from 1099 Regular Diwidend Payer's Name Total Ordinary Dividends Bank of America 2420.00 Bank of America 315.00 Ebooks - Search Rex Union Col X WebAdvis X Plan & Sc X ob case 2 Or X wnloads/2019_Tax_Program Exercise Number_2.pdf 1 Exercise Number Two (Page 3) 14600.00 Schedule A Information: Medical and Dental Insurance Amount Paid to Doctors/Dentists Supporting Notes Dr John Gillespie Dr Frank Willingham 5100.00 2600.00 Prescriptions: Medical Mileage 1425.00 1200 miles Prior Year State Taxes Paid Real Estate Taxes on Personal Residence Personal Property Taxes Supporting Notes 4521.00 2100.00 515.00 Ad Valorem Tax - Automobile Tags Interest Pald Mortgage Interest from Wells Fargo - Form 1098 6985.00 Gifts to Charity Cash and Check Contributions (Church) Non-Cash Contributions (clothing) 3600.00 486.00 CA 1 / 3 Exercise Number Two (itemized Deductions) Forms Included: Form 1040, Schedule A, Schedule B Client's Social Security Number 257-00-4703 Filing Status Married Filing Joint Taxpayer's Date of Birth 03/01/1967 Spouse's Date of Birth 06/15/1968 Neither Taxpayer nor Spouse is Blind or Deceased Client's First Name, Initial, and Last Name James T. Kirk Secondary First Name, Initial, and Last Name Sherry S. Kirk Secondary SSN 258-00-4704 Street Address Zip Code Daytime Telephone E-Mail Taxpayer's Occupation Secondary's Occupation 389 Davant Street 32920 (Cape Canaveral, Florida) 904-868-0985 ikirk@yahoo.com Astronaut Nurse Dependent Information First Dependent Name Brandon D. Kirk Dependent's Birthday 05/03/2004 Dependent's SSN 345-00-5557 Relationship Son Number of Months Lived in Home 12 Taxpayer has not released claim for Brandon to another person. (Qualifies for Child Tax Credit) Second Dependent Name Dependent's Birthday Dependent's SSN Relationship Number of Months Lived in Home Andrea D. Kirk 08/01/2004 259-00-5588 Niece 12 No Dependent Care Expenses Taxpayer has not released claim for Andrea to another person Search Rex Ebooks - X Union Cox 3 WebAdvis x Plan & Sc X case 2 Orx aloads/2019_Tax_Program_Exercise_Number_2.pdf Exercise Number Two (Page 2) Health Care Coverage Information: Mr.Kirk's entire family is enrolled under employer sponsored health insurance Health insurance was NOT purchased through the Exchange. I W-2 Information Taxpayer Employer Identification Number 58-6987451 Employer Name/Address NASA 101 Cape Canaveral Way Cape Canaveral, FL 32920 Wages 94600.00 Federal Withholding 12100.00 State FL State ID Number None State Tax Withheld None Spouse Employer identification Number Employer Name/Address Wages Federal Withholding State State ID Number State Tax Withheld 58-6412038 RCS 610 Ronald Reagan Drive Evans, GA 30809 43500.00 5200.00 GA 28-594178 740.00 Schedule B Information: Regular interest Payer's Name Interest Income from 1099 Regular Diwidend Payer's Name Total Ordinary Dividends Bank of America 2420.00 Bank of America 315.00 Ebooks - Search Rex Union Col X WebAdvis X Plan & Sc X ob case 2 Or X wnloads/2019_Tax_Program Exercise Number_2.pdf 1 Exercise Number Two (Page 3) 14600.00 Schedule A Information: Medical and Dental Insurance Amount Paid to Doctors/Dentists Supporting Notes Dr John Gillespie Dr Frank Willingham 5100.00 2600.00 Prescriptions: Medical Mileage 1425.00 1200 miles Prior Year State Taxes Paid Real Estate Taxes on Personal Residence Personal Property Taxes Supporting Notes 4521.00 2100.00 515.00 Ad Valorem Tax - Automobile Tags Interest Pald Mortgage Interest from Wells Fargo - Form 1098 6985.00 Gifts to Charity Cash and Check Contributions (Church) Non-Cash Contributions (clothing) 3600.00 486.00 CA