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Jin Xiang is single and lives at 2468 North Lake Road in Deerwood, MN 56444. Her SSN is 412-34-5670. She worked the entire year for

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Jin Xiang is single and lives at 2468 North Lake Road in Deerwood, MN 56444. Her SSN is 412-34-5670. She worked the entire year for Lakeland Automotive. The Form W-2 from Lakeland contained information in the following boxes: Wages (box 1) - $42,851.89 Federal w/H (box 2) $ 4,583.91 Social security wages (box 3) $ 42,851.89 Social security W/H (box 4) = $ 2,656.82 Medicare wages (box 5) $ 42,851.89 Medicare W/H (box 6) = $ 621.35 On the weekends, Jin worked at Parts-Galore, a local auto parts store. The Form W-2 from Parts-Galore contained information in the following boxes: Wages (box 1) $9,167.02 Federal w/H (box 2) = $ 348.39 Social security wages (box 3) $9,167.02 Social security W/H (box 4) = $ 568.36 Medicare wages (box 5) $9,167.02 Medicare W/H (box 6) = $ 132.92 Jin also received a Form 1099-INT from Minnesota Savings and Loan. The amount of interest income in box 1 of the Form 1099-INT was $51.92. Jin had qualifying health care coverage at all times during the tax year. Required: Prepare a Form 1040 for Jin. (Input all the values as positive numbers. Round your final answers to the nearest whole dollar amount.) 1 Wages, salaries, tips, etc. Attach Form(s) W-2 1 2a Tax-exempt interest 2a 2b 3a Qualified dividends 3a 3b b Taxable interest. Attach Sch. Bif required b Ordinary dividends. Attach Sch. B if required b Taxable amount d Taxable amount 4a 4b 1a IRA distributions - Pensions and annuities 4c 4d 5a Social security benefits 5a b Taxable amount 5b 5 Capital gain or loss). Attach Schedule D if required. If not required, check here 6 7a 7b 7a Other income from Schedule 1, line 9 b Add lines 1, 2, 3, 4b, 40, 56, 6, and 7a. This is your total income 3a Adjustments to income from Schedule 1, line 22 5 Subtract line 8a from line 7b. This is your adjusted gross income 8b Standard deduction or itemized deductions (from Schedule A) 9 10 Qualified business income deduction. Attach Form 8995 or Form 8995-A 10 11a Add lines 9 and 10 11a b Taxable income. Subtract line 11a from line 8b 11b (1)8814 (2) 4972 (3) 12a 12b 12a Tax (see inst.) Check if any from Form(s): b Add Schedule 2, line 3, and line 12a and enter the total 13a Child tax credit or credit for other dependents b Add Schedule 3, line 7, and line 13a and enter the total 13a 13b 14 14 Subtract line 13b from line 12b. If zero or less, enter-O- 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 18a 17 Federal income tax withheld from Forms W-2 and 1099 18 Other payments and refundable credits: a Earned income credit (EIC) b Additional child tax credit. Attach Schedule 8812 c American opportunity credit from Form 8863, line 8 d Schedule 3, line 14 18b 18C 18d e Add lines 18a through 18d. These are your total other payments and refundable credits 18e 19 20 19 Add lines 17 and 18e. These are your total payments 20 If line 19 is more than line 16, subtract line 16 from line 19. This is the amount you overpaid 21a Amount of line 20 you want refunded to you. If Form 8888 is attached, check here Routing number c Type: Checking Account number 21a Savings 22 23 22 Amount of line 20 you want applied to your 2020 estimated tax 23 Amount you owe. Subtract line 19 from line 16. For details on how to pay, see instructions 24 Estimated tax penalty (see instructions) Do you want to allow another person (other than your paid preparer) to discuss this return with the IRS? See instructions. 24 Yes. Complete below. No

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