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Jose and Dora Hernandez are married filing jointly. They are 50 and 45 years old, respectively. Their address is 32010 Lake Street, Atlanta, GA 30294.

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Jose and Dora Hernandez are married filing jointly. They are 50 and 45 years old, respectively. Their address is 32010 Lake Street, Atlanta, GA 30294. Additional information about Mr. and Mrs. Hernandez is as follows: Social security numbers: Jose: 412-34-5670 Date of birth: 4/23/1968 W-2 for Jose shows these amounts: Wages (box 1) = $ 45,800.00 Federal W/H (box 2) = $ 4,038.00 Social security wages (box 3) = $45,800.00 Social security W/H (box 4) = $ 2,839.60 Medicare wages (box 5) = $45,800.00 Medicare W/H (box 6) = $ 664.10 Dora: 412-34-5671 Date of birth: 7/12/1973 W-2 for Dora shows these amounts: Wages (box 1) = $31,000.00 Federal w/H (box 2) = $ 2,290.00 Social security wages (box 3) = $31,000.00 Social security W/H (box 4) = $ 1,922.00 Medicare wages (box 5) = $31,000.00 Medicare W/H (box 6) = $ 449.50 Form 1099-INT for Jose and Dora shows this amount: Box 1 = $300.00 from City Bank. Dependent: Daughter Adela is 5 years old. Her date of birth is 3/15/2013. Her social security number is 412-34-5672. Jose is a store manager, and Dora is a receptionist. Prepare the tax return for Mr. and Mrs. Hernandez using the appropriate form. They are entitled to a $2,000 child tax credit. For now, enter the credit on the appropriate line of the form. Both Jose and Dora want to contribute to the presidential election campaign. Mr. and Mrs. Hernandez had qualifying health care coverage at all times during the tax year. (List the names of the taxpayers in the order in which they appear in the problem. Input all the values as positive numbers.) Use the appropriate Tax Tables. 1040 PG 1 1040 PG 2 Page 1 of Form 1040. Use provided information and follow instructions on form. Form 1040 - U.S. Individual Income Tax Return 2018 OMB No. 1545-0074 IRS Use Only - Do not write in this space. Filing status: Single Married filing jointly Head of household Married filing separately Last name Qualifying widow(er) Your social security number (Enter as 800X-XX-Xccx) Your first name and initial Standard deduction: Someone can claim you as a dependent You were born before January 2, 1954 You are blind Spouse or qualifying person's first name and initial (see inst.) Last name Spouse's social security number (Enter as 200X-XX-XXXX) Standard deduction: Someone can claim your spouse as a dependent Spouse is blind Home address (number and street). If you have a P.O. box, see instructions. Spouse was born before January 2, 1954 Spouse itemizes on a separate return or you were dual-status alien Full-year health care coverage (see instructions) | Presidential Election Campaign (see inst) City, town or post office, state, and ZIP code. If you have a foreign address, attach Schedule 6. You o Spouse If more than four dependents see inst. and check here Dependents (see instructions): (2) Dependent's social security number (Enter as xocx-xx-xxxx) (3) Dependent's relationship to you (4) X if child under age 17 qualifies for (see inst.): Child tax credit. Credit for other dependents (1) First name Last name Sign Here 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 accurately reflect all amounts and sources of income I received during the tax year. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Joint return? See instructions. Keep a copy for your records. Your signature Date Your occupation If the IRS sent you an ID Protection PIN, enter it here (see inst.) Spouse's signature. If a joint return, both must sign Date Spouse's occupation If the IRS sent you an ID Protection PIN, enter it here (see inst.) Print/type preparer's name Preparer's signature PTIN Paid Preparers Firm's name Firm's EIN For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Cat No. 11320B THIS FORM IS A SIMULATION OF AN OFFICIAL U.S. TAX FORM. IT IS NOT THE OFFICIAL FORM ITSELF. DO NOT USE THIS FORM FOR TAX FILINGS OR FOR ANY PURPOSE OTHER THAN EDUCATIONAL. 2019 McGraw-Hill Education. Check if: 3rd Party Designee Self-employed Form 1040 (2018) Form 1040 (2018) Page 2 1 Wages, salaries, tips, etc. Attach Form W-2 2a Tax-exempt interest 3a Qualified dividends 49 IRAs, pensions, and annuities 59 Social security benefits 6 Total income. Add lines 1 through 5. Add any amount from Schedule 1, line b Taxable interest Jb Ordinary dividends b Taxable amount b Taxable amount Standard deduction for- 7 Adjusted gross income. If you have no adjustments to income, enter the amount from line 8: otherwise, subtract Schedule 1, line 36, from line 6 8 Standard deduction or itemized deductions (from Schedule A) Qualified business income deduction (see instructions) 10 laxable income. Subtract lines 8 and 9 from line 7. If zero or less enter -- 11 a Tax (see inst) (check if any form: 1. Form(s) 8814 2. Form 4972 Single or Married filin separately $12.000 . Married filing jointly or Qualifying widow(er). $24,000 b Add any amount from Schedule 2 and check here 12 a Child tax credit/credit for other dependents b Add any amount from Schedule 3 and check here 13 Subtract line 12 from line 11. If zero or less, enter-O- 14 Other taxes. Attach Schedule 4 Head of household, $18,000 15 Total tax. Add lines 13 and 14 If you checked any box under Standard deduction, see instructions Refund 16 Federal income tax withheld from Forms W-2 and 1099 17 Refundable credits: a EIC (see inst.) b Sch 8812 c Form 8863 d Add any amount from Schedule 5 18 Add lines 16 and 17 a through d. These are your total payments. 19 If line 18 is more than line 15, subtract line 15 from line 18. This is the amount you overpaid 20a Amount of line 19 you want refunded to you. If Form 8888 is attached, check here > Routing number Type: Checking | Account number 21 Amount of line 19 you want applied to your 2019 estimated tax 21 22 Amount you owe. Subtract line 18 from line 15. For details on how to pay, see instructions 23 Estimated tax penalty (see instructions) Savings Direct deposit? See instructions. Amount You Owe Jose and Dora Hernandez are married filing jointly. They are 50 and 45 years old, respectively. Their address is 32010 Lake Street, Atlanta, GA 30294. Additional information about Mr. and Mrs. Hernandez is as follows: Social security numbers: Jose: 412-34-5670 Date of birth: 4/23/1968 W-2 for Jose shows these amounts: Wages (box 1) = $ 45,800.00 Federal W/H (box 2) = $ 4,038.00 Social security wages (box 3) = $45,800.00 Social security W/H (box 4) = $ 2,839.60 Medicare wages (box 5) = $45,800.00 Medicare W/H (box 6) = $ 664.10 Dora: 412-34-5671 Date of birth: 7/12/1973 W-2 for Dora shows these amounts: Wages (box 1) = $31,000.00 Federal w/H (box 2) = $ 2,290.00 Social security wages (box 3) = $31,000.00 Social security W/H (box 4) = $ 1,922.00 Medicare wages (box 5) = $31,000.00 Medicare W/H (box 6) = $ 449.50 Form 1099-INT for Jose and Dora shows this amount: Box 1 = $300.00 from City Bank. Dependent: Daughter Adela is 5 years old. Her date of birth is 3/15/2013. Her social security number is 412-34-5672. Jose is a store manager, and Dora is a receptionist. Prepare the tax return for Mr. and Mrs. Hernandez using the appropriate form. They are entitled to a $2,000 child tax credit. For now, enter the credit on the appropriate line of the form. Both Jose and Dora want to contribute to the presidential election campaign. Mr. and Mrs. Hernandez had qualifying health care coverage at all times during the tax year. (List the names of the taxpayers in the order in which they appear in the problem. Input all the values as positive numbers.) Use the appropriate Tax Tables. 1040 PG 1 1040 PG 2 Page 1 of Form 1040. Use provided information and follow instructions on form. Form 1040 - U.S. Individual Income Tax Return 2018 OMB No. 1545-0074 IRS Use Only - Do not write in this space. Filing status: Single Married filing jointly Head of household Married filing separately Last name Qualifying widow(er) Your social security number (Enter as 800X-XX-Xccx) Your first name and initial Standard deduction: Someone can claim you as a dependent You were born before January 2, 1954 You are blind Spouse or qualifying person's first name and initial (see inst.) Last name Spouse's social security number (Enter as 200X-XX-XXXX) Standard deduction: Someone can claim your spouse as a dependent Spouse is blind Home address (number and street). If you have a P.O. box, see instructions. Spouse was born before January 2, 1954 Spouse itemizes on a separate return or you were dual-status alien Full-year health care coverage (see instructions) | Presidential Election Campaign (see inst) City, town or post office, state, and ZIP code. If you have a foreign address, attach Schedule 6. You o Spouse If more than four dependents see inst. and check here Dependents (see instructions): (2) Dependent's social security number (Enter as xocx-xx-xxxx) (3) Dependent's relationship to you (4) X if child under age 17 qualifies for (see inst.): Child tax credit. Credit for other dependents (1) First name Last name Sign Here 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 accurately reflect all amounts and sources of income I received during the tax year. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Joint return? See instructions. Keep a copy for your records. Your signature Date Your occupation If the IRS sent you an ID Protection PIN, enter it here (see inst.) Spouse's signature. If a joint return, both must sign Date Spouse's occupation If the IRS sent you an ID Protection PIN, enter it here (see inst.) Print/type preparer's name Preparer's signature PTIN Paid Preparers Firm's name Firm's EIN For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Cat No. 11320B THIS FORM IS A SIMULATION OF AN OFFICIAL U.S. TAX FORM. IT IS NOT THE OFFICIAL FORM ITSELF. DO NOT USE THIS FORM FOR TAX FILINGS OR FOR ANY PURPOSE OTHER THAN EDUCATIONAL. 2019 McGraw-Hill Education. Check if: 3rd Party Designee Self-employed Form 1040 (2018) Form 1040 (2018) Page 2 1 Wages, salaries, tips, etc. Attach Form W-2 2a Tax-exempt interest 3a Qualified dividends 49 IRAs, pensions, and annuities 59 Social security benefits 6 Total income. Add lines 1 through 5. Add any amount from Schedule 1, line b Taxable interest Jb Ordinary dividends b Taxable amount b Taxable amount Standard deduction for- 7 Adjusted gross income. If you have no adjustments to income, enter the amount from line 8: otherwise, subtract Schedule 1, line 36, from line 6 8 Standard deduction or itemized deductions (from Schedule A) Qualified business income deduction (see instructions) 10 laxable income. Subtract lines 8 and 9 from line 7. If zero or less enter -- 11 a Tax (see inst) (check if any form: 1. Form(s) 8814 2. Form 4972 Single or Married filin separately $12.000 . Married filing jointly or Qualifying widow(er). $24,000 b Add any amount from Schedule 2 and check here 12 a Child tax credit/credit for other dependents b Add any amount from Schedule 3 and check here 13 Subtract line 12 from line 11. If zero or less, enter-O- 14 Other taxes. Attach Schedule 4 Head of household, $18,000 15 Total tax. Add lines 13 and 14 If you checked any box under Standard deduction, see instructions Refund 16 Federal income tax withheld from Forms W-2 and 1099 17 Refundable credits: a EIC (see inst.) b Sch 8812 c Form 8863 d Add any amount from Schedule 5 18 Add lines 16 and 17 a through d. These are your total payments. 19 If line 18 is more than line 15, subtract line 15 from line 18. This is the amount you overpaid 20a Amount of line 19 you want refunded to you. If Form 8888 is attached, check here > Routing number Type: Checking | Account number 21 Amount of line 19 you want applied to your 2019 estimated tax 21 22 Amount you owe. Subtract line 18 from line 15. For details on how to pay, see instructions 23 Estimated tax penalty (see instructions) Savings Direct deposit? See instructions. Amount You Owe

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