Maribel Gomez is a single taxpayer, SS# 412-34-5670, living at 5037 Circle Court, Crestview, IL 60543. Maribel is a supervisor whose 2021 shows gross wages of $94,850 and $14,500 of federal withheld. There was social security withholding of $5,881 and Medicare withholding of $1,375 and a state withholding of #2,595. Maribel did not itemize and had the following stock transactions for 2021.

Stock Shares Date Purchased Date Sold Sale Price Cost Basis

5,500 7/8/2020 9/12/2021 $15,000 $18,000

800 3/12/2021 10/21/2021 43,000 47,000

2,800 2/13/2014 10/21/2021 30,000 22,000

Maribel also has interest from a savings account with a local Neighborhood Bank of $250 and a dividend from form 1099-Div of $1,600 in ordinary dividends, of which #1,350 are considered qualified dividends.

Prepare a 2021 Form 1040 and all related schedules and forms. Assume that each box 3 of 1099-B was not checked for all sales transactions. Maribel had qualified health care coverage at all times during 2021.