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Meals provided by Applebees while Harry was working: $ 1 , 2 0 0 Length of service award received by Suzy in a qualified plan:
Meals provided by Applebees while Harry was working: $
Length of service award received by Suzy in a qualified plan: $
Harry took a distribution from his company's retirement plan of $See Exhibit Form R $ was rolled over into another qualified
retirement plan, $ was used towards a down payment on a home this is the first home that Harry and Sally have purchased and $ was used
to pay off high interest rate credit cards.
Exhibits
W Applebees $ Wages Federal $ Social Security $ tips Social Security Withheld $ Medical Tax Withheld $ Dependent Care $ State Tax $
W Greenway $ Federal $ SS Withheld $ Medical Withheld $ Dependent Care $ State tax $
Form R
Enter the amount in the associated cells. Enter all values as positive numbers. If a value is zero, enter a zero
Calculate the taxable portion for dependent care assistance
Calculate Harry and Sally's gross income
Calculate the premature distribution penalty
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