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Name: Jane Doe SSN: 4 4 4 - 4 4 - 4 4 4 4 Address: 5 5 5 Any Street, Anytown, CA 9 0

Name: Jane Doe
SSN: 444-44-4444
Address: 555 Any Street, Anytown, CA 90000
Marital Status: Separated - Living apart
Minor Children: 1(lives with ex-husband)
Elections: Standard deduction (never itemized)
Summary:
Jane Doe (DOE) was an employee at ABC, Inc. (benefit details below). After being injured on the job, DOE
received three monthly payments from an disability policy (benefit details below). At the start of the tax year,
DOE sold her residence for $600,000(Payer #1). DOE bought the house she sold for $300,000 and lived in the
house for 10 years prior to the sale. During the tax year, DOE received $25,000 in workers compensation
payments. By the end of the tax year, DOE had substantial gambling debts that exceed her total assets. Realizing
the her debt of $30,000 was uncollectable, the casino (Payer #2) forgave DOE's gambling debt and issued her a
Form 1099. During the tax year, DOE received the following:
$1,500 in winnings from slot machines; and
$1,000 from a state income tax refund;.
With regard to DOE's job at ABC, Inc., DOE received wages of $20,000 for time she worked. In addition to her
salary, DOE received the following employee benefits from ABC, Inc.:
Employer paid health care of $15,000;
$5,000 in sick pay benefits;
$5,000 in vacation benefits; and
Employer paid group term life insurance with $50,000 in coverage.
Question 1
When completing Form 8949, which entries are correct?
X in Box A; 1(d)= $600,000; 1(e)= $250,000; 1(h)= $50,000
X in Box C; 1(d)= $600,000; 1(e)= $300,000; 1(h)= $300,000
X in Box F; 1(d)= $600,000; 1(e)= $300,000; 1(f)= H; 1(g)=-$250,000; 1(h)= $50,000
X in Box F; 1(d)= $600,000; 1(e)= $300,000; 1(f)= i; 1(g)=($250,000); (1(h)= $0
Question 2
When completing Schedule D, which entry is correct?
Line 10(h)= $50,000
Line 3(h)= $50,000
Line 7(h)= $50,000
Line 9(d)= $600,000
Question 3
When completing Schedule 1, which entries are correct?
1= $1,000; 8(a)= $1,500; and 10= $2,500
1= $1,000; 8(b)= $1,500; and 10= $2,500
1= $0; 8(b)= $1,500; 8(c)= $30,000; and 10= $31,500
1= $0; 8(b)= $1,500; 8(c)= $30,000; 8(z)=-30,000; and 10= $1,500
Question 4
What is DOE's total income on Form 1040?
$70,500
$111,500
$81,500
$80,500
Question 5
What is DOE's taxable income?
$57,450
$86,950
$68,550
$55,450
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