Note: This problem is for the 2019 tax year. Roberta Santos, age 41, is single and lives at 120 Sanborne Avenue, Springfield, IL 60781. Her Social Security number is 123-45-6780. Roberta has been divorced from her former husband, Wayne, for three years. She has a son, Jason, who is 17, and a daughter, June, who is 18. Jason's Social Security number is 111-11-1112, and June's is 123-45-6788. Roberta has never owned or used any virtual currency. She does not want to contribute $3 to the Presidential Election Campaign Fund. Roberta, an advertising executive, earned a salary from ABC Advertising of $80,000 in 2019. Her employer withheld $9,000 in Federal income tax and $3,100 in state income tax. Roberta has legal custody of Jason and June. The divorce decree provides that Roberta is to receive the dependency deductions for the children. Jason lives with his father during summer vacation. Wayne indicates that his expenses for Jason are $5,500. Roberta can document that she spent $6,500 for Jason's support during 2019. In prior years, Roberta gave a signed Form 8332 to Wayne regarding Jason. For 2019, she has decided not to do so. Roberta provides all of June's support. Roberta's mother died on January 7, 2019. Roberta inherited assets worth $625,000 from her mother. As the sole beneficiary of her mother's life insurance policy, Roberta received insurance proceeds of $300,000. Her mother's cost basis for the life insurance policy was $120,000. Roberta's favorite aunt gave her $13,000 for her birthday in October. On November 8, 2019, Roberta sells for $22,000 Amber stock that she had purchased for $24,000 from her first cousin, Walt, on December 5, 2013. Walt's cost basis for the stock was $26,000, and the stock was worth $23,000 on December 5, 2015. On December 1, 2019, Roberta sold Falcon stock for $13,500. She had acquired the stock on July 2, 2015, for $8,000. An examination of Roberta's records reveals that she received the following: Interest income of $2,500 from First Savings Bank. Groceries valued at $750 from Kroger Groceries for being the 100,000th customer. Qualified dividend income of $1,800 from Amber. Interest income of $3,750 on City of Springfield school bonds. Alimony of $16,000 from Wayne; divorce finalized in May 2015. Distribution of $4,800 from ST Partnership. Her distributive share of the partnership passive taxable income was $5,300. She had no prior passive activity losses. Assume that the qualified business income deduction applies and the W-2 wage limitation does not. From her checkbook records, she determines that she made the following payments during 2019: Charitable contributions of $4,500 to First Presbyterian Church and $1,500 to the American Red Cross (proper receipts obtained). Paid $5,000 to ECM Hospital for the medical expenses of a friend from work. Mortgage interest on her residence of $7,800 to Peoples Bank. Property taxes of $3,200 on her residence and $1,100 (ad valorem) on her car. $800 for landscaping expenses for residence. Estimated Federal income taxes of $2,800 and estimated state income taxes of $1,000. Medical expenses of $5,000 for her and $800 for Jason. In December, her medical insurance policy reimbursed $1,500 of her medical expenses. She had full-year health care coverage. A $1,000 ticket for parking in a handicapped space. Attorney's fees of $500 associated with unsuccessfully contesting the parking ticket. Contribution of $250 to the campaign of a candidate for governor. Because she did not maintain records of the sales tax she paid, she calculates the amount from the sales tax table to be $994. Required: Calculate Roberta's net tax payable or refund due for 2019. Enter all amounts as positive numbers. However, use the minus sign to indicate a loss. If an amount box does not require an entry or the answer is zero, enter "0". Make realistic assumptions about any missing data. It may be necessary to complete the tax schedules before completing Form 1040. When computing the tax liability, do not round your immediate calculations. If required round your final answers to the nearest dollar. Use the Tax Rate Schedule provided. Do not use the Tax Tables. Form 1040 Complete Roberta's Form 1040 below for 2019. Form Department of the Treasury-Internal Revenue Service (99) 1040 U.S. Individual Income Tax Return 2019 OMB No. 1545-0074 IRS Use Only Filing Status Single Last name Your first name and middle initial Roberta Santos Your social security number 123-45-6780 If joint return, spouse's first name and middle initial Last name Spouse's social security number Apt. no. Home address (number and street). If you have a P.O. box, see instructions. 120 Sanborne Avenue Presidential Election Campaign Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund. City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Springfield, IL 60781 None Foreign country name Foreign province/state/county Foreign postal code If more than four dependents, see instructions and here Standard Deduction Someone can claim: None Age/Blindness You: None : Spouse: None Dependents (see instructions): (2) Social security number (3) Relationship to you (4) if qualifies for (see instructions): (1) First name Last name Child tax credit Credit for other dependents Jason Santos 111-11-1112 Child No No June Santos 123-45-6788 Child No No 1 Wages, salaries, tips, etc. Attach Form(s) W-2. 1 80,000 2a Tax-exempt interest .. 2a 2b 2,500 3a Qualified dividends ... 3a 3b 1,800 b Taxable interest. Attach Sch. B if required b Ordinary dividends. Attach Sch. B if required B b Taxable amount. d Taxable amount. b Taxable amount . 4a IRA distributions ..... 4a 4b c Pensions and annuities 4c 4d 5a Social security benefits 5a 5b 6 Capital gain or loss). Attach Schedule D if required. If not required, check here. . 6 5,500 Standard Deduction for- Single or Married filing separately, $12,200 Married filing jointly or Qualifying widow(er), $24,400 Head of household, $18,350 If you checked any box under Standard Deduction, see instructions. 7a Other income from Schedule 1, line 9 7a b Add lines 1, 2b, 3b, 4b, 40, 5b, 6, and 7a. This is your total income 7b 8a Adjustments to income from Schedule 1, line 22. 8 b Subtract line 8a from line 7b. This is your adjusted gross income. 8b 9 9 Standard deduction or itemized deductions (from Schedule A) ..... Qualified business income deduction. Attach Form 8995 or Form 8995-A.. 10 10 11a Add lines 9 and 10 11a b Taxable income. Subtract line 11a from line 8b. If zero or less, enter-O-. . 11b BAA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Form 1040 (2019) Form 1040 (2019) Roberta Santos 123-45-6780 Page 2 12a Tax (see inst.) Check if any from Form(s): 1 8814 2 0 4972 30 12a Direct deposit? b Routing number c Type: Checking Savings See instructions. d Account number 22 Amount of line 20 you want applied to your 2020 estimated tax 22 23 23 Amount Amount you owe. Subtract line 19 from line 16. For details on how to pay, see instructions.. You Owe 24 Estimated tax penalty (see instructions) .... 24 Third Party Do you want to allow another person (other than your paid preparer) to discuss this return with Yes. Complete below. the IRS? See instructions. No Designee (Other than Designee's Phone Personal identification paid preparer) name no. number (PIN) Sign 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 complete. Declaration of preparer (other than Here taxpayer) is based on all information of which preparer has any knowledge. Your signature Date Your occupation If the IRS sent you an Identity Joint return? Protection PIN, enter it here See (see inst.) instructions. Advertising Execut. Keep a copy for Spouse's signature. If a joint Date Spouse's occupation If the IRS sent your spouse your records. return, both must sign. Identity Protection PIN, enter it here (see inst.) Phone no. Email address Preparer's name Date PTIN Paid Check if: Preparer's signature Self-Prepared 3rd Party Designee Preparer Preparer's name Date PTIN Paid Check if: Preparer's signature Self-Prepared 3rd Party Designee Firm's name Phone no. Preparer Use Only Self-employed Firm's address Firm's EIN Go to www.irs.gov/Form1040 for instructions and the latest information. Form 1040 (2019) Schedule 1 Complete Roberta's Schedule 1 below for 2019. OMB No. 1545-0074 SCHEDULE 1 (Form 1040 or 1040-SR) Additional Income and Adjustments to Income 2019 Department of the Treasury Internal Revenue Service Attach to Form 1040 or 1040-SR. Go to www.irs.gov/Form 1040 for instructions and the latest information. Attachment Sequence No. 01 Name(s) shown on Form 1040 or 1040-SR Roberta Santos Your social security number 123-45-6780 At any time during 2019, did you receive, sell, send, exchange, or otherwise acquire any financial interest in any virtual currency? Yes x No Part I Additional Income 1 Taxable refunds, credits, or offsets of state and local income taxes 1 2a Alimony received . 2 1,600 05/2015 b Date of original divorce or separation agreement (see instructions) 3 Business income or (loss). Attach Schedule C. 3 4 Other gains or losses). Attach Form 4797 . 4 5 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E 5 5,300 6 Farm income or (loss). Attach Schedule F 6 7 Unemployment compensation 7 Other income. List type and amount 8 8 9 Combine lines 1 through 8. Enter here and on Form 1040 or 1040-SR, line 7a . 9 Part II Adjustments to Income 10 11 12 10 Educator expenses ....... 11 Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 .... 12 Health savings account deduction. Attach Form 8889 13 Moving expenses for members of the Armed Forces. Attach Form 3903 14 Deductible part of self-employment tax. Attach Schedule SE 15 Self-employed SEP, SIMPLE, and qualified plans... 16 Self-employed health insurance deduction 13 14 15 16 17 Penalty on early withdrawal of savings. 17 18a Alimony paid. 18a b Recipient's SSN c Date of original divorce or separation agreement (see instructions) 19 IRA deduction 19 20 Student loan interest deduction 20 21 21 Tuition and fees. Attach Form 8917 22 Add lines 10 through 21. These are your adjustments to income. Enter here and on Form 1040 or 1040-SR, line 8a .... 22 BAA For Paperwork Reduction Act Notice, see your tax return instructions. Schedule 1 (Form 1040 or 1040-SR) 2019 Schedule 3 Complete Roberta's Schedule 3 below for 2019. OMB No. 1545-0074 SCHEDULE 3 (Form 1040 or 1040-SR) Additional Credits and Payments 2019 Department of the Treasury Internal Revenue Service Attach to Form 1040 or 1040-SR. Go to www.irs.gov/Form1040 for instructions and the latest information. Attachment Sequence No. 03 Name(s) shown on Form 1040 or 1040-SR Roberta Santos Your social security number 123-45-6780 Part I Nonrefundable Credits 1 1 Foreign tax credit. Attach Form 1116 if required 2 Credit for child and dependent care expenses. Attach Form 2441 3 Education credits from Form 8863, line 19... 2 3 4 Retirement savings contributions credit. Attach Form 8880 4 5 Residential energy credit. Attach Form 5695 5 6 Other credits from Form: a 3800 b 8801 CO 6 7 Add lines 1 through 6. Enter here and include on Form 1040 or 1040-SR, line 13b 7 Part II Other Payments and Refundable Credits 8 2019 estimated tax payments and amount applied from 2018 return 8 9 Net premium tax credit. Attach Form 8962 9 10 Amount paid with request for extension to file (see instructions). 10 11 Excess social security and tier 1 RRTA tax withheld 11 12 Credit for federal tax on fuels. Attach Form 4136 12 13 Credits from Form: a 2439 bo Reserved CO 8885 do 13 14 Add lines 8 through 13. Enter here and on Form 1040 or 1040-SR, line 18d 14 BAA For Paperwork Reduction Act Notice, see your tax return instructions. Schedule 3 (Form 1040 or 1040-SR) 2019 Schedule A Complete Roberta's Schedule A for 2019. OMB No. 1545-0074 SCHEDULE A (Form 1040 or 1040-SR) (Rev. January 2020) Department of the Treasury Internal Revenue Service (99) Itemized Deductions Go to www.irs.gov/ ScheduleA for instructions and the latest information. Attach to Form 1040 or 1040-SR. Caution: If you are claiming a net qualified disaster loss on Form 4684, see the instructions for line 16. 2019 Attachment Sequence No. 07 Name(s) shown on Form 1040 or 1040-SR Roberta Santos Your social security number 123-45-6780 Caution: Do not include expenses reimbursed or paid by others. Medical 1 Medical and dental expenses (see instructions)... 1 and Dental 2 Enter amount from Form 1040 or 1040- SR, line 8b. 2 Expenses 3 Multiply line 2 by 7.5% (0.075). 3 4 Subtract line 3 from line 1. If line 3 is more than line 1, enter-O- 5 State and local taxes. . Taxes You Paid a State and local income taxes or general sales taxes. You may include either income taxes or general sales taxes on line 5a, but not both. If you elect to include general sales taxes instead of income taxes, check this box ..... 5a b State and local real estate taxes (see instructions) 5b c State and local personal property taxes 5c d Add lines 5a through 5c ..... 5d e Enter the smaller of line 5d or $10,000 ($5,000 if married filing separately). 5e 6 Other taxes. List type and amount 6 7 Add lines 5e and 6 7 Interest You Paid 8 Home mortgage interest and points. If you didn't use all of your home mortgage loan(s) to buy, build, or improve your home, see instructions and check this box ..... a Home mortgage interest and points reported to you on Form 1098. See instructions if limited ... 8a Caution: Your mortgage interest deduction may be limited (see Instruction b Home mortgage interest not reported to you on Form 1098. See instructions if limited. If paid to the person from whom you bought the home, see instructions and show that person's name, identifvina no and address 8b c Points not reported to you on Form 1098. See instructions for special rules... d Mortage insurance premiums (see instructions) 8C 8d e Add lines 8a through 8d 8e 9 Investment interest. Attach Form 4952 if required. See instructions. 9 10 Add lines 8e and 9... 10 Gifts to 11 Gifts by cash or check. If you made any gift of $250 or more, Charity see instructions .. 11 12 Other than by cash or check. If you made any gift of $250 or more, see instructions. You must attach Form 8283 if over $500.... 12 Caution: : If you made a gift and got a benefit for it, see instructions. 13 Carryover from prior year 13 14 Add lines 11 through 13. 14 Casualty and Theft Losses 15 Casualty and theft loss(es) from a federally declared disaster (other than net qualified disaster losses). Attach Form 4684 and enter the amount from line 18 of that form. See instructions. 15 16 Other-from list in instructions. List type and amount Other Itemized Deductions 16 Total 17 Add the amounts in the far right column for lines 4 through 16. Also, enter this amount on Form 1040 or 1040-SR, line 9. 17 Itemized Deductions 18 If you elect to itemize deductions even though they are less than your standard deduction, check this box ............. Schedule A (Form 1040 or 1040-SR) 2019 BAA For Paperwork Reduction Act Notice, see the Instructions for Forms 1040 and 1040-SR. Schedule B Complete Roberta's Schedule B for 2019. OMB No. 1545-0074 SCHEDULE B (Form 1040 or 1040-SR) Interest and Ordinary Dividends 2019 Attachment Department of the Treasury Internal Revenue Service (99) Go to www.irs.gov/ScheduleB for instructions and the latest information. Attach to Form 1040 or 1040-SR. Sequence No. 08 Name(s) shown on return Roberta Santos Your social security number 123-45-6780 Part 1 1 Amount List name of payer. If any interest is from a seller-financed mortgage and the buyer used the property as a personal residence, see the instructions and list this interest first. Also, show that buyer's social security number and address Interest (See instructions and the instructions for Forms 1040 and 1040-SR, line 2b.) 1 Note: If you received a Form 1099-INT, Form 1099-OID, or substitute statement 2 Add the amounts on line 1 2 3 from a brokerage firm, list the firm's name as the payer and enter the total interest shown on that form. Excludable interest on series EE and I U.S. savings bonds issued after 1989. Attach Form 8815 3 4 Subtract line 3 from line 2. Enter the result here and on Form 1040 or 1040-SR, line 2b 4 Note: If line 4 is over $1,500, you must complete Part III. Amount Part II 5 List name of payer Ordinary Dividends (See instructions and the instructions for Form 1040 or 1040- SR, line 3b.) 5 Note: If you received a Form 1099-DIV or substitute statement from a brokerage firm, list the firm's name as the payer and enter the ordinary dividends shown on that form. 6 Add the amounts on line 5. Enter the total here and on Form 1040 or 1040-SR, line 3b 6 Note: If line 6 is over $1,500, you must complete Part III. Part III You must complete this part if you (a) had over $1,500 of taxable interest or ordinary dividends; (b) had a foreign account; or (c) received a distribution from, or were a grantor of, or a transferor to, a foreign trust. Yes No 7a Foreign Accounts and Trusts At any time during 2019, did you have a financial interest in or signature authority over a financial account (such as a bank account, securities account, or brokerage account) located in a foreign country? See instructions Caution: If required, failure to file FinCEN Form 114 may result in substantial penalties. See instructions. If 'Yes,' are you required to file FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR), to report that financial interest or signature authority? See FinCEN Form 114 and its instructions for filing requirements and exceptions to those requirements. b If you are required to file FinCEN Form 114, enter the name of the foreign country where the financial account is located 8 During 2019, did you receive a distribution from, or were you the grantor of, or transferor to, a foreign trust? If 'Yes, you may have to file Form 3520. See instructions .. X BAA For Paperwork Reduction Act Notice, see your tax return instructions. Schedule B (Form 1040 or 1040-SR) 2019 Schedule D Complete Roberta's Schedule D for 2019. OMB No. 1545-0074 SCHEDULE D (Form 1040 or 1040-SR) Capital Gains and Losses 2019 Department of the Treasury Internal Revenue Service (99) Attach to Form 1040, 1040-SR, or 1040-NR. Go to www.irs.gov/Scheduled for instructions and the latest information. Use Form 8949 to list your transactions for lines 1b, 2, 3, 8b, 9, and 10. Attachment Sequence No. 12 Name(s) shown on return Your social security number Name(s) shown on return Roberta Santos Your social security number 123-45-6780 Did you dispose of any investment(s) in a qualified opportunity fund during the tax year? Yes & No If "Yes," attach Form 8949 and see its instructions for additional requirements for reporting your gain or loss. Part I Short-Term Capital Gains and Losses - Generally Assets Held One Year or Less (see instructions) See instructions for how to figure the amounts to enter on the lines below. (d) Proceeds (sales price) (e) Cost (or other basis) (9) Adjustments to gain or loss from Form(s) 8949, Part I, line 2, column (g) (h) Gain or (loss) Subtract column (e) from column (d) and combine the result with column (9) This form may be easier to complete if you round off cents to whole dollars. 1a Totals for all short-term transactions reported on Form 1099-B for which basis was reported to the IRS and for which you have no adjustments (see instructions). However, if you choose to report all these transactions on Form 8949, leave this line blank and go to line 1b .... 1b Totals for all transactions reported on Form(s) 8949 with Box A checked ................ 2 Totals for all transactions reported on Form(s) 8949 with Box B checked 3 Totals for all transactions reported on Form(s) 8949 with Box C checked 4 4 5 5 Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684, 6781, and 8824 ..... Net short-term gain or loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-1 6 Short-term capital loss carryover. Enter the amount, if any, from line 8 of your Capital Loss Carryover Worksheet in the instructions .... 6 Worksheet in the instructions 6 7 Net short-term capital gain or (loss). Combine lines la through 6 in column (h). If you have any long-term capital gains or losses, go to Part II below. Otherwise, go to Part III on the back ........ Part II Long-Term Capital Gains and Losses - Generally Assets Held More Than One Year (see instructions) 7 See instructions for how to figure the amounts to enter on the lines below. (d) Proceeds (sales price) (e) Cost (or other basis) (9) Adjustments to gain or loss from Form(s) 8949, Part II, line 2, column (9) (h) Gain or (loss) Subtract column (e) from column (d) and combine the result with column (9) you round off cents to This form may be easier to complete whole dollars. 8a Totals for all long-term transactions reported on Form 1099- B for which basis was reported to the IRS and for which you have no adjustments (see instructions). However, if you choose to report all these transactions on Form 8949, leave this line blank and go to line 8b .... 8b Totals for all transactions reported on Form(s) 8949 with Box D checked ...... .............. 9 Totals for all transactions reported on Form(s) 8949 with Box E checked 10 Totals for all transactions reported on Form(s) 8949 with Box F checked ........ 11 Gain from Form 4797, Part 1; long-term gain from Forms 2439 and 6252; and long-term gain or loss) from Forms 4684, 6781, and 8824. 12 Net long-term gain or loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-1 11 12 13 Capital gain distributions. See the instrs. 13 14 Long-term capital loss carryover. Enter the amount, if any, from line 13 of your Capital Loss Carryover Worksheet in the instructions .. 14 15 Net long-term capital gain or (loss). Combine lines 8a through 14 in column (h). Then go to Part III on the back. 15 BAA For Paperwork Reduction Act Notice, see your tax return instructions. Schedule D (Form 1040 or 1040-SR) 2019 Schedule D (Form 1040 or 1040-SR) 2019 Roberta Santos 123-45-6780 Page 2 Part III Summary 16 Combine lines 7 and 15 and enter the result 16 If line 16 is a gain, enter the amount from line 16 on Form 1040 or 1040-SR, line 6; or Form 1040-NR, line 14. Then go to line 17 below. If line 16 is a loss, skip lines 17 through 20 below. Then go to line 21. Also be sure to complete line 22. If line 16 is zero, skip lines 17 through 21 below and enter -- on Form 1040 or 1040-SR, line 6; or Form 1040-NR, line 14. Then go to line 22. 17 Are lines 15 and 16 both gains? Yes. Go to line 18. No. Skip lines 18 through 21, and go to line 22. 18 If you are required to complete the 28% Rate Gain Worksheet (see instructions), enter the amount, if any, from line 7 of that worksheet 18 19 If you are required to complete the Unrecaptured Section 1250 Gain Worksheet (see instructions), enter the amount, if any, from line 18 of that worksheet ... 19 20 Are lines 18 and 19 both zero or blank? Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions for Forms Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions for Forms 1040 and 1040-SR, line 12a (or in the instructions for Form 1040-NR, line 42). Don't complete lines 21 and 22 below. No. Complete the Schedule D Tax Worksheet in the instructions. Don't complete lines 21 and 22 below. 21 If line 16 is a loss, enter here and on Form 1040 or 1040-SR, line 6; or Form 1040-NR, line 14, the smaller of: 21 The loss on line 16; or ($3,000), or if married filing separately, ($1,500) Note: When figuring which amount is smaller, treat both amounts as positive numbers. 22 Do you have qualified dividends on Form 1040 or 1040-SR, line 3a; or Form 1040-NR, line 10b? Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions for Forms 1040 and 1040-SR, line 12a (or in the instructions for Form 1040-NR, line 42). No. Complete the rest of Form 1040, 1040-SR, or 1040-NR. Schedule D (Form 1040 or 1040-SR) 2019 Form 8949 Complete page 2 of Roberta's Form 8949. Use the minus sign to indicate a loss. Form 8949 (2019) Attachment Sequence No. 12A Page 2 Name(s) shown on return. Name and SSN or taxpayer identification no. not required if shown on other side Roberta Santos SSN or taxpayer identification number 123-45-6780 Before you check Box D, E, or F below, see whether you received any Form(s) 1099-B or substitute statement(s) from your broker. A substitute statement will have the same information as Form 1099-B. Either will show whether your basis (usually your cost) was reported to the IRS by your broker and may even tell you which box to check. Part II Long-Term. Transactions involving capital assets you held more than 1 year are generally long-term (see instructions). For short-term transactions, see page 1. Note: You may aggregate all long-term transactions reported on Form(s) 1099-B showing basis was reported to the IRS and for which no adjustments or codes are required. Enter the totals directly on Schedule D, line 8a; you aren't required to report these transactions on Form 8949 (see instructions). You must check Box D, E, or F below. Check only one box. If more than one box applies for your long-term transactions, complete a separate Form 8949, page 2, for each applicable box. If you have more long-term transactions than will fit on this page for one or more of the boxes, complete as many forms with the same box checked as you need. - (D) Long-term transactions reported on Form(s) 1099-B showing basis was reported to the IRS (see Note above) (E) Long-term transactions reported on Form(s) 1099-B showing basis wasn't reported to the IRS (F) Long-term transactions not reported to you on Form 1099-B 1 (a) Description of property (Example: 100 shares XYZ Co.) (b) Date acquired (Mo., day, yr.) (c) Date sold or disposed of (Mo., day, yr.) (d) Proceeds (sales price) (see instructions) Adjustment, if any, to gain or (e) loss. If you enter an amount in Cost or other column (9), enter a code in column basis. See (f). See the separate instructions. the Note below and see Column (f) (9) (e) in the Code(s) from Amount of separate instructions adjustment instructions (h) Gain or (loss). Subtract column (e) from column (d) and combine the result with column (9) AMBER STOCK 12/05/13 11/08/19 FALCON STOCK 07/02/15 12/01/19 2 Totals. Add the amounts in columns (d), (e), (9), and (h) (subtract negative amounts). Enter each total here and include on your Schedule D, line 8b (if Box D above is checked), line 9 (if Box E above is checked), or line 10 (if Box F above is checked) Note: If you checked Box D above but the basis reported to the IRS was incorrect, enter in column (e) the basis as reported to the IRS, and enter an adjustment in column (9) to correct the basis. See Column (9) in the separate instructions for how to figure the amount of the adjustment. Form 8949 (2019) Schedule E Complete the Roberta's Schedule E for 2019. SCHEDULE E OMB No. 1545-0074 Supplemental Income and Loss (Form 1040 or 1040-SR) (From rental real estate, royalties, partnerships, S corporations, estates, 2019 trusts, REMICS, etc.) Department of the Treasury Attachment Attach to Form 1040, 1040-SR, 1040-NR, or 1041. Internal Revenue Service (99) Go to www.irs.gov/ScheduleE for instructions and the latest information. Sequence No. 13 Name(s) shown on return Your social security number Roberta Santos 123-45-6780 Part I Income or Loss From Rental Real Estate and Royalties Note: If you are in the business of renting personal property, use Schedule C (see instructions). If you are an individual, report farm rental income or loss from Form 4835 on page 2, line 40. A Did you make any payments in 2019 that would require you to file Form(s) 1099? (see instructions) ............... Yes . No Complete the Roberta's Schedule Tor 2019. OMB No. 1545-0074 SCHEDULE E (Form 1040 or 1040-SR) Supplemental Income and Loss (From rental real estate, royalties, partnerships, S corporations, estates, trusts, REMICS, etc.) Attach to Form 1040, 1040-SR, 1040-NR, or 1041. Go to www.irs.gov/ScheduleE for instructions and the latest information. Department of the Treasury Internal Revenue Service (99) 2019 Attachment Sequence No. 13 Name(s) shown on return Roberta Santos Your social security number 123-45-6780 Part I Income or Loss From Rental Real Estate and Royalties Note: If you are in the business of renting personal property, use Schedule C (see instructions). If you are an individual, report farm rental income or loss from Form 4835 on page 2, line 40. A Yes No Did you make any payments in 2019 that would require you to file Form(s) 1099? (see instructions) If "Yes," did you or will you file required Forms 1099?.... Yes No 1a Physical address of each property (street, city, state, ZIP code) A B 1b Type of Property (from list below) Fair Rental Days Personal Use Days QJV 2 For each rental real estate property listed above, report the number of fair rental and personal use days. Check the QJV box only if you meet the requirements to file as a qualified joint venture. See instructions. A B B Type of Property: 3 Vacation/Short-Term Rental 5 Land 7 Self-Rental 1 Single Family Residence 2 Multi-Family Residence 4 Commercial 6 Royalties 8 Other (describe) 2 Multi-Family Residence 4 Commercial 6 Royalties 8 Other (describe) Income: Properties: A B 3 Rents received 3 4 Royalties received 4 Expenses: 5 Advertising 5 6 Auto and travel (see instructions) 6 7 Cleaning and maintenance 7 8 Commissions 8 9 Insurance. 9 10 Legal and other professional fees 10 11 Management fees ... 11 Mortgage interest paid to banks, etc. (see instructions) , 12 12 13 Other interest 13 14 Repairs. 14 15 Supplies 15 16 Taxes. 16 17 Utilities. 17 18 Depreciation expense or depletion 18 19 Other (list) 19 20 20 21 Total expenses. Add lines 5 through 19 Subtract line 20 from line 3 (rents) and/or 4 (royalties). If result is a (loss), see instructions to find out if you must file Form 6198 .............. 21 22 Deductible rental real estate loss after limitation, if 22 any, on Form 8582 (see instructions) 23a Total of all amounts reported on line 3 for all rental properties. b Total of all amounts reported on line 4 for all royalty properties. 23a 23b c Total of all amounts reported on line 12 for all properties 23c d Total of all amounts reported on line 18 for all properties 23d e Total of all amounts reported on line 20 for all properties 23e 24 Income. Add positive amounts shown on line 21. Do not include any losses .. 24 25 Losses. Add royalty losses from line 21 and rental real estate losses from line 22. Enter total losses here 25 26 Total rental real estate and royalty income or (loss). Combine lines 24 and 25. Enter the result here. If Parts II, III, IV, and line 40 on page 2 do not apply to you, also enter this amount on Schedule 1 (Form 1040 or 1040-SR), line 5, or Form 1040-NR, line 18. Otherwise, include this amount in the total on line 41 on page 2.. 26 BAA For Paperwork Reduction Act Notice, see the separate instructions. Schedule (Form 1040 or 1040-SR) 2019 Schedule E (Form 1040 or 1040-SR) 2019 Attachment Sequence No. 13 Page 2 Name(s) shown on return. Do not enter name and social security number if shown on Page 1. Your social security number Roberta Santos 123-45-6780 Caution. The IRS compares amounts reported on your tax return with amounts shown on Schedule(s) K-1. Part II Income or Loss From Partnerships and S Corporations Note: If you report a loss, receive a distribution, dispose of stock, or receive a loan repayment from an S corporation, you must check the box in column (e) on line 28 and attach the required basis computation. If you report a loss from an at-risk activity for which any amount is not at risk, you must check the box in column (f) on line 28 and attach Form 6198 (see instructions). 27 Are you reporting any loss not allowed in a prior year due to the at-risk or basis limitations, a prior year unallowed loss from a passive activity (if that inss was not reported on Form 8582) or unreimbursed nartnershin evnenses? If von answered "Yes" see instructions 27 Are you reporting any loss not allowed in a prior year due to the at-risk or basis limitations, a prior year unallowed loss from a passive activity (if that loss was not reported on Form 8582), or unreimbursed partnership expenses? If you answered "Yes," see instructions before completing this section Yes No (b) Enter P for (c) Check if (d) Employer (e) Check if basis (f) Check if 28 (a) Name partnership; S for S foreign identification computation is any amount is corporation partnership number required not at risk A B D Passive Income and Loss (g) Passive loss allowed (attach Form 8582 if required) (h) Passive income from Schedule K-1 Nonpassive Income and Loss (0) Nonpassive loss () Section 179 expense (k) Nonpassive income allowed (see Schedule deduction from Form from Schedule K-1 K-1) 4562 A D 29a Totals b Totals 30 Add columns (h) and (k) of line 29a 30 31 Add columns (9), (i), and () of line 295 31 ( ) 32 Total partnership and S corporation income or (loss). Combine lines 30 and 31 32 Part III Income or Loss From Estates and Trusts 33 (a) Name (b) Employer ID no. A B Passive Income and Loss Nonpassive Income and Loss (c) Passive deduction or loss allowed (attach Form 8582 if required) (d) Passive income from Schedule K-1 (e) Deduction or loss from Schedule K-1 (f) Other income from Schedule K-1 1 B 34a Totals b Totals.. 35 Add columns (d) and (f) of line 34a 35 36 Add columns (c) and (e) of line 34b. 36 ( ) 37 Total estate and trust income or (loss). Combine lines 35 and 36 ... 37 Part IV Income or Loss From Real Estate Mortgage Investment Conduits (REMICS)-Residual Holder (b) Employer ( (c) Excess inclusion from (d) Taxable income (e) Income from 38 (a) Name identification Schedules Q, line 2c (net loss) from Schedules Q, line 3b number (see instructions) Schedules, line 1b 39 39 Combine columns (d) and (e) only. Enter the result here and include in the total on line 41 below .... Part V Summary 40 Net farm rental income or (loss) from Form 4835. Also, complete line 42 below ... 41 Total income or (loss). Combine lines 26, 32, 37, 39, and 40. Enter the result here and on Schedule 1 (Form 1040 or 1040-SR), line 5, or Form 1040-NR, line 18 ...... 40 41 (Form 1040 or 1040-SR), line 5, or Form 1040-NR, line 18 . 41 42 Reconciliation of farming and fishing income. Enter your gross farming and fishing income reported on Form 4835, line 7; Schedule K-1 (Form 1065), box 14, code B; Schedule K-1 (Form 1120-S), box 17, code AC; and Schedule K-1 (Form 1041), box 14, code F (see instructions). 42 43 Reconciliation for real estate professionals. If you were a real estate professional (see instructions), enter the net income or (loss) you reported anywhere on Form 1040, Form 1040-SR, or Form 1040-NR from all rental real estate activities in which you materially participated under the passive activity loss rules 43 BAA Schedule E (Form 1040 or 1040-SR) 2019 Form 8995 Complete Roberta's Form 8995. OMB No. 1545-0123 Form 8995 2019 Qualified Business Income Deduction Simplified Computation Attach to your tax return. Go to www.irs.gov/ Form8995 for instructions and the latest information. Attachment Department of the Treasury Internal Revenue Service Sequence No. 55 Name(s) shown on return Roberta Santos Your taxpayer identification number 317-65-4321 1 (a) Trade, business, or aggregation name (b) Taxpayer identification number (c) Qualified business income or (loss) i ST Partnership 123-45-6780 ii iV V 2 Total qualified business income or (loss). Combine lines li through 1v, column (c) .. 2 3 Qualified business net (loss) carryforward from the prior year.. 3 4 Total qualified business income. Combine lines 2 and 3. If zero or less, enter -o- ... 4 5 Qualified business income component. Multiply line 4 by 20% (0.20) 5 6 Qualified REIT dividends and publicly traded partnership (PTP) income or loss) (see instructions)... 6 6 Qualified REIT dividends and publicly traded partnership (PTP) income or (loss) (see instructions) 6 7 Qualified REIT dividends and qualified PTP (loss) carryforward from the prior year.. 7 8 Total qualified REIT dividends and PTP income. Combine lines 6 and 7. If zero or less, enter -O- 8 9 9 REIT and PTP component. Multiply line 8 by 20% (0.20) 10 Qualified business income deduction before the income limitation. Add lines 5 and 9 10 11 Taxable income before qualified business income deduction 11 12 Net capital gain (see instructions) 12 13 Subtract line 12 from line 11. If zero or less, enter -o-, 13 14 Income limitation. Multiply line 13 by 20% (0.20). 14 15 Qualified business income deduction. Enter the lesser of line 10 or line 14. Also enter this amount on the applicable line of your return.... 15 16 Total qualified business (loss) carryforward. Combine lines 2 and 3. If greater than zero, enter - - ...... 16 17 Total qualified REIT dividends and PTP (loss) carryforward. Combine lines 6 and 7. If greater than zero, enter -O-..... 17 BAA For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. Form 8995 (2019) Form 8582 Complete Roberta's Form 8582. Assume the amount from worksheet 3 is $5,300. Line 7, modified adjusted gross income excludes any Complete Roberta's Form 8582. Assume the amount from worksheet 3 is $5,300. Line 7, modified adjusted gross income excludes any passive income or loss amount reported on Form 8582. Form 8582 Department of the Treasury Internal Revenue Service (99) OMB No. 1545-1008 Passive Activity Loss Limitations See separate instructions. 2019 Attach to Form 1040, Form 1040-SR, or Form 1041. Attachment Go to www.irs.gov/Form8582 for instructions and the latest information. Sequence No. 88 Identifying number 123-45-6780 Name(s) shown on return Roberta Santos Part I 2019 Passive Activity Loss Caution: Complete Worksheets 1, 2, and before completing Part I. Rental Real Estate Activities With Active Participation (For the definition of active participation, see Special Allowance for Rental Real Estate Activities in the instructions.) Activities with net income (enter the amount from Worksheet 1, column (a))... b Activities with net loss (enter the amount from Worksheet 1, column (b))..... 1a la 1b Prior years' unallowed losses (enter the amount from Worksheet 1, column (c)).. 1c d Combine lines 1a, 1b, and 1c... 1d Commercial Revitalization Deductions From Rental Real Estate Activities 2a Commercial revitalization deductions from Worksheet 2, column (a) 2a b Prior year unallowed commercial revitalization deductions from Worksheet 2, column (b) 2b Add lines 2a and 2b 2c All Other Passive Activities Activities with net income (enter the amount from Worksheet 3, column (a)).... b Activities with net loss (enter the amount from Worksheet 3, column (b))..... 3b Prior years' unallowed losses (enter the amount from Worksheet 3, column (C)). c d Combine lines 3a, 3b, and 3c 3d 4 Combine lines 1d, 2c, and 3d. If this line is zero or more, stop here and include this form with your return; all losses are allowed, including any prior year unallowed losses entered on line 1c, 2b, or 3c. Report the losses on the forms and schedules normally used. 4 If line 4 is a loss and: Line 1d is a loss, go to Part II. Line 2c is a loss (and line 1d is zero or more), skip Part II and go to Part III. Line 3d is a loss (and lines 1d and 2c are zero or more), skip Parts II and III and go to line 15. Caution: If your filing status is married filing separately and you lived with your spouse at any time during the year, do not complete Part II or Part III. Instead, go to line 15. Part II Special Allowance for Rental Real Estate Activities With Active Participation Note: Enter all numbers in Part II as positive amounts. See instructions for an example. 5 Enter the smaller of the loss on line 1d or the loss on line 4 5 6 Enter $150,000. If married filing separately, see instructions .. 6 7 Enter modified adjusted gross income, but not less than zero. see instructions ... 7 Note: If line 7 is greater than or equal to line 6, skip lines 8 and 9, enter -o- on line 10. Otherwise, go to line 8. 8 Subtract line 7 from line 6 8 9 Multiply line 8 by 50% (0.50). Do not enter more than $25,000. If married filing separately, see instructions 9 10 Enter the smaller of line 5 or line 9. 10 If line 2c is a loss, go to Part III. Otherwise, go to line 15. Part III Special Allowance for Commercial Revitalization Deductions From Rental Real Estate Activities Note: Enter all numbers in Part III as positive amounts. See the example for Part II in the instructions. 11 Enter $25,000 reduced by the amount, if any, on line 10. If married filing separately, see instructions 11 12 Enter the loss from line 4.. 12 13 Reduce line 12 by the amount on line 10 13 14 Enter the smallest of line 2c (treated as a positive amount), line 11, or line 13 14 Part IV Total Losses Allowed 15 Add the income, if any, on lines la and 3a and enter the total. .. 15 16 Total losses allowed from all passive activities for 2019. Add lines 10, 14, and 15. See instructions to find out how to report the losses on your tax return 16 BAA For Paperwork Reduction Act Notice, see instructions. Form 8582 (2019) Qualified Dividends and Capital Gain Tax Worksheet The worksheet will assist you in determining the tax liability. If an amount is zero, enter "O". Use the 2019 Tax Rate Schedule provided. Do not use the Tax Tables. Qualified Dividends and Capital Gain Tax Worksheet-Line 12a Keep for Your Records Before you begin: See the earlier instructions for line 12a to see if you can use this worksheet to figure your tax. Before completing this worksheet, complete Form 1040 through line 11b. If you do not have to file Schedule D and you received capital gain distributions, be sure you checked the box on Form 1040 or 1040-SR, line 6. 1. Enter the amount from Form 1040 or 1040-SR, line 11b. However, if you are filing Form 2555 or 2555-EZ (relating to foreign earned income), enter the amount from line 3 of the 1. Enter the amount from Form 1040 or 1040-SR, line 11b. However, if you are filing Form 2555 or 2555-EZ (relating to foreign earned income), enter the amount from line 3 of the Foreign Earned Income Tax Worksheet (Taxable income) 2. Enter the amount from Form 1040, line 3a* 2. 3. Are you filing Schedule D?* Yes Enter the smaller of line 15 or 16 of Schedule D. If either line 15 or line 16 is blank or a loss, enter -0- 3. No Enter the amount from Form 1040 or 1040-SR, line 6. 4. Add lines 2 and 3 4. 5. If filing Form 4952 (used to figure investment interest expense deduction), enter any amount from line 4g of that form. Otherwise, enter -0-.. , 6. Subtract line 5 from line 4. If zero or less, enter -o-, 5. 6. 7. Subtract line 6 from line 1. If zero or less, enter -O- 7. 8. Enter: $39,375 if single or married filing separately, $78,750 if married filing jointly or qualifying widow(er), 8. $52,750 if head of household. 9. Enter the smaller of line 1 or line 8 9. 10. Enter the smaller of line 7 or line 9 10. 11. Subtract line 10 from line 9. This amount is taxed at 0% 11. 12 Enter the smaller of line 1 or line 6 12. 12. Enter the smaller of line 1 or line 6 12. 13. Enter the amount from line 11 13. 14. Subtract line 13 from line 12 14. 15. Enter: $434,550 if single, $244,425 if married filing separately, 15. $488,850 if married filing jointly or qualifying widow(er), $461,700 if head of household. 16. Enter the smaller of line 1 or line 15 16. 17. Add lines 7 and 11.. 17. 18. Subtract line 17 from line 16. If zero or less, enter -0- 18. 19. Enter the smaller of line 14 or line 18 19. 20. Multiply line 19 by 15% (0.15) 20. 21. Add lines 11 and 19 21. 22. Subtract line 21 from line 12 22. 23. Multiply line 22 by 20% (0.20) 23. 24. Figure the tax on the amount on line 7. If the amount on line 7 is less than $100,000, use the Tax Table to figure the tax. If the amount on line 7 is $100,000 or more, use the Tax Computation Worksheet 24. 25. Add lines 20, 23, and 24 25. 26. Figure the tax on the amount on line 1. If the amount on line 1 is less than $100,000, use the Tax Table to figure 26. 26. Figure the tax on the amount on line 1. If the amount on line 1 is less than $100,000, use the Tax Table to figure the tax. If the amount on line 1 is $100,000 or more, use the Tax Computation Worksheet 27. Tax on all taxable income. Enter the smaller of line 25 or 26. Also include this amount on the entry space on Form 1040 or 1040-SR, line 12a. If you are filing Form 2555, don't enter this amount on the entry space on Form 1040 or 1040-SR, line 12a. Instead, enter it on line 4 of the Foreign Earned Income Tax Worksheet 27. * If you are filing Form 2555 or 2555-EZ, see the footnote in the Foreign Earned Income Tax Worksheet before completing this line. 2019 Tax Rate Schedules Use the 2019 Tax Rate Schedules to compute the tax. Because the tax rate schedules are used instead of the tax tables, the amount of tax computed may vary slightly from the amount listed in the tables. 2019 Tax Rate Schedules Single-Schedule X Head of household-Schedule z of the of the If taxable income is: Over- But not amount If taxable income is: Over- But not amount over- The tax is: over- over- The tax is: over- $ 0 $ 9,700 ...... 10% $ 0 $ 0 $ 13,850 ...... 10% $0 9,700 39,475 $ 970.00 + 12% 9,700 13,850 52,850 $ 1,385.00 + 12% 13,850 39,475 84,200 4,543.00 + 22% 39,475 52,850 84,200 6,065.00 + 22% 52,850 84,200 160,725 14,382.50 + 24% 84,200 84,200 160,700 12,962.00 + 24% 84,200 160,725 204,100 32,748.50 + 32% 160,725 160,700 204,100 31,322.00 + 32% 160,700 204,100 510,300 46,628.50 + 35% 204,100 204,100 510,300 45,210.00 + 35% 204,100 39,475 84,200 4,5 22/ 59,4 52,850 84,2 6,0 22 52,854 84,200 160,725 14,382.50 + 24% 84,200 84,200 160,700 12,962.00 + 24% 84,200 160,725 204,100 32,748.50 + 32% 160,725 160,700 204,100 31,322.00 + 32% 160,700 204,100 510,300 46,628.50 + 35% 204,100 204,100 510,300 45,210.00 + 35% 204,100 510,300 153,798.50 + 37% 510,300 510,300 152,380.00 + 37% 510,300 Married filing jointly or Qualifying widow(er)-Schedule Y-1 Married filing separately-Schedule Y-2 If taxable of the If taxable of the income is: But not amount income is: But not amount Over- over- The tax is: over- Over- over- The tax is: over- $ 0 $ 19,400 10% $ 0 $ 0 $ 9,700 10% $ 0 19,400 78,950 $ 1,940.00 + 12% 19,400 9,700 39,475 $ 970.00 + 12% 9,700 78,950 168,400 9,086.00 + 22% 78,950 39,475 84,200 4,543.00 + 22% 39,475 168,400 321,450 28,765.00 + 24% 168,400 84,200 160,725 14,382.50 + 24% 84,200 321,450 408,200 65,497.00 + 32% 321,450 160,725 204,100 32,748.50 + 32% 160,725 408,200 612,350 93,257.00 + 35% 408,200 204,100 306,175 46,628.50 + 35% 204,100 612,350 164,709.50 + 37% 612,350 306,175 82,354.75 + 37% 306,175 Note: This problem is for the 2019 tax year. Roberta Santos, age 41, is single and lives at 120 Sanborne Avenue, Springfield, IL 60781. Her Social Security number is 123-45-6780. Roberta has been divorced from her former husband, Wayne, for three years. She has a son, Jason, who is 17, and a daughter, June, who is 18. Jason's Social Security number is 111-11-1112, and June's is 123-45-6788. Roberta has never owned or used any virtual currency. She does not want to contribute $3 to the Presidential Election Campaign Fund. Roberta, an advertising executive, earned a salary from ABC Advertising of $80,000 in 2019. Her employer withheld $9,000 in Federal income tax and $3,100 in state income tax. Roberta has legal custody of Jason and June. The divorce decree provides that Roberta is to receive the dependency deductions for the children. Jason lives with his father during summer vacation. Wayne indicates that his expenses for Jason are $5,500. Roberta can document that she spent $6,500 for Jason's support during 2019. In prior years, Roberta gave a signed Form 8332 to Wayne regarding Jason. For 2019, she has decided not to do so. Roberta provides all of June's support. Roberta's mother died on January 7, 2019. Roberta inherited assets worth $625,000 from her mother. As the sole beneficiary of her mother's life insurance policy, Roberta received insurance proceeds of $300,000. Her mother's cost basis for the life insurance policy was $120,000. Roberta's favorite aunt gave her $13,000 for her birthday in October. On November 8, 2019, Roberta sells for $22,000 Amber stock that she had purchased for $24,000 from her first cousin, Walt, on December 5, 2013. Walt's cost basis for the stock was $26,000, and the stock was worth $23,000 on December 5, 2015. On December 1, 2019, Roberta sold Falcon stock for $13,500. She had acquired the stock on July 2, 2015, for $8,000. An examination of Roberta's records reveals that she received the following: Interest income of $2,500 from First Savings Bank. Groceries valued at $750 from Kroger Groceries for being the 100,000th customer. Qualified dividend income of $1,800 from Amber. Interest income of $3,750 on City of Springfield school bonds. Alimony of $16,000 from Wayne; divorce finalized in May 2015. Distribution of $4,800 from ST Partnership. Her distributive share of the partnership passive taxable income was $5,300. She had no prior passive activity losses. Assume that the qualified business income deduction applies and the W-2 wage limitation does not. From her checkbook records, she determines that she made the following payments during 2019: Charitable contributions of $4,500 to First Presbyterian Church and $1,500 to the American Red Cross (proper receipts obtained). Paid $5,000 to ECM Hospital for the medical expenses of a friend from work. Mortgage interest on her residence of $7,800 to Peoples Bank. Property taxes of $3,200 on her residence and $1,100 (ad valorem) on her car. $800 for landscaping expenses for residence. Estimated Federal income taxes of $2,800 and estimated state income taxes of $1,000. Medical expenses of $5,000 for her and $800 for Jason. In December, her medical insurance policy reimbursed $1,500 of her medical expenses. She had full-year health care coverage. A $1,000 ticket for parking in a handicapped space. Attorney's fees of $500 associated with unsuccessfully contesting the parking ticket. Contribution of $250 to the campaign of a candidate for governor. Because she did not maintain records of the sales tax she paid, she calculates the amount from the sales tax table to be $994. Required: Calculate Roberta's net tax payable or refund due for 2019. Enter all amounts as positive numbers. However, use the minus sign to indicate a loss. If an amount box does not require an entry or the answer is zero, enter "0". Make realistic assumptions about any missing data. It may be necessary to complete the tax schedules before completing Form 1040. When computing the tax liability, do not round your immediate calculations. If required round your final answers to the nearest dollar. Use the Tax Rate Schedule provided. Do not use the Tax Tables. Form 1040 Complete Roberta's Form 1040 below for 2019. Form Department of the Treasury-Internal Revenue Service (99) 1040 U.S. Individual Income Tax Return 2019 OMB No. 1545-0074 IRS Use Only Filing Status Single Last name Your first name and middle initial Roberta Santos Your social security number 123-45-6780 If joint return, spouse's first name and middle initial Last name Spouse's social security number Apt. no. Home address (number and street). If you have a P.O. box, see instructions. 120 Sanborne Avenue Presidential Election Campaign Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund. City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Springfield, IL 60781 None Foreign country name Foreign province/state/county Foreign postal code If more than four dependents, see instructions and here Standard Deduction Someone can claim: None Age/Blindness You: None : Spouse: None Dependents (see instructions): (2) Social security number (3) Relationship to you (4) if qualifies for (see instructions): (1) First name Last name Child tax credit Credit for other dependents Jason Santos 111-11-1112 Child No No June Santos 123-45-6788 Child No No 1 Wages, salaries, tips, etc. Attach Form(s) W-2. 1 80,000 2a Tax-exempt interest .. 2a 2b 2,500 3a Qualified dividends ... 3a 3b 1,800 b Taxable interest. Attach Sch. B if required b Ordinary dividends. Attach Sch. B if required B b Taxable amount. d Taxable amount. b Taxable amount . 4a IRA distributions ..... 4a 4b c Pensions and annuities 4c 4d 5a Social security benefits 5a 5b 6 Capital gain or loss). Attach Schedule D if required. If not required, check here. . 6 5,500 Standard Deduction for- Single or Married filing separately, $12,200 Married filing jointly or Qualifying widow(er), $24,400 Head of household, $18,350 If you checked any box under Standard Deduction, see instructions. 7a Other income from Schedule 1, line 9 7a b Add lines 1, 2b, 3b, 4b, 40, 5b, 6, and 7a. This is your total income 7b 8a Adjustments to income from Schedule 1, line 22. 8 b Subtract line 8a from line 7b. This is your adjusted gross income. 8b 9 9 Standard deduction or itemized deductions (from Schedule A) ..... Qualified business income deduction. Attach Form 8995 or Form 8995-A.. 10 10 11a Add lines 9 and 10 11a b Taxable income. Subtract line 11a from line 8b. If zero or less, enter-O-. . 11b BAA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Form 1040 (2019) Form 1040 (2019) Roberta Santos 123-45-6780 Page 2 12a Tax (see inst.) Check if any from Form(s): 1 8814 2 0 4972 30 12a Direct deposit? b Routing number c Type: Checking Savings See instructions. d Account number 22 Amount of line 20 you want applied to your 2020 estimated tax 22 23 23 Amount Amount you owe. Subtract line 19 from line 16. For details on how to pay, see instructions.. You Owe 24 Estimated tax penalty (see instructions) .... 24 Third Party Do you want to allow another person (other than your paid preparer) to discuss this return with Yes. Complete below. the IRS? See instructions. No Designee (Other than Designee's Phone Personal identification paid preparer) name no. number (PIN) Sign 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 complete. Declaration of preparer (other than Here taxpayer) is based on all information of which preparer has any knowledge. Your signature Date Your occupation If the IRS sent you an Identity Joint return? Protection PIN, enter it here See (see inst.) instructions. Advertising Execut. Keep a copy for Spouse's signature. If a joint Date Spouse's occupation If the IRS sent your spouse your records. return, both must sign. Identity Protection PIN, enter it here (see inst.) Phone no. Email address Preparer's name Date PTIN Paid Check if: Preparer's signature Self-Prepared 3rd Party Designee Preparer Preparer's name Date PTIN Paid Check if: Preparer's signature Self-Prepared 3rd Party Designee Firm's name Phone no. Preparer Use Only Self-employed Firm's address Firm's EIN Go to www.irs.gov/Form1040 for instructions and the latest information. Form 1040 (2019) Schedule 1 Complete Roberta's Schedule 1 below for 2019. OMB No. 1545-0074 SCHEDULE 1 (Form 1040 or 1040-SR) Additional Income and Adjustments to Income 2019 Department of the Treasury Internal Revenue Service Attach to Form 1040 or 1040-SR. Go to www.irs.gov/Form 1040 for instructions and the latest information. Attachment Sequence No. 01 Name(s) shown on Form 1040 or 1040-SR Roberta Santos Your social security number 123-45-6780 At any time during 2019, did you receive, sell, send, exchange, or otherwise acquire any financial interest in any virtual currency? Yes x No Part I Additional Income 1 Taxable refunds, credits, or offsets of state and local income taxes 1 2a Alimony received . 2 1,600 05/2015 b Date of original divorce or separation agreement (see instructions) 3 Business income or (loss). Attach Schedule C. 3 4 Other gains or losses). Attach Form 4797 . 4 5 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E 5 5,300 6 Farm income or (loss). Attach Schedule F 6 7 Unemployment compensation 7 Other income. List type and amount 8 8 9 Combine lines 1 through 8. Enter here and on Form 1040 or 1040-SR, line 7a . 9 Part II Adjustments to Income 10 11 12 10 Educator expenses ....... 11 Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 .... 12 Health savings account deduction. Attach Form 8889 13 Moving expenses for members of the Armed Forces. Attach Form 3903 14 Deductible part of self-employment tax. Attach Schedule SE 15 Self-employed SEP, SIMPLE, and qualified plans... 16 Self-employed health insurance deduction 13 14 15 16 17 Penalty on early withdrawal of savings. 17 18a Alimony paid. 18a b Recipient's SSN c Date of original divorce or separation agreement (see instructions) 19 IRA deduction 19 20 Student loan interest deduction 20 21 21 Tuition and fees. Attach Form 8917 22 Add lines 10 through 21. These are your adjustments to income. Enter here and on Form 1040 or 1040-SR, line 8a .... 22 BAA For Paperwork Reduction Act Notice, see your tax return instructions. Schedule 1 (Form 1040 or 1040-SR) 2019 Schedule 3 Complete Roberta's Schedule 3 below for 2019. OMB No. 1545-0074 SCHEDULE 3 (Form 1040 or 1040-SR) Additional Credits and Payments 2019 Department of the Treasury Internal Revenue Service Attach to Form 1040 or 1040-SR. Go to www.irs.gov/Form1040 for instructions and the latest information. Attachment Sequence No. 03 Name(s) shown on Form 1040 or 1040-SR Roberta Santos Your social security number 123-45-6780 Part I Nonrefundable Credits 1 1 Foreign tax credit. Attach Form 1116 if required 2 Credit