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Numbers (EINs), replace the Xs as directed, or with any four digits of your choice. Interview Notes Richard is age 39 and was widowed in

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Numbers (EINs), replace the Xs as directed, or with any four digits of your choice. Interview Notes Richard is age 39 and was widowed in 2017. He has a daughter, Isabella, age 5. Richard provided the entire cost of maintaining the household and over half of the support for Isabella. In order to work, he pays childcare expenses to Busy Bee Daycare. Richard declined to receive advance child tax credit payments in 2021. Richard's earned income in 2019 was $19,000. Richard and Isabella are U.S. citizens and lived in the United States all year in 2021. Richard received the third Economic Impact Payment (EIP3) in the amount of $2,800 in 2021. . . W 20 Shu I SOCIAL SECURITY Fay CLAL SE VRITY 328-00-XXXX Richard Cook 125-00-XXXX Richard Cook Isabella Cook sabella Cook Emory ube S.R. 328-00-XXXXOMO 1545-00 FASTI e. file. Vatte Sweet Employer tomber We kompanion 2 Feder income tax with 34-800XXXX $41,500.00 $1,850.00 Employers and 9 Scale 4 Sy with BAKER PARTS INC. 542,500.00 52.635.00 5 Medicare di Medic weld 8009 PIKE CIRCLE $42,500.00 $61625 YOUR CITY, YOUR STATE, ZIP Tutto & Accedi d Control 10 Dependent can be perform and Su Ngede Swton box D $1,000.00 120 13 RICHARD COOK 195 BROOKS DRIVE YOUR CITY, YOUR STATE, ZIP 14 12 12 Employees and code 18 Smoke 1017 Some YS 34-800XXXX $41,500.00 $800.00 Local Planet 20 V Fon W-2 wage and Tax Statement 2021 Det Copy B-Tolle Fled With Employee's FEDER Tax Return This normation is being furnished to the interna Hevenue Service CORRECTED (if checked) Nel OMNA-012 PAYES or two or other PAYER ADELPHI BANK AND TRUST B020 YONKERS BLVD YOUR CITY, YOUR STATE ZIP 2021 Interest Income 100.00 To 1099-INT 2 with Copy 2 PAVERTIN RECIPIENTS TV 20.00 og 22-7XXXXXX 325-00-XXXX NOEN is 4 RICHARD COOK Capod 7 Tax 195 BROOKS DRIVE Coro YOUR CITY, YOUR STATE, ZIP TANCA To be filed with recipient state income tax return, when required s SOM B Acco 14 17 1099-INT CT to the Busy Bee Day Care 303 Twiggs Trail Your City, Your State Your Zip Ph: (555) 555-1234 December 31, 2021 Received from Richard Cook $1,500 for daycare services for Isabella Total amount received for child care in 2021 - $1,500 Ellen River I EIN: 35-900XXXX 30. What is Richard's most advantageous filing status? a. Single b. Married Filing Separately c. Head of Household d. Qualifying Widower 31. Richard's adjusted gross income on his Form 1040 is $ 32. Richard can claim the following credits on his tax return. a. Child Tax Credit b. Child and Dependent Care Credit c. Both a and b d. Neither a norb 33. Richard's Retirement Savings Contributions Credit on Form 8800 is $ 34. Richard will use his 2019 earned income rather than his 2021 earned income to calculate the earned income tax credit on his 2021 tax return because his 2019 earned income is higher than his 2021 earned income. a True b. False 35. Richard's child and dependent care credit from Form 2441 is reported as a non- refundable credit on Form 1040, Schedule 3. a. True b. False Numbers (EINs), replace the Xs as directed, or with any four digits of your choice. Interview Notes Richard is age 39 and was widowed in 2017. He has a daughter, Isabella, age 5. Richard provided the entire cost of maintaining the household and over half of the support for Isabella. In order to work, he pays childcare expenses to Busy Bee Daycare. Richard declined to receive advance child tax credit payments in 2021. Richard's earned income in 2019 was $19,000. Richard and Isabella are U.S. citizens and lived in the United States all year in 2021. Richard received the third Economic Impact Payment (EIP3) in the amount of $2,800 in 2021. . . W 20 Shu I SOCIAL SECURITY Fay CLAL SE VRITY 328-00-XXXX Richard Cook 125-00-XXXX Richard Cook Isabella Cook sabella Cook Emory ube S.R. 328-00-XXXXOMO 1545-00 FASTI e. file. Vatte Sweet Employer tomber We kompanion 2 Feder income tax with 34-800XXXX $41,500.00 $1,850.00 Employers and 9 Scale 4 Sy with BAKER PARTS INC. 542,500.00 52.635.00 5 Medicare di Medic weld 8009 PIKE CIRCLE $42,500.00 $61625 YOUR CITY, YOUR STATE, ZIP Tutto & Accedi d Control 10 Dependent can be perform and Su Ngede Swton box D $1,000.00 120 13 RICHARD COOK 195 BROOKS DRIVE YOUR CITY, YOUR STATE, ZIP 14 12 12 Employees and code 18 Smoke 1017 Some YS 34-800XXXX $41,500.00 $800.00 Local Planet 20 V Fon W-2 wage and Tax Statement 2021 Det Copy B-Tolle Fled With Employee's FEDER Tax Return This normation is being furnished to the interna Hevenue Service CORRECTED (if checked) Nel OMNA-012 PAYES or two or other PAYER ADELPHI BANK AND TRUST B020 YONKERS BLVD YOUR CITY, YOUR STATE ZIP 2021 Interest Income 100.00 To 1099-INT 2 with Copy 2 PAVERTIN RECIPIENTS TV 20.00 og 22-7XXXXXX 325-00-XXXX NOEN is 4 RICHARD COOK Capod 7 Tax 195 BROOKS DRIVE Coro YOUR CITY, YOUR STATE, ZIP TANCA To be filed with recipient state income tax return, when required s SOM B Acco 14 17 1099-INT CT to the Busy Bee Day Care 303 Twiggs Trail Your City, Your State Your Zip Ph: (555) 555-1234 December 31, 2021 Received from Richard Cook $1,500 for daycare services for Isabella Total amount received for child care in 2021 - $1,500 Ellen River I EIN: 35-900XXXX 30. What is Richard's most advantageous filing status? a. Single b. Married Filing Separately c. Head of Household d. Qualifying Widower 31. Richard's adjusted gross income on his Form 1040 is $ 32. Richard can claim the following credits on his tax return. a. Child Tax Credit b. Child and Dependent Care Credit c. Both a and b d. Neither a norb 33. Richard's Retirement Savings Contributions Credit on Form 8800 is $ 34. Richard will use his 2019 earned income rather than his 2021 earned income to calculate the earned income tax credit on his 2021 tax return because his 2019 earned income is higher than his 2021 earned income. a True b. False 35. Richard's child and dependent care credit from Form 2441 is reported as a non- refundable credit on Form 1040, Schedule 3. a. True b. False

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