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Old MathJax webview The following additional information is available for the family of Albert and Allison Gaytor. In 2020, Albert received a Form W-2 from

Old MathJax webview

The following additional information is available for the family of Albert and Allison Gaytor.

In 2020, Albert received a Form W-2 from his employer, Coconut Grove Fishing Charters, Inc. (hint: slightly modified from Chapter 1): image text in transcribed

In addition to the interest from Chapter 1, Albert and Allison also received three Forms 1099:

image text in transcribedimage text in transcribedimage text in transcribed

The Gaytors also received interest of $800 from bonds issued by the Miami-Dade County Airport Authority (Form 1099 not shown).

Albert went to the casino on his birthday and won big, as reflected on the following Form W-2G:

image text in transcribed

Albert had no other gambling income or losses for the year.

In February, Allison received $50,000 in life insurance proceeds from the death of her friend, Sharon.

In July, Alberts uncle Ivan died and left him real estate (undeveloped land) worth $72,000.

Five years ago, Albert and Allison divorced. Albert married Iris, but the marriage did not work out and they divorced a year later. Under the July 1, 2016 divorce decree, Albert pays Iris $11,500 per year in alimony. All payments were on time in 2020 and Iris Social Security number is 667-34-9224. Three years ago, Albert and Allison were remarried.

Coconut Fishing Charters, Inc. pays Alberts captains license fees and membership dues to the Charter Fishermans Association. During 2020, Coconut Fishing paid $1,300 for such dues and fees for Albert.

Allison was laid off from her job on January 2, 2020. She received a Form 1099-G for unemployment benefits:

image text in transcribed

Albert and his family are covered by an employee-sponsored health plan at his work. Coconut Fishing pays $700 per month in premiums for Albert and his family. During the year, Allison was in the hospital for appendix surgery. The bill for the surgery was $10,100 of which the health insurance reimbursed Albert the full $10,100.

Coconut Fishing also pays for Alberts parking at the marina. The monthly cost is $270.

Required: Combine this new information about the Gaytor family with the information from Chapter 1 and complete a revised 2020 tax return for Albert and Allison. Be sure to save your data input files since this case will be expanded with more tax information in later chapters.

Here is chapter 1 info to help Albert Gaytor and his wife Allison are married and file a joint return for 2020. The gaytors live at 12340 cocoshell Road, Coral Gables, FL 33134. Captain gaytor is a charter fishing boat captain but took 6 months off from his job in 2020 to train and study for his masters Captains license.

In 2020, Albert received a form W-2 from his employer, Coconut Grove Fishing Charters, Inc:

image text in transcribed

image text in transcribed

The gaytors have a 17-year-old son, Crocker, who is a full-time freshman at Brickell State University. The Gaytors also have an 18-year-old daughter, Cayman, who is a part-time student at Dade country community College (DCCC). Cayman is married to Sean Slacker, who is 19 years old and a part-time student at (DCCC). Sean and Cayman have a 1-year-old child, Wanda Slacker (social security number 648-99-4306) Sean, Cayman, and Wanda all live in an apartment uptrend street from Albert and Allison during the entire current calender year. Sean and Cayman both work for Sean's wealthy grandfather as apprentices in his business. Their wages for the year were a combined $50,000, which allowed them to pay all the personal expenses for themselves and their daughter. The Gaytors received a $2900 EIP in 2020.

Albert and Allison have a savings account and received the following Form 1099-INT for 2020

image text in transcribed

form a 1040 for Albert and Allison Gaytor for 2020 then you should be able to answer my actual question that I originally asked. DO NOT JUST COMPLETE THIS AND SAY YOU ARE DONE. YOU HAVE MY ORIGINAL TO STILL ANSWER. PLEASE AND THANK YOU.

a Employee's social security number 266-51-1966 b Employer identification number (EIN) 60-3456789 c Employer's name, address, and ZIP code Coconut Grove Fishing Charters, Inc. 2432 Bay Blvd. Coconut Grove, FL 33133 Safe, accurate, Visit the IRS website at OMB No 1545-0008 FASTI Use me-file www.is gowledie 1 Wages, tips, other compensation 2 Federal income tax withheld 67,254.70 5,588.17 3 social security wages 4 Social Security tax withheld 67,254.70 4,169.79 5 Medicare wages and tips 6 Medicare tax withheld 67,254.70 975.19 7 Social security tips 8 Allocated tips d Control number 9 10 Dependent care benefits e Employee's first name and initial Last name Suff. 11 Nonqualified plans 12a See instructions for box 12 DD 8,400.00 13 Statutory employd Retirement plan Third-party sick play 12b Albert T. Gaytor 12340 Cocoshell Road Coral Gables, FL 33134 14 Other 12c Parking $3,240.00 12d f Employee's address and ZIP code 15 State Employer's state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name FLI Department of the Treasury-Internal Revenue Service 2020 W-2 Wage and Tax Statement Form Copy B-To Be Filed With Employee's FEDERAL Tax Retum. This information is being furnished to the Intemal Revenue Service. OMB No 1545-0112 O CORRECTED (if checked) PAYER'S name, street address, city or town, state or province, country, ZIP Payer's RTN (optional) or foreign postal code, and telephone no. Florida Electric Company 100 Palm Boulevard 1 Interest income Jupiter, FL 33458 703.32 2 Earty withdrawal penalty 2020 Interest Income Form 1099-INT Copy B For Recipient PAYER'S TIN RECIPIENT'S TIN $ 3 Interest on U.S. Savings Bonds and Treas. obfgations 59-0247776 266-51-1966 RECIPIENT'S name 4 Federal income tax withhek 5 Investment expenses This Is Important tax Albert T. Gaytor $ Information and is being furnished to the 6 Foreign tax paid 7 Foreign country or U.S. possession IRS. If you are Street address (including apt no.) $ required to file a 12340 Cocoshell Rd 8 Tax-exempt interest 9 Spected private activity bond return, a negligence interest penalty or other sanction may be City or town, state or province, country, and ZIP or foreign postal code $ Imposed on you It 10 Market discount Coral Gables, FL 33134 11 Bond premium this income is taxable and the IRS determines that it has FATCA filing $ $ not been reported. requirement 12 Bond prantium on Treasuryobigaiona 13 Bond premium on tax-exempt bond $ $ Account number (see instructions) 14 Tax-exempt and tax credit 15 State 16 State identification no. 17 State tax withheld bond CUSIP no. $ $ Form 1099-INT (keep for your records) www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue Service OMB No. 1545-0110 2020 Dividends and Distributions CORRECTED (if checked) PAYER'S name, street address, city or town, state or province, country, ZIP 1a Total ordinary dividends or foreign postal code, and telephone no. Everglades Bank Corporation 1,102.32 $ 1500 S. Krome Ave. 1b Qualified dividende Homestead, FL 33034 1,102.32 $ 2a Total capital gain distr. $ PAYER'S TIN RECIPIENT'S TIN 2c Section 1202 gain 57-4443344 266-34-1967 Form 1099-DIV 2b Unrecap. Sec. 1250 gain $ 2d Collectibles (28%) gain Copy B For Recipient RECIPIENT'S name Allison Gaytor 3 Nondividend distributions 4 Federal income tax withheld $ $ 0.00 5 Section 199A dividends $ Street address (including apt. no.) 12340 Cocoshell Road 6 Investment expenses $ 8 Foreign country or U.S possession 7 Foreign tex paid This is important tax information and is being furnished to the IRS. If you are required to file a return, a negligence penalty or other sanction may be imposed on you if this income is taxable and the IRS determines that it has not been reported. City or town, state or province, country, and ZIP or foreign postal code Coral Gables, FL 33134 Cash liquidation distributions 10 Noncash liquidation distbution $ $ FATCA filing 11 Exempt-interest dividends 12 Specified private activity requirement bond interest dividends $ Account number (see nstructions) 13 State 14 State identification no. 15 State tex withheld $ SA Form 1099-DIV (keep for your records) www.irs.gow Form1099 DIV Department of the Treasury - Internal Revenue Service OMB No. 1545-0110 2020 Dividends and Distributions CORRECTED (if checked) PAYER'S name, street address, city or town, state or province, country. ZIP 1a Total ordinary dividende or foreign postal code, and telephone no. 400.00 Grapefruit Mutual Fund $ 1b Qualified dividends 1500 S. Orange Blossom Trail Orlando, FL 32809 360.00 $ 2a Total capital gain distr. $ 120.00 PAYER'S TIN RECIPIENT'S TIN 2c Section 1202 gain 51-3334433 266-34-1967 Form 1099-DIV 2b Unrecep. Sec. 1250 gain $ 2d Collectibles (2896) gain Copy B For Recipient $ 0.00 $ RECIPIENT'S name 3 Nondividend distributions 4 Federal income tax withheld This is important tax Allison Gaytor $ information and is 5 Section 199A dividends 6 Investment expenses being furnished to Street address (including apt. no.) the IRS. If you are $ required to file a 12340 Cocoshell Rd. 7 Foreign tax paid 8 Foreign country or U.S. possession return, a negligence penalty or other sanction may be City or town, state or province, country, and ZIP or foreign postal code $ imposed on you if Coral Gables, FL 33134 9 Cash liquidation distributions 10 Moncashiquidation distrbutions this income is taxable and the IRS $ $ determines that it has not been reported FATCA filing 11 Exempt-interest dividends 12 Specified private activity requirement bond interest dividends $ $ Account number (see natructions) 13 State 14 State identification no. 15 State tax withheld $ $ Form 1099-DIV (keep for your records) www.irs.gov/Form1099DIV Department of the Treasury - Internal Revenue Service 2 Date won OMB No. 1545-0238 CORRECTED (if checked) PAYER'S name, street address, city or town, province or state, country. 1 Reportable winnings and ZIP or foreign postal code 6,062.00 Mikkosukee Resort and Gaming $ 3 Type of wager 1321 Tamiami Hwy Miami, FL 33194 5 Transaction 4 Federal Income tax Wiiniheld $ 1.600.00 6 RADO 2020 Form W-2G Certain Gambling Winnings PAYER'S federal Identification number PAYERS telephone number 7 Winnings from identical wagers & Cashier $ 9 Winner's taxpayer identification no. 10 Window 266-51-1966 22-7777777 305-555-1212 This information is being furnished to the Internal Revenue Service WINNER'S name 11 First I.D. 12 Second I.D. Albert Gaytor Street address including apt. no.) 13 Sale Payer's stale dentication no. 14 State winnings 12340 Cocoshell Rd DF-124562 Copy B $ City or town, province or state country, and ZIP or foreign postal code Report this income 15 State Income tax withheld 16 Local winnings on your federal tax Coral Gables, FL 33134 return. If this form $ $ shows federal 17 Local Income tax with hela 18 Name of localty income tax withheld in box 4, attach this copy to your return. Under penalties of perjury, I declare that, to the best of my knowledge and belief, the name, address, and taxpayer kentification number that I have furnished correctly identify me as the recipient of this payment and any payments from identical wagers, and that no other person is entitled to any part of these payments. Signature Date Form W-2G www.lrs.gov/FormW2G Department of the Treasury - Internal Revenue Service 2020 Certain Government Payments CORRECTED (if checked) PAYER'S name, street address, city or town, state or province, country. ZIP 1 Unemployment compensation OMB No. 1545-0120 or foreign postal code, and telephone no. Florida Dept. of Econ. Opportunity 4,074.76 107 E. Jefferson Blvd. 2 State or local income tax refunds, credits, or offsets Tallahassee, FL 32399 $ Form 1099-G PAYER'S TIN RECIPIENT'S TIN 3 Box 2 amount is for tax year 4 Federal Income tax withheld 21-5556666 150.00 RECIPIENT'S name 5 RTAA payments 6 Taxable grants Allison Gaytor $ $ 7 Agriculture payments 8 If checked, box 2 is Street address including apt. no.) trade or business $ Income 12340 Cocoshell Road 9 Market gain City or town, state or province, country, and ZIP or foreign postal code $ Coral Gables, FL 33134 10a State 10b State Identification no. 11 State income tax witheld Account number (see Instructions $ Copy B For Recipient This is important tax Information and is being fumished to the IRS. If you are required tofle a return, a negligence penalty or other sanction may be Imposed on you if this Income is taxable and the IRS determines that It has not been reported. Fom 1099-G (keep for your recorde www.lrs.gov/Form 1099G Department of the Treasury - Internal Revenue Service Employee's socialnourity number 266-51-1966 b Employer identification number an 60-3456789 Employer's name, address, and ZIP code Coconut Grove Fishing Charters, Inc. 2432 Bay Blvd. Coconut Grove, FL 33133 Safe, socurate, Visit the IRS beitat e . file www.resovielle OMB No 1545-0009 FASTI U Wag op, other compensation 2 Fortal income tax WHO 67,254.70 5,598.17 3 Social sourity was 4 Social segurity tax whold 67,254.70 4,169.79 5 Medicare wages and lips 8 Medicare to withheld 67.254.70 975.19 7 Socialnourity tips Allocated tips d Control number 10 Dependent care benefits Sufl 11 Honqualified plans 12a See indtructions for box 12 . Employee's fret name and his Last name Albert T. Gaytor 12340 Cocoshell Road Coral Gables, FL 33134 3 BREY om when PER 125 14 Other 120 120 1 Employee's address and ZIP code 152: Employer's state ID sumber FLI 16 State Wages, tips, etc. 17 State income tax H8 Local Wages, tips, ele. 19 Local income tax 20 Lame 2020 Crpatient of the Treasury Internal Reverse Service W-2 Wage and Tax Statement Form Copy B-To Be Filed With Employee's FEDERAL Tax Retum. This information is being tumished to the internal Revenue Service Name Social Security Number Date of Birth Albert T. Gaytor 266-51-1966 09/22/1970 Allison A. Gaytor 266-34-1967 07/01/1971 Crocker Gaytor 261-55-1212 12/21/2002 Cayman Slacker 261-11-4444 03/13/2001 Sean Slacker 344-23-5656 05/01/2000 the following Form 1099-INT for 202 CORRECTED (if checked) PAYERS name, street address, aty or low, state or province, country, ZIP Payee's RTN (optional) or foreign postal code, and telephone no. Vizcaya National Bank 9871 Coral Way 1 Interest income Miami, FL 33134 348.19 OMB No. 1516-0112 2020 Interest Income Form 1099-INT 2 Earty withdrawal penalty PSESS THE 60-7654321 Copy B RECIPIENTS TIN 266-51-1966 3 Interest on U.S. Savings Bonds and Tras obligations For Recipient RECPIENTS 2ederal income tax withheld 5 Investment expenses This is important tax Albert T. Gaytor Information and is bolng tumished to the Foreign tax pas 7 forsign country U.S possession IRS. If you are Street Address (including apt no) 1$ required to tie a 12340 Cocoshell Road 8 Tex-exempt interest 9 Speatad private schilly bond return, a negligence rteret penalty or other sanction may be City or towns or province, country, and ZIP or foreign postal code imposed on you it 10 Market disocunt 11 Bond premium this incomes Coral Gables, FL 33134 taxable and the IRS determines that it has FATCA fengs $ not been reported requirement 12 Bond pretina Treasury ore 13 Bond premium on tax-exempt bond D $ $ Pecount numberssee instructions) 14 Taxempt and tax credit 15 Sale 16 Statistication na 17 State tax withheld bond CUSIP no $ IS Form 1099-INT (keep for your records) www.is.gov/FormINT Department of the Treasury - Internal Sence $ a Employee's social security number 266-51-1966 b Employer identification number (EIN) 60-3456789 c Employer's name, address, and ZIP code Coconut Grove Fishing Charters, Inc. 2432 Bay Blvd. Coconut Grove, FL 33133 Safe, accurate, Visit the IRS website at OMB No 1545-0008 FASTI Use me-file www.is gowledie 1 Wages, tips, other compensation 2 Federal income tax withheld 67,254.70 5,588.17 3 social security wages 4 Social Security tax withheld 67,254.70 4,169.79 5 Medicare wages and tips 6 Medicare tax withheld 67,254.70 975.19 7 Social security tips 8 Allocated tips d Control number 9 10 Dependent care benefits e Employee's first name and initial Last name Suff. 11 Nonqualified plans 12a See instructions for box 12 DD 8,400.00 13 Statutory employd Retirement plan Third-party sick play 12b Albert T. Gaytor 12340 Cocoshell Road Coral Gables, FL 33134 14 Other 12c Parking $3,240.00 12d f Employee's address and ZIP code 15 State Employer's state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name FLI Department of the Treasury-Internal Revenue Service 2020 W-2 Wage and Tax Statement Form Copy B-To Be Filed With Employee's FEDERAL Tax Retum. This information is being furnished to the Intemal Revenue Service. OMB No 1545-0112 O CORRECTED (if checked) PAYER'S name, street address, city or town, state or province, country, ZIP Payer's RTN (optional) or foreign postal code, and telephone no. Florida Electric Company 100 Palm Boulevard 1 Interest income Jupiter, FL 33458 703.32 2 Earty withdrawal penalty 2020 Interest Income Form 1099-INT Copy B For Recipient PAYER'S TIN RECIPIENT'S TIN $ 3 Interest on U.S. Savings Bonds and Treas. obfgations 59-0247776 266-51-1966 RECIPIENT'S name 4 Federal income tax withhek 5 Investment expenses This Is Important tax Albert T. Gaytor $ Information and is being furnished to the 6 Foreign tax paid 7 Foreign country or U.S. possession IRS. If you are Street address (including apt no.) $ required to file a 12340 Cocoshell Rd 8 Tax-exempt interest 9 Spected private activity bond return, a negligence interest penalty or other sanction may be City or town, state or province, country, and ZIP or foreign postal code $ Imposed on you It 10 Market discount Coral Gables, FL 33134 11 Bond premium this income is taxable and the IRS determines that it has FATCA filing $ $ not been reported. requirement 12 Bond prantium on Treasuryobigaiona 13 Bond premium on tax-exempt bond $ $ Account number (see instructions) 14 Tax-exempt and tax credit 15 State 16 State identification no. 17 State tax withheld bond CUSIP no. $ $ Form 1099-INT (keep for your records) www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue Service OMB No. 1545-0110 2020 Dividends and Distributions CORRECTED (if checked) PAYER'S name, street address, city or town, state or province, country, ZIP 1a Total ordinary dividends or foreign postal code, and telephone no. Everglades Bank Corporation 1,102.32 $ 1500 S. Krome Ave. 1b Qualified dividende Homestead, FL 33034 1,102.32 $ 2a Total capital gain distr. $ PAYER'S TIN RECIPIENT'S TIN 2c Section 1202 gain 57-4443344 266-34-1967 Form 1099-DIV 2b Unrecap. Sec. 1250 gain $ 2d Collectibles (28%) gain Copy B For Recipient RECIPIENT'S name Allison Gaytor 3 Nondividend distributions 4 Federal income tax withheld $ $ 0.00 5 Section 199A dividends $ Street address (including apt. no.) 12340 Cocoshell Road 6 Investment expenses $ 8 Foreign country or U.S possession 7 Foreign tex paid This is important tax information and is being furnished to the IRS. If you are required to file a return, a negligence penalty or other sanction may be imposed on you if this income is taxable and the IRS determines that it has not been reported. City or town, state or province, country, and ZIP or foreign postal code Coral Gables, FL 33134 Cash liquidation distributions 10 Noncash liquidation distbution $ $ FATCA filing 11 Exempt-interest dividends 12 Specified private activity requirement bond interest dividends $ Account number (see nstructions) 13 State 14 State identification no. 15 State tex withheld $ SA Form 1099-DIV (keep for your records) www.irs.gow Form1099 DIV Department of the Treasury - Internal Revenue Service OMB No. 1545-0110 2020 Dividends and Distributions CORRECTED (if checked) PAYER'S name, street address, city or town, state or province, country. ZIP 1a Total ordinary dividende or foreign postal code, and telephone no. 400.00 Grapefruit Mutual Fund $ 1b Qualified dividends 1500 S. Orange Blossom Trail Orlando, FL 32809 360.00 $ 2a Total capital gain distr. $ 120.00 PAYER'S TIN RECIPIENT'S TIN 2c Section 1202 gain 51-3334433 266-34-1967 Form 1099-DIV 2b Unrecep. Sec. 1250 gain $ 2d Collectibles (2896) gain Copy B For Recipient $ 0.00 $ RECIPIENT'S name 3 Nondividend distributions 4 Federal income tax withheld This is important tax Allison Gaytor $ information and is 5 Section 199A dividends 6 Investment expenses being furnished to Street address (including apt. no.) the IRS. If you are $ required to file a 12340 Cocoshell Rd. 7 Foreign tax paid 8 Foreign country or U.S. possession return, a negligence penalty or other sanction may be City or town, state or province, country, and ZIP or foreign postal code $ imposed on you if Coral Gables, FL 33134 9 Cash liquidation distributions 10 Moncashiquidation distrbutions this income is taxable and the IRS $ $ determines that it has not been reported FATCA filing 11 Exempt-interest dividends 12 Specified private activity requirement bond interest dividends $ $ Account number (see natructions) 13 State 14 State identification no. 15 State tax withheld $ $ Form 1099-DIV (keep for your records) www.irs.gov/Form1099DIV Department of the Treasury - Internal Revenue Service 2 Date won OMB No. 1545-0238 CORRECTED (if checked) PAYER'S name, street address, city or town, province or state, country. 1 Reportable winnings and ZIP or foreign postal code 6,062.00 Mikkosukee Resort and Gaming $ 3 Type of wager 1321 Tamiami Hwy Miami, FL 33194 5 Transaction 4 Federal Income tax Wiiniheld $ 1.600.00 6 RADO 2020 Form W-2G Certain Gambling Winnings PAYER'S federal Identification number PAYERS telephone number 7 Winnings from identical wagers & Cashier $ 9 Winner's taxpayer identification no. 10 Window 266-51-1966 22-7777777 305-555-1212 This information is being furnished to the Internal Revenue Service WINNER'S name 11 First I.D. 12 Second I.D. Albert Gaytor Street address including apt. no.) 13 Sale Payer's stale dentication no. 14 State winnings 12340 Cocoshell Rd DF-124562 Copy B $ City or town, province or state country, and ZIP or foreign postal code Report this income 15 State Income tax withheld 16 Local winnings on your federal tax Coral Gables, FL 33134 return. If this form $ $ shows federal 17 Local Income tax with hela 18 Name of localty income tax withheld in box 4, attach this copy to your return. Under penalties of perjury, I declare that, to the best of my knowledge and belief, the name, address, and taxpayer kentification number that I have furnished correctly identify me as the recipient of this payment and any payments from identical wagers, and that no other person is entitled to any part of these payments. Signature Date Form W-2G www.lrs.gov/FormW2G Department of the Treasury - Internal Revenue Service 2020 Certain Government Payments CORRECTED (if checked) PAYER'S name, street address, city or town, state or province, country. ZIP 1 Unemployment compensation OMB No. 1545-0120 or foreign postal code, and telephone no. Florida Dept. of Econ. Opportunity 4,074.76 107 E. Jefferson Blvd. 2 State or local income tax refunds, credits, or offsets Tallahassee, FL 32399 $ Form 1099-G PAYER'S TIN RECIPIENT'S TIN 3 Box 2 amount is for tax year 4 Federal Income tax withheld 21-5556666 150.00 RECIPIENT'S name 5 RTAA payments 6 Taxable grants Allison Gaytor $ $ 7 Agriculture payments 8 If checked, box 2 is Street address including apt. no.) trade or business $ Income 12340 Cocoshell Road 9 Market gain City or town, state or province, country, and ZIP or foreign postal code $ Coral Gables, FL 33134 10a State 10b State Identification no. 11 State income tax witheld Account number (see Instructions $ Copy B For Recipient This is important tax Information and is being fumished to the IRS. If you are required tofle a return, a negligence penalty or other sanction may be Imposed on you if this Income is taxable and the IRS determines that It has not been reported. Fom 1099-G (keep for your recorde www.lrs.gov/Form 1099G Department of the Treasury - Internal Revenue Service Employee's socialnourity number 266-51-1966 b Employer identification number an 60-3456789 Employer's name, address, and ZIP code Coconut Grove Fishing Charters, Inc. 2432 Bay Blvd. Coconut Grove, FL 33133 Safe, socurate, Visit the IRS beitat e . file www.resovielle OMB No 1545-0009 FASTI U Wag op, other compensation 2 Fortal income tax WHO 67,254.70 5,598.17 3 Social sourity was 4 Social segurity tax whold 67,254.70 4,169.79 5 Medicare wages and lips 8 Medicare to withheld 67.254.70 975.19 7 Socialnourity tips Allocated tips d Control number 10 Dependent care benefits Sufl 11 Honqualified plans 12a See indtructions for box 12 . Employee's fret name and his Last name Albert T. Gaytor 12340 Cocoshell Road Coral Gables, FL 33134 3 BREY om when PER 125 14 Other 120 120 1 Employee's address and ZIP code 152: Employer's state ID sumber FLI 16 State Wages, tips, etc. 17 State income tax H8 Local Wages, tips, ele. 19 Local income tax 20 Lame 2020 Crpatient of the Treasury Internal Reverse Service W-2 Wage and Tax Statement Form Copy B-To Be Filed With Employee's FEDERAL Tax Retum. This information is being tumished to the internal Revenue Service Name Social Security Number Date of Birth Albert T. Gaytor 266-51-1966 09/22/1970 Allison A. Gaytor 266-34-1967 07/01/1971 Crocker Gaytor 261-55-1212 12/21/2002 Cayman Slacker 261-11-4444 03/13/2001 Sean Slacker 344-23-5656 05/01/2000 the following Form 1099-INT for 202 CORRECTED (if checked) PAYERS name, street address, aty or low, state or province, country, ZIP Payee's RTN (optional) or foreign postal code, and telephone no. Vizcaya National Bank 9871 Coral Way 1 Interest income Miami, FL 33134 348.19 OMB No. 1516-0112 2020 Interest Income Form 1099-INT 2 Earty withdrawal penalty PSESS THE 60-7654321 Copy B RECIPIENTS TIN 266-51-1966 3 Interest on U.S. Savings Bonds and Tras obligations For Recipient RECPIENTS 2ederal income tax withheld 5 Investment expenses This is important tax Albert T. Gaytor Information and is bolng tumished to the Foreign tax pas 7 forsign country U.S possession IRS. If you are Street Address (including apt no) 1$ required to tie a 12340 Cocoshell Road 8 Tex-exempt interest 9 Speatad private schilly bond return, a negligence rteret penalty or other sanction may be City or towns or province, country, and ZIP or foreign postal code imposed on you it 10 Market disocunt 11 Bond premium this incomes Coral Gables, FL 33134 taxable and the IRS determines that it has FATCA fengs $ not been reported requirement 12 Bond pretina Treasury ore 13 Bond premium on tax-exempt bond D $ $ Pecount numberssee instructions) 14 Taxempt and tax credit 15 Sale 16 Statistication na 17 State tax withheld bond CUSIP no $ IS Form 1099-INT (keep for your records) www.is.gov/FormINT Department of the Treasury - Internal Sence $

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