PLEASE FILL OUT SCHEDULE 1,2 AND 3. THANK YOU!

Tammy Campbell 789-78-6789 32 5798 Main Street New York New York 10014 Married Filing Separately Peter Campbell 754-21-9517 34 Elizabeth Campbell 824-92-3467 6 Name SSN Age Other Street Address City State Zip Filing Status Spouse Name Spouse SSN Spouse Age Dependent Name Dependent SSN Dependent Age Dependent Name Dependent SSN Dependent Age Dependent Name Dependent Age Dependent SSN Additional tax on IRAs Business Income (QBI) Charitable Contributions by Check Credit for Childcare Expenses Education Credits Educator Expenses Eligible for Child Tax Credit Federal Income Tax Withheld Home Mortgage Interest Medical Expenses Non-Taxable Interest Ordinary Dividends Other Income Real Estate Taxes Rental Income Residential Energy Credit Self Employment Tax State Income Taxes State Sales Taxes Student Loan Interest deduction Taxable Interest Unreported Social security and Medicare Tax Wages 25,934 18,000 419 1,500 1,200 Yes 25,368 5,219 6,582 3,128 4,208 6,218 7,368 1,800 5,641 10,236 6,512 3,418 163,800 Tammy Campbell 789-78-6789 32 5798 Main Street New York New York 10014 Married Filing Separately Peter Campbell 754-21-9517 34 Elizabeth Campbell 824-92-3467 6 Name SSN Age Other Street Address City State Zip Filing Status Spouse Name Spouse SSN Spouse Age Dependent Name Dependent SSN Dependent Age Dependent Name Dependent SSN Dependent Age Dependent Name Dependent Age Dependent SSN Additional tax on IRAs Business Income (QBI) Charitable Contributions by Check Credit for Childcare Expenses Education Credits Educator Expenses Eligible for Child Tax Credit Federal Income Tax Withheld Home Mortgage Interest Medical Expenses Non-Taxable Interest Ordinary Dividends Other Income Real Estate Taxes Rental Income Residential Energy Credit Self Employment Tax State Income Taxes State Sales Taxes Student Loan Interest deduction Taxable Interest Unreported Social security and Medicare Tax Wages 25,934 18,000 419 1,500 1,200 Yes 25,368 5,219 6,582 3,128 4,208 6,218 7,368 1,800 5,641 10,236 6,512 3,418 163,800