Ray and Maria Gomez have been married for 3 years. Ray is a propane salesman for Palm Oil Corporation and Maria works as a city clerk for the City of McAllen. Rays birthdate is February 21, 1989 and Maries is December 30, 1991. Ray and Maria each received a W-2 from their respective employers.

Ray and Maria have interest income from McAllen State Bank which is reported a 1099-INT form. In addition, they own U.S. Savings bonds (Series EE). The bonds had a value of $10,000 on January 1, 2017, and their value is $10,700 on December 31, 2017. They have not made an election with respect to these bonds.

Ray has an ex-wife named Judy Gomez. Pursuant to their divorce decree, Ray pays her $450 per month in alimony. All payments were made on time in 2017. Judy's Social Security number is 566-74-8765.

During 2017, Ray was in the hospital for a successful operation. His health insurance company reimbursed Ray $4,732 for all of his hospital and doctor bills.

In June 2017, Maria's father died. Under a life insurance policy owned and paid for by her father, Maria was paid death benefits of $25,000.

Maria bought a Texas lottery ticket on impulse during 2017. Her ticket was lucky and she won $3,800. The winning amount was paid to Maria in November 2017, with no income tax withheld.

Palm Oil Corporation provide Ray with a company car to drive while he is working. The Corporation spent $5,000 to maintain this vehicle during 2017. Ray never uses the car for personal purposes.

nd Maria Gomez have been married for 3 years. Ray is a propane salesman Oil Corporation and Maria works as a city clerk for the City of McAllen. Ray's for 2A. Ray a Palm hirthdate is February 21, 1989 and Marie's is December 30, 1991. Ray and Maria's earn- g Form W-2s: ings are reported on the followin Visit the IRS website at www.irs.govlefile yee's social security number Safe, accurate, 469-21-5523 OMB No. 1545-0008 FASTI Use efile 1 Wages, tips, other compensation ederal income tax withheld 30,206.00 30,206.00 30,206.00 4,060.00 al security tax withheld 1,872.77 21-7654321 c Employer's name, address, and ZiP code 3 Social security wages Palm Oil Corp 11134 E. Pecan Blvd. McAllen, TX 78501 5 Medicare wages and tips 6 Medicare tax withheld 437.99 7 Social security tips 8 Allocated tips 9 Verification code 10 Dependent care benefits d Control number Suff 1 Nonqualified plans e Employee's first name and initial Last name Ray Gomez 1610 Quince Avenue McAllen, TX 78701 12a See instructions for box 12 12b plan sick pay 14 Other 12c 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 TX L. Fm W-2 Statement TaX 2017 Department of the Treasury-Internal Revenue Service FomStatement Copy B-To Be Filed With Employee's FEDERAL Tax Return. This information is being furnished to the Internal Revenue Service. a Employee's social security number FAST!User ate, CME sefile ite 444-65-9912OMB No. 1545-0008 FAST! Use 50008 www.irs.govlefile b Employer identification number (EIN) Wages, tips, other compensation ederal income tax withheld 23-4444321 Employer's name, address, and ZIP code City of McAllen 1300 W. Houston Avenue McAllen, TX 78501 32,295.00 32,295.00 32,295.00 4,990.00 4 Social security tax withheld 2,002.29 cial scurity wages 5 Medicare wages and tips 6 Medicare tax withheld 468.28 7 Social security tips 8 Allocated tips