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Reba Dixon is a fifth-grade school teacher who earned a salary of $38,000 in 2017. She is 45 years old and has been divorced for

Reba Dixon is a fifth-grade school teacher who earned a salary of $38,000 in 2017. She is 45 years old and has been divorced for four years. She receives $1,200 of alimony payments each month from her former husband. Reba also rents out a small apartment building. This year Reba received $30,000 of rental payments from tenants and she incurred $19,500 of expenses associated with the rental. Reba and her daughter Heather (20 years old at the end of the year) moved to Georgia in January of this year. Reba provides more than one-half of Heathers support. They had been living in Colorado for the past 15 years, but ever since her divorce, Reba has been wanting to move back to Georgia to be closer to her family. Luckily, last December, a teaching position opened up and Reba and Heather decided to make the move. Reba paid a moving company $2,010 to move their personal belongings, and she and Heather spent two days driving the 1,426 miles to Georgia. During the trip, Reba paid $200 for lodging and $85 for meals. Rebas mother was so excited to have her daughter and granddaughter move back to Georgia that she gave Reba $3,000 to help out with the moving costs. Reba rented a home in Georgia. Heather decided to continue living at home with her mom, but she started attending school full-time in January at a nearby university. She was awarded a $3,000 partial tuition scholarship this year, and Reba helped out by paying the remaining $500 tuition cost. If possible, Reba thought it would be best to claim the education credit for these expenses. Reba wasnt sure if she would have enough items to help her benefit from itemizing on her tax return. However, she kept track of several expenses this year that she thought might qualify if she was able to itemize. Reba paid $2,800 in state income taxes and $6,500 in charitable contributions during the year. She also paid the following medical-related expenses for her and Heather:

Insurance premiums

$

4,795

Medical care expenses

1,100

Prescription medicine

350

Nonprescription medicine

100

New contact lenses for Heather

200

Shortly after the move, Reba got distracted while driving and she ran into a street sign. The accident caused $900 in damage to the car and gave her whiplash. Because the repairs were less than her insurance deductible, she paid the entire cost of the repairs. Reba wasnt able to work for two months after the accident. Fortunately, she received $2,000 from her disability insurance. Her employer, the Central Georgia School District, paid 60 percent of the premiums on the policy as a nontaxable fringe benefit and Reba paid the remaining 40 percent portion. A few years ago, Reba acquired several investments with her portion of the divorce settlement. This year she reported the following income from her investments: $2,200 of interest income from corporate bonds and $1,500 interest income from City of Denver municipal bonds. Overall, Rebas stock portfolio appreciated by $12,000 but she did not sell any of her stocks. Heather reported $3,200 of interest income from corporate bonds she received as gifts from her father over the last several years. This was Heathers only source of income for the year. Reba had $10,000 of federal income taxes withheld by her employer. Heather made $500 of estimated tax payments during the year. Reba did not make any estimated payments. Reba had qualifying insurance for purposes of the Affordable Care Act (ACA).

Using the information from part a-1, complete pages 1 and 2 of Form 1040 for Reba.

Reba Dixon's address is 19010 N.W. 135th Street, Miami, FL 33054.

Social security numbers:

Reba Dixon: 123-45-6789

Heather: 333-44-5555

(Input all the values as positive numbers. Use 2017 tax rules regardless of year on tax form. Round tax on taxable income and tax payment (refund) to two decimal places. Round your intermediate computations to the nearest whole dollar amount.)

1040 for a single taxpayer with one dependent.

1040 PG1

1040 PG2

Form 1040

Department of the TreasuryInternal Revenue Service (99) U.S. Individual Income Tax Return

2016

OMB No. 1545-0074

IRS Use Only - Do not write in this space.

For the year Jan. 1Dec. 31, 2016, or other tax year beginning

, 2016, ending

, 20

See separate instructions.

Your first name and initial

Last name

Your social security number

123-45-6789

If a joint return, spouse's first name and initial

Last name

Spouse's social security number

Home address (number and street). If you have a P.O. box, see instructions.

Apt. no.

Make sure the SSN(s) above and on line 6c are correct.

City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below.

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.

Foreign country name

Foreign province/state/county

Foreign postal code

You

Spouse

Filing Status

1

Single

4

Head of household (with qualifying person). If the qualifying person is a child

Check only one box.

2

Married filing jointly (even if only one had income)

but not your dependent, enter this child's name here.

3

Married filing separately. Enter spouses

5

Qualifying widow(er) with dependent child

SSN above and full name here.

Exemptions

6a

Yourself. If someone can claim you as a dependent, do not check box 6a

Boxes checked on 6a and 6b

b

Spouse

No. of children on 6c who:

c

Dependents:

(2) Dependent's

(3) Dependent's

(4) X if child under

Lived with you

(1) First name

Last name

SSN

relastionship

age 17 qualifying

Did not live with you due to divorce

(xxx-xx-xxxx)

to you

for child tax credit.

or separation (see instruction)

If more than four dependents, see instructions and check here

Dependents on 6c not entered above

Add numbers on lines above

0

d

Total number of exemptions claimed

Income

7

7 Wages, salaries, tips, etc. Attach Form(s) W-2

7

8a

8a Taxable interest. Attach Schedule B if required

8a

Attach Form(s) W-2 here. Also attach Forms W-2G and 1099-R if tax was withheld.

b

Tax-exempt interest. Do not include on line 8a

8b

9a

Ordinary dividends. Attach Schedule B if required

9a

b

Qualified Dividends

9b

10

Taxable refunds, credits, or offsets of state and local income taxes

10

11

Alimony received

11

12

Business income or (loss). Attach Schedule C or C-EZ

12

13

Capital gain or (loss). Attach Schedule D if required.

13

14

Other gains or (losses). Attach Form 4797

14

15a

IRA distributions

15a

b Taxable amount

15b

If you did not get a W-2, see instructions.

16a

Pensions and annuities

16a

b Taxable amount

16b

17

Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E.

17

18

Farm income or (loss). Attach Schedule F

18

19

Unemployment compensation

19

20a

Social security benefits

20a

b Taxable amount

20b

21

Other income. List type and amount

21

22

Combine the amounts in the far right column for lines 7 through 21. This is your total income

22

0

Adjusted

23

Educator expenses

23

Gross

24

Certain business expenses of reservists, performing artists, and

24

Income

fee-basis government officials. Attach Form 2106 or 2106-EZ

25

Health savings account deduction. Attach Form 8889

25

26

Moving expenses. Attach Form 3903

26

27

Deductible part of self-employment tax. Attach Schedule SE

27

28

Self-employed SEP, SIMPLE, and qualified plans

28

29

Self-employed health insurance deduction

29

30

Penalty on early withdrawal of savings

30

31a

Alimony paid

b Recipients SSN (xxx-xx-xxxx)

31a

32

IRA deduction

32

33

Student loan interest deduction

33

34

Tuition and fees. Attach Form 8917

34

35

Domestic production activities deduction. Attach Form 8903

35

36

Add lines 23 through 35

36

0

37

Subtract line 36 from line 22. This is your adjusted gross income . . . . .

37

0

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions.

Form 1040 (2016)

1040 PG2

Form 1040 (2016)

123-45-6789

Page 2

Tax and Credits

38 Amount from line 37 (adjusted gross income)

38

0

39a

You were born before Jan. 2, 1951

Blind

Total boxes checked 39a

Spouse was born before Jan. 2, 1951

Blind

b If your spouse itemizes on a separate return or you were a dual-status alien, check

39b

40 Itemized deductions (from Schedule A) or your standard deduction (see left margin)

40

41 Subtract line 40 from line 38

41

0

42 Exemptions.

42

43 Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0-

43

0

44 Tax (see instructions).

44

45 Alternative minimum tax (see instructions). Attach Form 6251

45

46 Excess advance premium tax credit repayment. Attach Form 8962

46

47 Add lines 44, 45, and 46

47

48 Foreign tax credit. Attach Form 1116 if required

48

49 Credit for child and dependent care expenses. Attach Form 2441

49

50 Education credits from Form 8863, line 19

50

51 Retirement savings contributions credit. Attach Form 8880

51

52 Child tax credit. Attach schedule 8812, if required

52

53 Residential energy credits. Attach Form 5695

53

54 Other credits Form

54

55 Add lines 48 through 54. These are your total credits

55

56 Subtract line 55 from line 47. If line 55 is more than line 47, enter -0-

56

Other Taxes

57 Self-employment tax. Attach Schedule SE

57

58 Unreported social security and Medicare tax from Form(s) 4137, 8919, or other

58

59 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required

59

60a Household employment taxes from Schedule H

60a

60b First-time homebuyer credit repayment. Attach form 5405 if required

60b

61 Health care: individual responsibility (see instructions)

61

62 Taxes from forms 8959 or 8960

62

63 Add lines 56 through 62. This is your total tax

63

Payments

64 Federal income tax withheld from Forms W-2 and 1099

64

65 2016 estimated tax payments and amount applied from 2015 return

65

If you have a qualifying child, attach Schedule EIC.

66a Earned income credit (EIC)

66a

b Nontaxable combat pay 66b

66b

67 Additional child tax credit. Attach Schedule 8812

67

68 American opportunity credit from Form 8863, line 8

68

69 Net premium tax credit. Attach Form 8962

69

70 Amount paid with request for extension to file

70

71 Excess social security and tier 1 RRTA tax withheld

71

72 Credit for federal tax on fuels. Attach Form 4136

72

73 Credits from Form:

73

74 Add lines 64, 65, 66a, and 67 through 73. These are your total payments

74

Refund

75 If line 74 is more than line 63, subtract line 63 from line 74. This is the amount you overpaid

75

0.00

76 Amount of line 75 you want refunded to you.

76

0.00

77 Amount of line 73 you want applied to your 2016 estimated tax

77

Amount You Owe

78 Amount you owe. Subtract line 74 from line 63. For details on how to pay, see instructions

78

79 Estimated tax penalty (see instructions)

79

Third Party

Do you want to allow another person to discuss this return with the IRS (see instructions)?

Designee

Designee's name

Phone no.

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,

Here

correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge

Your signature

Date

Your occupation

Daytime phone number

Spouse's signature. If a joint return, both must sign.

Date

Spouse's occupation

Print/Type preparers name

Preparer's signature

Date

Self-employed

PTIN

Paid

Preparer

Firms name

Firm's EIN

Use Only

Firms address

Phone no.

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