Sally W. Emanual had the following dividends and interest during 2016:

Acom Corp bond interest $700

City of Boston Bonds Interest $1,000

Camp bank interest 1.250

Jest corp dividend (qualified) $1,300

North Mutual Fund

- capital gain dist $100

- ordinary dividend (qualified) $150

- nontaxable distribution $200 (total of cap gain, ordenary div and nott tax dist $400)

Blue Corporation foreign diviedend $250

Additional information:

Salary $30K

Rent income $12K

Expenses related to rent income $14K

Pension benefits $7K

Alimony paid to Sally $4K

The tax portion of the pension is $7,000. Sally actively participates in the rental activity.

Address: 430 Rumsey Place, West Falls, CA 92699

Credit Manager

Ss 123-45-4321

Single

COMPLETE SALLY'S SCHEDULE B AND PAGE 1 OF HER FORM 1040. ASSUME SCHED E HAS ALREADY BEEN PREPARED