Schedule B

Keisha Patel (age 41) is an employee in ABC Consulting Group. She is requesting you, as one of the company's tax accountants, to handle her tax material for the current year. To assist you, the following information for the current tax year that is pertinent to her is provided in the following table. Below is the income that Keisha realized during the year.

Keisha Patel Income
Income Sources	Amounts
W-2 income	$122,000
Form 1099-INT (1)	5,500
Qualified cash dividend (2)	4,800
Distribution from IRA (3)	10,000
Jury duty compensation	105
State income tax refund for prior year (4)	1,200

Note (1): Keisha purchased Alley Corporation bonds between interest periods and paid $1,200 in accrued interest.

Note (2): Keisha received a qualified dividend payment from ABC Corporation of $4,800.

Note (3): Keisha withdrew the money for the tuition payment of her daughter, who is attending the university. All of Keisha's contributions to her IRA were deductible. Keisha also participates in her employer-sponsored 401(k) plan.

Note (4): Keisha itemized in the prior year.

Complete the partial Schedule B form provided below by selecting the correct text from the menu provided for the rows under "List name of payer" and typing the proper amounts in the indicated cells for gains and losses.

Note: If there is no text necessary for a row under "List name of payer," you must select "(None)" from the menu provided to receive credit for your answer. If the value of a cell is zero, you must enter a zero ("0") to receive credit for your answer. Use dollar amounts only (i.e., no cents).

Partial Schedule B - Interest and Ordinary Dividends
Part I - Interest	1	List name of payer	1
		answer		answer
		answer		answer
		answer		answer
	2	Add the amounts on line 1.	2	$0
	3	Excludable interest on Series EE and I U.S. savings bonds	3	answer
	4	Subtract line 3 from line 2. Enter result on Form 1040.	4	$0
Part II - Ordinary Dividends	5	List name of payer	5
		answer		answer
		answer		answer
		answer		answer
	6	Add the amounts on line 5. Enter result on Form 1040.	6	$0

Possible Answer for Middle Section

Note (3): Keisha withdrew the money for the tuition payment of her daughter, who is attending the university. All of Keisha's contributions to her IRA were deductible. Keisha also participates in her employer-sponsored 401(k) plan. Note (4): Keisha itemized in the prior year. Complete the partial Schedule B form provided below by selecting the correct text from the menu provided for the rows under "List name of payer" and typing the proper amounts in the indicated cells for gains and losses. Note: If there is no text necessary for a row under "List name of payer," you must select "(None)" from the menu provided to receive credit for your answer. If the value of a cell is zero, you must enter a zero ("0") to receive credit for your answer. Use dollar amounts only (i.e., no cents). Partial Schedule B - Interest and Ordinary Dividends Part 1 - 1 List name of payer 1 Interest 123 Choose an option below 2 w N Alley Corporation bond interest OABC Corporation qualified dividends OLess accrued interest paid 4 OPlus accrued interest paid 5 OLess accrued interest received Part II - Ordinary Dividends OPlus accrued interest received OLess nominee interest (None) RESET CANCEL ACCEPT 6 6 Add the amounts on line 5. Enter result on Form 1040 $0 Note (3): Keisha withdrew the money for the tuition payment of her daughter, who is attending the university. All of Keisha's contributions to her IRA were deductible. Keisha also participates in her employer-sponsored 401(k) plan. Note (4): Keisha itemized in the prior year. Complete the partial Schedule B form provided below by selecting the correct text from the menu provided for the rows under "List name of payer" and typing the proper amounts in the indicated cells for gains and losses. Note: If there is no text necessary for a row under "List name of payer," you must select "(None)" from the menu provided to receive credit for your answer. If the value of a cell is zero, you must enter a zero ("0") to receive credit for your answer. Use dollar amounts only (i.e., no cents). Partial Schedule B - Interest and Ordinary Dividends Part 1 - 1 List name of payer 1 Interest 123 Choose an option below 2 w N Alley Corporation bond interest OABC Corporation qualified dividends OLess accrued interest paid 4 OPlus accrued interest paid 5 OLess accrued interest received Part II - Ordinary Dividends OPlus accrued interest received OLess nominee interest (None) RESET CANCEL ACCEPT 6 6 Add the amounts on line 5. Enter result on Form 1040 $0