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Shauna's address is 19010 N.W. 135th Street, Miami, FL 33054. Social security numbers: Shauna Coleman: 111-11-1111 Form 1040 for Single with no dependents. 1040

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Shauna's address is 19010 N.W. 135th Street, Miami, FL 33054. Social security numbers: Shauna Coleman: 111-11-1111 Form 1040 for Single with no dependents. 1040 PG 1 Schedule A Form 1040 Page 1. Form 1040 Department of the Treasury- Internal Revenue Service (99) U.S. Individual Income Tax Return 2022 OMB No. 1545-0074 IRS Use Only-Do not write or st Married filing Filing Status Check only one box. Single Married filing separately (MFS) Head of household (HOH) jointly Qualifying st spouse (QSS) If you checked the MFS box, enter the name of your spouse. If you checked the HOH or QSS box, enter the child's name if the qualifying pi a child but not your dependent. Your first name and middle initial Last name Your social If joint return, spouse's first name and middle initial Last name Spouse's soc Home address (number and street). If you have a P.O. box, see instructions. City, town, or post office. If you have a foreign address, also complete spaces below. State Apt. no. Presidential ZIP code Check here if yo filing jointly, war Checking a box your tax or refur Foreign country name Foreign province/state/county Foreign postal code You Digital Assets Standard Deduction You as a dependent At any time during 2022, did you: (a) receive (as a reward, award, or payment for property or services); or (b) sell, exchange, gift, or otherwise dispose of a digital asset (or a financial interest in a digital asset)? (See instructions.) Someone can Your spouse as a dependent Yes claim: Age/Blindness You: Spouse itemizes on a separate return or you were a dual-status alien Were born before January 2, 1958 Are blind Spouse: Was born before January 2, 195 (4) Check the b Dependents (see instructions): inst (1) First name Last name (2) Social security number (3) Relationship to you Child tax credi If more than four dependents, see instructions and check here Income Attach Form(s) W-2 here. Also attach Forms W-2G and 1099-R if tax was withheld. If you did not get a Form W-2, see instructions. 1 a Total amount from Form(s) W-2, box 1 (see instructions) b Household employee wages not reported on Form(s) W-2 c Tip income not reported on line 1a (see instructions) d Medicaid waiver payments not reported on Form(s) W-2 (see instructions) e Taxable dependent care benefits from Form 2441, line 26 f Employer-provided adoption benefits from Form 8839, line 29 g Wages from Form 8919, line 6 i Nontaxable combat pay election (see instructions) h Other earned income (see instructions) z Add lines 1a through 1h Attach Sch. B if required. 2a Tax-exempt interest 1i 1a 1b 1c 1d 1e 1f 19 1h 1z 2a b Taxable interest 2b Standard Deduction for- 3a Qualified dividends 4a IRA distributions b Ordinary dividends 3b 4a b Taxable amount 4b 5a Pensions and annuities 5a b Taxable amount 6a Social security benefits b Taxable amount 6b c If you elect to use the lump-sum election method, check here (see instructions) 7 Capital gain or (loss). Attach Schedule D if required. If not required, check here - Single or Married filing separately. $12,950 - Married filing jointly or Qualifying surviving spouse, $25,900 - Head of household, $19,400 -If you checked any box under Standard Deduction, see instructions. 8 Other income from Schedule 1, line 10 9 Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income 10 Adjustments to income from Schedule 1, line 26 11 Subtract line 10 from line 9. This is your adjusted gross income 12 Standard deduction or itemized deductions (from Schedule A) 13 Qualified business income deduction from Form 8995 or Form 8995-A 14 Add lines 12 and 13 15 Subtract line 14 from line 11. If zero or less, enter-0-. This is your taxable income 7 8 9 10 11 12 13 14

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