Statement of Facts Taxpayer John Doe has the following personal information Name John Doe SSN 555 55 5555 Address 123 Main Street, Anytown, CA 90000 Marital Status Never married Minor Children None Elections Standard deduction (Note DOE has never elected to itemize, including in prior years) Summary John Doe (DOE) is an employee at ABC, Inc (Payer 1 benefit details below) Additionally, DOE receives monthly annuity payments from an fixed term annuity he received as a gift from his mother (Payer 2 annuity details below) DOE has no sources of investment or passive income During the tax year, DOE received the following $15,000 in prize money from a game show (Payer 3) and $2,000 from an income tax refund (Payer 4) With regard to DOE's job at ABC, Inc , DOE receives an annual salary of $50,000 ABC, Inc withheld 1) $5,000 of federal income taxes and 2) $2,000 of state income taxes on DOE's salary ABC, Inc also withheld the required amount of Social Security and Medicare taxes In addition to his salary, DOE received the following employee benefits from ABC, Inc Employer paid health insurance premiums of $8,000 Employer paid SEP IRA contributions of $5,000 Employer paid group term life insurance with $40,000 in coverage With regard to DOE's annuity, DOE receives $500 per month DOE's mother purchased the 10 year fixed term annuity contact five years ago for $30,000 Assume DOE receives all annuity payments for each year of his ownership and there are a full 5 years left on the contract when he receives the annuity from his mother Payer 1 ABC, Inc EIN 99 9999999 State TIN 2222 222 22 1 Address 111 Corp Blvd Ste 100, Anytown, CA 90000 Payer 2 Anytown Financial, LLC EIN 99 9999998 Address 444 Financial Blvd Ste 305, Anytown, CA 90000 Payer 3 Anytown Productions, LLC EIN 99 9999997 Address 123 Spotlight Blvd Ste 105, Anytown, CA 90000 Payer 4 State of California EIN 99 9999996 Address P O Box 111, Anytown, CA 90000 Directions For this assignment Read the statement of facts Visit the IRS forms websiteLinks to an external site Find and prepare PDF versions of the following IRS forms and Schedules, if applicable Form W 2, Form 1099 R, Form 1099 MISC, and Form 1099 G Schedule 1 and Form 1040 (page 1 only)

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Statement of Facts: Taxpayer John Doe has the following personal information: Name: John Doe SSN: 555-55-5555 Address: 123 Main Street, Anytown, CA 90000 Marital Status:

Statement of Facts:

Taxpayer John Doe has the following personal information:

Name: John Doe

SSN: 555-55-5555

Address: 123 Main Street, Anytown, CA 90000

Marital Status: Never married

Minor Children: None

Elections: Standard deduction (Note: DOE has never elected to itemize, including in prior years)

Summary:

John Doe (DOE) is an employee at ABC, Inc. (Payer #1 - benefit details below). Additionally, DOE receives monthly annuity payments from an fixed term annuity he received as a gift from his mother (Payer #2 - annuity details below). DOE has no sources of investment or passive income. During the tax year, DOE received the following:

$15,000 in prize money from a game show (Payer #3); and
$2,000 from an income tax refund (Payer #4).

With regard to DOE's job at ABC, Inc., DOE receives an annual salary of $50,000. ABC, Inc. withheld: 1) $5,000 of federal income taxes; and 2) $2,000 of state income taxes on DOE's salary. ABC, Inc. also withheld the required amount of Social Security and Medicare taxes. In addition to his salary, DOE received the following employee benefits from ABC, Inc.:

Employer paid health insurance premiums of $8,000;
Employer paid SEP IRA contributions of $5,000;
Employer paid group term life insurance with $40,000 in coverage.

With regard to DOE's annuity, DOE receives $500 per month. DOE's mother purchased the 10 year fixed term annuity contact five years ago for $30,000. Assume DOE receives all annuity payments for each year of his ownership and there are a full 5 years left on the contract when he receives the annuity from his mother.

Payer #1: ABC, Inc.

EIN: 99-9999999

State TIN: 2222-222-22-1

Address: 111 Corp. Blvd. Ste 100, Anytown, CA 90000

Payer #2: Anytown Financial, LLC

EIN: 99-9999998

Address: 444 Financial Blvd. Ste 305, Anytown, CA 90000

Payer #3: Anytown Productions, LLC

EIN: 99-9999997

Address: 123 Spotlight Blvd. Ste 105, Anytown, CA 90000

Payer #4: State of California

EIN: 99-9999996

Address: P.O. Box 111, Anytown, CA 90000

Directions

For this assignment:

Read the statement of facts.
Visit the IRS forms websiteLinks to an external site..
Find and prepare PDF versions of the following IRS forms and Schedules, if applicable:
- Form W-2, Form 1099-R, Form 1099-MISC, and Form 1099-G;
- Schedule 1; and
- Form 1040 (page 1 only).