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USE THE 2022 1040 TAX FORM Downloading the necessary forms from www.irs.gov, please file the tax return form John Richard, born 03/09/1954, retired, and legally

USE THE 2022 1040 TAX FORM

Downloading the necessary forms from www.irs.gov, please file the tax return form

John Richard, born 03/09/1954, retired, and legally blind, has interest from the Community bank of $620, ordinary dividends of $560, Qualified dividends of $560, Retirement pension of $10,560, fully taxable, and Social security of $12096, His SSN 123-90-7890

His wife, Gina Richard, born 08/10/1969, has a wage of $12,490, from which federal tax withholding is $ 980. Her SSN is 321-09-0987

They have a daughter Samantha, born on 01/09/2003. She is 3rd year at FAU, and her tuition is $6890. She receives Florida Bright's future medallion for $2400. Her SSN 456-90-1234

Richards lives in Miami, 1030 SW street 33890

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Digital At any time during 2022, did you: (a) receive (as a reward, award, or payment for property or services); or (b) sell, Assets exchange, gift, or otherwise dispose of a digital asset (or a financial interest in a digital asset)? (See instructions.) Yes No Standard Someone can claim: You as a dependent Your spouse as a dependent Deduction Spouse itemizes on a separate return or you were a dual-status alien Age/Blindness You: Were born before January 2, 1958 Are blind Spouse: Was born before January 2, 1958 Is blind Income 1a Total amount from Form(s) W-2, box 1 (see instructions) . b Household employee wages not reported on Form(s) W-2 . Attach Form(s) W-2 here. Also c Tip income not reported on line 1 a (see instructions) attach Forms d Medicaid waiver payments not reported on Form(s) W-2 (see instructions) For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Cat. No. 11320B Form 1040 (2022) Page 2 Go to www.irs.gov/Form 1040 for instructions and the latest information. Form 1040(2022) Digital At any time during 2022, did you: (a) receive (as a reward, award, or payment for property or services); or (b) sell, Assets exchange, gift, or otherwise dispose of a digital asset (or a financial interest in a digital asset)? (See instructions.) Yes No Standard Someone can claim: You as a dependent Your spouse as a dependent Deduction Spouse itemizes on a separate return or you were a dual-status alien Age/Blindness You: Were born before January 2, 1958 Are blind Spouse: Was born before January 2, 1958 Is blind Income 1a Total amount from Form(s) W-2, box 1 (see instructions) . b Household employee wages not reported on Form(s) W-2 . Attach Form(s) W-2 here. Also c Tip income not reported on line 1 a (see instructions) attach Forms d Medicaid waiver payments not reported on Form(s) W-2 (see instructions) For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Cat. No. 11320B Form 1040 (2022) Page 2 Go to www.irs.gov/Form 1040 for instructions and the latest information. Form 1040(2022)

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