Zach D. (age 49, DOB: 1/7/1971, SSN: 497-00-2146) and Victoria L. (age 42, DOB: 4/1/1978, SSN: 421-00-1019) Colby live in a townhouse located at 3842 Timber Creek Drive, Your City, Your State Your Zip. Neither want to designate $3 of their taxes for the Presidential Election Campaign. The whole family was covered by health insurance all year. Their two older children, Zach Jr. (age 12, DOB: 3/19/2008, SSN: 530-00-1110) and Meagan (age 10, DOB: 1/9/2010, SSN: 530-00-1212) lived with them all year. Their youngest child, Mitchell (SSN: 530-00-1243), was born December 30, 2020. Zach Jr. and Meagan attended daycare at Mother Goose Day Care Center located at 9121 Old Hundred Road, Your City, Your State Your Zip. The identification number for Mother Goose is 54-8741254. Zach and Victoria paid a total of $6,794 (Zach, Jr. $3,000 and Meagan $3,794) for daycare. Victorias niece, Ruby Shelton (age 16, DOB: 5/23/2004, SSN: 530-00-1255), has lived with Zach and Victoria since her parents passed away in a car accident four years ago. Zach is a construction worker, and Victoria is a lab technician at a hospital. Zach contributed $4,500 to his traditional IRA, and Victoria contributed $2,500 to her traditional IRA. Only Zach was covered by a retirement plan. Zachs basis in his traditional IRA is $14,000. Victorias basis her traditional IRA is $9,000. They itemized last year and received a state refund of $50. They will use the standard deduction this year. They won a single prize of $400 in the lottery from their home state and an additional prize of $200 from a neighboring state. Victoria is in her third year of completing a four-year program at Commonwealth University to obtain a degree in forensic science. She is enrolled half-time and received a Form 1098-T with Box 2 filled in and Box 7 checked from the college. She also received a Form 1098-T for 2019 with Box 2 filled in and Box 7 checked. The colleges EIN is 54-5555555. The school is located at 10125 W Gayton Road, Your City, Your State, Your ZIP. She paid the following expenses: Tuition - $2,014 Books - $689 (purchased online and used as part of course requirement)Lab fees -$926 (required to be paid to the college)

Select the total wages: A) $112,115 B) $ 62,647 C) $ 49,468 D) $112,612 2.

Select the total income: A) $113,212 B) $112,662 C) $113,262 D) $112,765 3.

Select the Adjusted Gross Income (AGI): A) $107,532 B) $107,512 C) $110,012 D) $110,742 4.

Select the standard/itemized deductions: A) $12,400 B) $18,650 C) $26,100 D) $24,800

Select the taxable income: A) $ 95,112 B) $ 82,712 C) $ 81,412 D) $ 83,112 6.

Select the tax from the Tax Tables: A) $9,780 B) $13,990 C) $ 9,494 D) $13,704 7.

Select the total nonrefundable credits from Schedule 3, line 7: A) $1,444 B) $1,200 C) $ 0 D) $2,644 8.

Select the total payments: A) $5,867 B) $4,040 C) $5,190 D) $5,003 9.

Select the refund: A) $5,190 B) $5,003 C) $5,867 D) $4,040

mpensation 62647.00 2 Federal income tax withheld 2668.00 c Employers name, address, and ZIP code Lawsons Construction Firm 9874 Libby Avenue Your City, Your State Your ZIP 3 Social security wages 62647.00 4 Social security tax withheld 3884.11 5 Medicare wages and tips 62647.00 6 Medicare tax withheld 908.38 7 Social security tips 8 Allocated tips d Control number 9 10 Dependent care benefits e Employees first name and initial Zach Last name Suff. Colby 11 Nonqualified plans 12a See instructions for box 12

Wages, tips, other compensation 49468.00 2 Federal income tax withheld 1371.84 c Employers name, address, and ZIP code Healthy Hospital 4 Nutrition Drive Your City, Your State Your ZIP 3 Social security wages 49468.00 4 Social security tax withheld 3067.02 5 Medicare wages and tips 49468.00 6 Medicare tax withheld 717.29 7 Social security tips 8 Allocated tips d Control number 9 10 Dependent care benefits e Employees first name and initial Victoria L Last name Suff. Colby 11 Nonqualified plans 12a See instructions for box 12

First National Bank 9874 North Main Street Your City, Your State Your ZIP Payers RTN (optional) OMB No. 1545-0112 XX Form 1099-INT Interest Income 1 Interest income $ 497.00 2 Early withdrawal penalty $ 20.00 Copy B For Recipient This is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction may be imposed on you if this income is taxable and the IRS determines that it has not been reported. PAYERS federal identification number 54-1532994 RECIPIENTS identification number 421-00-1019 3 Interest on U.S. Savings bonds and Treas. obligations $ RECIPIENTS name Zach and Victoria L. Colby Street address (including apt. no.) 3842 Timber Creek Drive City or town, state or province, country and ZIP or foreign postal code Your City, Your State Your ZIP 4 Federal income tax