In: Accounting
Form | 1040 | Department of the Treasury––Internal Revenue Service (99) | 2017 | |||||||||||||||||||||||||||||||||
U.S. Individual Income Tax Return | OMB No. 1545-0074 | IRS Use Only—Do not write or staple in this space. | ||||||||||||||||||||||||||||||||||
For the year Jan. 1--Dec. 31, 2017, or other tax year beginning | ,2017, ending | See separate instructions. | ||||||||||||||||||||||||||||||||||
Your first name and initial | Last name | Your social security number | ||||||||||||||||||||||||||||||||||
Jamie | Reyes | 412-34-5670 | ||||||||||||||||||||||||||||||||||
If joint return, spouse's name & initial | Last name | Spouse's social security number | ||||||||||||||||||||||||||||||||||
Cecilia Reyes | 412-34-5671 | |||||||||||||||||||||||||||||||||||
Home address (number and street). If you have a P.O. box, see instructions. | Apt. no. |
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Make sure the
SSN(s) above and on line 6c are correct. |
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5677 Apple Cove Road, Boise, | ||||||||||||||||||||||||||||||||||||
City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). | Presidential Election Campaign | |||||||||||||||||||||||||||||||||||
ID 83722 | Check here if you,
or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or |
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Foreign country name | Foreign province/state/county | Foreign postal code | ||||||||||||||||||||||||||||||||||
refund. | You | Spouse | ||||||||||||||||||||||||||||||||||
Filing Status | 1 | Single | 4 | Head of household (with qualifying person). (See instructions.) | ||||||||||||||||||||||||||||||||
2 | x | Married filing joint return (even if only one had income) | If the qualifying person is a child but not your dependent, enter | |||||||||||||||||||||||||||||||||
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Check only one | 3 | Married filing separate return. Enter spouse's SSN above | this child’s name here. | |||||||||||||||||||||||||||||||||
box. | and full name here. |
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5 | Qualifying widow(er) (see instructions) | ||||||||||||||||||||||||||||||||
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Boxes
checked on 6a and 6b. |
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6a | X | Yourself. | If someone can claim you as a dependent, do not check box 6a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | 2 | ||||||||||||||||||||||||||||||||
No. of
children on 6c who: |
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Exemptions | b | X | Spouse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | |||||||||||||||||||||||||||||||||
c | Dependents: | (2) Dependent's | (3) Dependent's |
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• lived with you | |||||||||||||||||||||||||||||||
social security | relationship to | qualifying for child tax credit | • did not live with | |||||||||||||||||||||||||||||||||
If more than four | (1) First name | Last name | number | you | (see instructions) | you due to
divorce or separation (see instructions) |
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dependents, see | Carmen | 412-34-5672 | Daughter | 0 | ||||||||||||||||||||||||||||||||
instructions and | Maria | 412-34-5673 | Grand Mother | 0 | ||||||||||||||||||||||||||||||||
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Gustavo | 412-34-5674 | Son | x | 1 | Dependents on
6c not entered above |
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0 | ||||||||||||||||||||||||||||||||||||
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d | Total number of exemptions claimed . . . . . . . . . . . . . . . . . . . . . . . . . . . | 1 | 2 | |||||||||||||||||||||||||||||||||
Income | 7 | Wages, salaries, tips, etc. Attach Form(s) W-2 | . . . . . . . . . | 7 | 145,625 | |||||||||||||||||||||||||||||||
8 | a | Taxable interest. Attach Schedule B if required. . . . . . . . . . . . . . . . . . . . . . . . . . . . | 8a | 1,492 | ||||||||||||||||||||||||||||||||
Attach Form(s) | b | Tax-exempt interest. Do not include on line 8a | . . . . . . . . . | 8b | 0 | |||||||||||||||||||||||||||||||
W-2 here. Also | 9 | a | Ordinary dividends. Attach Schedule B if required. . . . . . . . . . . . . . . . . . . . . . . . . . . . | 9a | 0 | |||||||||||||||||||||||||||||||
attach Forms | b | Qualified dividends | . . . . . . . . . . . . . . . . . . . . . . | 9b | 2,500 | |||||||||||||||||||||||||||||||
W-2G and | 10 | Taxable refunds, credits, or offsets of state and local income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | 10 | |||||||||||||||||||||||||||||||||
1099-R if tax | 11 | Alimony received | . . . . . . . . . . . . . . . . . . . . | . . . . . . . . | 11 | |||||||||||||||||||||||||||||||
was withheld. | 12 | Business income or (loss). Attach Schedule C or C-EZ. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | 12 | 0 | ||||||||||||||||||||||||||||||||
13 | Capital gain or (loss). Attach Schedule D if required. If not required, check here. |
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13 | |||||||||||||||||||||||||||||||||
If you did not | 14 | Other gains or (losses). Attach Form 4797 | . . . . . . . . . . . . . . . . . . . . . . . . . . . | 14 | ||||||||||||||||||||||||||||||||
get a W-2, | 15 | a | IRA distributions | 15a | 0 | b | Taxable amount | . . . . . | 15b | 0 | ||||||||||||||||||||||||||
see instructions. | 16 | a | Pensions and annuities | 16a | 0 | b | Taxable amount | . . . . . | 16b | 0 | ||||||||||||||||||||||||||
17 | Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E. | 17 | (14,091) | |||||||||||||||||||||||||||||||||
18 | Farm income or (loss). Attach Schedule F. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | 18 | 0 | |||||||||||||||||||||||||||||||||
19 | Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | 19 | ||||||||||||||||||||||||||||||||||
20 | a | Social security benefits | 20a | 0 | b | Taxable amount . . . . . . . | 20b | 0 | ||||||||||||||||||||||||||||
21 | Other income. List type and amount. | 21 | 0 | |||||||||||||||||||||||||||||||||
22 | Combine the amounts in the far right column for lines 7 through 21. | This is your total income |
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22 | 133,026 |
Tax and | 38 | Amount from line 37 (adjusted gross income) |
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0 | 0 |
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0 | 0 | 38 | 133,026 | ||||||||||||||||||||||||||
Credits | 39 | a | Check | You were born before | January 2, 1953 | Blind. Total boxes |
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0 | ||||||||||||||||||||||||||||
Standard | if: | Spouse was born before | January 2, 1953 | Blind. checked | 39a | |||||||||||||||||||||||||||||||
Deduction for -- | b | If your spouse itemizes on a separate return or you were a dual-status alien, check here |
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39b | ||||||||||||||||||||||||||||||||
• | People who check any box on
line 39a or 39b or who can be claimed as a dependent, see instructions. |
40 | Itemized deductions (from Schedule A) or your standard deduction (see left margin) | . . . . . | 40 | 12,700 | ||||||||||||||||||||||||||||||
41 | Subtract line 40 from line 38 | . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | 41 | 120,326 | ||||||||||||||||||||||||||||||||
42 | Exemptions. | If line 38 is $156,900 or less, multiply $4,050 by number on line 6d. Otherwise, see instructions. | 42 | 8,100 | ||||||||||||||||||||||||||||||||
43 | Taxable income. | Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- | . . . . . . | 43 | 112,226 | |||||||||||||||||||||||||||||||
44 | Tax (see instructions). Check if any tax is from: a | Form(s) 8814 b | Form 4972 c | 44 | 19,284 | |||||||||||||||||||||||||||||||
45 | Alternative minimum tax (see instructions). Attach Form 6251 | . . . . . . . . . . . . . . . . | 45 | 0 | ||||||||||||||||||||||||||||||||
46 | Excess advance premium tax credit repayment. Attach Form 8962 | . . . . . . . . . . . . . . . | 46 | |||||||||||||||||||||||||||||||||
• | All others: | 47 | Add lines 44, 45, and 46 |
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47 | 19,284 | ||||||||||||||||||||||||||||||
Single or Married filing separately, | 48 | Foreign tax credit. Attach Form 1116 if required | . . . . . . . . | 48 | 0 | |||||||||||||||||||||||||||||||
49 | Credit for child and dependent care expenses. Attach Form 2441 . . . | . | 49 | 0 | ||||||||||||||||||||||||||||||||
$6,350 | 50 | Education credits from Form 8863, line 19 | . . . . . . . . . . | 50 | ||||||||||||||||||||||||||||||||
Married filing jointly or qualifying widow(er) | 51 | Retirement savings contributions credit. Attach Form 8880. | . . . | 51 | ||||||||||||||||||||||||||||||||
52 | Child tax credit. Attach Schedule 8812, if required | . . . . . . . . | 52 | |||||||||||||||||||||||||||||||||
$12,700 | 53 | Residential energy credits. Attach Form 5695 | . . . . . . . . . . | 53 | ||||||||||||||||||||||||||||||||
Head of household | 54 | Other credits from Form: a | 3800 b | 8801 c | 54 | |||||||||||||||||||||||||||||||
55 | Add lines 48 through 54. | These are your total credits . . . . . . . . . . . . . . . . . . . . . | 55 | 0 | ||||||||||||||||||||||||||||||||
$9,350 | 56 | Subtract line 55 from line 47. If line 55 is more than line 47, enter -0 - | . . . . . . . . . . . . |
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56 | 19,284 | ||||||||||||||||||||||||||||||
57 | Self-employment tax. Attach Schedule SE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | 57 | 0 | |||||||||||||||||||||||||||||||||
Other | 58 | Unreported social security and Medicare tax from Form: | a | 4137 | b | 8919 | 58 | |||||||||||||||||||||||||||||
Taxes | 59 | Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required . . . . . . . . . . . . . . . . . . . | 59 | |||||||||||||||||||||||||||||||||
60 | a | Household employment taxes from Schedule H | Check box to indicate full-year coverage. | 60a | ||||||||||||||||||||||||||||||||
b | First-time homebuyer credit repayment. Attach Form 5405 if required | 60b | ||||||||||||||||||||||||||||||||||
61 | Health care: individual responsibility (see instructions) | Full-year coverage | 61 | |||||||||||||||||||||||||||||||||
62 | Taxes from: a | Form 8959 b | Form 8960 c | Instructions; enter code(s) | 62 | 0 | ||||||||||||||||||||||||||||||
63 | Add lines 56 through 62. | This is your total tax |
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63 | 19,284 | |||||||||||||||||||||||||||||||
Payments | 64 | Federal income tax withheld from Forms W-2 and 1099 | . . . . . . | 64 | 16,813 | |||||||||||||||||||||||||||||||
65 | 2017 estimated tax payments & amount applied from 2016 return | . | 65 | |||||||||||||||||||||||||||||||||
If you have a | 66 | a | Earned income credit (EIC) | . . . . . . . . . . . . . . . . . | 66a | |||||||||||||||||||||||||||||||
qualifying | b | Nontaxable combat pay election | . . . . | 66b | ||||||||||||||||||||||||||||||||
child, attach | 67 | Additional child tax credit. Attach form 8812 | . . . . . . . . . . | 67 | 0 | |||||||||||||||||||||||||||||||
Schedule EIC. | 68 | American opportunity credit from Form 8863, line 8 | . . . . . . . | 68 | ||||||||||||||||||||||||||||||||
69 | Net premium tax credit. Attach Form 8962 | . . . . . . . . . . . | 69 | |||||||||||||||||||||||||||||||||
70 | Amount paid with request for extension to file | . . . . . . . . . . | 70 | |||||||||||||||||||||||||||||||||
71 | Excess social security and tier 1 RRTA tax withheld | . . . . . . . | 71 | 0 | ||||||||||||||||||||||||||||||||
72 | Credit for federal tax on fuels. Attach Form 4136 | . . . . . . . . | 72 | |||||||||||||||||||||||||||||||||
73 | Credits from Form: a | 2439 b | Resvd c | 8885 d | 73 | |||||||||||||||||||||||||||||||
74 | Add lines 64, 65, 66a, and 67 through 73. | These are your | total payments |
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74 | 16,813 | ||||||||||||||||||||||||||||||
Refund | 75 | If line 74 is more than line 63, subtract line 63 from line 74. | This is the amount you overpaid | 75 | 0 | |||||||||||||||||||||||||||||||
Direct deposit? | 76 | a | Amount of line 75 you want refunded to you. | If Form 8888 is attached, check here |
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76a | 0 | |||||||||||||||||||||||||||||
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b | Routing number | 4c Type: | Checking | Savings | Check sheet 2210 | ||||||||||||||||||||||||||||||
instructions. | d | Account number | to see if any tax | |||||||||||||||||||||||||||||||||
77 | Amount of line 75 you want | applied to your 2018 estimated tax | 77 | penalty is applicable. | ||||||||||||||||||||||||||||||||
Amount | 78 | Amount you owe. | Subtract line 74 from line 63. For details on how to pay, see instructions |
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78 | 2,471 |