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2009 Tax Return sample 3

2009 Tax Return sample 3 - 1:6-61 1 Department of the...

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Unformatted text preview: 1:6-61 1 Department of the Treasury—Internal Revenue Service U.S. Individual Income Tax Return For the year Jan. trDec. 31, 2007, or other tax year beginning , 2007, ending IRS Use OnlyiDo not write or staple In this space. ,20 ‘. OMB NO. 1545-0074 Your first name and initial Last name : Your social security number (See L i : : instructions A , . . . . Ste—[en‘s : 41,7 on page 12') g If a lornt return, spouses first name and initial Last name : Spouses socualsecurlty number Use the IRS L Saab Sigma; : 528: 95: (222] label. Home address (number and street). If you have a PO. box, see page 12. Apt. no. i You must enter OtherWise’ E RM : A your SSN(s) above. please print R 1.2.6.3] ' or type. E City, town or post office, state. and ZIP code. If you have a foreign address, see page 12. Checking a box below will not Presidential l : I - I l 0 - I i l ‘ u I change your tax or refund. Election Campaign } Check here if you, or your spouse if filing jointly, want $3 to go to his fund (see page 12) b You I I Spouse I I 1 3 Single 4 Head of household (with qualifying person). (See page 13.) If Fllmg Status 2 I Married filing jointly (even if only one had income) the qualifying person is a child bu not your dependent, enter Check only 3 3 Married filing separately. Enter spouse’s SSN above This Child's name here- ’ — one box. and full name here. > 5 _ Qualifying widowler) with dependent child (see page 14) 6a Z Yourself. If someone can claim you as a dependent, do not check box 6a . on Go and 6b Exemptions b If Spouse . No. of children } Boxes checked G De endents: v (3) Dependents (70% qualifying 0" 60 Who: 9 Depeigdemsb relationship to child fore ild tax ‘ "Ved With 3/0" —3— (1) First name Last name so” sew" y "um er you credit (see a e 15) 0 did not live with l you due to divorce AmiLeu Stolen; 317 l &3 l 2836 Son 2 or separation Dependents on 60 If more than four l . dependents, see [$335 Stale“ 317 1 64 : Son Y (599 Page ‘6) page 15. l ' not entered above Add numbers on d Total number of exemptions claimed , , , , , , , , , , , , , , lines above D 7 Wages, salaries, tips, etc. Attach Form(s) W-2 . . . . . . . . . . 7 Income 8a Taxable interest. Attach Schedule B if required . . . . . . . . . . 83 O ’ Attach Fan-"(5) b Tax—exempt interest. Do not include on line 8a . . 8b W-2 here. Also 9a Ordinary dividends. Attach Schedule B if required . . . . . . . . . 93 attach Forms b Qualified dividends (see pa e 19) . . . . . . 9b W-2G and 9 1099.3 if tax 10 Taxable refunds, credits, or offsets of state and local income taxes (see page 20) . 10 was Withheld- 11 Alimony received . . . . . . . . . . . . . . . . . 11 12 Business income or (loss). Attach Schedule C or C-EZ . . . . . . . . 12 13 Capital gain or (loss). Attach Schedule D it required. If not required, check here I D 13 If you did not 14 Other gains or (losses). Attach Form 4797 . . . . . . . . . . . 14 3322:5319 15a IRA distributions . 153 b Taxable amount (see page 2t) 15b . 16a Pensions and annuities 165 b Taxable amount (see page 22) 16b Enclose, but do 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E 17 “01 attach any 18 Farm income or (loss). Attach Schedule F . . . . . . . . . . . 18 payment. Also, , 19 p‘ease use 19 Unemployment compensatlon . . . . . . . . . . . . . . Form 1040-V. 20a Social security benefits . 203— b Taxable amount (see page 24) 20b 21 Other income. List type and amount (see page 24) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 22 Add the amounts in the far right column for lines 7 through 21 . This is yourtotal income b _ 23 Educator expenses (see page 26) . . . . . . 23 Adjusted 24 Certain business expenses of reservists, performing artists, and Gross feeebasis government officials. Attach Form 2106 or 21067EZ 24 Income 25 Health savings account deduction. Attach Form 8889. 25 26 Moving expenses. Attach Form 3903 . . . . . 26 27 One—half of self»employment tax. Attach Schedule SE _ 27 8_,_0_L8 28 Self—employed SEP, SIMPLE, and qualified plans _ _ 28 29 Self-employed health insurance deduction (see page 26) 29 3O Penalty on early withdrawal of savings . . . . . 30 31a Alimony pald b Recipient’s SSN > # 31a 32 IRA deduction (see page 27) . . . . . . . 32 33 Student loan interest deduction (see page 30) . . . 33 34 Tuition and fees deduction. Attach Form 8917 . . . 34 35 Domestic production activities deduction. Attach Form 8903 35 36 Add lines 23 through 31a and 32 through 35 . . . . . . . . . 37 Subtract line 36 from line 22. This is your adjusted gross income . . . . D For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see page 83. Cat. No. 113203 Form 1040 (2007) 1:6-61 Form 1040 (2007) Page 2 Tax 38 Amount from line 37 (adjusted gross income) . . . . . . . . . . 38 and 39a Check El You were born before January 2, 1943, El Blind. Total boxes Credits if: El Spouse was born before January 2, 1943, I] Blind. checked V 39a Standard b if your spouse itemizes on a separate return or you were a dual-status alien, see page 31 and check here V39!) Deducmn _40 Itemized deductions (from Schedule A) or your standard deduction (see left margin) _ 40 for— — 41 Subtract line 40 from line 38 . . . . . . . . . . . . . . . . 41 _ 0 People who _ _ _ . . . checked any 42 if line 38 is $117,300 or less, multiply $3,100 by the total number of exemptions claimed on line 33: 2:143: or 6d. If line 38 is over $117,300, see the worksheet on page 33 . . . . . . . . 42_‘1,_OD_0_ who can be 43 Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41. enter —0— . 43 gleagfigefi‘a 44 Tax (see page 33). Check if any tax is from: a :I FormIs) 8814 b 30m 4972 c Formis) 8889 44 see Page 31. 45 Alternative minimum tax (see page 36). Attach Form 6251 . . . . . . . . 45 0Allothers: 46 Addlines44and45. . . . . . . . . . . . . . . . . > 46 _ sing|e or 47 Credit for child and dependent care expenses. Attach Form 2441 gleegSrfieIII/Ing 48 Credit for the elderly or the disabled. Attach Schedule R . $5,350 49 Education credits. Attach Form 8863 Married filing 50 Residential energy credits. Attach Form 5695 gLrgIIIymg 51 Foreign tax credit. Attach Form 1116 if required widow(er), 52 Child tax credit (see page 39). Attach Form 8901 if required $10700 53 Retirement savings contributions credit. Attach Form 8880. Egjgefigld 54 Credits from: a Form 8396 b Form 8859 0 Form 8839 $7350 ' 55 Other credits: a Form 3800 b Form 8801 c I: Form 56 Add lines 47 through 55. These are your total credits . . . . . . . . . 57 Subtract line 56 from line 46. It line 56 is more than line 46, enter —0- . . . . . > 57 2 2 Other 58 Self—employment tax. Attach Schedule SE . . . . . . . . . . . . 58 Taxes 59 Unreported socia security and Medicare tax from: a I: Form 4137 b I: Form 8919 . 59 60 Additional tax on IRAs, other qualified retirement plans, etc. Attacw Form 5329 if required _ 6° 61 Advance earned income credit payments from Form(s) W—2, box 9 . . . . . . 61 62 Household employment taxes. Attach Schedule H . . . . . . . . . . 62 63 Add lines 57 through 62. This is your total tax . . . . . . . . . . > 63 414762 Payments 64 Federal income tax withheld from Forms W—2 and 1099 _ 64 65 2007 estimated tax payments and amount applied from 2006 return 65 If you havea 663 Earned income credit(ElC) . . . . . . . qual‘fymg b Nontaxable combat pay election 5 Gebl I child, attach Schedule EIC. 67 Excess social security and tier 1 RRTA tax withheld (see page 59) 68 Additional child tax credit. Attach Form 8812 . 69 Amount paid with request for extension to file (see page 59) 70 Payments from: a Form 2439 b Form 4136 c 3 Form 8885 . 71 Refundable credit for prior year minimum tax from Form 8801, line 27 72 Add lines 64, 65, 66a, and 67 through 71. These are your total payments . . . V 72 Refund 73 If line 72 is more than line 63, subtract line 63 rpm line 72. This is he amount you overpaid 73 Direct deposit? 74a Amount of line 73 you want refunded to you. If Form 8888 is attached, c-iec here V 742 if: fiffifgb V b Routing number I I I V c Type: Checking Savings 74c and 74d" V d Account number I I I I 0r Form 8838- 75 Amount of line 73 you want applied to your 2008 estimated tax V I 75 I moun you owe. 0 rec Ine rorn ine . or e an s on ow 0 pay, see page Amount 76 A t S bt t I' 72f |' 63 F d t 'l h t 60 V You Owe 77 Estimated tax penalty (see page 61) . . . . - Do you want to allow ano her person to discuss this return with the IRS (see page 61)? Yes. Complete the following. No Third Party ' Designee’s Phone Persona identification De3ignee name > no. , ( ) number (PIN) y I:|:|:I:I Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. H Joifitfigum? Your signature Date Your occupation Daytime phone number See page 13. I I glaregfircopy Spouse’s signature. If a joint return, both must sign. Date Spouse’s occupation records. Preparer.s > Check if Preparers SSN or PTIN Signature self-employed I] I . , . Erepgrelr s Firm’s Pamfe (or ’ E'N : yours i sel -employed), se n y address, and ZIP code Phone no. ( ) Form 1040 (2007) 1:6-61 SCHEDULES “3 Schedule A—ltemized Deductions OMB N“ 1545007“ Form 1040 ( ) (Schedule B is on back) Department of the Treasury Attachment Internal Revenue Service > Attach to Form 1040. > See Instructions for Schedules A&B (Form 1040). Sequence No. 07 Namels) shown on Form 1040 Your social security number li-irii -‘ i..-.. Medical Caution. Do not include expenses reimbursed or paid by others. and 1 Medical and dental expenses (see page A-1) . . 1 Dental 2 En er amount from Form 1040, line 38 lii—i_ Expenses 3 Multiply line 2 by 7.5% (.075). . . . . . . 3 4 Subtract line 3 from line 1. If line 3 is more than line 1, enter —0— . . . . . 4 Taxes You 5 State and local (check only one box): Paid a Ylncome taxes, or 5 L491) (See b General sales taxes ' . . . ' . . page A‘2-l 6 Real estate taxes (see page A-5) . . . . . . 6 ’ ‘ ‘ 7 Personal property taxes . . . . . . . 7 8 Other taxes. List type and amount b _______________ __ Add lines 5 throu h 8 Interest 10 Home mortgage interest and points reported to you on Form 1098 10 W YOU Paid 11 Home mortgage interest not reported to you on Form 1098. If paid (gee to the person from whom you bought the home, see page A—6 page A—5.) and show that person’s name, identifying no., and address > Note. ____________________________________________________ _ , 1 1 i: 12 Points not reported to you on Form 1098. See page A—6 not for special rules . . . . . . . . . . . deductible. 13 Qualified mortgage insurance premiums (See page A-7) . 14 Investment interest. Attach Form 4952 if required. (See page A-7.) _ _ _ . Add lines 10 through 14 Gifts to 16 Gifts by cash or check. If you made any gift of $250 or Charity more, see page A—8 . . . . . . . . lflyou made a 17 Other than by cash or check. If any gift of $250 or more, 9m 39“ 90F 3 see page A—8. You must attach Form 8283 if over $500 :29: fgrA'E's 18 Carryover from prior year . . . . . . . . pg ' 19 Add |ines16through18 . . . . . . . . . . . . . . . . 144109 Casually and Theft Losses 20 Casualty or theft loss(es). Attach Form 4684. (See page A—9.) . . . . . . 20 Job Expenses 21 Unreimbursed employee expenses—job travel, union and Benain dues, job education, etc. Attach Form 2106 or 2106—EZ Miscellaneous if required. (See page A-9.) > ______________________ ,_ 21 Deductions 22 Tax preparation fees. . . . . . . . . . 22 1 ‘ (See 23 Other expenses—investment, safe deposit box, etc. List Page A'9-) type and amount _______________________ __ __investmentsuhscnpimns ___________________ __ 23 l 24 Add lines 21 through 23 . . . . . . . . 24 25 Enter amount from Form 1040, line 38 25 26 Multiply line 25 by 2% (.02) _ _ _ _ _ . . 26 ‘ ‘ 27 Subtract line 26 from line 24. If line 26 is more than line 24, enter —0— . . . 27 O Other 28 Other—from list on page A—10. List type and amount b ______________________ __ Miscellaneous ______________________________________________________________________________ __ Deductions 28 Total 29 Is Form 1040, line 38, over $156,400 (over $78,200 it married filing separately)? Itemized No. Your deduction is not limited. Add the amounts in the far right column Deductions for lines 4 through 28. Also, enter this amount on Form 1040, line 40. p 29 26433] Yes. Your deduction may be limited. See page A-1O for the amount to enter. 30 It you elect to itemize deductions even though they are less than your standard deduction, check here > For Paperwork Reduction Act Notice, see Form 1040 instructions. Cat. No. 11330X Schedule A (Form 1040) 2007 Schedules A&B (Form 1040) 2007 Namels) shown on Form 1040. Do not enter name and social security number if shown on other side. 1:6-61 OMB No. 1545-0074 Your social security number Page 2 Schedule B—lnterest and Ordinary Dividends 1 List name of payer. If any interest is from a seller—financed mortgage and the buyer used the property as a personal residence, see page B-1 and list this interest first. Also, show that buyer‘s social security number and address > __C_D_’s___ Part I Interest (See page B—1 and the instructions for Form 1040, line 8a.) Note. If you received a Form 1099—INT, Form 1099—OID, or substitute statement from a brokerage firm, list the firms name as the payer and enter the total interest shown on that form. 2 Add the amounts on line 1 3 Excludable interest on series EE and | US. savings bonds issued after 1989. Attach Form 8815 . 4 Subtract line 3 from line 2. Enter the result here and on Form 1040, line 8a > #00 Attachment Sequence No. 03 Amount 3,200 Note. If line 4 is over $1,500, you must complete Part III. 5 List name of payer > _____________________________________________________ _. Part II Ordinary Dividends (See page B—1 and the instructions for Form 1040, line 9a.) Note. If you received a Form 1099—DIV or substitute statement from a brokerage firm, list the firm’s name as the payer and enter the ordinary dividends shown on that form. 6 Add the amounts on line 5. Enter the total here and on Form 1040, line 9a . > 6 3,290 Amount Note. If line 6 is over $1,500, you must complete Part III. You must complete this part if you (a) had over $1,500 of taxable interest or ordinary dividends; or (b) had Yes No Part III a foreign account; or (0) received a distribution from, or were a grantor of, or a transferor to, a foreign trust. Fore'gn 73 At any time during 2007, did you have an interest in or a signature or other authority over a financial Accounts account in aforeign country, such as a bank account, securities account, or otherfinancial account? and Trusts See page B—2 for exceptions and filing requirements for Form TD F 90-221. (See b If “Yes,” enter the name of the foreign country P ___________________________________________ __ page 34) 8 During 2007, did you receive a distribution from, or were you the grantor of, or transferor to, a forei n trust? If “Yes,” ou ma have to file Form 3520. See a e B-2 For Paperwork Reduction Act Notice, see Form 1040 instructions. Schedule B (Form 1040) 2007 1:6-61 OMB NO. 1545-0074 2©07 SCHEDULE C (Form 1040) Profit or Loss From Business (Sole Proprietorship) b Partnerships, joint ventures, etc., must file Form 1065 or 1065-B. Att h t ac men > Attach to Form 1040, 1040NR, or 1041. > See Instructions for Schedule C (Form 1040). Sequence No. 09 Social security number (SSN) Department of the Treasury Internal Revenue Service (99) Name of proprietor Dale SJeLem A Principal business or profession, including product or service (see page 0-2 of the instructions] Phi/um new 0 Business name. If no separate business name, leave blank. D Employer ID number (ElN), if any . , _ 2|2!7|5|8 4|9lol4l E Business address (including suite or room no.) > SUJLQ _w0_QdyJ3_W__D_UVB _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ City, town or post office, state, and ZIP code awn F Accounting method: (1) MCash (2) Accrual (3) Other (specify) V . , . , , . , , . , . . . , . , , . , , . , . . . , . , , . , . , . . . , . H G Did you “materially participate“ in the operation of this business during 2007? If “No,” see page 0-3 for limit on losses ZrYes El No H If you started or acquired this business during 2007, check here . . . . . . . . . . . . . . . . V D Income 1 Gross receipts or sales. Caution. If this income was reported to you on Form W-2 and the “Statutory D employee" box on that form was checked, see page 0—3 and check here . . . . . V 2 Returns and allowances 3 Subtract line 2 from line 1 . . . 4 Cost of goods sold (from line 42 on page 2) 5 Gross profit. Subtract line 4 from line 3. 6 7 Other income, including federal and s ate gasoline or fuel tax credit or refund (see page 0—3). GI'OSS income. Add lines 5 and 6 Expenses. Enter expenses for business use of your home only on line 30. 8 Advertising . . . . . 8 18 Office expense 9 Car and truck expenses (see 19 Pension and profit—sharing plans _ page 0-4) . . . . . . 9 20 Rent or lease (see page 0—5): 10 Commissions and fees _ 10 3 Vehicles, machinery, and equipment ' f f 7 11 Contract labor (see page 0-4) 11 b Other business property. 7 12 Depletion . . . . . 12 21 Repairs and maintenance 22 Supplies (not included in Part III) ‘ i i l 23 Taxes and licenses . 24 Travel, meals, and entertainment: 13 Depreciation and section 179 expense deduction (not included in Part III) (see an El a El page 0-4) . . . . . 13 44.5.0.0 a Travel a _ 14 Employee benefit programs b Deductible meals and a (other than on line 19). 14 entertainment (see page 0-6) 15 Insurance (other than health) . 15 . . 25 Utilities a O 16 Interest: 26 Wages (less employment credits) m ' ‘ 0 _ a Mortgage (Paid to banKS, etc-i . 163 lag—0.0 27 Other expenses (from line 48 on I b Other . . . . . . 16b page2). 27 ' ’ 17 Legal and professional services . . . . . . 17 28 Total expenses before expenses for business use of home. Add lines 8 through 27 in columns . b m : ; 0 29 Tentative profit (loss). Subtract line 28 from line 7 _ a ‘ ‘ 30 Expenses for business use of your home. Attach Form 8829 m 31 Net profit or (loss). Subtract line 30 from line 29. l 0 If a profit, enter on both Form 1040, line 12, and Schedule SE, line 2, or on Form 1040NR, line 13 (statutory employees, see page 0—7). Estates and trusts, enter on Form 1041, line 3. ‘ ‘ o If a loss, you must go to line 32. 32 If you have a loss, check the box that describes your investment in this activity (see page C—7). 0 If you checked 32a, enter the loss on both Form 1040, line 12, and Schedule SE, line 2, or on 323 All investment is at risk. Form 1040NR, line 13 (statutory employees, see page 077). Estates and trusts, enter on Form 1041, 32b : some investment is not line 3. at risk. 0 If you checked 32b, you must attach Form 6198. Your loss may be limited. For Paperwork Reduction Act Notice, see page 0-8 of the instructions. Cat. No. 11334P Schedule 0 (Form 1040) 2007 1:6-61 Schedule C (Form 1040) 2007 Page 2 Cost of Goods Sold (see page 0—7) 33 Method(s) used to value closing inventory: a El Cost b El Lower of cost or market c Other (attach explanation) 34 Was there any change in determining quantities, costs, or valuations between opening and closing inventory? If "Yes," attach explanation . . . . . . . . . . . . . . . . . . . . . . D Yes El No 35 Inventory at beginning of year. If different from last year’s closing inventory, attach explanation . 35 36 Purchases less cost of items withdrawn for personal use . . . . . . . . . . . 36 37 Cost of labor. Do not include any amounts paid to yourself . . . . . . . . . . . 37 38 Materials and supplies . . . . . . . . . . . . . . . . . . . . 38 39 ...
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