1201009/27/19940.03/03/202112010for any delay in processing or refund; and, d) the date of any refund.Taxpayer's Prior year PINTaxpayer's Electronic Filing PINSpouse's Prior year PINSpouse's Electronic Filing PINTaxpayer's Date of Birth:Taxpayer's PIN:Spouse's Date of Birth:Spouse's Prior Year Adjusted Gross Income:Spouse's PIN:Taxpayer's Prior Year Adjusted Gross Income:knowledge and belief, it is true, correct, and complete.Under penalties for perjury, I declare that I have examined this return, including any accompanying statements and schedules and, to the bestDate:information from IRS: a) an acknowledgement of receipt or reason for rejection of transmission; b) an indication of any refund offset; c) the reaI consent to allow my Intermediate Service Provider, transmitter, or Electronic Return Originator (ERO) to send my return to IRS and to receive tPerjury StatementOn-Line Self Select PIN without Direct DebitTax Return Signature/Consent to DisclosureSelect PIN below.Consent to DisclosureI am signing this Tax Return and Electronic Funds Withdrawal Consent, if applicable, by entering my SelfANTONY J NGANGA PERRY8453OL(D) (2020)FD8453OD-1WV 1.0Form Sof tw are Copyrigh t 1996 - 2018 H RB Tax Group, Inc.
28,83828,83812,40016,4381,7743,6331,8590ANTONY J NGANGA PERRYUnited States TreasurySince you are filing your return electronically and you choseto use an electronic signature, you do not mail your return.Address Summary Make check Instructions payable to Mailing FOR THE YEAR ENDINGDecember 31, 2020TaxPrepared for 2020 Federal Tax Return Filing Instructions Total Taxable IncomeTotal PaymentsTotal Tax$$Total Deductions$$Refund Amount$$$$Adjusted Gross IncomeAmount You OweGross IncomePlease attach a copy of each W-2, W-2G, 1099G and 1099R to your return.Ver 0260Print a copy of the return for your records.STEP 1 - Once your e-filed return has been accepted, you will receivean e-mailSTEP 2 - Keep a copyChecklist (2020)FDCHECKE-1WV 1.0Form Sof tw are Copyrigh t 1996 - 2018 H RB Tax Group, Inc.
633-44-7950NGANGA PERRYFORMANTONY JAUSTINSocial security no.(2)Relationsh ip to you(3)X6263 MCNEIL DR211628,838.12,400.28,838.28,838.16,438.12,400.TX78729Xf iling separately,$12,400Qualifying$18,650$24,800 widow(er),Credit f or oth er Ch ild tax creditSingle or M arriedIRS Use Only - D o not w rite or staple in th is space.D epartment of th e Treasury - Internal Revenue Serviced epend ent sh ouseh old ,St and ardD ed uct ion,M arried f ilingany box underif f iling jointly, w ant $3 to go to th isCh eck h ere if you, or your spouse see instructions.f und. Ch ecking a box below w ill notForeign province/ state/ countyjointly orHead ofif qualif ies f or (see inst.):ch ange your tax or ref und.If you ch eckedHead of household (HOH)Capital gain or (loss). Attach Schedule D if required. If not required, check here Add lines 12 and 13one box.