Appendix A Please use this information for your Tax Return and Paper. *All people, businesses, and information are fictional. Any relation to an actual person or business is accidental. Harold Petersan SSN: 0XX-01-1XXX Date of Birth (DOB): 05/27/1975 Gross Pay: $51,750 401(k) contributions: $4,140 Healthcare costs (payroll deductions): $1347 Reported wages: $46,263 Social Security Wages: $50,403 Medicare Wages: $50,403 State Wages: $46,263 Taxes withheld: Federal: $2896.06 Social Security: $3124.99 Medicare: $730.34 State: $682.38 sdi (mandatory disability insurance): $393.24 Employer: PointMark, INC Address: 1111 One Park Place City: One City State: California Zip code: 11111 Employer’s FED ID number: 33-01XXX11 Sarah Petersan SSN: 001-02-XXXX DOB: 08/11/1979 Gross Pay: $50,000 401(k) contributions: $4,000 Healthcare costs (payroll deductions): $1347 Reported wages: $44,653 Social Security Wages: $48,653 Medicare Wages: $48,653 State Wages: $44,653 Taxes withheld: Federal: $2795.28 Social Security: $3016.49 Medicare: $704.98 State: $658.63 sdi (mandatory disability insurance): $379.55 Employer: CompanyOne Address: 1111 Place Road City: One City State: California Zip code: 11112 Employer’s FED ID number: 33-01XXX22 Dependent: Tara Petersan SSN: 001-XX-XX00 DOB: 12/29/2004 Child Care Costs: $10,320 Child Care Provider: fabulous daycare center Address: 121 Place Road City: One City State: California Zip code: 11111 Identifying number: 33-XXXX011 Life Change Events Home Sale: Primary residence sale price $520,000 cost basis (incurred three years prior) $300,000 Property Tax paid: $1,500 Mortgage Interest paid: $14,400 1. Tax Return Paper Complete federal income tax forms for a married couple (information provided in Appendix A of the Appendix and Forms section under "Final Paper" in the left-hand navigation). It is up to the student which forms are used from the following list (blank copies of all forms are available in your classroom): • Form 1040 • Form 1040A • Schedule 1 • Schedule 2 • Schedule A • Schedule B • Schedule D The assignment can be completed with or without the TaxAct CD that comes with the hard-copy of the text. Upon completing the return, the student will submit a three to six page paper describing why they chose the forms and how the federal income tax return forms work. The student will submit both the tax return (all forms used) and the paper to their instructor. The Tax Return Paper must reflect college-level writing and thinking, and will contribute 15% to the course grade. 2. Writing the Paper The Paper: • Must be three to six double-spaced pages in length and formatted according to APA style as outlined in the approved APA style guide. • Must include a cover page that includes: • Title of paper • Student's name • Course name and number • Instructor's name • Date submitted • Must include an introductory paragraph with a succinct thesis statement. • Must address the topic of the paper with critical thought. • Must conclude with a restatement of the thesis and a conclusion paragraph. • Must use at least five professional resources, including a minimum of two from ProQuest. • Must use APA style as outlined in the approved APA style guide to document all sources. • Must include, on the final page, a Reference Page that is completed according to APA style as outlined in the approved APA style guide.