Name: Paul McConkie CHAPTER 12 TAX RETURN ASSIGNMENT Using the data for GREGORY & LULU CLIFDEN (Comprehensive Problem Two from Appendix D, on age D-6 of your textbook), prepare the FEDERAL and UTAH tax returns using any method you choose (by hand, using the PDF fill-in forms or using tax prep software]. Since you will need to prepare the Utah return, please assume the taxpayer lives in Utah, rather than California. Using the completed returns answer the following questions: 1. What amount of taxable interest is reported on Schedule B? ZASS 2. What is the net income (loss) from Schedule C? 98, 0S 3. What is the total capital gain (loss) reported on Schedule D? 2.350 4. How much are total FOR AGI adjustments (1040, line 36)? 10,182 5. What is the taxpayer's Adjusted Gross Income? 20, Hor 6. How much are total itemized deductions on Schedule A? [4250 7, How much can be taken in total credits on Form 1040, line 55? 2.000 8. How much is reported as total payment on Form 1040, line 74? LB.3S50 9. What is the Utah taxable income reported on Form TC-40, line 9? 2 Y Z 34 10. How much is the Utah taxpayer tax credit reported on the TC-40, line 20?__-7 7.7. SUBMISSION INSTRUCTIONS: Using this page as a coversheet, please scan/print this page and the completed tax return to a single PDF file and upload the return through Canvas for grading on or before the due date noted in Canvas. Late returns will be subject to the late penalty and will only be accepted for 1 week beyond the due date. ‘This assignment serves as the ePortfolio signature assignment for this course. Please upload the return, along with a brief reflection, to your ePortfolio and provide your ePortfolio link in Canvas.1 Societe suri U.S. Individual Income Tax Retum a Fer aa 1 or iG ‘oar rm a Tatras Gregory R citeen, aj an, spouses as TAT Cast nane Lue. leutden ‘Hos sdaos [paar end aval Wyou havea PD. bes, eae Wancione 38333 Fume Blane Way ‘Gy tonne bet cn, san. and PP ca. youre aa es aa core pao bo as FS, Tomecula, CA $2591, Ferlgn cur mane Foagnpanantaaeory Fai oe 4 Cv areca ath alta pono Go rater) Filing Status Nae tty een er oe haz eons) ‘aul penioc oh tre one reckenton "enarspounesSONaboe urea bee LAE eitinnotoe 5 [1 ease nis aE Exemptions 62 Ed Yourset someone ear Gam you sa dopendan, donot check box Ga J oa b_ [Spouse a x etait ni Fe Dopencoi: Gore | aoe | Ot oe | (0 Pitan canny | obit | QRS, | SERENE SR tere than oye S821 den eel 4131 [son wont aeere ceeeeee eee 465768378 [Son ‘perenetrd ftoreand Sle arszsseze [som ‘sree | ‘oheok here LC) pee ‘dd manos on [5 Total number of exemptions ded thos above > ‘Wages, sala, tps, ete Aflach Forma) W-2 30200] a = 5 a Tes % ‘8a Taxable intrest. Aach Schedule B ifrequired 3055] b Taxcexempt interest. Do not include on ine Ba 80. “400 of 92 » 0 Income sis “Attach Forms) ‘Araen Form) ‘Oncinay dividends. Attach Schedule Bit requred Een noe 326| eesentaee Qusies civdenes 0 326] (W.26 and 10. Taxable ehunds,oredts, or ofsets of state and local Income taxes 10 3000-Riftax 44, Almony recelec wos withheld, 42 Busmrstcome for) tach SenedleCo = 2 sre 13 Capital gain or (oss). Attach Schedule 0 if required. If not required, ,eneck here > 0 [as 9350 Se ‘14 Other gains o losses). Attach Form 4797 ae 4 gaz 18a tractors | 180 ve ieatewmin Lie 0a. Parsons and amtes [1a col] & Toate sna ie 300 17 feria real onlays, prone S Gaporln ata. ach Sched [37 48. Ferm income cr oe) Aah Sande F “8 18 Unenplomren compensation ss 2 eS ie ata sooslecuy owes [eta] || w tantioamant > 21 Oterisoma ist ype ard ercunt” Form ate $22 Contato soul tr cu rs? SSR TS ye ais 2 Bs 00 24 7a00] 22. 22206) 218 z Edict expanses Adjusted Cota bees eparee ofrecer, praia rd Gross ‘foo-asis goverment oftials, Attach Frm 2105 o 2108-2 Income ‘Heslth savings account deduction. Attach Form 8869 Moving expenors Altech Form 8600. Onde par of settempemen ex. tach Scie SE ‘Salemployed SEP, SMPLE, anc quale pars Sst-employed neath insurance deduction Peet on estywibcawal of enwngs ‘iron pad b Recents SSN ms eck als 431 IRAdeducbon ss» ne Student an interest dewcton “uttn and fees. Atach For 6617 amwatoprocicton acts codon, tac Fen 03 ped tres 20 troughS ss oe a sors Sabatino 36 ro ine 22. Thais your adustd goes income > [ar od Fay Disdara Pia Po. and Paperwork Reduction Act Notice, aoe seperate nsiucions, cae 1a00s Fam 1040.) Is. ass2 ar eRERRERBREE SeeeeseszRreeFem 12D Boia Pao 38° Amount from line 37 (adjusted gross income) fn BT ate ae . | sa 82244) ‘Tax and 282 Check | [] Youworo'born botora January 2, 1950, tind, | Ttatboxes Credits it CZ Spouse was bom before January 2, 1950, [] Blind. } checked ® 39a yew spvse tries oa separ reli or ou he acaba le, check ere aH] 0__temized deductions (rom Schedie A) or your standard deduction ee et marg) 0 20 1 SbtractIne 40 rom ne 38 “a1 0 42 Exemptions feeb S155 rae mutpy S85DEy PorunEw niroes Ohaies arehctee | AD 8750 43° Texebleinoome, Subrct ine 42 fom ne, ne 2 frmerethantne i, entr-Q- [a8 a8 “44 Tax {see instructions). Check if any trom: a [] Form(s) 8614 & []Form4972 ¢ L) 44 4086 45 ternative minimum tax (See nstuclors) Allach Form 6251 e 4 bees nro a cesta. ton om te 2 Fae 47 neineste45,0n046 Co Sb tg 78 48 Foon tx red. Aton For 1118 Frecured - * 49. Gedttercnidand dependent owe iponees tacnFomn24a1 [48 {50 Etocalion cedar Form 869, 19 = |B _Retrament savings contbutons cre tach Form 8890 [St 52 Chigtax cred Atach Senedule 612, requred. [5B 3000 53 Reston orgy cred, Atacn Form 9805. = 54 Other ores irom For: aL) 3800 b C8901 o [) 4 55 Ad ies 4 ough 54. These are your total rots E 5 at] ‘56 _ Subtract ne 8 fom te 7. ine 8 amore than Ine 7 enter 0 » [se tose 7 Sel-enyiojment tax Attach Schedule SE oe = 2203 Be ‘Unropored social secuty and Medicare tax rom Form: a (437 [1 gor9 58 52 poste nha cr aera ro MN em 0 fd so 00a Household employment taxes fom Schedie Hs ee aoa 1 Frevmenometier cet repayment Atach Frm 55 i equed oo (81 Health care: Individual responsibility (see instructions) Full-year coverage [J]. 61 62 Taxes from: a []Fonm eso» [] Form 8060 _ ¢ [] instructions; enter codes) 62. €8._Aadne 66 thoagh 62. Tis your tla tox. Se fee aa Payments "64 Federal nome x witnel tem Fors W-2 and 108 a 7050] Tommy Vit etlosinten ams anderen aga ton 200 eu 68 "yaunees a Eamed come ered (1) ea Ghig-anech |. © Nontaxabie combat pay election Leen | Serio] 67 Adctond ci tax erect atch Seale BH Se | 7 (69. Amerian opportunty ore om For 8869, ne cy 89 Netprerum tax crt. atach Form 6962 70 Amount pa with request fr extencon to fle 70 71 eset scl scuy ad tar RATA ax with ‘ie 72 Grectfocteceral tx on ul tach Fm #135, 2 78 CedisfonFom [] 2690 b [Brewed © [El Poed a 3 1A Aedies 6,65, 660, 25 67 trou 73. These ae yr aal poymenta | 74 s00s0 Refund 78 ine 74 is more then ne 63, subtract ine 68 for Ine 74. Ts the avout you overpaid [75 sass ‘Téa Amount of ine 78 you want refunded to you. i Form 8888 is attached, check here &L). | 76a 2461] Stescan® & Roig mow | | [| stpe Plemeg Cie >. Accountnumber [|_| ese Ee acto 77__ Amount of line 75 you went applied to your 2075 estimated tax ® | 77 | | Rmnount 72 Amount you one. Subtract ne 74 rom ino 6. For delat enow to ay, soo tavoions > | 79 You Owe 79 _Estimatod tax ponaly (see instructons) eral L Third Party BAYOU wero slow nce percn to aces Wo tar wi sD tne TARLETON] Veh. Compa blow] No Designee se roe. nao TT Td Sign Ung pene py |e Be Sd rc SSG aS alr a ty a SS aya hus conte td sn cuatonopeer eae ten Sopa ead soraionetmtcr anaes te eee veurennave Oa You ccopaton ayn pve navewr ‘set So SSE | ovemmmeeme pe pe perros rome fstsvel TT TTT) aa a 7 Ger Oe] Praparer Pau MConkie Seis Use Only Ts Euisin > haneeeo Pom t040 a4‘SCHEDULE A (OB No. 1846-0074 panicen, Itemized Deductions 2014 Tome | suman sesttinannewtnpenstansereestuningenacan, | 204 tana rere ae) > Attach to Form 1040, Sees 07 Faster on Far TOT Your eal os naar Caution. Do not acude expanses romnbursd oF pal by hes. 1. Medical and dental expenses (see instructions)... ; [4 2000 2 Enter amount from Form 1040, ne $8. [2 szzud 3 ‘Mutiny oe 2 by 1096 (10), But if eter you or your spouse was born before January 2, 1850, mutpy ne 2by 7.5% (073) instead [3 azz 4 Subirect ne 3 ror lne 1.1 ine 3 ls more than tne 1, erter-O- sd 4 9 Satan al he oy one Hor womewieg or Voss see ss LS 20 © Cloner sales taxes 6 Realestate taxes (ee instructions) 7 ° ozo) 7 Personal property taxes. ae 7 0) 8 Other taxes List ype and amount 2 9 terete 2 2309 Interest 10” Home mortgage interest and pols reported to you on Form 1098 [10] 3209 You Paid 11 Home mortgage interest not epored To you on Form 1098 I paid {o the person om whom you bought the home, see instructors Noto. ‘and show tha person's name, ideniVing no, and adress > Your monoage forest - Sesucton may a4 botmted eee ‘ol roporied fo you on Farm 1688, Seo nsiuctions for testo) Special rules * : 12 48 Mortgage insurance premiums (ee instructions). ra 14 vostmantintorast. tach Fn 4952 equres, (00 nstetiens) [14] 18 Add ines 10 trough 14... aerator 5 sr) Gift to 16 Git by cash or check. H you made any it of $250 or more, Charity 00 instructions i] 87 fyouraiea 17 Other than by 6a9h or chock. any Git of $280 or more, see gtardgota _inetritone, You must attach Form 8283 i over $500 7 berefttert, 18 Canyoveriromprioryer .. ss... Dl serbanuctone 49 add ines 16 through 18 ~— 19] 213 Tasaaliyand Theft Losses _20_Casuaty or theft losses) Attach Form 4654, See instructions) « . lool Job Expenses 21 Unreimbursed employee expenses—job travel, union dues, El ‘and Gertin job education, eto. Afach Form 2108 or 2106-62 if required Miscellaneous (Soe instructions) fat Deductions 22 Tax preperation fees zal a3 23. Other exconses-—investrent, safe depost box, ete. st type and amount i beste 24 i tous aan 25. Entor amount from Form 104, te 98. [25 26 Multiply ne 25 by 236 (02). +s] 27. Subisactline 25 from tne 24, Ine 26 is mare than line 24 27 Pa) Other {28 Other from Fst in instruction. Lit type and amount iseetaneous Deductions za ~ feel Total ___ 29 Form 100, Ine 38, over S152 5057 emized No. Your deduction isnot tinted. Adel the arnounts in the far ight column Deductions forlies 4 through 28. Also, enter this amount on Form 1040, ne 40. - fl sz 11 Ye. Your deduction may belinited. See the emized Deductions ‘Werksheet inthe instruction to igure the amount to enter. 80 If you elec to itemize deductions even though they are less than your stenderd deciuction, check here > oO ‘For Paperwork Reduction Act Notice, see Form 1040 instructions. Cat No 7G ‘Shee A Form 101} 2014SCHEDULE B us no. rss po wantin Interest and Ordinary Dividends | 3014 Deere > attach to Form 10408 o 1040 Pera Za] Intrmation about Schedule Band te netuctone le wire. gov/choduieh. sore oe Fat show on ors xcry bor SScogory chidon 13.88.5756 Part | 7 List name of payer ary interest is from a sellerfinanced mortgage and the ‘Amount buyer used the property asa persona residence, see instructions on beck and Ist Interest this interest fet. Als, show that buyer's social secutly number and adress b's Bia Bank 200] 00 coo 275.09 ‘on back and the 220 irebostons for Ferm 0200, or Form 1090, 1 tno) ote. you foosted Form “ones Form 1086-00, 0° oat Sttanert tom ‘brokerage fen, tstine te name as the 2 kek yamounis online?. . ss ~ [2 —— beverandente: 5 Excludabo intreat on series EE and'| 1S, savings bonds issued after 1960, shown ona Atach Form 8615. 0 = i: tom 4 Subtract fino 9 rom ine 2, Enter the recut here and on Form 104A, or Form 1040, ne Ba : >\s 2055| 00 Nat: ino 4s over $1,500, you must complete Par Hi ‘Amount. Part 8 Uetrame of payer ra : Southwes iol Ordinary [ar Dividends (Gestneructone fe Snoadcard he a fabian or Fomoion or ce Fom ior 5 be noe) re Note. ty04 [— feomed form i 1Seover see [ Steet ror ay Sbrokereos tm, ittoine j— tate pave and tr : bratat 6 Add the amounts on line 6. Enter the total here and on Form 1040A, or Form oom” 1040, tne ga : cele sz Note tne 6 is over $1,500, you must compisie Parti ‘You must complete this part you (a) had over $1,600 of taxabie interest or ordinary dividends; (o) had a foreign account; or (received a distribution from, or were a grantor of, ora transferor to, a foreign trust. Yes | No Part il] 7@_Atanytime during 2014, did you have a financial intrest in or signature athorty over a financial account (such as a bank account, securities account, eee account) located in a foreign: Foreign county? Seeinstructions . . ” Accounts IF*Yes,” are you required to file FinCEN Form 114, Report of Foreign Bank and Financial and Trusts ‘Accounts (FBAR), to report that financial interest or signature authority? See FinCEN Form 114 ee ands Instructions for fing regirements nd exceptions to those requirements» “ fetuctons.on bi you ae required fle FinGEN Form 114, enferth name ofthe foreign country where the financial aooourt i located 8 During 2014, cid you receive a ctbton fom, ov wet you te grantor of or anlar io, foreign tet? "Yes you may have to fle Form 2620, Ses instructions on back « “ For Paperwork Reduction Act Notice, see your fax return instructions. ‘Gat No. rah ‘Seale B Fan TOHOR or TORO) 2OT4‘SCHEDULE G Profit or Loss From Business eer (Form 1040) (Sale Proprietorship) 2014 eat >> nformation about Schedule C and ts separate instructions is at www.re.govischeduiee. | a | IeeaRewna seri 69] PAttach to Form 1080, 1040NR, or Y04; parnerehipe general must fo Ferm 1085. Seguro Ne. 08 Principal business o” profession, ncung predict ar ene ie netunions) ‘© _Businges name. I no separate business name, leave Blank, Rock Gen House Bed Breatast ‘Business adress (ncluding sults or room no) > 33355 Fumme Blane Way iy, town or post offcs, stale, and ZIP code _ Temecula, CA $2591, D Employer Druber ENG boars) elsistzlaiaisiela) 7S pation tem et : 6 (Did you “materially participate” in the operation of this business during 2014? If “No,” see instructions for limit on losses. i ¥es (_]No 4 Ifyou eterted or ecquired this business during 2014, check here. -a 1 Da you me any payer 204 tat woul regu out Se Fume) 10802 poe naruto Yes [No g ." did you or will you file required Forms 10897 : . [Yes [Z)No EEL ions Se ahi Sin oe Form W-2 and the “Statutory employee" box on that form was checked poeta Hat -O Lt 166575| 00 oo ma 4 ae es pt ee tee ee | oS Some Siesta cc cence? 22 Pena 2s. Enter Tor business use: “home only on ine 30. a mee a : epee tite cee 2 Semen be Senmeteceene fae 1 Seton [a Same 2 Seay ay. ee 2 Seteegeascnren |e [ag se a fe es Ts ay eller el pena me 7 ee Et at * te aw 2 Wcentetane Bene af SW ercninoescnia’ [aS aoe = 3, Cecreeeenc, [ea ee eee al ee sy seoceesmne el ol ane ee sae: {ee Se cee ge cnet eeaeetereee ony oo ee eee eee eestor seme amen ce eeereeerad Vr (ete * Fras, you must goto ne $2. 82 _tyou have aloes, check the box that describes your investment in this activity (ee instractions) ‘+ you checked 92a, enter the logs on both Form 1040, tine 12, (or Form 1040NR, line 13) and Gn Sched 5, ne 2. fou chested he Bo on ine, sete nt retcton) sats and 225) Ainvsiment i a sk frst, ert en Frm $08, fe 3. se L Semeinestnent ot + Hryou checked 820, you must attach Form 6198. Your loss may belted. FFor Paperwork Reduction Act Notice, eve the separate instructions, rer “Scheie © Fon 1040)2014‘Schedule ¢ Form 1040 2014 Page Cost of Goods Sold (see Instructions) 88 Met) used to value closing inverto: aE] Gost C1] Lowerotcostormaket —e ] Other fatach explanation 9+ Matin ay change catering gars, cnt kate betne opeingand given? 11*Yes,” attach explanation . . Sete Om {95 Inventor at beginning of year. ciferent from last years closing inventory. altach explanation 35. 95 Purchase es cost of toms withdrawn for persona se 2% {87 Cos of abor. Do not inckade ary amounts paid to yours... : Ea 28 Motors and supoties 8 39 Othercost 39 40 Addtines $6 through39 «0 41 Inventoryatendotyear . : “ 42__ Cost of goods sold. Subtract ne At fom ne 40 Enter he resi eee and on fine 4 “a Information on Your Vehiole, Complete this part only if you are claiming car or ruck expenses on Ine ® and are not required to file Form 4562 for this business. See the instructions for line 13 to find out if you must file Form 4562. \wnen aia you place your veicein sandse for business purposes? (month, day, yest) De ‘Of the total number of miles you drove your vehicle during 2014, enter the number of miles you sed your vice fo: Busine __ b Commuting (se instructions) © Other ‘Was your vehicle avaiable fr parsoral use curing of-cuty hours? 1 you for your spouse) have another vehicle avaliable for personal use? . eee - ves DN ‘Do you have evidence to support your deduction? Ove ON 11 Yes the evidence witten? Yes (No Other Expenses. st bdlow business expenses not included on ines 8-26 orn 30. Laundry Expense “Total ether expenses. Enlorhore and on ino Ta “Schel G (Fer 1040 2014aoe e Capital Gains and Losses > Attach to Form 1040 or Form 1040NR. DepatretaltreTewuy | > Information about Schodule D and it eoparato instructions ie at warwirs.gov/echeduled. Os No 1545:0078 2014 Pia cu ses po se Form 649 et your raneactions orn Ty 2985, an 10. Soe 12 aso Toa SSS ‘Short-Term Capital Gains and Losses—Assets Held One Year or Less See insrations for ow to figure the amounts to ener onthe @ aah jines below. - oe or Acjuctmonts: ‘Svtct counn eh oats Be | wake ton | Seeicnans This form may be easier to complete you round ot centsto | users) | Grohe | fateyean ret | conten vincte dolar Trefrecinorg | “ee a Totals forall short-term transactions reported on Form 1089-8 for which basis was reported to the IRS and for \which you havo no adjustments (see instructions). However, if you choose to report all these transactions (on Form 8949, leave this line blank and go to fine 1» 1 Toa oral warsations eprted on Frm) 949 wih encoeset et ie no 7 Tot al eral pedo o sigaa™ 7 lease resioareamr oT eno ma 4 Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684, 6781, and 8824 4 5 Net short-term gain or (oss) from partnerships, $ corporations, estates, and trusts from setae s «Stop carr sa am Cb Garr onan none = “om . 4 1 fer uta ga oe Conia lnc oe eee Stee ot ca bctan te rename tek 1 - Long-Term Capital Gains and Losses—Assets Held More Than One Year Tre rth amas aint =| ears irate rors ee ‘Thi form may be easier to complete if you round off cents to | ees pice) | (oro basiy | rornis eo, Part, | corore meres in neemne as | ara {8a Totals for all long-term transactions reported on Form 1099-8 for which basis was reported to the IRS and for ‘Which you have no adjustments (gee instructions). However, f you choose to report al those traneaotions ‘on Form 8949, leave this fine blank and goto line 8b ‘Toa oa ansactons reported on Forms 8949 wth BoxD checked 7500) 450] 8050 Totals or all transactions reported on Forma) 6949 with BoxE checked 0 Totals fr al transactions reported on Forms) 8940 with Box F checked. Gain from Form 4797, Pan i; long-term oan "rom Forms 2439 and 6262; and leng-torm sain oF ee) from Forms 4684, 6781, and 8824. aes eine: Heese lea 412, Net long-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedulefs) K-1_ | 12. 18. Capital gain distributions. See the instructions 13 +4 Long-term capital loss carryover. Enter the amount, ary, fom tine 19 of your Capital Loss Carryover Worksheet in the instructions... wee Leal 415. Net long-torm capital gain or (loss). Combine lin a tauah 44 colar a Then re Pat ion the back. Seer raeeeceeeegtee aL soso For Paperwork Reduction Act Notoe, see your tax rots hatrucona. Cat No. 11398) ‘Sects om 1010) 2014erat Fa 10402046 Page ‘Summary 18 Combine ines 7 and 15 and enter the result... : 16 2380 ” 18 9 ‘line 16 is a gain, enter the amount from line 16 on Form 1040, line 1, or Form 1040NR, tine 14, Then go to line 17 below. + If ling 16 isa toss, skip lines 17 through 20 below. Then go to line 21. Also be sure to complete line 22. ‘If line 16 is zero, skip lines 17 through 21 below and enter -0- on Form 1040, line 13, or Form O4ONA, line 14. Then go to line 22. Are lines 1 and 16 both gains? dl Yes. Go to line 18. C1No. Sip lines 16 though 24, and go tone 22 Enter the amount, if any, from tine 7 of the 28% Rate Gain Worksheet in the instructions. Enter the amount, if any, from fine 18 of the Unrecaptured Section 1250 Gain Worksheet in the instructions at ‘| eee ns ‘Are lines 18 and 19 both zero or blank? [J Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the Instructions {or Form 1040, ne 44 (orn the instructions for Form 1O40NR, line 42). Do not complete lines 21 and 22 below. CINo. Complete the Schedule D Tax Worksheet in tho instructions. Do not complete lines 21 ‘and 22 below. I line 18 is @ toss, enter here and on Form 1040, 18, or Form 1040NR, line 14, the smaller of: * The loss on line 16 oF + ($3,000), or if marti fling separately, ($1,500) Note. When figuring which amount is smaller, treat both amounts as positive numbers, Do you have quaiied dividends on Form 1040, line 8b, or Form 1040NR, tine 10b7 D1 Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions for Form 1040, line 44 (orn the instructions for Form 1040NR, line 42) Gi No. Complete the rest of Form 1040 or Form 1040NR. 18. 19 ‘Schedule orm 1050 2014‘SCHEDULE SE Form 1040), Self-Employment Tax |e cepmapet stew rwany | '¥omaton shou Schedse SE ands repre ieacion iatwonregorscreauce, | 2O0T4 Bierce toa Pr Aitach to Form 1040 or Form 1040NR. SEN 7 ‘aro poner wi an lion BOOTS Be TOWN OV Fo TOAD Porn TDHRAY | Soo SSO To paaT cava vansettemploymentincome > | __ gas-ap-766 Before you begin: To determine if you must fle Schedule SE, gee the instructions. May I Use Short Schedule SE or Must I Use Long Schedule SE? Note. Use this flowchart only if you must fle Schedule SE. If unsure, see Who Must File Schedule SE n the instructions. No [vos ¥ Was te toa of your wages and tis subiect te soci scary | load referent (er tax pls your net earangs tom XP py Satempcyment ean 977 C007 ‘he you a mniste, amber ofa reglou ode, or Cin ‘Sciotos practiionar who recaWed INS sporva otto bo aed [YES on eorage fom tego sours ut You ove seems con omer amine? Ne ¥ ‘id you recive church enpinjee Fone (ove mavostona) [You repeted on Form V2 of 10829 or mere? ¥ yu repo any wages on Forn 6979, Uncolected Sonal [Ye Soca ae Wada Taxon Wega? ¥ ¥° ‘eo you wing ore of be oon matads 1 ire jer nat ‘i you rece tee amet oso secuty oe Mecca tx [ou omg on artons| your nt Ly tatu dd not pet tyr employe? p=» No Ne ¥ You may woe Short Schedule SE below ‘You must us Long Schedule SE on page 2 ‘Section A~Short Schedule SE. Caution. Read above to see if you can use Short Schedule SE. 1a Net farm profit or (oss) from Schedule F, ine 64, and farm parinershipe, Schedule K+ (Form 1085), box 14, code, . : ta you received coil secur retrement or abit benef, enter the ano of Conseation Reserve Program payments included on Schedule F, Ine 4,0” Isted on Schedule Kt (Form 1065), box 20, code Z| 4b. 2 Net profit o Goss) from Schedule G, line 31; Schedule C-E2, ne 3; Schedule K-1 (Form 1085), ox 14, code A (other than farming); and Schedule K-1” (Form 1085-6), box 9, code J1. Mitre and mambo of egos order, de inetructone for ‘ype of neome to repet on ‘this line. See instructions for other income toreport . i rea tenant ss785 3 Combine tines 1a, 1b,and2. . . 3 52765 4 Multiply ine 3 by 92:35% (9225). If less than $400, you do nat ove self-employment tax; 4p ‘ot file this schedule unless you have an amount online 1b... 4 51269 Note. fine 4 is loss than $400 due to Conservation Reset Program payments on tine ® ‘902 instructions. ‘5 Self-employment tax. Ifthe amount on tine 4 is: +'8117,000 or less, mutiply line 4 by 15:39 (153). Enter the resut here and on Form 1040, tine 57, ‘Form 1040NR, lino 85, * More than $117,000, multiply line 4 by 2.99% (028). Then, add $14,608 to the result Enter the total here and on Form 1040, line 87, or Form 1040NR, tine 85. Deduction for one-haif of self-employment tax. Mutiply ine § by $0% (60). Enter the result 1049, ine 27, or Form 1040NR, tine 27 ‘and on Form For Paperwork Reduction Act Notice, see your tax return instructions. pore’ ‘Soho SE (Form 1040) 2014Sched SE Farm 10402046 Atachent Sequanc to. 47 Page Tame of pazon wit al-emplaymnt income a how on Far Tsao Form TOON) octal surly numberof person vrthsett-employment income Section B—Long Schedule SE Self-Employment Tax Note. f your only income subject to se-employment taxis ehureh employee income, cee nstruclons, Abo see inetuctons Yor the definition of church empioyee income. ‘A ityou are a minister, membor of a religious order, or Christian Scienoe practioner and you fled Form 4361, but you had $400 or mare of ther net earings from aet-empoyment, check here and continue with Part. -> oO ‘1a Net farm proft or (oss) from Schedule F, ine 34, and farm partnerships, Schedule Kt (Form 1068), box 14, code A. Note, Skip lines 1a and tb Ifyou use the farm optional method (see instructions)" [Ya ‘if you received socal secu retement or dsabitybenefis, enter the amount of Coneenaton Reserve Program payments incuded en Schedule, tno 4b, ested on Schedule K-1 (Frm 1068), box 20, code Z| 1b IL ) 2 Net proft or (oss) from Schedule C, line $1; Schedule O-E2, ne 3; Schedule K-1 (Form 1065), box 14, code A (other than farming; and Schedule K-1 (Form 1065-8), box 9, code J1. Ministers and members of religious orders, sea instructions for types of income to report on ti te, See ntucton o oer nore to reper Nee. kip this you use the nonfarm ‘optional method {seo instructions) . : 2 3 Combinelines 1a, 1b, and2. . B 4a_ fine Sis more than zero, mutily ne 8 by 92.5% (9285) Otherwise, enter emount fom tine 3 [As Noe, line da es than $400 du o Conservation Reserve Program peyments on line tb, see nstuctons. bb Ifyou elect one or both of the optional methods, eter the total ofiines 18 and 17 here. . | Ab © Combine tines 4a and 4b f fess than $400, stop: you do not owe salf-ompioyment tx. Exception. I less than $400 and you had church employee income, enter -0- and continue | 4e ‘5a Enter your church employee income from Form W-2. See inetructions for definition of church employee income... [Sa Muti ine 6a by 82.96% ($295). less than $100, enter-0- .. . =.) LSB 6 Addlines4candsb . . 6 7 Maximum amount of combined wages and sel-emplayment eamings subject to social scanty ‘ax or the 6.2% portion of the 7.65% ralroad retirement (let 1) tax for 2014... 7 117,000|_00 ‘82 Total social security wages and tips (total of boxes 3 and 7 on Form(s) W-2) and rallroad retirement (ier 1} compensation. 1¥$117,000 or more, skp lines 8b through 10, and go to line 11 | Ba Unreported tips subject to socal security tax (rom Fo 8137, ina 10) [8b {© Wages subject to social security tax trom Form 8919, ine 10) [Be d_ Addlines 8a, 80, and 8 ~~ Led ‘8 Subtract tne 8 trom tne 7. it 2er0 or loss, enter -0- hr andonin 10 and goto ne 11 > [eo 410 Mutiply the smaller of lne & or ine 8 by 12.496 (124) seer 40 11 Malily ine 6 by 2.996 (029). rn 42 Seltemployment tax Add nes 10 and 11 ter here ane cn Form 1040, tw 67,0 Form 1040NR, ine 55. "12 48. Deduction for one-half of selremployment tx. ‘Muttipy ine 12 by 50% (50). Enter the result hore and on or 4, 7, orm 04, e27 Lis Ll ‘Optional Methods To Figure Net Earnings (see Instructions) Farm oomeal ‘Method. You may use this method only if (@) your gross farm income" was not more Be tan 7.200, your rtm rt waa tan $5,198, 14 Maximum income for optional methods... 14| 4800 00 18 Enter the smaller of: two-thirds () of gross farm income” (not less than zero) oF $4,800, Also include this amount on ine 4b above . 15 ‘Nonfarm Opional Mtiod, You may use tis method ony Wf) yor oat nonfarm profs’ were fas than $5,108 {and also less than 72.180% of your gross nonfarm incom and (3) you had net earings from selFemployment fat least $400 n 2 ofthe prior year. Caution. You may use this method no more than five tes, 16 Subtracting 1Sfromline 4. -. [6 47 Enter the smaller of: two-thirds (of gross nonfarm income not less than zato)or the “mount online 16. Alo include this amount on tine 4b above... 7 + Fram Set Fine, and Se. Kt arm OES, 0x14, code 8, * om Sa 6 ne 3: Sch © 2 lne 3 Sn. et [om TOES, ok, COE * Fro Sh FI a nS am 1065) tox 4 code Amuse | Nan Sh KT Fen (05 bo a Ergun fostdtawerivedenine Whadyevvet edo oplowt” | “hem Ge. Joo7 Sr CZ oe 8h Far 00, ox 4, cote ‘Schedule SE (Form 1O%0) 2014‘aay 881 4 Parents’ Election To Report (OMB No 1545-0074 Child's Interest and Dividends Deparment Tressny > Information about Form 8814 and its instructions is at wunw.irs govlfonn8B14 ‘rere eve Serv (0) DF Attach to parents! Form 1040 or Form 1040NR. ‘ats show oh fur ‘Your ai sary mambo? Gregory R.ciden 543.90-8756 Caution. The federal income tax on your chiid’s Income, Inclading qualified dividends and capital gain dstibutlone, may be lees you file 2 separate tax return for the chi instead of making this election, This Is because you cannot take certaln tax benefits that your child could take on his or her own retuin. For details, see Tax benefits you cannot take in the Instructions, ‘A Child's name (rst, nf, and last) Ces socal secur number T.ciilden 85.76.5575 ©. tf more thanone Frm 8614 is stache check here... : CChile’s interest and Dividends To Report on Your Return ‘Ta Entor your chid’s taxable inlorect, ihe amount la diferent from the amounts shown on The child's Forms 1009-INT and 1099-OID, ses the instructions... aie ee Lt 2100] 'b Enter your child's tax-exempt interest. Do not include this amount | onlineta. . 4b 2a. Enter your cil’s ordinary cdens, neluding any Alaska Permanent Fund GNiGanda,T Torr ‘child received any ordinary dividends as a nominee, see the instructions. 2a 'b Enter your child's quaified dividends included on line 2a. See the . T— Instructions... 2b, 3 Ener your chie's capital gain dstrbutlons. If your child receWved any cap gan derbies ‘asa nominee, see the instructions. a 4 Add toes 1a, 2a, and 3. the tots $2,100 ores, skp tines trough 12 and goto line 12. ‘the total ie $10,500 or more, do not file this form. Your child must file his or her own return to report the income. - La 400] 5 Base amount 7 see eee 3. 2100 | 00 6 Subtract ine 5 fromiina 4. | 6 1300] it both lines 2b and 3 are zero or blank, skip ines 7 through 10, enter -0- on tine 11, and go tolline 12. Otherwise, go to line 7. 7 Dido ine 2 by tne 4. Enter the reut a a decimal founded oat least three placss). z 8 Divide line 3 by te 4. Enter the result as @ decimal (ounded 10 at least three places) : a 9 Multiply tine 6 by tne 7. Enter the result here. See the instructions for where to report this amount on your return . 2 10 Multily line 6 by ine 8, Enter the resuit here. See the instructions for where to report this amount on your return... 10 41° Add lines 9 and 10 ‘ 4 A 412 Subtract lin 11 from line 6. Include this amount in the total on Form 1040, line 21, oF Form TORO, rw 21. nthe space nett ne 21 enter "Form BBY4" ad ehow tho amount. you {checked the box on tine C above, see the instructions, Go to lino 13 below... 2 1300] _00 ‘Tax on the First $2,100 of Child’s Interest and Dividends 73 Amount nottaxed 5 eee) aero aga a 71080 [00 14 Subtract ne 18 from line 4. the result ie zor0 or less, enter-O-. |. | fe. fe 250| 18 Tax. Is the amount online 14 loss than $1,050? (INo. Enter $105 here and see the Note below. ‘ 15 2s G1 Yes. Mutiply line 14 by 1096 (10). Ent the result here and see the Note below. Note. If you checked the box on line C above, see the instructions. Otherwise, includ the amount from lino 16 In the tax you enter ‘on Form 1040, ine 44, or Form 1O40NR, ne 42. Be sure to check box a on Form 1040, line 44, of Form 1040NR, line 42. For Paporwork Reduction At Notice, 600 your tax rum Instructions, at Na 107800 For 8814 (015_ Var saa aceon 2014 OO beter eleeldecmin silence iste TC-40 _—— All Stato Income Tax Dollars Fund Education 9998 Es eae eeenaeceee eee ues seseos7se Gregory R Sitaen Teahcbete Seneree oes neciseens tula'S Crieaen ‘aes mana! cate a Se a ipmenyoaUT Penacula wr sein 7 Finger FF Beaptina omar etn Co Finder aa =m va. vom eee ae +2 2a aries tteg jointly bi Spouse" (© = Constitution — Flitttamgepenyy | 63 Depo peareet tera ‘aHeotateutta STE Oapoce io ay ceeea ne an tauanng wot) ie a apo essai cheanae = fee cee ee peed fearon 4 Foul eu gos am itu - az 5 Abens hear om TCADA, Pat teh TCADA, poe 1) “6 a i een cuavecuaat ‘ wen i Sous ecesintiusde eu tee be a on {ewes emer tn TOGA Partch 40, poe) . om 9 a etl nce fon) sethantes ante Be seer fa ben ee yi oO otc) i: «asm 11 Barn anni 228208 ne dr fH2825 sui) «1 Oe] cron Ring eo eae i. noe7s.m | oben ng, tesa il 13 Adding 11 and fine 12, 3. See ‘speed up your refund. 14 oun ere actin cd A ay on 620 | —yommnom, coe 15 Subtract line 14 from tine 13 16____—-28660 0 taxexpress.utah.gov 16 Initial credit before phase-out - multiply line 15 by 6% (,06}. “16. 1720 9 17 eae Spot Gfeciecr mandy mpteyrtonsesqrnes —-7_ 27380 Shy ce eeepc eames} {steneuateaopamadtseaine irieniespamefanse) 1 fT {8 Past amout-muty ie 1857134 (015) a a8. Fences ravh ap unt ee oy o72.0 21 you are a qualites exempt taxpayer, enter“X"(comleto worksheet n nst:) +21 22 Utah Income tax- subiract in 20 fom tne 10 (nt las than 20P0) +22 3265.00Utah Individual Income Tax Return (continued) To-40 Po? 40402 sou 543889756 Lastname Clifden 2014 28 Entrtox from TO-40, page 1. ine 22 a 3265.00 24 Appotionae nonrefundable ces from TC-40, Pat (atach TC-40, page 1) +2 om 25 Fullyear resfet, subractne2¢ fom ne 23 (not ase than 20) +26 3265.00 Non or Part-year resident, ene the tax rom TO-408,ne 38 28 Nonapportonable nonrefundable credits fom TC-40A, Part (attach TC-40A, page 1) +2 0.09 21 Subivect ine 26 rom ne 25 (notes han zero) 2 3265.00 28 Voluntary conieutions fom TO-40, page 3, Part fatach TC-40, page 3} +m om 29 AMENDED RETURN ONLY - previous refund + om 30, Recaptreofoinoome housing red +90 on 31 Uh use tax 1 om 32 ‘Tota tax so tax and additions to tax (ad nes 27 trough 31) 92 3265.0 {33 Uteh income tax ielé shown on TC-40W, Par 1 (attach TC-40W, page 1) +33 670.00 4 red for Uah income taxes prepaid rom TO-548 and 2013 tein apoio to 2014 +34 6000.09 35. Passstvough ently withing tax shown on TC-40W, Pat 3 (atac TC-AOW, page 2) 235 0 36. Neral producton withholding tx shown on TC-40¥, Patt? (aach T6404, page 2) +88 oO 37 AMENDED RETURN ONLY - previous payments 0 88, Refundable cris fom TO-40A, Part 5 (altach TC-40A page 2) 38 Total withholding and refundable credits - ad ines 38 though 38 6670 99 40. TAX DUE--eubirac ine 29 from line 92 (not ess than zero} 7 9 41. Penaly and intrest (98 Instrucons) 4 aa 42 TOTAL DUE - PAY THIS AMOUNT - add ine 40 and ne 41 0 48, REFUND--subract ine 32 from tine 29 (not oss than 2er0) +43 3405 00 44. Amount of rafund on ne 4 tobe apples to your 2015 taxes + 4a o 45. DIRECT DEPOSIT YOUR REFUND - provide account information (269 invuctons fr foreign accounts) cwckng save + Routing number ‘Account number ‘Account tpt + ‘Ueda parins ot pfay Taare os bal ory Rong ad Bal ea ad onan SALT Ne Wom COTO ad COT SIGN Your sipatze ate [spoue'ssgnatre (ing) Date HERE 2 Td Py ame of designe any) you autor to dass [Desarees Westone number [Dosanee PTIN Desinee Paul Meconkie : Preparer snare ae [Pepa wage none | PapaersPTIN Prepaecs [Fee rame Preparers EN a “Riach 70-40 pogo you ae ng ea deceased laxpaye, ng acl yaoi, ind RS Tom 868, are malin vara cortBUSne aang 3 ect Speak tobe sete your Uh Edvatna Sevings Plan requesting» direct depst be seo fosgn soca. rset ker en a horneonner’s exept.Utah Individual Income Tax Return (continued) Te-40 P03 40403 ssw 543889756 Lastreme Clifden 2014 Part - Deceased Taxpayer Information the taxpayer shown on page 1 is deceased, enter the date of deat hee: Lol IW the spouse shown on page 1's deceased, ener the date of death hore: "Loa {you are claiming a refund fora deceased taxpayer and ara nt the surviving spouse, ener“ : ‘You must compete end atach form TO-131 fo he return. Part Fiscal Year Fler "fing a fecal year atin (a year other than January 1 trough December 31), ente the fiscal yearend (rami) ‘Seo incometax.utah.govitopiesfiscal-year-fling, wp 03 -Fodoral Form 6096 fied Hf you fed federal form 8888, Reportable Transaction Disclosure Statement entar x: 4 Get form and insructons a ir. gov. Part 4- Voluntary Contributions (wits the code and amount each vountary ontibaton) ‘See explanation of each contibuton a incometax.utah govicontibutions andlor the TC-40 instructions Sch Dist ‘02 Pamela Atkinson Homeless Account Code Amount Code (8 Kurt Oscarson Chaereris Organ Transplant Azcount (05 School Distt and Nonpoft School Distt Foundation - enter school st code : ea ve ‘See codes ncomstaxulsh goveontrbutonslschockstctcontuons i (09 Gatand Bog Community Spay ané Nauter rogram : 0 11 Canine Body Armor Account SeeoneeaeeSa 12 Invest ore for Eovcation Aecount 7 18 Youth Dovelopment Organzaton Account ae i 14 Youth Character Organization Account : : fee ‘otal voluntary contributions (rt the tts here and on TC-40, page 2, Bn0 28) oe an §- Utah Educational Savings Pan Ratund Appication “To dopct your ttl rotund into your ah Educational Savings Pan (UESP) accounts) ener X: era Priel rofuns are not lowed, UESP wil vide your refund equaly between all our accounts you donot have an account, VESP wil send you en Account Agreement to open an assur ya tlt turn the agreement wihin the timeframe UESP deslnats, your refund wil be returned to you by UESP wfhout interest or earings, ‘Seo wosp.org of call 01-52-7188 or 1-800-418-2651 art Direct Doposieto Foreign Recount Ifyou choose to tect depos your refund fo an account outske the United States ane ts tert, enter "x ‘ The Tax Comeission carnal aster a refund to an acount ouside th Und Sats and is eters. ae By checking this box, your refund wll not be dec deposited bt wil be sent to you by check. ‘Part 7 - Property Owner Residential Exompten Termination Declaration 1 you area Uta residential property owner and declare you no fonger qully to receive residential exemption : tor x authorized under UC §59-2-10 for your primary residence, ener" and ener the county cade where the a residence is ected (se nstuctons for county codes and aden formation). + extorcode wal ish Sisto Tax Commission Mai Usa Sais Tax Commission RETURNS WITH 210 1950 W ALLOTHER D210 500 PAYMENTS te: __SaltLake iy, UT 86154-0265 RETURNS SaltLake Oty, UT 84134-0260 ‘Submit page ONLY if data ontored, ‘Attach completed schedile to your Utah Income Tax return,