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Name: CHAPTER 12 TAX RETURN ASSIGNMENT Using the data for NOAH AND JOAN ARC (Comprehensive Problem One from Appendix D, on page D-2 of your textbook), prepare the FEDERAL and UTAH tax returns using any method you choose. 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 qualified dividends is reported on the 1040? B42 2. What is the net income (loss) from Schedule C? KZ ,020 3. Whats the total capital gain (loss) reported on Schedule D? 4, What is the total capital gain (loss) reported on Schedule E? 5. How much are total FOR AGI adjustments (1040, line 36)? 6. How much are total itemized deductions on Schedule A? 7. What amount is reported as Taxable Income? 8. What amounts reported as federal tax on line 44? 9. How much can be taken in total credits on Form 1040, line 55? 10. How much is reported as total payments on Form 1040, line 74? 11. Whats the Utah taxable income reported on Form TC-40, line 9? q 12. How much is the Utah taxpayer tax credit reported on the TC-40, line 202 caf 13. How much is reported as withholdings/credits on the TC-40, line 39? 21260 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. 1040 US incividuar incomo'tax Return [2015 |cnera sere rou cues a ai ace Tort pre-B 715 october Die eae See separatohatructons aur Rata wae Tae "Your soll sci Bsr Ngan ORE 734-1 33il Tae roi, apoaseS HT is TTT Tare ‘ou SCY aber Joan oee 456 8F-S13Z i a (TERS HRSA. HYOU TG 3 PO, BO, TONS Tom [a vinis aes eee W342, Jowe po A "ard onin ca cre yo STE ae re FSI a 5 CO SR, SC DI TR a Sect Late Ty UT BALL crack ety. ory spent fng Fars ocr rae Fea penal cy Fai saree [An an BEN cg eine "Ch vou [1 soune Fling Staus 1 L Shae 7 Ce are ting pron ee ects) 2 Ei Maries ting joint (even it onty one ha income) te aig pone at att your dependent et Check only one 8] Maried fing separately. Enter spouse's SSN above chide ee. box ane full ame er. 5 cuativng widomn wh dependent cis " f. If someone can claim you as a [ Eieewtions — dam you es @ dependent, donot check box 6a es ee a Grama y See ° owes | _Oemants ae es) i fnczeat Stet you 2 (0 Fete use ecatynnte | wap me | OS ere etpateta, Guue Bos Sec 678-p) Zon [el peters ‘if more than four 6 Deh 54-3: Y aught ey = dapeuteri sea Movey $54-35-24 di: ughter oy aire _— fuses a Poteet Soe check here | Total narber of exornpiions Gaimed testo” LLL Income 7 Wages, salaries tips, ec. Attach Form(s) W-2 71 27,000 {2 Taxable inerest. tach Schede 8 Hf equred : om D . 'b Tax-exemot interest. Do not include on line Ba 0 ‘Atach Form(s) b5._Orcinarychidends, Attach Schedule 8 if equred : ° O4z canner Qualified dividends... oe. Buz W-20 and 10 Taxable refunds, credits or offsets of state and lca income taxes 1O00-Riftex 44. Alimony received Tae mannii 12 Business income or (loss). Attach Schedule C or C-EZ 13 Capital gin or fos Altach Schedule Dif required. i not required, check here ® C] peste ‘Other gains or losses). Attach Form 4797 oe eo eueet IRAdetbutore | 160 Texte amount Pensions and amaties. [16a Teabe amount Rental real estate, royalties, partnerships, § corporations, usts, et. Attach Schedule & Farm income or (oss). Attach Schedule F Unemployment compensation 2 7 Social securty benetts | 20a »b Taxable amount (Other income. List type and amount Combine the arcu inthe fright column for ines 7 trough 21. This is you total come Educator expenses 23 Cartan business expenses of resvts, pertoming ais, and {eerbasis goverment oficial Attach Form 2106 o 2108-£2 Health savings account deduction. Attach Form 8889 ‘Moving expenses. Attach Form 3908. . Deductible part et-employment ax. Attach Schedule SE Solf-employed SEP, SIMPLE, and qualified plans ‘Self-employed health insurance deduction Penalty on early withdrawal of savings ‘Aimer paid Recipient's SSN > IRA deduction ‘Student loan interest deduction Tuition and fees. Atach Form 8917 : Domestic production actives deduction. Attach Form 8603 Addlines 23 through 35... 7 36. Subtract ne 36 fom ine 2. Thisis your adjusted grovs income > [a7 For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Gat No. 1/8208 Adjusted Gross Income BSBe BelerBsss gg 8 a8] | fe | 8B z ig SseeeR ‘Form 1040 (2015) Page 2 a ae = ad Tax and 292 Chock { C] You were bor before January, 1951. Blind. } rota boxes Tecan tt | Cy spouse as bom betre January 2,191, en J checked» 308 bb your spouse tems ona spas retum or you were a dusts sen check here> 98] 4 Memized deductions (rom Schedule A) or your standard deduction (sete margr) = | 40 “1 Subtract line 40 om ine 38 : Pat 42 Exemptions ne 816154350, rtp $00 by bo be one 6 Oe, ects [a 43 Tenable income. Subtract ine 42 fom ne 4. iw 42s more than es, enter 3 44 Tax (see instructions). Check if any from: a [] Form(s) 8814 b [] Form 4972 ¢ C) cy 45 Ateratve minimum tax (08 nico). Attach Form 6261 28 48 Cxoas advance prema tax cred repent. Altech Fem 962 : 6 4&7 Radin 4 #5, aed #6 Sele 4&2 Foroigntaccrdt. AtachFom i118ireqied. | 8 2 49 Credit for child and dependent care expenses. Attach Form 2441 | 49. bod 80 Edveation cred trom Form 8869, re 18 30 3 51 Retirement savings contributions credit Atach Form 8680 [81 3 £2 Child tx cre tach Schedde 8812, requ. [sal z= 250] 89 ecdentl norgy credits. AtachFom sees. | [68 54 Other credits tom Form: « [7] 3800 b [] 8801 ¢ (1) 54 o {55 Add lines 48 trough St These ae yur total ers : ws | 2005 158 _ Subtactine 85 tom tne 4. in 3 ls more than he 47 rir 0- > [6 z S51 Salterployment ax Attach Sched SE = = 237 Other 5% Urrepred socal secur and Medicare txiromFarm: a ]4137 |» C]eote = Taxes % itor! taxon tact quife retreat lange. Atach Frm 829 freed 2 a Housed employment taxes om Schedule H ea 1 Feectme homebuyer cect repayment tach Fo S40 Hrequted ab (61 Heath care:incvidual responsibilty 00 structions) Full-year coverage C] et lear 62 Taxes from: @ [Form 8958 b [_] Form 8960 ¢ ["] Instructions; enter code(s) 62 3 Ac nes $6 trough 62. This syourtota axe —s fel 3 Payments 61 Feel come tax witheld fom Foms Wz and 1050. [ea [= Traraes VEE 2iSeeinpyreraamant testo oem [e877 oom ocutawe2 S65 eamedincome ore EI) ase S| oa angen |b Nontaabl combat pay lection [ecb | | Sthedue Se: | 67” Adon chad tx cet tach Seale B72 « 62 ercan opporunity ced rom Ferm 8863, ine... [68 68 Not premium tax credit. tach Ferm 6962 nm 170 curt paid wh request for exteniono 70 71. oes soil sour andr 1 ARTA ax tals 7 72 Gro or fora taxon un. Attach For #138 2 73 canis tonFom: a] 2499 b ED ond © C0805 73, a 74 _ Add lines 64, 65, 68a, and 67 through 73. These are your total payments ela esd Refund 75 Hine 74is nore than Ine 6, subtract ne 69 fone T. Ths she area you oerpakd [75 | 72 762 Amount of line 75 you went refunded to you. If Form 8888 is attached, check here >O [76a 4234 Diect depos? > b Routing number 777 92 | eType: [] Checking [] Savings Sg pocoutrumber ~ 2761 Tod ‘esiuctons. 77 __ Amount of tine 75 you want applied to your 2016 estimated tax | 77 | | ‘avount 78 amount you owe, Sac ne om ne 6. Fer eae on how fo pay, cee scone > | 70 You Owe 79 _ Estimated ex peat (oe ntractons 7 | l Third Pariy DO want alow acter person odessa wi ToS eo rsucionl? [Vea Conplte blow. LT Ne Decignee gst Jomes Tires Mee RE 9//-209 none Sign {hey av te, coe end conden Dedusion ef prepa (tetas payee onal Hanson cuicrprererhes sv ewe nt Here You san “Your occupation Daytime phone number eens nar Br Pek Store ows dlepo. Reicaye PRemtso ya eo Sarasa pier ran yore TS 80-2006) fare Cgc Sty TH Givinerseartnene | Raps Bi Sr cal eye Sees eit [tae Cheri ok _|P2o-2o14, [Betas Beara teams > ral P Pure APS ramsen 111 Te Se see ows a ‘wore govt O10 Fea 1040 215) eanioigy Itemized Deductions “30 15 ~ owatart eta ratay | formation about Sched and its sopra instructions st wmnir.gowsaheduon, | | Flora Povo Src > Attach to Form 1040, Sen. o7 Tare aero TOT Your socal soca EET Noaw de. 4434-1 f= 331 Caution: Donat include expanses reimbursed or paid by others Medical 1. Medical and dental expenses (see instructions) 1 oO and 2. Enter amount from Form 1040, ine 38 [2 | 8, 24 a Dental 3. Muttiply line 2 by 10% (10). Bu if ether you or your spouse was ae Expenses: bom before January 2, 1951, multiply line 2 by 7.5% (.075) instead [3 B,036 4. Subtract ine 3 from line 1. Ine 3is more than tine 1, enter -O- 4 0 Taxes You — 5 State and local (check only one box): Paid a Bl income taxes, or } ee .. [e| 2,260 b L1General sales taxes 6 Real estate taxes (see instructions) 6 1,350 7. Personal property taxes : 7 8 Other taxes, List type and arnount r 8 9 Add lines § through & Fanaa ol 3.6/0 Interest 10 Home mortgage interest and points reported toyou0 ‘on Form 1088 [10] W100 You Paid 11. Home mortgage interest not reported to you on Form 1088. H paid ta the person rom wham you bought the home, see instructions Note: and show that person's name, Kentfying no, and address > Your mortgage intrest, dldution may " Delimited G2 42. Points not reported to you on Form 1098, See instructions for ‘hemucioas. ‘special rules wee [12] 13 Mortgage insurance premiums (see instructions) . 13) 414 Investment interest, Attach Form 4952 i equred. (Se instructions) [1] 15 Add lines 10 through 14 is] /,/00 Gs To 16 Gis by cash or chock. yeu rade any gt of $250 oF moe, Charity ‘see instructions. 16| 2,700 Mtyoumaiea 17 Other than by cash or check. f any gi of $250 or more, see sitand gota instructions. You must attach Form 8289 If over $500 7 benefitferit, 48 Carryover from prior year Gee Petar aa et S20 'nsU2tO°S 49° Add tines 16 through 18 1a} 2,700 Casualty and Theft Losses 20 Casualty or theft loss(es). Attach Form 4684. (Seo instructions.) . |20| Job Expenses 21 Unreimoursed employee expenses—job travel, union dues, andCertain job education, ete. Attach Form 2106 or 2105-EZ if required Miscellaneous (See instructions.) > 21 izs| Ff Deductions — 22 Tax preparation fees |22 | FEY] 23 Othor expenses—investment, safe deposit box, etc. List type and amount i 23| oO 24 Add lines 21 through 23... 24 ars 25 Enter amount from Form 1040, ines@ [25|_ 40,24 26. Multiply tne 25 by 2% (02) 25 27 Subtract line 26 from line 24. Ifline 26 is more than line 24, enter -O- 27) } Oiner 28 Other—from Fist in instructions, List fype and amount Miscellaneous: Deductions es Total 29 [sForm 1040, line 38, over STEASEO? Htomized TEI No. Your deduction is not imited. Add the amounts in the far right column : Deductions for lines 4 through 28. Also, enter this amount on Form 1040, ine 0. zo] 17,410 CO Yes. Your deduction may be limited. See the Itemized Deductions ‘Worksheet in the instructions to figure the amount to enter. 0-1 you elect to itemize deductions even though they are less than your standard eduction, check here » For Paperwork Redu jtion Act Notice, see Form 1040 instructions. ‘Oak No 7456 ‘Schedule A (Form 1080) 2015, SCHEDULE B a No 1546-0074 Soaseane was Interest and Ordinary Dividends so4s- natant te Teeny > Attach to Form 10404 oF 1040, Gs ‘Reena Aovorue Sere Bo) > Information about Schedule B and its instructions is at www.irs.gov/schoduleb. et, 08 Fes em en Your sassy namo? Noa de 34-11-3311 Part! 1 List name of payer. If any interest is from a seller-financed mortgage and the Amount buyer used the property ae a personal residence, soe instructions on back and lt Interest this interest first. Also, show that buyer's social security number and address (6ee instructions nbock andthe iratustona or Form 10408, © Fom 1040, 1 tesa) Note: iryou recov a Form “aB0-NT, Form 4059-010. or pretes Statement rom a Geum. it te tre heme: re " 2 Add the amounts on line 1 2 averand ete 3 Excludable interest on series EE and | US. savings bonds issued after 1980, Serato et ‘tach Form 8815 3 fom 4 Subtract tne 3 from line 2. Enter the recult here and on Form 1040A, or Form 1020, ine 6a. se ceases ere ta Hote: It iine 4 is over $1500. you must complete Par I “Amount Part 3 Ustname of payer © Ordinary ZZ0 Dividends 2 (Ses instnetons Grbac ane inaction fr om 10208, oF Form 1040, (jg EeaneETEEEE finesa} Note: you pea ‘e00-DN or subsite Site rom 3 brokerage fn isthe rae aso payerand eter blame 6 Add the amounts on line 5. Enter the total here and on Form 1040A, or Form al 1040, ine 9a ares saeee eee ee BAZ Note: tine 6s over $1500, you must complete Par I ‘You must complete this part if you (a) had over $1,500 of taxable interest or ordinary dividends: (b) had a foreign account; or (¢) received a distribution from, or were a grantor of, or a transferor to, a foreign trust. Yes} Ne Part Ill Ta At any time during 2075, did you have a financial interest in or signature authority over a financial [ly , account (such as a bank account, sacurles account, or brokerage account) located in foreign | Foreign country? See instructions x 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 (See, and its instructions for filing requirements and exceptions to those requirements xX eye - b if you are required to file FinCEN Form 114, enter the name of the foraign country where the 7 financial account is located > 8 During 2018, did you receive a cstrbtion from, or were you the grantor of, o transferor to, a foreign trust? I “Yes.” you may have to fle Form 2520, See instructions on back DX For Paperwork Reduotion Act Notice, see your tax retum instructions. ‘at Ho 1746 ‘Schedule B Farm TO80A or TON0) 2076 SCHEDULE c Profit or Loss From Business a No. 1s-0074 (Form 1040) (Sole Propretorshin) - 2015 ompterettneieaay | ™lormation about Schedule Candis separate Instructions is at wnw.re.govischedutes, | C20) 1 iruralRnentuvce ea] Attach to Ferm 1040, 1040NR, o 1061; partnershins general must fle orm 1088, | Soni. 09 Tae of ep Sei ecry nonber 684) Noaw dae 34-11-33U [Principal business or profession, Inducing product or sevice [see Instructions) B Ewer cous rom mebustons Pet STR » © Business name. ifno separate businass name, leave Dink D Employer Draanber EIN oes er THE JRC | titttty EBisinass ederess (nctuding sue orroomna) > Gity, town or post office, state, and ZiP code IBSNZ Mission Roap Sawree,Ca JZO7| F Accounting method: (1) BqCash (2) ClAccual (3) C] Other spect > © _Didyou matty prtcinae” inthe operation of ts business during 2015? I "No," see instuctons forint onbosses Yes []No H you started or acquired this business during 2015, check here -oO 1 _Didyou make any payment in 2015 that would oqire yout le Fore) 10002 (oe irrational 11 Glves Eno ives cid you o il you Heer Forms 10987 . Bxves_[]Ne income 1 Gross recep or ln eo nstuctions fe 1 and check tho box is core was oped io youn Form W2 ad the Stator empayee" box on thal form was checked rl [1] 144,300 2 ete ad alowancee 2 38 Svetact ne 2 fom ine 1 2 4 Cost of gods sold trom ne 42 4 5 Grose profi. Subtrectline 4 rom ino & : 5 6 Other income, including federal and state gasoline oul tax ered orlando instructions) € 7. cross income, Add ines § and 6 2G Expenses. Enter expenses [or businass use of your home only on tne 30, 8 Advertsing . [8 18 Offcs expense ses atuatons) [1B 8 Garand ick oxpones (600 19° Porson and pottshaing plans. [49 inatuctore). ° 20° Rentorleaseeevinstuctons!: (EE 40° Commissions andtees | [110 1 Votes. mactiay andequemact | 20a 11 Comet kbar eoolnswcten) [4 Oar busines prepety 20b FE06 12 Depletion 2 21 Repairs and maintenance 2 18 Daron nd acton 70 22° Sipples ct ncuted in Paty» [22 freusos it Part) foo 23 Taras andicenoss. .. [8 Zz, instructions) 13. 24 Travel, meals, and entertainment: 14 _Eimpoyoo bono programe ieee - [ase (ctr thanantne 9). | 44 bb Deductible mea and 18 _bnsrace other than heath) [15 THEO erietainnant ees instucton) . [2p 200 16 Invest, 25 Unites [nes ‘2 Morgoge ito banks, ete} [160 28 Wiage less emsaymet creda). [28 b otter 1b 21a Ofnerexpensestiomiine 8)... [ata 47__Legal and professional services_ [47 L800 b Reserved for future use_. 28 Total expenses before oxpensas for business Uo of home, Aad res 8 trough 27a - Tae [1528S 29° Tentative profit or oss). Sirct ine 28 rom ine 7. ze] ye 1020 30 Expenses for business vse of your home, Oo not report these expenses elaewhere, iach Form 9829 tess sing the sirlifled method (ee stuctons). Sinpltied method fers ony: ener she ttl square footage of (your home: and (the pat of your home used for busines: Tee tre Sota (Method Worksheet in the instructions to figure the amount to enter on line 30, 30. 4 31. Netprofitor (oss. Subtract ne 20 rom ine 29. + Fra prot, nteron both Frm 1080, tne 12 (or Form YO40NR, kin 13) anc on Schedule SE, tine 2. {you checad the box on nat, ee instctons) Estates and uss, emeron Form 104, Bw 3. a] 42,026 + FF loss, you must goto Ine 92, 82 Mtyouhave a los, check the box that describes your investment in this activly (se instructions). + Ifyou checked 32a, enter the loss on both Form 1040, line 12, (or Form 1040NR, ine 13) and fon Schedule SE, ine 2 you ehacked tha box on Ine 1. s88 the Ine 3 instructions), Estates and trusts, enter on Form 1084, fine 3. + Hyou checked 325, you must attach Form 6198. Your loss may be limite. For Paperwork Reduction Act Notice, see the eeparate instructions. rer ‘Schedule © Form 1080) 2015 32a L] Atlinvastmontis at risk 32h [] Some investment isnot atrise Schedule © Form 1040) 2015 Pave 2 GENE _ Cost of Goods Sold (see instructions) 38 Methods) used to value clesing inventory: a BEY Cost —& [] Lowerofcostoemarket_ [1] Other (attach explanation) 34 Was there any changein determining quant, costs, r vations between opening and closing Eventon/? W1"¥e5" lac explanation Ove yo 985 Inventory at beginning of year If different from last yeer's closing Inventory, attach explanation 35 10,000 36 Purchases ess cost of tems withdrawn for persoraluse w| 6/700 Cost of labor, Dont include any amounts paid to yourset x | 25,106 38 Mattias and suppes . [se 39 Othercoats : 2 40 Addines 35 trough... a w| 77,000 44 Inventory at end ofyear . a| [0,000 42__costot goods sold. Subtract ine 4 rom ne 40, Enter he result hare anon ne 4 2| 87,000 Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9 and are not requited to file Form 4582 for this business, See the instructions for line 18 to find out if you must file Form 4562. 49. When cid you place your vehicle in service for business purposes? (month, day, year) Jf 44 Of te total numberof mies you drove your vehicle during 2015, enter the numiber ot miles you used your vehicle for: a Business Comming fe insrctions) © Other 45 Wes your veil available or personal use dung fy hous? Dv Ne 48 Doyoutoryour arouse have another voice aval for personal use? Ove Ke ‘sta Doyounave evcenceto supper yourdodvetion? : Dyes [No bes the evidence water? Ces [No ‘Other Expenses. List balow business expenses not included on Ines 6-26 or ine 30, Ga Total other expenses. Ever hors and one a Te ‘Schedule © (Form 1040) 2018 enaroan Capital Gains and Losses > Attach to Form 1080 or Form 1O40NR. DepartpntottheTressuy | > Information about Schedule D and its separate instructions is at www.irs.gov/scheduled. Iromal Reverse Sic 09) Use Form 8949 to list your transactions for ines 1b, 2,9, 26,9, and 10, (0M No, 1585-0074 2015 tachment Sequence Ne. 12 Fret aan on rata Short-Term Capital Gains and Losses—Assets Held One Year or Less Noad dre 434- Vou secid soouniy purer = 3311 See instructions for how to figure the amounts to enter on the Tines below. oes ‘This form may be easier to complete if you round off cents to | ales pce) whole dollars, @ Aciustnores to gainer oes rm Forms 6040, Pa fina, otuma Nain fos since) fom cela (a ‘kn ‘1a Totals forall short-term transactions reported on Form 1098-8 for which basis was reported to the IRS and for which you have no adjustments (660 instructions). However, if you choose to report all these transactions (on Form 8949, leave ths line blank and go to line 1b ‘1b Totals for all transactions reported on Fors) 8943 with Box A checked 2 Totals forall raneactons reportad on Forme) 8949 with Box B checked 2 Totals forall ransactons reportad on Fore) 8949 with Box C checked 6 000 3 1300 700 4 Short-term gain from Form 6252 and short-term gain or (ls) from Forms 4684, 6781, and 8824 5 Net short-term gain or Goss} trom parineships, § corporations, estates, and tuts fom Schedule(s) K-1 6 Shor-term captal loss carryover. Ent te amount, any, from line & of your Capital Loss Carryover Worksheet in the instructions 7. Net short-term capital gain or (loss). Combine tines ta through 6 in column (hf you have any long- ‘etm capital gains or losses, go to Part Il below. Otherwise, go to Part Ill on the back 400 EZGHI Long-Term Capital Gains and Losses—Assets Held More Than One Year See instructions for how to figure the amounts to enter on the @ lines below. @ @ Acjusimonts Tris form may be easier to complete if you round off cents to | eavsance) | torotherbase) | ron ode, Pat, whole dollars, ho 2, cour 9) 1) Gain or os ste coum 6 femeaunn ra cantina theres urna) '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 (see instructions). However, if you choose to report all these transactions ‘on Form 8949, leave this line blank and go to line &b_ ‘8b Totals forall ransactions reported on Forms) 6949 with Box D checked 9 Totals forall ransacions reported on Form(s) 8949 with Box E checked 10 Total for a wansacions epored on Fert 849 with | i Box F checked, 16,700 4,000 (2,76 77 Gain rom Forn 4787, Par long-term gan fom Forme 2498 and 6282; and Tonge gan oF Goes) {rom Forms 4684, 6781, and 8824 42. Net long-term gain or floss) from partnerships, S corporations, estates, and trusts trom Schedule(s) K-1 19 Capital gain distributions. See the instructions 44 Long-torm capital loss carryover. Entor the amount, if any, trom line 18 of your Capital Loss Carryover Worksheot in tho instructions 1 Net ong-term capital gino (oss) Combine nes 8 trough 14 in cokinn Tengote Part lon the back ForPoperwork Reduction Aet Noli, see your tax return triton Cather 1588 4 2 Ls | 4 15 10,350 ‘Schedule D Form 1040) 2018, ‘Sehoduse 0 For 1040) 2015, Summary 16 ” 8 Combine lines 7 and 16 and enter the result + If line 16 Is a gain, enter the amount from ine 16 on Form 1040, line 13, or Form 1040NR, line 414. Then go to line 17 below. + Ifline 16 is @ 108s, skip lines 17 through 20 below. Then go to line 21. Also be sure to complete line 22. + Ifline 16 is zero, skip lines 17 through 21 below and enter -0- on Form 1040, ine 13, or Form, ‘TO4ONR, line 14. Then go to line 22, ‘Ae lines 18 and 16 both gains? Yes. Go to line 18. C1 No. Skip tines 18 through 21, and go to tine 22. Enter the amount, if any, from line 7 of the 28% Rate Gain Worksheet in the instructions... Enter the amount, if any, from line 18 of the Unrecaptured Section 1250 Gain Worksheet in the inemctiong See > ‘Aco lines 18 and 19 both zero or blank? 11 Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions {for Form 1040, line 44 (or in the instructions for Form 1040NR, line 42). Do not complete lines 21 and 22 below. CINo. Complete the Schedule D Tax Worksheet in the instructions. De not complete lines 21 ‘and 22 below. lffine 16 is a loss, enter here and on Form 1040, lie 13, or Form 1040NR, line 14, the smaller of: += The loss on line 16 or + ($3,000), or f married fling separately, ($1,500) "Note: When figuring which amount is smaller, treat both amounts as positive numbers. Do you have qualified dividends on Form 1040, line 9b, o Form 1040NR, line 1067 1 Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions for Form 1040, line 44 (or inthe instructions for Form 1040NR, line 42). C1 No. Complete the rest of Form 1040 or Form 1040NR. 18 18 0 49 0 21 | ) ‘Sched 0 (Form 1040) 2015 2015 Form 1040-Line a4 Qualified Dividends and Capital Gain Tax Worksheet—Line 44 ‘Keep for Your Records G& ‘Before you begin: / Sec the earlier instructions for line 4 to see if you ean use this worksheet to figure your tax. 4 Before completing this worksheet, complete Form 1040 through line 43. 4 If you do not have to file Schedule D and you received capital gain distributions, be sure you checked the box on line 13 of Form 1040. 1. Enter the amount ftom Form 1040, lin 43. However, if you are filing Form 2555 or 2555-EZ (relating to foreign eued income), enter the amount fom Li, BB line 3 of the Foreign Eamed Income Tax Worksheet’ eer 2, Enter the amount from Form 1040, line 9b* ... ‘Are you filing Schedule D?* Ves. Enter the smaller of line 15 or 16 of | ‘Schedule D. If either line 15 or line 16 is blank or a loss, enter -0- CO No. Enter the amount from Form 1040, line 13 4. Addlines 2and3 ......... ae 5. I filing Form 4952 (used to figure investment Interest expense dedscton), enter any smo fom line Sg ofthat form. Otherwise, enter 5 6 Suouact ine fone 4. I zero or les, exter 7. Subat in 6 fom tne 1 zero or les, enter-0- - Roe $27,450 if single or marred fitng separately, $24.00 if ard fling joi or quliing widow), $31200 i head of houetola 9, Enter the smaller of ine | ortine 8. 10, Enter the smaller of line 7o ine 9 ae 11, Subiract ine 10 ftom ine 9. This amount is taxed at 0% 12, Enterthe smaller oftine | or ine 6 i ae tiscali 14, Soret ine 13 ffom tne 12 18 Enter $413,200 singe, $212495 it mand filing separately, $4 801 ard fing ay orang widen, $459[000ithead of housfold 16, Enterthe smaller of ine | or line 15 1%. Addtines7 and 11 ee 18 Subtract ine 17 fom in 16. I zero ores, nter-O- =. 19, Enter the smaller of ine 14 or ine 18 20, Mull ine 19 by 15% (0.15) 21. Add ines 11 and 19 22, Suibtract ine 21 from line 12 23, Maltiply line 22 by 20% (0.20) D 24, Figure the tax on the amount on fine 7, IF the amount on line 7 i less than $100,000, use the Tax Table to figure the tax. If the amount on line 7 is $100,000 or more, use the Tax Computation hea Worksheet é Sade coho instr ma hte 25, Addlines 20,23, and 24 6... ..2-.sceseees : oo Eg 26. Figure the tax on the amount online 1. Ifthe amount onlin 1 is less than $100,000, use the Tax Table to figure the tax. I the amount on line 1 is $100,000 or more, use the Tax Computation 6,104 Worksheet : Sees oe a 27, Tax on all taxable income. Enter the smaller of line 5 or line 26. Also include this amount on Form 1040, ine 44 Ifyou ae filing Form 2555 or 2555-EZ, do not enter this amount on Form 1H 28 1040, ine 44 stead, enter ion line 4of the Foreign Earned Income Tax Worksheet page, 1H “Ifyou are fling Form 2835 or 2555-E2, see the footnote in the Foreign Earned Income Tax Worksheet before completing this line [Need more information or forms? Visit IRS.gov. 4a. 8949 | Sales and Other Dispositions of Capital Assets | “== "2" Pi areat | ts eeasutenesu masa armacne tt 2016: tera Rovone nice,” | _ > Fle with your Schedule D to st your transactions for lines 1b, 2 3, 8,8, and 10 of Schedule D. Beacons No. 124. ‘sree Saito weap reas arr Noa ARe 434 - ti -2311 ufo you check Box A, 8 or C bao, sae whether you caved ary Form) 1098-8 or subsite statorer) fom your broker A substute statomant wil have the same formation as Form 1099-8, Ether wil show whether your bess asl yur cos) wasreparted othe IS by your brokorand may ave tl you which box to check. [EEEEI Short-Term. Transactions involving capital assets you held 7 year or less are short term. For long-term transactions, see page 2 Note: You may aggregate all short-term transactions reported on Form(s) 1099-B showing basis was reported to the IRS and for which no adjustments or codes are required. Enter the totals directly on Schedule D, line ta; you aren't required to report these transactions on Form 8949 (see instructions). You must check Box A, B, orC below. Check only one box. more than ane box apples for your shor-term transactions, complete a separata Form 8949, page 1, for each applicable box. I you have more short-term transactions than wil ft n ths page for one or more ofthe boxes, complete as many forms wit the same box checked aS YOU need. [DW Short-term transactions reported on Form(s) 1099-B showing basis was reported tothe IRS (see Note above) (Short-term transactions reported on Forms) 1099-B showing basis was not reported to the IRS [E{(C) Short-trm transactions nat reported to you on Form 1099-8, asta ny, ogi ries 1 to |fipuenersarere fecirea:| gy ‘A A ee er ownipercey | eB] oucbuse| reltan [SSRIS] et anata. | Senet eee, | RLS eass,| tia, Mest oo |g rcaemact Yectow Co urifres [olsizes | 6,000 300 200 2 Totals, Akt he amauta columns) (2) a: and aubract negate amount), Ener eh fetal ners nd insu on your SePeculD, fe th |f Box A above checked), ine 2(F Box B shove ls ohsoeac, rte 3 Box shove ls checked) 6,000 | 5,300 R00 Note: yu checked Box A above but the basis reported to Tha IRS was incorrect, atari colin @) the basis a5 Yeporied fo the IRS, and enter an adjustment in column (gto correct the base. Soe Column (nthe separate instructions for how to fgure the amount ofthe achustrent at Nos 7 Fam 8949 (TO) For Paperwork Reduction A&t Notice, see your tax rotumn Instruction Auschment Sequence Ne 12A Page 2 oy RGLIGAT show ano ade | SwGal Guy number oF axpayerenesionnaribor Fm 299 (2015) Harel shown nro Rare and SSN or anaar Ge [Before you check Box D,E, or F below, 60 whather you received any Form) 1080-B orcubstftute tatement) rom your broker. A substtate siaternent wif have the sare information as Form 1089-B. Ether wil show whether your basis usualy your cost) was reported othe IS By your broker and may even fl you which box to check. EEE Long-Term. Transactions involving capital assets you held more than 1 year are long term, For short-term transactions, see page 1 Note: You may aggregate all long-term transactions reported on Form(s) 1099-8 showing basis was reported to the IRS and for which no adjustments or codes are required. Enter the totals directly on Schedule D, line 8a; you aren't required to report these transactions on Form 8949 (see instructions). You must check Box D, , or F below. Check only one box. if more than one box applies for your long-term Kanaactiona, complate 2 separate Form 8249, page 2, for each applicable box. If you have more long-term transactions than wil ton this page for one or ‘more of the boxes, complete as many forms with the same box checked as you need, Ci ©) Long-term transactions reported on Forms) 1089-6 showing basis was reported to the IRS (sce Note above) (©) Long-term transactions reported on Forms) 1099-8 showing basis was not reported to the IRS. (©) Long-term transactions not reported to you on Form 1093-B estat any gain aoe 1 2 sag ererarareecn » pitt ipccaiy yas] Sacinir | rots |Scotnenotecekn]_Seethe seourtcimirtom_| oes SSan Desorption tcp Gaeacaited] Gpasosst | gales pce [and ae Coun Jromeshm Gramps Oe XC) | Wa. d.99] Gay | fanrunetong |"Tnieesepute | | Ssnanenornt Vestactora [C23e%s) or] aunt ot | “coun Imetuctors| ahem Buve Cp ables |8lskos | 4.500] 2,400 Z,/00 Meee tolz/roo|t7s | 12,200] (,600 10,600 2 Totala, Ad the smoxntsin elane (oan eubtact negate amour) Ertr each total here ana luce on Your SchecilD, te db fi Box Daboveischecked.tnesiiBexE | 6 700 | 4,000 above is checker fine 10 Bex F above i hacked) ote: if you checked Box 0 above but tho basi reported to the IRS waa ncoract, rtar in Solum fe) the bass a reported to the IRS, and enter an adjustment in clu go correct the basis. See Calun (Inthe separate structions for how to igre the amount ofthe schustmet Fan O49 ry (2,700 SCHEDULE E (Form 1040) Supplemental Income and Loss rales, partnerships, S corporations, estates, trusts, REMICS, etc) > Attach to Form 1040, TOAONR, of Form 1081, (From rental real (Me Ho, 1646-0974 2015 ‘iam Rowen Site] P Information about Schedule E and its separate Instructions ls atwwrw.irs.govisehecuice. | Sata 1g emotion Your soSaT ancy Sonar Noaw dre 434-1 33U Income or Loss From Rental Real Estate and Royalties Note: you avin he bucioos of rong pavcoval roped, Use Schedule C or C-£2 (s09 instruction). you ae an Indu, report Fat ental income or ls fram Form 4835 on page 2, fe 40. FS eee ee a B If “Yes,” did you or will you file required Forms 10997 Oves Ono ee te ea A [e437 aay Cr San Dievo, CO 21. 4 7 | eon | 2 Fesh aa neue panned, |For Renal] Poston Comision) | "abe eruteraee eer cae | Bae | ON x T Eniv you meet the reaulomentsto fle es [_A_| 365 2 o Sayer eenmsiee ss A a c c a eer ia a 7 z Pinna a ae ois 5 6 ‘Auto and travel (see instructions) 6 coma : Hee {ae Patios perpriayerueeara 3 Sota 7 ee 7 fal erent eset eae ee a peice asia 2 Heo mesiasjon ela Seam cen aaa 7 etree osm ares Va: Ceaee med zl | : tar later ren tenes nts tates 7 eee te eens a} lass 26 Total rental real estate and royalty income or (loss). Combine lines 24 and 25. Enter the result here. 17,07 Form 1040NA. line 18. Otherwise, include this amount in the totalon ne 41 on page 2 a} 1755 For Paperwork Reduction Act Notice, see the separate Instructions. (Ca No. 1184 ‘Sched E Far 1050 2075 ‘Schaal Form 100) 2018 tscrantSauaes No. 13 Page Frog ow a FT DS FOE a WaT ST SSSA ST TRON EA TT SE Sar ORT TT auton. The IAS compares amounts reported on your tax return with amounts shown on SCheguIGIs| Ke FETE Income or Loss From Partnerships and S Corporations Note: you report a loss rom an avvek actly Tor wish any amount not at sk, you must check the box n colum (eon ine 28 and attach Form 6198, See instructions 27 Are you reporting any loss not allowed in a prior year due to the atigk, excess farm loss, or basis limitations, a prior year Lunallowed loss from a passive activity (f that loss was not reported on Form 8582}, or unrsimbursed partnership expanses? if jou answered “Yes,” see structions before completing tis section Yes [] No 28 fa Name Bavesies | Shaan” Shean Samos A o o 3 o o c o o D o o Passive income and Lose onpassive income and Lose 1) assess owed (@ Paarencone | @ Newpasvoios | Sosen 170 womme |) Nenperne remo eiterrormoseatregansy | fm Scheeue nt omscheaaekt | athetontomrormaase | “hom Scheer a 2 c t D T 2a Toa b Totals, I se 80 Add columns (ghand @ of ne 28a 3 30 31 Add columns (9, (9), and (of ine 280. a 7 32 Total partnership and & corporation income or (loss). Combine lines 30 and 81. Enter the result here and include inthe total online 1 below 22 Income or Loss From Estates and Trusts (tone ersten bet a 8 a Passive incarve and Lose Nonpassive Income and Loss (0 Paste csuron os aloned (a Paha rose Ce Doeten or (9 Orr nemo row (tac Fom 052 reautoh fomSchedue fm Soneduent Seater x 8 a4a_Totas b Totals L 35 Addcoumns@andolineSa 35 88 Add columns () and () of ine 346 36 [0 i 37 Total estate and trust income or (loss). Combine lines 35 and $6, Entar the recult here and include nthe total on ine 41 below sated 37 FETT — Income or Loss From Real Estate Mortgage Investment Conduits (REMIGs) —Residual Holder ‘Leconte tom eS aes Co emokyeceritenion | Ace cEran ten [agragte conan] beer fan EES schaion en 39 Combine columns (and e)ony- Enter he result here and elude the etal on the 41 below | 99 ‘Summary 40 Net faim rental income or Joss) rom Form 4835, Also, complete ne 42 below 0 41 Tolatneme or fost Conover 26,237,384 Ere et eran Form 10 7c Fae 08 a1 | A 42 Reconciation of farming and fishing income. Ertor your gross ‘arming and fshing Income reported on Form 4835, ne 7; Schedule K-1 {Form 1065), box 14, code B; Senecul K- (Form 1120), box 17, 2048 Vj and Schedule K- Form 1081), box 14, code F see instructions) .. | 42 | 1 43. Reconciliation for realestate professionals. i you wor a ral estato professional (sa Instructions), enter the net income of 1b) you reported zzywtere on Frm 1040 or Fo 1O40NR fom ll etal realestate ates material parcipated under he passive actviy ss ues. [43 [ ‘Scheie E Form 1080 2015 SCHEDULE SE (ME No. 1845-0074 (Form 1040) Self-Employment Tax 7 cmamierctewveauy | > information about Schedule SE andits separate nstuctions isl wai govacheduess. 2015 ora Routes bo > aitac o orm 100 oF Form OHONR. Fa a pson wi arena ON Hoa es ONT a PoE oro TOA Social seas nba ot pars : Noay age wth seteemplommentincomer:| (34-11-33 UL Before you begin: To determine i you must fle Schedule SE, see 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 in the instructions, ‘id you receive wages ort in 20157 No v ¥ ¥ 7s you a minster, member of elgaus order, or Oisian Scince practioner whe receked RS approval nt tobe taxed fn earings fom these trees but you ou sere ment Was the total of you wapes an tps subject to soca sey | yey brood retteoort fir I tak pe yur het eornge fom [22 pe fat-omployment more than $118 500? tae on othr saris? ye Y ‘es you usng ote ofthe eptionsl methods to figure your net ‘amis Se Inston? i you eceva tps subj to socal sacuty or Meacare tax | Yes that you did notreport to your ompoy="? No v v Did you recave chin employee Income free Feats) Fepovtad an Form W2 af $108.20 or more? Did you repr any wages en Far 8819, Uncolecied Soci | Yeu Secu an Miceare Tx on Wages? T ‘You may use Short Schedule SE below ‘You must use 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 prot or fess) Fom Schedule F, line 54, and Term parinerships, Schedule Kt (Form 4068), bor 14, code A tryou ecsved socal secunty atroment or eeaity bona, enter the emount of Coneenaton Resene Program payments includ on Schedule F. Ine 4, or ated on Sehedde Kt (Form TOES, ox 20, code Z 2 Net profit or (loss) from Schedule ©, line 31; Schedule C-EZ, line 3; Schedule K-1 (Form 1065), box 14, code A (other than farming); and Schedule K-1' (Form 1085-B), box 9, code Jt Ministers and members of religious orders, see instructons for types of income to report on this ine, See instructions for other income to report . Combine lines 1a, 1b, and 2 ace : Multiply line 3 by 92.35% (,9235). If less than $400, you do not owe self-employment tax; do not fie this schedule unless you have an amount online 1b » Note. fine 4 i less than $400 due to Conservation Reserve Program payments online 1b, see instrctions. Self-employment tax. Ifthe emount online 4s '* $118,500 or less, multiply line 4 by 15.3% (.153). Enter the result here and on Form 1040, line 57, Gr Form s040NR, ine 5 + More than $118,500, mutiply line 4 by 2.9% (028). Then, add $14,694 tothe result. Enter the total here and on Form 1040, line 57, or Farm 4040NER, line 55 6 Deduction for one-half of self-employment tax. Muttiply line 5 by 509% (.60). Enter the result here and on Form 1040, ine 27, or Form 1040NR, line 27... . - - | 6 2,967 For Paperwork Reduction Act Notice, see your tax return instructions. (at Ne 10582 fa J tb o ) 3 4z,020 ZL az ozo 4| 39,805 5 $937 ‘Schedule SE Form 1080) 2015, ‘Scheie SE (Farm 1010) 2018 tachment Sequence No. 17 Page ‘Name of parson wih sel-employmant incor as shown on For Toa or Farm TOON ‘Social seculy number of parson with self-employment income Section 8—Long Schedule SE Self-Employment Tax Note, If your only income subject to selemployment tax is church employee income, see instructions. Also see instructions for the definition of church employee income, ‘A Ifyou are a minister, member of a religious order, o Christian Science practioner and you fled Form 4961, but you had $400 or more of other net earnings from sef-employmont, check hore and continue with Part |. >o 1a Net farm profit or fos) from Schedule F, line 34, and farm partnerships, Schedule K-t (Form 1065}, box td, code A. Note. Skip lines 1a and tif you use the farm optional method (see instructions) [a Ifyou received socal securty retitement or dsabity benefits, enter the amount of Conservation Reserve Program payments included on Schedule F, ne 4b, o listed on Sched K-1 Form 1065), Box 20,code 2. | 4b | ) 2 Net profit or loss) from Schedule ©, line 31: Schedule C-EZ, line S; Schedule K-1 Form 1065), box 14, code A (other than farming); and Schedule K-1 (Form 1065-8), box 9, code Jt Ministers and members of religious orders, see instructions for types of income to report on this line. See instructions for other income to report, Note, Skip ths line if you use the nonfarm ‘optional method (see instructions) seeias 2 3 Combine lines 1a, tb, and 2. 3 4a_ Ine 3 is more than zero, multiply ine 3 by 92.35% (9288). Otherwise, enter amount from tne 3 | aa Note. ine 4a les than $400 due o Consenation Reserve Program payments online tb, 88 instucions. Ifyou elect one or both ofthe optional methods, enter the total of lines 18 and 17 here ao © Combine lines 4a and 4b. I less than $400, stop: you do not owe settemployment tax Exception. If ess than $400 and you had ehurch employee income, enter -0- and continue ® | 4e 5a_ Enter your church employee income from Form W-2. Ses Instructions fr daton of church employee ncome «68 | Muli Ine 5a by 2.0656 (8285) Iles than 5100, ener Sb @° Act ines 4c and 50 Peace 7 Maximum emount of combined wages and sel-employinent earings subject to social security taxorthe 62% porlon ofthe 7.65% ralfood elven (er tax oe208 1 68, Total social security wages and tips (ltl of boxes 3 and 7 on Fenn(s) W-2) and raload retirement (lr 1) conpersation, I1§118.500 or more, skptnes Sb taugh 10, and.gotolne 11 | a b> Urroprted pe subj coda acu ax fom Form 437, re 10) [Bb © Wages subject o social seouity tax tom Form 8818, ne 0) [Be @ Addtines 8a, 8b, and. ed 8 Subtract ne Bom ine 7. 26 oes, enter -O-here and on line 10 and goto ine 11 | & CB 10 Mutily the smaller of ire 6 or ne 9 by 12.494 (123) 10 11 Mutipy ine 6 by 2.9% (008) it 12 _Seremployment tax Ines 10 and 1, Enerhae and on Form 1040, ne 7, or Form 1O40NR, ne 65. [42 48 Deduction for one-half of self-employment ta. Mutipty tine 12 by 50% (50). Enter he result here and on Form 4040, line 27, or Form 1040NR, tine 27 L19 | | [EMH Optional Methods To Figure Net Earnings (see Instructions) Farm Optional Method. You may use this method only if (a) your gross farm income* was not more than $7,320, or (b) your net farm profits* were less than $5,284, 14 Maximum income for optional methods 4 48. Enter the smaller of: to-thicls (4) of gross farm income! not less than zero) oF $4,880. Also include this amount on line 4b above 15 ‘Nonfarm Optional Method. You may use this method ony i (a) your net nonfarm profs? were less than $5,284 {and also less than 72.189% of your gross nanfarm income,’ and (b) you had net eamings from set-employment fat loast $400 in2 of the prior 3 years. Caution, You may use this methed no more than five times. 16 Subtract line 15 from line 14 " 16 47 Enter the smaller of: two-thirds (/) of gross nonfarm income! (nt ess than zero) r the ‘amount on fine 16. Also include this amount an line 4b above a * From Son, Ene 9, and Sch, Ket (For 1085), Box 14, code. 2 From Sch, C, toe 33; Seh. C7, line 3: Soh, Ket [Fr TOES), box 14, code + From Sch. F, ne 4, and Sch. K-t Form 1085), box 14, code A—minus the | , Ai atid Sch. K-t (Form 1085-8), box 9, code Jt [mount you woulo have entered on fine To hod yeu net usea the aponal”” | “rom Soh. C, ne 7: Sch. G-EZ, Sno 1; Soh, Kt (Form 1065), Box 14, code method (Grand Sch et Worm 1038-8), box 0, cova 2 ‘Schade SE Form 1040) 2018 (ot No, 1545-0074 2015 rom 2441 | Child and Dependent Care Expenses > Attach to Form 1040, Farm 104A, or Form 1O40NR. Dwoatratctratiemry | tnformaton bout Form 2481 and ts separate Ietructions I at Aacent cae ee a verbs govllomaeth Coe 24 insane Nr S60 Sana EST Noaw Deke 434- [1-331 Persons oF Organizations Who Provided the Care —Vou must complete iS par. {iryou have more than two care provigers, see the instructions) Ta Gar rove ©) Nites Ce er wore nant, rot oth A ate, nd 2 co See Sines Roupup Dayead. 3,200 Did you receive No ———> Complete only Part Il below. dependent care benefits? Yes ————> Complete Part ion the back next ‘Caution. I the care was provided in your home, you may owe employment taxes. I you do. you cannot fle Form 040A. For details, ‘380 the instructions for Form 1040, line 60a, or Form 1040NR, line 58a, EMMI Credit for Child and Dependent Care Expenses 2 _Information about your qualifying person(s). Ifyou have more than {wo qualiying persons, sea the instructions: (2 cusiting prone name ©) Oualirg sevens eset |, Oued eens Tay few Last secur ourber puso aed clu Hoey Sus Oke 33-2411 3,200 3 Add the amounts in column (c) of line 2. Do not enter more than $3,000 for one qualifying Berson of $6000 fortwo of more persons. you compltd Fa iene the amu | fromlino3t. . . eae 3 3,000 4 Enter your earned income. S00 instructions woe 4 39,55[ 5 It marted fling joint, enter your spouse's eared income ff you Or your spouse was @ student or was disabled, see the instructions): all others, enter the amount fomined. | § | 22600 8 Entor the smallest of line 3,4, or5 : oa be 3.000 7 Enter the amount from Form 1040, line 98; Form : 410408, line 22; or Form 1040NR, line 37 71 80,298 {8 Enter on ine @ the decimal amount shown below that apples tothe amount on line 7 tine 7 Iti 7 Butnot Decimal Butnot Decimal vero Over over unt is $015,000 35 $29,000,000 2 +6,000~17,000 a8 $31,000—33.000 26 : 000—19;000 3 '300035 000 25 8 x.20 19,000—2,000 32 26,000~37,000 24 2,000—28,00 a 37,000~39,000 23 25,000~25,000 20 29,000,000 22 25,000-27,000 29 41,000=49,000 2 27,900~29,000 28 43.000—No init 20 9 Multiply ne 6 by the decimal amount cn line 8. I you paid 2014 expenses in 2015, see i the instructions Sere) G00 40 Tax Fabiity mit, Enter the amount from the Credit Limit Worksheet inthe instructions, eee [aa 24 11 Gredit for child and dependent care expenses. Enter the smaller of fne 9 or The TO here and on Form 1040, line 49; Form 1040A, line 31; or Form 1040NA, line 47 1" G00 For Paperwork Reduction Act Notice, see your tax return instructions. (Cat No, 982m Fom 2447 015)

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