Fill in Your Sample Tax Return Transcript Template Get Document Here

Fill in Your Sample Tax Return Transcript Template

The Sample Tax Return Transcript form is an official document provided by the IRS that summarizes a taxpayer's tax return information for a specific tax year. This form includes details such as income, adjustments, and tax liabilities, reflecting the amounts as reported on the return and any adjustments made thereafter. For those needing to access their tax information, completing this form is essential; click the button below to get started.

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Key takeaways

When filling out and using the Sample Tax Return Transcript form, there are several important points to keep in mind. These takeaways will help ensure you understand the process and make the most of the information provided.

  • Personal Information: Always verify that your Social Security Number (SSN) and your spouse's SSN, if applicable, are correctly listed. This ensures that the transcript is accurately linked to your tax records.
  • Income Details: Review the income sections carefully. For example, wages, salaries, and business income are clearly outlined. This information is critical for understanding your overall financial picture.
  • Adjustments to Income: Look for any adjustments that may apply to your situation. These can impact your taxable income and should be accurately reflected in your calculations.
  • Tax Calculations: The form details your tentative tax and any credits that may apply. Understanding these figures is essential for determining your total tax liability.
  • Payments Made: Check the payments section to confirm any federal income tax withheld or estimated tax payments made. This can affect whether you owe additional taxes or are due a refund.
  • Refund or Amount Owed: The form will indicate if you owe money or if you are due a refund. Pay close attention to this section to avoid surprises when filing your taxes.
  • Third Party Designee: If you have authorized someone to discuss your tax return with the IRS, ensure their details are correctly filled in. This can facilitate communication regarding your tax matters.

By keeping these key points in mind, you can navigate the Sample Tax Return Transcript form with confidence and ensure that your tax filing process is smooth and accurate.

Dos and Don'ts

When filling out the Sample Tax Return Transcript form, there are several important guidelines to keep in mind. Following these guidelines can help ensure that the process goes smoothly and that all necessary information is accurately reported.

  • Do double-check your personal information. Ensure that your name, Social Security Number (SSN), and filing status are correct. Any errors can lead to delays or complications.
  • Do use clear and legible handwriting. If you are filling out the form by hand, make sure your writing is easy to read. This helps prevent misunderstandings.
  • Do include all relevant income information. Make sure to report all sources of income accurately, including wages, business income, and any other taxable amounts.
  • Do not forget to sign and date the form. An unsigned form may be considered incomplete and could lead to processing issues.
  • Do not leave any required fields blank. Ensure that you fill in all necessary sections to avoid delays in processing your request.
  • Do not use correction fluid or tape. If you make a mistake, it is best to cross out the error and write the correct information next to it.
  • Do not submit the form without reviewing it first. Take a moment to review the entire form for accuracy before sending it in.
  • Do not share sensitive information unnecessarily. Keep your personal data secure and only provide it to authorized parties.

Form Overview

Fact Name Description
Request Date The request for the tax return transcript was made on August 9, 2018.
Tax Period This transcript reflects the tax period ending December 31, 2017.
Filing Status The individual was classified as Single for the tax year.
Total Income The total income reported was $15,500.00.
Adjusted Gross Income The adjusted gross income was calculated to be $15,323.00.
Taxable Income The taxable income reported was $7,373.00.
Amount Owed The individual owed a total of $103.00 after accounting for payments.

Common mistakes

  1. Incorrect Social Security Number (SSN): One common mistake is providing an incorrect SSN. This can lead to delays or issues with processing the tax return transcript.

  2. Missing Signature: Failing to sign the form is another frequent error. Without a signature, the request cannot be processed.

  3. Inaccurate Tax Period: Specifying the wrong tax period can create confusion. Ensure that the tax period matches the year for which you are requesting the transcript.

  4. Incorrect Filing Status: Selecting the wrong filing status can lead to incorrect calculations. Double-check that the filing status accurately reflects your situation.

  5. Omitting Required Information: Failing to fill out all required fields can result in rejection of the form. Review the form carefully to ensure all necessary information is provided.

  6. Using Outdated Forms: Utilizing an outdated version of the form can also be problematic. Always ensure you are using the most current version of the Sample Tax Return Transcript form.

Similar forms

The Sample Tax Return Transcript is similar to a Tax Account Transcript. Both documents provide information about a taxpayer's account with the IRS. However, while the Tax Return Transcript focuses on the details of a specific tax return, the Tax Account Transcript summarizes the overall account activity, including payments, adjustments, and any outstanding balances. This makes the Tax Account Transcript useful for understanding the current status of a taxpayer's account, rather than just the information from a single tax return.

Another related document is the Wage and Income Transcript. This transcript lists all income reported to the IRS for a specific taxpayer, including wages, interest, dividends, and retirement distributions. Unlike the Sample Tax Return Transcript, which reflects the taxpayer's filed return, the Wage and Income Transcript provides a broader view of all income sources reported by third parties. This can be particularly helpful for verifying income when applying for loans or other financial assistance.

The IRS Verification of Non-filing Letter is another document that shares similarities. This letter confirms that a taxpayer did not file a return for a specific tax year. While the Sample Tax Return Transcript provides detailed information about a filed return, the Verification of Non-filing Letter serves as proof for individuals who may need to demonstrate their non-filing status for various purposes, such as applying for financial aid or certain government benefits.

A Tax Return Copy is also comparable. This document is an exact replica of the tax return a taxpayer filed with the IRS. While the Sample Tax Return Transcript summarizes the information from the return, the Tax Return Copy includes all the forms, schedules, and attachments submitted. Taxpayers may need a copy of their return for detailed records or specific legal matters, whereas the transcript is often sufficient for most inquiries.

The Form 1040, which is the standard individual income tax return, is another document that aligns closely with the Sample Tax Return Transcript. The Form 1040 contains all the information reported by the taxpayer, similar to what is summarized in the transcript. However, the Form 1040 is the actual return filed, while the transcript serves as a summary of that information. Taxpayers may refer to their Form 1040 for detailed line items, while the transcript provides a more concise overview.

The IRS Form 4506-T, Request for Transcript of Tax Return, is also relevant. This form is used by taxpayers to request a transcript, including the Sample Tax Return Transcript. While the form itself does not contain any tax information, it is the means through which individuals can obtain their transcripts. The process of requesting a transcript is essential for those needing to verify income or resolve tax issues.

Another document worth mentioning is the IRS Form 1040X, which is the Amended U.S. Individual Income Tax Return. This form is used to correct errors on a previously filed tax return. While the Sample Tax Return Transcript reflects the original return, the Form 1040X shows the changes made. Taxpayers may refer to both documents to understand the original filing and any subsequent amendments.

In consideration of documenting personal property transactions in California, having the right forms is essential; for instance, if you're transferring ownership, you'll want to reference a California Bill of Sale to ensure everything is recorded accurately. Those interested in generating this document can find valuable resources at My PDF Forms, making the process smoother for both buyers and sellers.

Lastly, the IRS Form 1099 series, which reports various types of income, is similar in that it provides information about income received by the taxpayer. While the Sample Tax Return Transcript summarizes all income reported on the tax return, the Form 1099 details specific income sources, such as freelance work or interest income. Taxpayers often use these forms to ensure all income is accurately reported on their tax returns.

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Your Questions, Answered

What is a Sample Tax Return Transcript?

A Sample Tax Return Transcript is a document that summarizes key information from an individual's tax return. It includes details such as income, deductions, and credits as reported on the tax return. This transcript can be useful for verifying income or tax status when applying for loans, financial aid, or other financial transactions.

How can I obtain a Sample Tax Return Transcript?

To obtain a Sample Tax Return Transcript, you can request it directly from the IRS. This can be done online through the IRS website, by mail, or by calling the IRS. You will need to provide your personal information, including your Social Security number and the tax year for which you need the transcript.

What information is included in the transcript?

The transcript includes various details such as:

  • Your name and Social Security number
  • Filing status
  • Total income and adjusted gross income
  • Deductions and credits claimed
  • Tax liability and payments made

This information reflects what was reported on your tax return and does not include any subsequent adjustments made to your account.

Is the Sample Tax Return Transcript the same as a full tax return?

No, a Sample Tax Return Transcript is not the same as a full tax return. The transcript provides a summary of your tax return, whereas a full tax return includes detailed information, such as specific line items and supporting documents. If more detailed information is needed, you may need to provide a copy of your full tax return.

How long does it take to receive my transcript?

The time it takes to receive your transcript can vary. If you request it online, you may receive it immediately. However, if you request it by mail, it can take several days to weeks, depending on the volume of requests the IRS is processing at that time.

Can I use the Sample Tax Return Transcript for loan applications?

Yes, many lenders accept the Sample Tax Return Transcript as proof of income. It is often used in conjunction with other documents to verify your financial status when applying for loans, mortgages, or financial aid. Always check with your lender to confirm what documentation they require.

What if I find an error in my transcript?

If you discover an error in your Sample Tax Return Transcript, it is important to address it promptly. You should contact the IRS to discuss the discrepancy. You may need to provide additional documentation or clarification to resolve the issue. Keeping accurate records will help facilitate this process.

Is there a fee for obtaining a Sample Tax Return Transcript?

No, there is no fee for obtaining a Sample Tax Return Transcript from the IRS. The service is provided free of charge, regardless of how you choose to request it. However, you may incur costs if you choose to use a third-party service to obtain your transcript.

How long is the Sample Tax Return Transcript valid?

The validity of a Sample Tax Return Transcript typically depends on the requirements of the entity requesting it. Generally, lenders and financial institutions may accept transcripts for up to a year, but it is advisable to check with them for specific time frames. Always ensure that the transcript you provide corresponds to the tax year in question.

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Page 1 of 6

This Product Contains Sensitive Taxpayer Data

Tax Return Transcript

 

Request Date:

08-09-2018

 

Response Date:

08-09-2018

 

Tracking Number:

100200235179

 

Customer File Number:

0987654321

SSN Provided:

XXX-XX-5084

 

Tax Period Ending: Dec. 31, 2017

The following items reflect the amount as shown on the return (PR), and the amount as adjusted (PC), if applicable. They do not show subsequent activity on the account.

SSN:

 

XXX-XX-5084

SPOUSE SSN:

 

 

NAME(S) SHOWN ON RETURN: DRAK

ADDRESS:

 

123 DA

FILING STATUS:

Single

FORM NUMBER:

 

1040

CYCLE POSTED:

20181005

RECEIVED DATE:

Jan.15, 2018

REMITTANCE:

 

$0.00

EXEMPTION NUMBER:

1

DEPENDENT 1

N ME CTRL:

 

DEPENDENT 1

SSN:

 

DEPENDENT 2

N ME CTRL:

 

DEPENDENT 2

SSN:

 

DEPENDENT 3

N ME CTRL:

 

DEPENDENT 3

N:

 

DEPENDENT 4

N ME CTRL:

 

DEPENDENT 4

N:

 

PTIN:

 

 

PREPARER EIN:

 

Income

WAGES, SALARIES, TIPS, ETC:

$13,000.00

TAXABLE INTEREST INCOME: SCH B:

$0.00

TAX-EXEMPT INTEREST:

$0.00

ORDINARY DIVIDEND INCOME: SCH B:

$0.00

QUALIFIED DIVIDENDS:

$0.00

REFUNDS OF STATE/LOCAL TAXES:

$0.00

8/9/2018

Page 2 of 6

ALIMONY RECEIVED:

 

$0.00

BUSINESS INCOME OR LOSS (Schedule C):

 

$2,500.00

BUSINESS INCOME OR LOSS: SCH C PER COMPUTER:

 

$2,500.00

CAPITAL GAIN OR LOSS: (Schedule D):

 

$0.00

CAPITAL GAINS OR LOSS: SCH D PER COMPUTER:

 

$0.00

OTHER GAINS OR LOSSES (Form 4797):

 

$0.00

TOTAL IRA DISTRIBUTIONS:

 

$0.00

TAXABLE IRA DISTRIBUTIONS:

 

$0.00

TOTAL PENSIONS AND ANNUITIES:

 

$0.00

SAMPLE

$0.00

TAXABLE PENSION/ANNUITY AMOUNT:

 

RENT/ROYALTY/PARTNERSHIP/ESTATE (Schedule E):

 

$0.00

RENT/ROYALTY/PARTNERSHIP/ESTATE (Schedule E) PER COMPUTER:

 

$0.00

RENT/ROYALTY INCOME/LOSS PER COMPUTER:

 

$0.00

ESTATE/TRUST INCOME/LOSS PER COMPUTER:

 

$0.00

PARTNERSHIP/S-CORP INCOME/LOSS PER COMPUTER:

 

$0.00

FARM INCOME OR LOSS (Schedule F):

 

$0.00

FARM INCOME OR LOSS (Schedule F) PER COMPUTER:

 

$0.00

UNEMPLOYMENT COMPENSATION:

 

$0.00

TOTAL SOCIAL SECURITY BENEFITS:

 

$0.00

TAXABLE SOCIAL SECURITY BENEFITS:

 

$0.00

TAXABLE SOCIAL SECURITY BENEFITS PER COM UTER:

 

$0.00

OTHER INCOME:

 

$0.00

SCHEDULE EIC SE INCOME PER COMPUTER:

 

$2,323.00

SCHEDULE EIC EARNED INCOME PER COMPUTER:

$15,323.00

SCH EIC DISQUALIFIED INC COMPUTER:

 

$0.00

TOTAL INCOME:

$15,500.00

TOTAL INCOME PER COMPUTER:

$15,500.00

Adjustments to Income

EDUCATOR EXPENSES:

 

$0.00

EDUCATOR EXPENSES PER CO PUTER:

$0.00

RESERVIST AND OTHER

BUSINESS EXPENSE:

$0.00

HEALTH

VINGS

CCT

DEDUCTION:

$0.00

HEALTH S VINGS

CCT

DEDUCTION PER CO PTR:

$0.00

MOVING EXPENSES: F3903:

$0.00

SELF EMPLOYMENT T X DEDUCTION:

$177.00

SELF EMPLOYMENT T X DEDUCTION PER COMPUTER:

$177.00

ELF EMPLOYMENT T X DEDUCTION VERIFIED:

$0.00

KEOGH/ EP CONTRIBUTION DEDUCTION:

$0.00

ELF-EMP HE LTH INS DEDUCTION:

$0.00

EARLY WITHDRAWAL OF

AVINGS PENALTY:

$0.00

ALIMONY PAID

N:

 

 

ALIMONY PAID:

 

 

$0.00

IRA DEDUCTION:

 

 

$0.00

IRA DEDUCTION PER COMPUTER:

$0.00

STUDENT LOAN INTEREST DEDUCTION:

$0.00

STUDENT LOAN INTEREST DEDUCTION PER COMPUTER:

$0.00

STUDENT LOAN INTEREST DEDUCTION VERIFIED:

$0.00

TUITION AND FEES DEDUCTION:

$0.00

TUITION AND FEES DEDUCTION PER COMPUTER:

$0.00

DOMESTIC PRODUCTION ACTIVITIES DEDUCTION:

$0.00

8/9/2018

Page 3 of 6

DOMESTIC PRODUCTION ACTIVITIES DEDUCTION PER COMPUTER:

 

$0.00

OTHER ADJUSTMENTS:

 

 

$0.00

ARCHER MSA DEDUCTION:

 

$0.00

ARCHER MSA DEDUCTION PER COMPUTER:

 

$0.00

TOTAL ADJUSTMENTS:

 

 

$177.00

TOTAL ADJUSTMENTS PER COMPUTER:

 

$177.00

ADJUSTED GROSS INCOME:

$15,323.00

ADJUSTED GROSS INCOME PER COMPUTER:

$15,323.00

SAMPLE

 

Tax and Credits

 

 

65-OR-OVER:

 

 

NO

BLIND:

 

 

 

 

NO

SPOUSE 65-OR-OVER:

 

 

NO

SPOUSE BLIND:

 

 

NO

STANDARD DEDUCTION PER COMPUTER:

 

$4,850.00

ADDITIONAL STANDARD DEDUCTION PER COMPUTER:

 

$0.00

TAX TABLE INCOME PER COMPUTER:

$10,473.00

EXEMPTION AMOUNT PER COMPUTER:

 

$3,100.00

TAXABLE INCOME:

 

 

$7,373.00

TAXABLE INCOME PER COMPUTER:

 

$7,373.00

TOTAL POSITIVE INCOME PER COMPUTER:

$15,500.00

TENTATIVE TAX:

 

 

$749.00

TENTATIVE TAX PER COMPUTER:

 

$749.00

FORM 8814 ADDITIONAL TAX AMOUNT:

 

$0.00

TAX ON INCOME LESS SOC SEC INCOME PER COM UTER:

 

$0.00

FORM 6251 ALTERNATIVE MINIMUM TAX:

 

$0.00

FORM 6251 ALTERNATIVE INI UM TAX PER CO UTER:

 

$0.00

FOREIGN TAX CREDIT:

 

$0.00

FOREIGN TAX CREDIT PER CO PUTER:

 

$0.00

FOREIGN INCOME EXCLUSION PER CO PUTER:

 

$0.00

FOREIGN INCOME EXCLUSION TAX PER CO PUTER:

 

$0.00

EXCESS ADVANCE PREMIUM TAX CREDIT REPAY ENT OUNT:

 

$0.00

EXCESS

DV NCE PREMIUM T X CREDIT REP Y ENT VERIFIED A OUNT:

 

$0.00

CHILD & DEPENDENT C RE CREDIT:

 

$0.00

CHILD & DEPENDENT C RE CREDIT PER COMPUTER:

 

$0.00

CREDIT FOR ELDERLY

ND DIS BLED:

 

$0.00

CREDIT FOR ELDERLY

ND DIS BLED PER COMPUTER:

 

$0.00

EDUCATION CREDIT:

 

 

$0.00

EDUCATION CREDIT PER COMPUTER:

 

$0.00

GRO EDUC TION CREDIT PER COMPUTER:

 

$0.00

RETIREMENT

AVINGS CNTRB CREDIT:

 

$0.00

RETIREMENT

AVINGS CNTRB CREDIT PER COMPUTER:

 

$0.00

PRIM RET

 

AV CNTRB: F8880 LN6A:

 

$0.00

EC RET

AV CNTRB: F8880 LN6B:

 

$0.00

TOTAL RETIREMENT

AVINGS CONTRIBUTION: F8880 CMPTR:

 

$0.00

RESIDENTIAL ENERGY CREDIT:

 

$0.00

RESIDENTIAL ENERGY CREDIT PER COMPUTER:

 

$0.00

CHILD TAX CREDIT:

 

 

$0.00

CHILD TAX CREDIT PER COMPUTER:

 

$0.00

ADOPTION CREDIT: F8839:

 

$0.00

ADOPTION CREDIT PER COMPUTER:

 

$0.00

8/9/2018

Page 4 of 6

FORM 8396 MORTGAGE CERTIFICATE CREDIT:

$0.00

FORM 8396 MORTGAGE CERTIFICATE CREDIT PER COMPUTER:

$0.00

F3800, F8801 AND OTHER CREDIT AMOUNT:

$0.00

FORM 3800 GENERAL BUSINESS CREDITS:

$0.00

FORM 3800 GENERAL BUSINESS CREDITS PER COMPUTER:

$0.00

PRIOR YR MIN TAX CREDIT: F8801:

$0.00

PRIOR YR MIN TAX CREDIT: F8801 PER COMPUTER:

$0.00

F8936

ELECTRIC MOTOR VEHICLE CREDIT AMOUNT:

$0.00

F8936

ELECTRIC MOTOR VEHICLE CREDIT PER COMPUTER:

$0.00

SAMPLE

$0.00

F8910

ALTERNATIVE MOTOR VEHICLE CREDIT AMOUNT:

F8910

ALTERNATIVE MOTOR VEHICLE CREDIT PER COMPUTER:

$0.00

OTHER CREDITS:

$0.00

TOTAL CREDITS:

$0.00

TOTAL CREDITS PER COMPUTER:

$0.00

INCOME TAX AFTER CREDITS PER COMPUTER:

$749.00

Other Taxes

SE TAX:

 

$354.00

SE TAX PER COMPUTER:

 

$354.00

SOCIAL SECURITY AND MEDICARE TAX ON UNREPORTED TIPS:

 

$0.00

SOCIAL SECURITY AND MEDICARE TAX ON UNRE ORTED TI

ER COM UTER:

$0.00

TAX ON QUALIFIED PLANS F5329 (PR):

 

$0.00

TAX ON QUALIFIED PLANS F5329 PER COM UTER:

 

$0.00

IRAF TAX PER COMPUTER:

 

$0.00

TP TAX FIGURES (REDUCED BY IRAF) PER COM UTER:

 

$1,103.00

IMF TOTAL TAX (REDUCED BY IRAF) PER COM UTER:

 

$1,103.00

OTHER TAXES PER COMPUTER:

 

$0.00

UNPAID FICA ON REPORTED TIPS:

 

$0.00

OTHER TAXES:

 

$0.00

RECAPTURE TAX: F8611:

 

$0.00

HOUSEHOLD EMPLOYMENT TAXES:

 

$0.00

HOUSEHOLD EMPLOYMENT TAXES PER CO PUTER:

 

$0.00

HEALTH C RE RESPONSIBILITY PEN LTY:

 

$0.00

HEALTH C RE RESPONSIBILITY PEN LTY VERIFIED:

 

$0.00

HEALTH COVER GE REC PTURE: F8885:

 

$0.00

RECAPTURE T XES:

 

$0.00

TOTAL SSESSMENT PER COMPUTER:

 

$1,103.00

TOTAL T X LI BILITY TP FIGURES:

 

$1,103.00

TOTAL T X LI BILITY TP FIGURES PER COMPUTER:

 

$1,103.00

Payments

FEDERAL INCOME TAX WITHHELD:

$1,000.00

HEALTH CARE: INDIVIDUAL RESPONSIBILITY:

$0.00

HEALTH CARE FULL-YEAR COVERAGE INDICATOR:

0

E TIMATED TAX

PAYMENT :

$0.00

OTHER PAYMENT CREDIT:

$0.00

REFUNDABLE EDUCATION CREDIT:

$0.00

REFUNDABLE EDUCATION CREDIT PER COMPUTER:

$0.00

REFUNDABLE EDUCATION CREDIT VERIFIED:

$0.00

EARNED INCOME CREDIT:

$0.00

EARNED INCOME CREDIT PER COMPUTER:

$0.00

EARNED INCOME CREDIT NONTAXABLE COMBAT PAY:

$0.00

8/9/2018

Page 5 of 6

SCHEDULE 8812

NONTAXABLE COMBAT PAY:

$0.00

EXCESS SOCIAL

SECURITY & RRTA TAX WITHHELD:

$0.00

SCHEDULE 8812

TOT SS/MEDICARE WITHHELD:

$0.00

SCHEDULE 8812

ADDITIONAL CHILD TAX CREDIT:

$0.00

SCHEDULE 8812

ADDITIONAL CHILD TAX CREDIT PER COMPUTER:

$0.00

SCHEDULE 8812

ADDITIONAL CHILD TAX CREDIT VERIFIED:

$0.00

AMOUNT PAID WITH FORM 4868:

$0.00

FORM 2439 REGULATED INVESTMENT COMPANY CREDIT:

$0.00

FORM 4136 CREDIT FOR FEDERAL TAX ON FUELS:

$0.00

SAMPLE

$0.00

FORM 4136 CREDIT FOR FEDERAL TAX ON FUELS PER COMPUTER:

HEALTH COVERAGE TX CR: F8885:

$0.00

PREMIUM TAX CREDIT AMOUNT:

$0.00

PREMIUM TAX CREDIT VERIFIED AMOUNT:

$0.00

PRIMARY NAP FIRST TIME HOME BUYER INSTALLMENT AMT:

$0.00

SECONDARY NAP

FIRST TIME HOME BUYER INSTALLMENT AMT:

$0.00

FIRST TIME HOMEBUYER CREDIT REPAYMENT AMOUNT:

$0.00

FORM 5405 TOTAL HOMEBUYERS CREDIT REPAYMENT PER COMPUTER:

$0.00

SMALL EMPLOYER HEALTH INSURANCE PER COMPUTER:

$0.00

SMALL EMPLOYER HEALTH INSURANCE PER COMPUTER (2):

$0.00

FORM 2439 AND

OTHER CREDITS:

$0.00

TOTAL PAYMENTS:

$1,000.00

TOTAL PAYMENTS PER COMPUTER:

$1,000.00

Refund or Amount Owed

AMOUNT YOU OWE:

$103.00

APPLIED TO NEXT YEAR'S ESTIMATED TAX:

$0.00

ESTIMATED TAX PENALTY:

$0.00

TAX ON INCOME LESS STATE REFUND PER CO UTER:

$0.00

BAL DUE/OVER PYMT USING TP FIG PER CO PUTER:

$103.00

BAL DUE/OVER PYMT USING CO PUTER FIGURES:

$103.00

FORM 8888 TOTAL REFUND PER CO PUTER:

$0.00

Third Party Designee

THIRD P RTY DESIGNEE ID NU BER:

 

AUTHORIZ TION INDIC TOR:

0

THIRD RTY DESIGNEE N ME:

 

Schedule C--Profit or Loss From Business

OCIAL

ECURITY NUMBER:

 

EMPLOYER

ID NUMBER:

 

BU INE

NAME:

 

DE CRIPTION OF BU INE /PROFESSION:

DRAK

NAICS CODE:

000000

ACCT MTHD:

 

FIR T TIME CHEDULE C FILED:

N

TATUTORY EMPLOYEE IND:

N

INCOME

GROSS RECEIPTS OR SALES:

$2,700.00

RETURNS AND ALLOWANCES:

$0.00

NET GROSS RECEIPTS:

$0.00

COST OF GOODS SOLD:

$0.00

SCHEDULE C FORM 1099 REQUIRED:

NONE

8/9/2018

Page 6 of 6

SCHEDULE C FORM 1099 FILED:

NONE

OTHER INCOME:

$0.00

EXPENSES

CAR AND TRUCK EXPENSES:

$0.00

DEPRECIATION:

$0.00

INSURANCE (OTHER THAN HEALTH):

$0.00

MORTGAGE INTEREST:

$0.00

LEGAL AND PROFESSIONAL SERVICES:

$0.00

SAMPLE

$0.00

REPAIRS AND MAINTENANCE:

TRAVEL:

$0.00

MEALS AND ENTERTAINMENT:

$0.00

WAGES:

$0.00

OTHER EXPENSES:

$0.00

TOTAL EXPENSES:

$200.00

EXP FOR BUSINESS USE OF HOME:

$0.00

SCH C NET PROFIT OR LOSS PER COMPUTER:

$2,500.00

AT RISK CD:

 

OFFICE EXPENSE AMOUNT:

$0.00

UTILITIES EXPENSE AMOUNT:

$0.00

COST OF GOODS SOLD

INVENTORY

AT

BEGINNING OF

YEAR:

$0.00

INVENTORY

AT

END OF YEAR:

 

$0.00

Schedule SE--Self-Employment Tax

SSN OF SELF-EMPLOYED TAXPAYER:

XXX-XX-5084

NET FARM PROFIT/LOSS: SCH F:

$0.00

CONSERVATION RESERVE PROGRAM PAY ENTS:

$0.00

NET NONFARM PROFIT/LOSS:

$2,500.00

TOTAL SE INCOME:

$2,500.00

SE QUARTERS COVERED:

4

TOTAL SE TAX PER COMPUTER:

$353.12

SE INCOME COMPUTER VERIFIED:

$0.00

SE INCOME PER COMPUTER:

$2,308.00

TOTAL NET E RNINGS PER CO PUTER:

$2,308.00

LONG FORM ONLY

TENTATIVE

CHURCH RNINGS:

$0.00

TOTAL SOC

SEC & RR W GES:

$0.00

E

T X

COMPUTER:

$286.19

E MEDIC RE INCOME PER COMPUTER:

$2,308.00

E MEDICARE TAX PER COMPUTER:

$66.93

E FARM OPTION METHOD U ED:

0

E OPTIONAL METHOD INCOME:

$0.00

Form 8863 - Education Credits (Hope and Lifetime Learning Credits)

PART III - ALLOWABLE EDUCATION CREDITS

GROSS EDUCATION CR PER COMPUTER:

$0.00

TOTAL EDUCATION CREDIT AMOUNT:

$0.00

TOTAL EDUCATION CREDIT AMOUNT PER COMPUTER:

$0.00

 

 

This Product Contains Sensitive Taxpayer Data

 

 

 

 

 

 

8/9/2018