EDULE 1 (Form 1040) Department of the Treasury Internal Revenue Service Name(s) shown on Form 1040, 1040-SR, or 1040-NR

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EDULE 1 (Form 1040) Department of the Treasury Internal Revenue Service Name(s) shown on Form 1040, 1040-SR, or 1040-NR

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Edule 1 Form 1040 Department Of The Treasury Internal Revenue Service Name S Shown On Form 1040 1040 Sr Or 1040 Nr 1
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Edule 1 Form 1040 Department Of The Treasury Internal Revenue Service Name S Shown On Form 1040 1040 Sr Or 1040 Nr 2
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Edule 1 Form 1040 Department Of The Treasury Internal Revenue Service Name S Shown On Form 1040 1040 Sr Or 1040 Nr 3
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Edule 1 Form 1040 Department Of The Treasury Internal Revenue Service Name S Shown On Form 1040 1040 Sr Or 1040 Nr 4
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Edule 1 Form 1040 Department Of The Treasury Internal Revenue Service Name S Shown On Form 1040 1040 Sr Or 1040 Nr 5
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Edule 1 Form 1040 Department Of The Treasury Internal Revenue Service Name S Shown On Form 1040 1040 Sr Or 1040 Nr 6
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EDULE 1 (Form 1040) Department of the Treasury Internal Revenue Service Name(s) shown on Form 1040, 1040-SR, or 1040-NR Part I Additional Income 1 Taxable refunds, credits, or offsets of state and local income taxes 2a Alimony received. b Date of original divorce or separation agreement (see instructions) 3 Business income or (loss). Attach Schedule C 4 Other gains or (losses). Attach Form 4797 4 5 Rental real estate, royalties, partnerships. S corporations, trusts, etc. Attach Schedule E 5 6 Farm income or (loss). Attach Schedule F 6 7 Unemployment compensation. 7 8 Other income: a Net operating loss 8a b Gambling income 8b c Cancellation of debt 8c d Foreign earned income exclusion from Form 2555 8d e Taxable Health Savings Account distribution 8e f Alaska Permanent Fund dividends 8f g Jury duty pay 8g h Prizes and awards 8h i Activity not engaged in for profit income 8 j Stock options 8 k Income from the rental of personal property if you engaged in the rental for profit but were not in the business of renting such property 8k 1 Olympic and Paralympic medals and USOC prize money (see instructions). 81 8m m Section 951(a) inclusion (see instructions) 8n n Section 951A(a) inclusion (see instructions) 80 o Section 461() excess business loss adjustment. p Taxable distributions from an ABLE account (see instructions). 8p z Other income. List type and amount I 8z 9 9 Total other income. Add lines 8a through 8z 10 Combine lines 1 through 7 and 9. Enter here and on Form 1040, 1040-SR, or 1040-NR, line 8 10 Additional Income and Adjustments to Income Attach to Form 1040, 1040-SR, or 1040-NR Go to www.is.gov/Form 1040 for instructions and the latest information. UNE NOU 2021 Attachment Sequence No. 01 Your social security number 1 2a 3
Schedule 1 Form 1040 2021 Part II Adjustments to Income 11 Educator expenses . 11 12 Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 12 13 Health savings account deduction. Attach Form 8889 13 14 14 15 Moving expenses for members of the Armed Forces. Attach Form 3903 Deductible part of self-employment tax. Attach Schedule SE Self-employed SEP, SIMPLE, and qualified plans Self-employed health insurance deduction. 15 16 16 17 17 18 Penalty on early withdrawal of savings 18 19a Alimony paid. 19a b Recipient's SSN c Date of original divorce or separation agreement (see instructions) IRA deduction 20 Student loan interest deduction 21 22 Reserved for future use 22 23 Archer MSA deduction 23 24 Other adjustments: a Jury duty pay (see instructions) 24a b Deductible expenses related to income reported on line 8k from the rental of personal property engaged in for profit 24b c Nontaxable amount of the value of Olympic and Paralympic medals and USOC prize money reported on line 81 24c d Reforestation amortization and expenses 24d e Repayment of supplemental unemployment benefits under the Trade Act of 1974 24e 241 f Contributions to section 501(c)(18)(D) pension plans 9 Contributions by certain chaplains to section 403(b) plans 24g h Attorney fees and court costs for actions involving certain unlawful discrimination claims (see instructions) 24h i Attorney fees and court costs you paid in connection with an award from the IRS for information you provided that helped the IRS detect tax law violations 241 24 i Housing deduction from Form 2555 k Excess deductions of section 67(e) expenses from Schedule K-1 (Form 1041) 24k z Other adjustments. List type and amount 24z 25 25 Total other adjustments. Add lines 24a through 24z 26 26 Add lines 11 through 23 and 25. These are your adjustments to income. Enter here and on Form 1040 or 1040-SR, line 10, or Form 1040-NR, line 10a thành đối thpt 20 22222 21 Page 2
Alexander Smith and his wife Allison are married and file a joint tax return for 2021. The Smiths live at 1234 Buena Vista Drive, Orlando, FL 32830. Alexander is a commuter airline pilot but took 6 months off from his job in 2021 to obtain a higher level pilot's license. The Smiths have a 17 year-old son, Brad, who is enrolled in eleventh grade at the Walt Disney Prep School. The Smiths also have an 18 year-old daughter, Angelina, who is a part-time first-year student at Orange County Community College (OCCC). Angelina is married to Sean Shirker, who is 19 years old and also a part-time student at OCCC. Sean and Angelina have a 1 year old child, Trask (Social Security number 115-45-7893). All the Shirkers live in an apartment near the Smiths. Angelina and Sean both also work part-time for Sean's wealthy grandfather as apprentices in his business. The Shirker's wages for the year were $50,000 which allowed them to pay all the personal expenses for themselves and Trask. O Name Social Security number 266-15-1966 Alexander Smith Date of birth 09/22/1970 Allison Smith 266-34-1967 07/01/1971 Brad Smith 261-55-2121 12/21/2004 Angelina Shirker 261-45-1212 03/31/2001 Sean Shirker 546-78-1235 05/01/2000 Trask Shirker 115-45-7893 10/21/2018 Five years ago, Alexander divorced Jennifer Amistad (Social Security number 341-55-6789). Alexander pays Jennifer $200 per month in alimony under the divorce decree. Not included with the Smith's tax forms was interest from State of Florida bonds of $145.00. Alexander also received a Form W-2, Form 1099-INT, and Form 1099-DIV that you should have downloaded in Step 1 above.
a Employee's social security number 266-15-1966 b Employer identification number ( 60-3456789 e Employer's nama, address, and ZIP code Kissimmee Airlines, Inc. 2432 Bay Blvd. Kissimmee, FL 34741 d Control number Employee's first name and intal Last name Alexander T. Smith 1234 Buena Vista Drive Orlando, FL 32830 f Employee's address and ZIP code Employer's state 10 number 45 stre FL W-2 Wage and Tax Form Copy B-To Be Filed With Employee's FEDERAL Tax Return. This information is being furnished to the Internal Revenue Service Aps, c Safe, accurate, FAST! Use 1 Wages, lips, or comparation 65,895.00 soon swoully woghs 69,167.00 5 Modicare wages and tips 69,167.00 7 Social secunty tips Verification code Su Nonqualified plans 14 Other OMB No 1545-0008 17 State income tax 2018 Voit the PS website at e file www.in.gov + 2 Fader income tax withheld 6,010.00 soon security tax withs 4,288.35 & Medicaru tax withhold 1,002.92 Alocated tips to Dependent care benefits 12a 500 instructions for box 12 D 3,272.00 (25 120 120 Local income tax Department of the Treasury-Internal Revenue Service 18 Local wages, ps, etc.
CORRECTED (if checked) PAYER'S name, stroot address, city or town, state or province, country, ZP Payer's RTN optional) or forsign postal code, and talephone na OMB No 1545-0112 Orlando National Bank 2018 1 Interest income 9871 Disney Way 1,640.26 Orlando, FL 32801 $ Form 1090-INT 2 Early withdraw punality PAYER'S TIN $ 3 Interest on US Savings Bonds and Tras obligations 60-7654321 $ RECIPIENT'S name 4 Federal income tax withhold 5 Investment expenses $ $ Alexander T. Smith Foraign tax paid 7 Foragn country or US pomo Street address including apt.no) $ 1234 Buena Vista Drive Tax-exempt interest Spected pats actuy bond H City or town, state or province, country, and ZIP or forsign postal code Orlando, FL 32830 Account number bee instructions) Form 1000-INT Interest Income Copy B For Recipient This is important tax information and is being furnished to the IRS. If you are required to file a retum, a negligence $ $ 10 Markat discount penalty or other sanction may be imposed on you if this income is taxable and the IRS determines that it has 11 Bond premium $ not been reported. FATCAS requiromont 12 ond prium on my to 13 Gond pranium on ta ungt bond $ $ 15 14 Tax-pt and tax bond CUP no 16 State identication re 17 Sitate tax withhold www.ns.gov/fom10 Department of the Treasury- Internal Revenue Service RECIPIENTS TIN 266-15-1966 (keep for your records)
CORRECTED (if checked) PAYER'S name, street address, city or town, state or province, country. ZP 1a Total ordinary dividends or foreign postal code, and talephone no. OMB No 1545-0110 1,321.00 Disney Parking Corporation $ tb Qualified dividends 2018 Dividends and Distributions 1500 Reams Rd. 1,100.00 Lake Buena Vista, FL 32830 For 1099-DIV $ 2a Total capital gain destr $ 2b Unicap Sec. 1250 gain Copy B $ For Recipient PAYER'S TIN RECIPIENT'S TIN 2c Section 1202 gain 2d Collectibles (%) 57-4443344 266-34-1967 $ RECIPIENTS name 3 Nondividend distributions 4 Federal income tax withhol $ 100.00 Allison Smith $ 5 Section 199A dividends 6 Investment expenses Street address (including apt no) S $ 7 Foreign tax paid Forgn country or US pe 1234 Buena Vista Drive This is important tax information and is boing tumished to the RS, If you are required to file retum, a negligence penaty or other sanction may be imposed on you if this income is taxable and the IRS determines that it has not been reported. $ City or town, state or province, country, and ZiP or forsign postal code Orlando FL 32830 9 Cash liquidation distributions 10 Noncash gadation dibutor $ $ FATCA fing 14 Exampt intarest dividends 12 Specified private activity bond interest dividends requirement $ Account number (see instructions) 13 State 14 15 State tax withhold $ $ Form 1000-DIV www.ins.gov/Form1000DV Department of the Treasury-Internal Revenue Service (keep for your records)
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