FILL IN THE FORMS PROBLEMS FOR TAXATION FOR DECISION MAKERS 2017TH EDITION BY SHIRLEY DENNIS ESCOFFI

Page 1

Form

Chapter 3, Problem 78

1040 U.S. Individual Income Tax Return 2016 (99)

Department of the Treasury—Internal Revenue Service

OMB No. 1545-0074

, 2016, ending

IRS Use Only—Do not write or staple in this space.

See separate instructions.

For the year Jan. 1–Dec. 31, 2016, or other tax year beginning Your first name and initial

Last name

, 20

Pierre

Lappin

1 2 3 4 6 6 7 8 9

If a joint return, spouse’s first name and initial

Last name

Spouse’s social security number

Jeanie

Lappin

Your social security number

4 4 5 6 7 9 8 7 6 Apt. no.

Home address (number and street). If you have a P.O. box, see instructions.

c Make sure the SSN(s) above and on line 6c are correct.

123 Cottontail Lane City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).

Presidential Election Campaign Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund. You Spouse

Houston, TX Foreign country name

Filing Status Check only one box.

Exemptions

Foreign postal code

Foreign province/state/county

1 2 3 6a b c

Single Married filing jointly (even if only one had income)

4

the qualifying person is a child but not your dependent, enter this child’s name here. a

Married filing separately. Enter spouse’s SSN above and full name here. a ✔ ✔

5

Qualifying widow(er) with dependent child

Yourself. If someone can claim you as a dependent, do not check box 6a .

Spouse . Dependents:

(1) First name

Head of household (with qualifying person). (See instructions.) If

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(2) Dependent’s social security number

Last name

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(4) if child under age 17 qualifying for child tax credit (see instructions)

(3) Dependent’s relationship to you

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Dependents on 6c not entered above

d

Attach Form(s) W-2 here. Also attach Forms W-2G and 1099-R if tax was withheld.

If you did not get a W-2, see instructions.

Adjusted Gross Income

2

• did not live with you due to divorce or separation (see instructions)

If more than four dependents, see instructions and check here a

Income

Boxes checked on 6a and 6b No. of children on 6c who: • lived with you

Total number of exemptions claimed

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Add numbers on lines above a

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7

70,000

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8a

3,000

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2,000 . . . .

9a

5,000

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5,000 . . . . . . . .

10 11

7

Wages, salaries, tips, etc. Attach Form(s) W-2

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.

8a b 9a

Taxable interest. Attach Schedule B if required . Tax-exempt interest. Do not include on line 8a . Ordinary dividends. Attach Schedule B if required

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b 10 11

Qualified dividends . . . . . . . . . . . 9b Taxable refunds, credits, or offsets of state and local income taxes Alimony received . . . . . . . . . . . . . . .

12 13 14

Business income or (loss). Attach Schedule C or C-EZ . . . . . . . . . Capital gain or (loss). Attach Schedule D if required. If not required, check here a Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . .

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12 13 14

15a 16a 17

IRA distributions . 15a b Taxable amount . . . Pensions and annuities 16a b Taxable amount . . . Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E

15b 16b 17

18 19 20a

Farm income or (loss). Attach Schedule F . Unemployment compensation . . . . Social security benefits 20a

. . .

18 19 20b

21 22

Other income. List type and amount Combine the amounts in the far right column for lines 7 through 21. This is your total income a

21 22

92,000

23

Educator expenses

24

Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 or 2106-EZ

25

Health savings account deduction. Attach Form 8889

.

24 25

26 27 28

Moving expenses. Attach Form 3903 . . . . . . Deductible part of self-employment tax. Attach Schedule SE . Self-employed SEP, SIMPLE, and qualified plans . .

26 27 28

29 30 31a

Self-employed health insurance deduction Penalty on early withdrawal of savings . .

29 30 31a

36 37

5,000 87,000

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2

4,000

10,000

23

32 33 34

Alimony paid b Recipient’s SSN a 3 4 5 6 7 8 8 9 9 IRA deduction . . . . . . . . . . . . . Student loan interest deduction . . . . . . . . Tuition and fees. Attach Form 8917 . . . . . . .

35 36 37

Domestic production activities deduction. Attach Form 8903 35 Add lines 23 through 35 . . . . . . . . . . . . . Subtract line 36 from line 22. This is your adjusted gross income

5,000

32 33 34 . .

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions.

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. a

Cat. No. 11320B

Form 1040 (2016)


Form

Chapter 4, Problem 71

1040 U.S. Individual Income Tax Return 2016 (99)

Department of the Treasury—Internal Revenue Service

OMB No. 1545-0074

, 2016, ending

IRS Use Only—Do not write or staple in this space.

See separate instructions.

For the year Jan. 1–Dec. 31, 2016, or other tax year beginning Your first name and initial

Last name

, 20

Angelina

Carlyle

1 6 7 8 8 5 5 4 4

If a joint return, spouse’s first name and initial

Last name

Spouse’s social security number

Your social security number

Apt. no.

Home address (number and street). If you have a P.O. box, see instructions.

c Make sure the SSN(s) above and on line 6c are correct.

1234 Main Street City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).

Presidential Election Campaign Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund. You Spouse

Dayton, OH Foreign country name

Filing Status Check only one box.

Exemptions

Foreign postal code

Foreign province/state/county

1 2 3 6a b c

Single Married filing jointly (even if only one had income)

4

the qualifying person is a child but not your dependent, enter this child’s name here. a

Married filing separately. Enter spouse’s SSN above and full name here. a ✔

5

Qualifying widow(er) with dependent child

Yourself. If someone can claim you as a dependent, do not check box 6a .

Spouse . Dependents:

(1) First name

Head of household (with qualifying person). (See instructions.) If

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(2) Dependent’s social security number

Last name

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(4) if child under age 17 qualifying for child tax credit (see instructions)

(3) Dependent’s relationship to you

}

Dependents on 6c not entered above

d

Attach Form(s) W-2 here. Also attach Forms W-2G and 1099-R if tax was withheld.

If you did not get a W-2, see instructions.

Adjusted Gross Income

1

• did not live with you due to divorce or separation (see instructions)

If more than four dependents, see instructions and check here a

Income

Boxes checked on 6a and 6b No. of children on 6c who: • lived with you

Total number of exemptions claimed

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7

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8a

Add numbers on lines above a

7

Wages, salaries, tips, etc. Attach Form(s) W-2

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8a b 9a

Taxable interest. Attach Schedule B if required . Tax-exempt interest. Do not include on line 8a . Ordinary dividends. Attach Schedule B if required

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9a

b 10 11

Qualified dividends . . . . . . . . . . . 9b Taxable refunds, credits, or offsets of state and local income taxes Alimony received . . . . . . . . . . . . . . .

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10 11

12 13 14

Business income or (loss). Attach Schedule C or C-EZ . . . . . . . . . Capital gain or (loss). Attach Schedule D if required. If not required, check here a Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . .

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12 13 14

15a 16a 17

IRA distributions . 15a b Taxable amount . . . Pensions and annuities 16a b Taxable amount . . . Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E

15b 16b 17

18 19 20a

Farm income or (loss). Attach Schedule F . Unemployment compensation . . . . Social security benefits 20a

. . .

18 19 20b

21 22

Other income. List type and amount Combine the amounts in the far right column for lines 7 through 21. This is your total income a

21 22

197,000

23

Educator expenses

24

Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 or 2106-EZ

25

Health savings account deduction. Attach Form 8889

.

24 25

26 27 28

Moving expenses. Attach Form 3903 . . . . . . Deductible part of self-employment tax. Attach Schedule SE . Self-employed SEP, SIMPLE, and qualified plans . .

26 27 28

29 30 31a

Self-employed health insurance deduction Penalty on early withdrawal of savings . .

. .

. .

. .

. .

32 33 34

Alimony paid b Recipient’s SSN a IRA deduction . . . . . . . Student loan interest deduction . . Tuition and fees. Attach Form 8917 .

29 30 31a

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. . .

. . .

32 33 34

35 36 37

Domestic production activities deduction. Attach Form 8903 35 Add lines 23 through 35 . . . . . . . . . . . . . Subtract line 36 from line 22. This is your adjusted gross income

36 37

9,958 187,042

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1

2,000

195,000

23

9,958

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For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions.

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. a

Cat. No. 11320B

Form 1040 (2016)


SCHEDULE SE (Form 1040) Department of the Treasury Internal Revenue Service (99)

OMB No. 1545-0074

Self-Employment Tax

2016

a Information about Schedule SE and its separate instructions is at www.irs.gov/schedulese.

Attachment Sequence No. 17

a Attach to Form 1040 or Form 1040NR.

Name of person with self-employment income (as shown on Form 1040 or Form 1040NR)

Angelina Carlyle

Social security number of person with self-employment income a

167-88-5544

Before you begin: To determine if you must file 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 file Schedule SE. If unsure, see Who Must File Schedule SE in the instructions. Did you receive wages or tips in 2016? No d

Yes d

d

Are you a minister, member of a religious order, or Christian Science practitioner who received IRS approval not to be taxed on earnings from these sources, but you owe self-employment tax on other earnings?

Yes

Was the total of your wages and tips subject to social security or railroad retirement (tier 1) tax plus your net earnings from self-employment more than $118,500?

a

No

Yes

Did you receive tips subject to social security or Medicare tax that you didn't report to your employer?

a

Yes

a

No d

No d Did you receive church employee income (see instructions) reported on Form W-2 of $108.28 or more?

a

No d

d Are you using one of the optional methods to figure your net earnings (see instructions)?

Yes

Yes

a

`

No

Did you report any wages on Form 8919, Uncollected Social Security and Medicare Tax on Wages?

Yes

a

No d You may use Short Schedule SE below

d a

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 profit or (loss) from Schedule F, line 34, and farm partnerships, Schedule K-1 (Form 1065), box 14, code A . . . . . . . . . . . . . . . . . . . . . . . . b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve Program payments included on Schedule F, line 4b, or listed on Schedule K-1 (Form 1065), box 20, code Z

2

3 4

5

6

Net profit or (loss) from Schedule C, line 31; Schedule C-EZ, line 3; Schedule K-1 (Form 1065), box 14, code A (other than farming); and Schedule K-1 (Form 1065-B), box 9, code J1. Ministers and members of religious orders, see instructions for types of income to report on this line. See instructions for other income to report . . . . . . . . . . . . . . Combine lines 1a, 1b, and 2 . . . . . . . . . . . . . . . . . . . . . Multiply line 3 by 92.35% (0.9235). If less than $400, you don't owe self-employment tax; don't file this schedule unless you have an amount on line 1b . . . . . . . . . . . . . a Note. If line 4 is less than $400 due to Conservation Reserve Program payments on line 1b, see instructions. Self-employment tax. If the amount on line 4 is: • $118,500 or less, multiply line 4 by 15.3% (0.153). Enter the result here and on Form 1040, line 57, or Form 1040NR, line 55 • More than $118,500, multiply line 4 by 2.9% (0.029). Then, add $14,694 to the result. Enter the total here and on Form 1040, line 57, or Form 1040NR, line 55 . . . . . . . Deduction for one-half of self-employment tax. Multiply line 5 by 50% (0.50). Enter the result here and on Form 1040, line 27, or Form 1040NR, line 27 . . . . . . . . 6 9,958

For Paperwork Reduction Act Notice, see your tax return instructions.

Cat. No. 11358Z

1a 1b (

)

2 3

195,000

4

180,083

5

19,916

195,000

Schedule SE (Form 1040) 2016


Chapter 5, Problem 100

SCHEDULE A (Form 1040)

OMB No. 1545-0074

Itemized Deductions

Department of the Treasury Internal Revenue Service (99)

a Information about Schedule A and its separate instructions is at www.irs.gov/schedulea. a Attach to Form 1040.

Name(s) shown on Form 1040

2016

Attachment Sequence No. 07 Your social security number

Simon and Ellen

Medical and Dental Expenses Taxes You Paid

Interest You Paid Note: Your mortgage interest deduction may be limited (see instructions).

Caution: Do not include expenses reimbursed or paid by others. 1 Medical and dental expenses (see instructions) . . . . . 1 60,000 2 Enter amount from Form 1040, line 38 2 3 Multiply line 2 by 10% (0.10). But if either you or your spouse was born before January 2, 1952, multiply line 2 by 7.5% (0.075) instead 3 4 Subtract line 3 from line 1. If line 3 is more than line 1, enter -0- . . 5 State and local (check only one box): a ✔ Income taxes, or . . . . . . . . . . . 5 b General sales taxes 6 Real estate taxes (see instructions) . . . . . . . . . 6 7 Personal property taxes . . . . . . . . . . . . . 7 8 Other taxes. List type and amount a 8 9 Add lines 5 through 8 . . . . . . . . . . . . . . . . 10 Home mortgage interest and points reported to you on Form 1098 10 11 Home mortgage interest not reported to you on Form 1098. If paid to the person from whom you bought the home, see instructions and show that person’s name, identifying no., and address a

6,000

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}

11 12 Points not reported to you on Form 1098. See instructions for special rules . . . . . . . . . . . . . . . . . 12 13 Mortgage insurance premiums (see instructions) . . . . . 13 14 Investment interest. Attach Form 4952 if required. (See instructions.) 14 15 Add lines 10 through 14 . . . . . . . . . . . . . . . Gifts to 16 Gifts by cash or check. If you made any gift of $250 or more, see instructions . . . . . . . . . . . . . . . . 16 Charity 17 Other than by cash or check. If any gift of $250 or more, see If you made a gift and got a instructions. You must attach Form 8283 if over $500 . . . 17 benefit for it, 18 Carryover from prior year . . . . . . . . . . . . 18 see instructions. 19 Add lines 16 through 18 . . . . . . . . . . . . . . .

Casualty and Theft Losses

6,400

20 Casualty or theft loss(es). Attach Form 4684. (See instructions.) .

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4

400

9

4,800

15

6,000

1,400

1,800 3,000

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6,000

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1,400

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19

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20

Job Expenses 21 Unreimbursed employee expenses—job travel, union dues, and Certain job education, etc. Attach Form 2106 or 2106-EZ if required. Miscellaneous 21 (See instructions.) a Deductions 22 Tax preparation fees . . . . . . . . . . . . . 22

1,300 150

23 Other expenses—investment, safe deposit box, etc. List type and amount a safe deposit box

Other Miscellaneous Deductions

24 25 26 27 28

23 Add lines 21 through 23 . . . . . . . . . . . . 24 6,000 Enter amount from Form 1040, line 38 25 Multiply line 25 by 2% (0.02) . . . . . . . . . . 26 Subtract line 26 from line 24. If line 26 is more than line 24, enter -0- . Other—from list in instructions. List type and amount a

120 1,570 1,200

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27

370

28

29 Is Form 1040, line 38, over $155,650? Total ✔ No. Your deduction is not limited. Add the amounts in the far right column Itemized for lines 4 through 28. Also, enter this amount on Form 1040, line 40. Deductions

}

. Yes. Your deduction may be limited. See the Itemized Deductions Worksheet in the instructions to figure the amount to enter. 30 If you elect to itemize deductions even though they are less than your standard deduction, check here . . . . . . . . . . . . . . . . . . . a

For Paperwork Reduction Act Notice, see Form 1040 instructions.

Cat. No. 17145C

.

29

12,970

Schedule A (Form 1040) 2016


Form

Chapter 5, Problem 101

1040 U.S. Individual Income Tax Return 2016 (99)

Department of the Treasury—Internal Revenue Service

For the year Jan. 1–Dec. 31, 2016, or other tax year beginning Your first name and initial

OMB No. 1545-0074

, 2016, ending

IRS Use Only—Do not write or staple in this space.

See separate instructions.

, 20

Last name

Kelly

Martin

If a joint return, spouse’s first name and initial

Last name

Your social security number

Spouse’s social security number

Apt. no.

Home address (number and street). If you have a P.O. box, see instructions.

c Make sure the SSN(s) above and on line 6c are correct.

City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).

Foreign country name

Filing Status Check only one box.

Exemptions

1 2 3 6a b

Attach Form(s) W-2 here. Also attach Forms W-2G and 1099-R if tax was withheld.

If you did not get a W-2, see instructions.

Adjusted Gross Income

4

Head of household (with qualifying person). (See instructions.) If the qualifying person is a child but not your dependent, enter this child’s name here. a

Married filing separately. Enter spouse’s SSN above and full name here. a

5

Qualifying widow(er) with dependent child

Yourself. If someone can claim you as a dependent, do not check box 6a .

Spouse . Dependents:

.

(1) First name

Last name

Barbara

Martin

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(2) Dependent’s social security number

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}

(4) if child under age 17 qualifying for child tax credit (see instructions)

(3) Dependent’s relationship to you

1 1

• did not live with you due to divorce or separation (see instructions)

Daughter

Boxes checked on 6a and 6b No. of children on 6c who: • lived with you

Dependents on 6c not entered above

d

Income

Single Married filing jointly (even if only one had income)

Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund. You Spouse

Foreign postal code

Foreign province/state/county

c

If more than four dependents, see instructions and check here a

Presidential Election Campaign

Total number of exemptions claimed

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7

60,000

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8a

4,000

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5,000 . . . .

9a

3,000

. .

3,000 . . . . . . . .

10 11

2,500

7

Wages, salaries, tips, etc. Attach Form(s) W-2

.

.

.

.

8a b 9a

Taxable interest. Attach Schedule B if required . Tax-exempt interest. Do not include on line 8a . Ordinary dividends. Attach Schedule B if required

. . .

. . .

.

b 10 11

Qualified dividends . . . . . . . . . . . 9b Taxable refunds, credits, or offsets of state and local income taxes Alimony received . . . . . . . . . . . . . . .

12 13 14

Business income or (loss). Attach Schedule C or C-EZ . . . . . . . . . Capital gain or (loss). Attach Schedule D if required. If not required, check here a Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . .

.

12 13 14

15a 16a 17

IRA distributions . 15a b Taxable amount . . . Pensions and annuities 16a b Taxable amount . . . Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E

15b 16b 17

18 19 20a

Farm income or (loss). Attach Schedule F . Unemployment compensation . . . . Social security benefits 20a

. . .

18 19 20b

21 22

Other income. List type and amount Combine the amounts in the far right column for lines 7 through 21. This is your total income a

21 22

23

Educator expenses

24

Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 or 2106-EZ

25

Health savings account deduction. Attach Form 8889

.

24 25

26 27 28

Moving expenses. Attach Form 3903 . . . . . . Deductible part of self-employment tax. Attach Schedule SE . Self-employed SEP, SIMPLE, and qualified plans . .

26 27 28

29 30 31a

Self-employed health insurance deduction Penalty on early withdrawal of savings . .

. .

. .

. .

. .

32 33 34

Alimony paid b Recipient’s SSN a IRA deduction . . . . . . . Student loan interest deduction . . Tuition and fees. Attach Form 8917 .

29 30 31a

. . .

. . .

. . .

. . .

32 33 34

35 36 37

Domestic production activities deduction. Attach Form 8903 35 Add lines 23 through 35 . . . . . . . . . . . . . Subtract line 36 from line 22. This is your adjusted gross income

.

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Add numbers on lines above a

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. . . . . . . . . . . . b Taxable amount

. . .

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2

(3,000)

3,500

70,000

23

. .

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions.

. .

. .

. .

. .

. a

36 37

Cat. No. 11320B

70,000 Form 1040 (2016)


Page 2

Form 1040 (2016)

38

Amount from line 37 (adjusted gross income)

Tax and Credits

39a

Check if:

b

If your spouse itemizes on a separate return or you were a dual-status alien, check here a

39b

Standard Deduction for— • People who check any box on line 39a or 39b or who can be claimed as a dependent, see instructions. • All others: Single or Married filing separately, $6,300 Married filing jointly or Qualifying widow(er), $12,600 Head of household, $9,300

40 41

Itemized deductions (from Schedule A) or your standard deduction (see left margin) Subtract line 40 from line 38 . . . . . . . . . . . . . . . . .

. .

42 43

Exemptions. If line 38 is $155,650 or less, multiply $4,050 by the number on line 6d. Otherwise, see instructions Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- . . Form 4972 c Tax (see instructions). Check if any from: a Form(s) 8814 b

44 45 46 47 48 49 50 51 52 53 54 55 56 57

Other Taxes

Payments If you have a qualifying child, attach Schedule EIC.

58 59 60a

.

.

You were born before January 2, 1952, Spouse was born before January 2, 1952,

.

.

Blind. Blind.

Alternative minimum tax (see instructions). Attach Form 6251 . Excess advance premium tax credit repayment. Attach Form 8962 Add lines 44, 45, and 46 . . . . . . . Foreign tax credit. Attach Form 1116 if required .

. .

. .

. .

.

.

Credit for child and dependent care expenses. Attach Form 2441

Education credits from Form 8863, line 19 . . . . . Retirement savings contributions credit. Attach Form 8880 Child tax credit. Attach Schedule 8812, if required . . .

67 68 69 70 71 72

75 76a

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49 50 51

600

52

1,000

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.

. .

. . a

. .

. .

. .

.

.

a

.

.

.

.

.

Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required

.

.

. .

. .

.

.

.

.

.

4137 .

.

. .

b

70,000

40 41 42

15,000

43

46,900

44 45 46 47

5,926

55

1,600 4,326

. .

. .

. .

. .

. .

55,000 8,100

5,926

56 57 58 59 60a 60b

Full-year coverage

Health care: individual responsibility (see instructions)

38

Total boxes checked a 39a

. .

.

.

8919

Household employment taxes from Schedule H

.

.

. .

.

.

.

. .

Self-employment tax. Attach Schedule SE

.

.

. .

. .

.

.

. .

Residential energy credits. Attach Form 5695 . . . . 53 3800 b 8801 c Other credits from Form: a 54 Add lines 48 through 54. These are your total credits . . . . . Subtract line 55 from line 47. If line 55 is more than line 47, enter -0Unreported social security and Medicare tax from Form:

.

. .

Form 8960 c Taxes from: a Form 8959 b Add lines 56 through 62. This is your total tax . .

64 65 66a b

.

. .

62 63

a

Third Party Designee

.

First-time homebuyer credit repayment. Attach Form 5405 if required

. . . . . Instructions; enter code(s) a . . . . . . . . . . . 64 Federal income tax withheld from Forms W-2 and 1099 . . 6,000 2016 estimated tax payments and amount applied from 2015 return 65 Earned income credit (EIC) . . . . . . . . . . 66a

61 62 63

4,326

a

74

6,000

If line 74 is more than line 63, subtract line 63 from line 74. This is the amount you overpaid

75

1,674

76a

1,674

Nontaxable combat pay election 66b Additional child tax credit. Attach Schedule 8812 .

.

.

.

67

American opportunity credit from Form 8863, line 8 . Net premium tax credit. Attach Form 8962 . . . . Amount paid with request for extension to file . . .

.

. . .

. . .

68 69 70

. .

. .

71 72 Credits from Form: a 2439 b Reserved c 8885 d 73 Add lines 64, 65, 66a, and 67 through 73. These are your total payments . Excess social security and tier 1 RRTA tax withheld

Credit for federal tax on fuels. Attach Form 4136

. .

. .

.

.

Amount of line 75 you want refunded to you. If Form 8888 is attached, check here

. .

. a

a c Type: Routing number Checking Savings Account number Amount of line 75 you want applied to your 2017 estimated tax a 77 77 78 Amount you owe. Subtract line 74 from line 63. For details on how to pay, see instructions a 78 79 Estimated tax penalty (see instructions) . . . . . . . 79 Do you want to allow another person to discuss this return with the IRS (see instructions)? Yes. Complete below.

Direct deposit? See a instructions.

Amount You Owe

.

b 61

73 74

Refund

{

.

b d

No

Personal identification a number (PIN)

Phone no. a

Designee’s name a

Sign Here

Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and accurately list all amounts and sources of income I received during the tax year. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Joint return? See instructions. Keep a copy for your records.

F

Paid Preparer Use Only

Your signature

Date

Your occupation

Daytime phone number

Spouse’s signature. If a joint return, both must sign.

Date

Spouse’s occupation

If the IRS sent you an Identity Protection PIN, enter it here (see inst.) PTIN Check if self-employed

Print/Type preparer’s name

Firm’s name

a

Firm’s address a www.irs.gov/form1040

Preparer’s signature

Date

Firm’s EIN a Phone no. Form 1040 (2016)


SCHEDULE A (Form 1040)

OMB No. 1545-0074

Itemized Deductions

Department of the Treasury Internal Revenue Service (99)

a Information about Schedule A and its separate instructions is at www.irs.gov/schedulea. a Attach to Form 1040.

Name(s) shown on Form 1040

2016

Attachment Sequence No. 07 Your social security number

Kelly Martin

Medical and Dental Expenses Taxes You Paid

Interest You Paid Note: Your mortgage interest deduction may be limited (see instructions).

Caution: Do not include expenses reimbursed or paid by others. 1 Medical and dental expenses (see instructions) . . . . . 1 2 Enter amount from Form 1040, line 38 2 3 Multiply line 2 by 10% (0.10). But if either you or your spouse was born before January 2, 1952, multiply line 2 by 7.5% (0.075) instead 3 4 Subtract line 3 from line 1. If line 3 is more than line 1, enter -0- . . 5 State and local (check only one box): a Income taxes, or . . . . . . . . . . . 5 b General sales taxes 6 Real estate taxes (see instructions) . . . . . . . . . 6 7 Personal property taxes . . . . . . . . . . . . . 7 8 Other taxes. List type and amount a 8 9 Add lines 5 through 8 . . . . . . . . . . . . . . . . 10 Home mortgage interest and points reported to you on Form 1098 10 11 Home mortgage interest not reported to you on Form 1098. If paid to the person from whom you bought the home, see instructions and show that person’s name, identifying no., and address a

.

.

.

}

11 12 Points not reported to you on Form 1098. See instructions for special rules . . . . . . . . . . . . . . . . . 12 13 Mortgage insurance premiums (see instructions) . . . . . 13 14 Investment interest. Attach Form 4952 if required. (See instructions.) 14 15 Add lines 10 through 14 . . . . . . . . . . . . . . . Gifts to 16 Gifts by cash or check. If you made any gift of $250 or more, see instructions . . . . . . . . . . . . . . . . 16 Charity 17 Other than by cash or check. If any gift of $250 or more, see If you made a gift and got a instructions. You must attach Form 8283 if over $500 . . . 17 benefit for it, 18 Carryover from prior year . . . . . . . . . . . . 18 see instructions. 19 Add lines 16 through 18 . . . . . . . . . . . . . . .

Casualty and Theft Losses

.

20 Casualty or theft loss(es). Attach Form 4684. (See instructions.) .

.

.

.

4

2,000

.

.

.

.

.

.

9

2,000

15

6,000

7,000

6,000

.

.

.

.

.

.

7,000

.

.

.

.

.

.

19

.

.

.

.

.

.

20

.

.

.

.

.

27

Job Expenses 21 Unreimbursed employee expenses—job travel, union dues, and Certain job education, etc. Attach Form 2106 or 2106-EZ if required. Miscellaneous 21 (See instructions.) a Deductions 22 Tax preparation fees . . . . . . . . . . . . . 22 23 Other expenses—investment, safe deposit box, etc. List type and amount a

Other Miscellaneous Deductions

24 25 26 27 28

23 Add lines 21 through 23 . . . . . . . . . . . . 24 Enter amount from Form 1040, line 38 25 Multiply line 25 by 2% (0.02) . . . . . . . . . . 26 Subtract line 26 from line 24. If line 26 is more than line 24, enter -0- . Other—from list in instructions. List type and amount a

28

29 Is Form 1040, line 38, over $155,650? Total ✔ No. Your deduction is not limited. Add the amounts in the far right column Itemized for lines 4 through 28. Also, enter this amount on Form 1040, line 40. Deductions

}

. Yes. Your deduction may be limited. See the Itemized Deductions Worksheet in the instructions to figure the amount to enter. 30 If you elect to itemize deductions even though they are less than your standard deduction, check here . . . . . . . . . . . . . . . . . . . a

For Paperwork Reduction Act Notice, see Form 1040 instructions.

Cat. No. 17145C

.

29

15,000

Schedule A (Form 1040) 2016


Form

Chapter 5, Problem 102

1040 U.S. Individual Income Tax Return 2016 (99)

Department of the Treasury—Internal Revenue Service

For the year Jan. 1–Dec. 31, 2016, or other tax year beginning Your first name and initial

OMB No. 1545-0074

, 2016, ending

IRS Use Only—Do not write or staple in this space.

See separate instructions.

, 20

Last name

Jason

Greco

If a joint return, spouse’s first name and initial

Last name

Jennifer

Greco

Your social security number

Spouse’s social security number

Apt. no.

Home address (number and street). If you have a P.O. box, see instructions.

c Make sure the SSN(s) above

and on line 6c are correct.

City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).

Foreign country name

Filing Status Check only one box.

Exemptions

1 2 3

Single Married filing jointly (even if only one had income)

Spouse . Dependents:

Jessica Jim

If you did not get a W-2, see instructions.

Adjusted Gross Income

the qualifying person is a child but not your dependent, enter this child’s name here. a

5

Qualifying widow(er) with dependent child

.

.

.

.

.

.

.

.

.

.

.

(2) Dependent’s social security number

Last name

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

(4) if child under age 17 qualifying for child tax credit (see instructions)

(3) Dependent’s relationship to you

}

2 2

• did not live with you due to divorce or separation (see instructions)

Daughter Son

Greco Greco

Boxes checked on 6a and 6b No. of children on 6c who: • lived with you

Dependents on 6c not entered above

d

Attach Form(s) W-2 here. Also attach Forms W-2G and 1099-R if tax was withheld.

Head of household (with qualifying person). (See instructions.) If

Yourself. If someone can claim you as a dependent, do not check box 6a .

(1) First name

Income

4

Married filing separately. Enter spouse’s SSN above and full name here. a

6a b

Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund. You Spouse

Foreign postal code

Foreign province/state/county

c

If more than four dependents, see instructions and check here a

Presidential Election Campaign

Total number of exemptions claimed

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

7

. 8b . .

.

.

.

.

.

.

.

8a

.

.

.

.

.

.

.

9a

19,000.

7

Wages, salaries, tips, etc. Attach Form(s) W-2

.

.

.

.

Taxable interest. Attach Schedule B if required . Tax-exempt interest. Do not include on line 8a . Ordinary dividends. Attach Schedule B if required

. . .

. . .

.

b 10 11

Qualified dividends . . . . . . . . . . . 9b Taxable refunds, credits, or offsets of state and local income taxes Alimony received . . . . . . . . . . . . . . .

. .

. .

10 11

12 13 14

Business income or (loss). Attach Schedule C or C-EZ . . . . . . . . . Capital gain or (loss). Attach Schedule D if required. If not required, check here a Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . .

. .

12 13 14

15a 16a 17

IRA distributions . 15a b Taxable amount . . . Pensions and annuities 16a b Taxable amount . . . Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E

15b 16b 17

18 19 20a

Farm income or (loss). Attach Schedule F . Unemployment compensation . . . . Social security benefits 20a

. . .

18 19 20b

21 22

Other income. List type and amount Combine the amounts in the far right column for lines 7 through 21. This is your total income a

21 22

23

Educator expenses

24

Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 or 2106-EZ

25

Health savings account deduction. Attach Form 8889

.

24 25

26 27 28

Moving expenses. Attach Form 3903 . . . . . . Deductible part of self-employment tax. Attach Schedule SE . Self-employed SEP, SIMPLE, and qualified plans . .

26 27 28

29 30 31a

Self-employed health insurance deduction Penalty on early withdrawal of savings . .

. .

. .

. .

. .

32 33 34

Alimony paid b Recipient’s SSN a IRA deduction . . . . . . . Student loan interest deduction . . Tuition and fees. Attach Form 8917 .

29 30 31a

. . .

. . .

. . .

. . .

32 33 34

35 36 37

Domestic production activities deduction. Attach Form 8903 35 Add lines 23 through 35 . . . . . . . . . . . . . Subtract line 36 from line 22. This is your adjusted gross income

.

.

.

.

.

.

. . .

.

. . .

.

. .

.

. .

.

. .

.

4

120,000. 12,000.

8a b 9a

. .

Add numbers on lines above a

19,000. . .

. .

. .

. . . . . . . . . . . . b Taxable amount

. .

. . .

. . .

148,000. 70,000.

369,000.

23

9,329.

. .

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions.

. .

. .

. .

. .

. a

36 37

9,329. 359,671. Form 1040 (2016)


Form 1040 (2016)

38

Amount from line 37 (adjusted gross income)

Tax and Credits

39a

Check if:

b

If your spouse itemizes on a separate return or you were a dual-status alien, check here a

39b

Standard Deduction for— • People who check any box on line 39a or 39b or who can be claimed as a dependent, see instructions. • All others: Single or Married filing separately, $6,300 Married filing jointly or Qualifying widow(er), $12,600 Head of household, $9,300

40 41

Itemized deductions (from Schedule A) or your standard deduction (see left margin) Subtract line 40 from line 38 . . . . . . . . . . . . . . . . .

. .

42 43

Exemptions. If line 38 is $155,650 or less, multiply $4,050 by the number on line 6d. Otherwise, see instructions Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- . . Form 4972 c Tax (see instructions). Check if any from: a Form(s) 8814 b

44 45 46 47 48 49 50 51 52 53 54 55 56 57

Other Taxes

If you have a qualifying child, attach Schedule EIC.

.

You were born before January 2, 1952, Spouse was born before January 2, 1952,

.

.

Blind. Blind.

Alternative minimum tax (see instructions). Attach Form 6251 . Excess advance premium tax credit repayment. Attach Form 8962

}

.

.

.

.

.

. .

. .

. .

. .

. .

. 48

.

.

.

.

.

.

52 Residential energy credits. Attach Form 5695 . . . . 53 3800 b 8801 c Other credits from Form: a 54 Add lines 48 through 54. These are your total credits . . . . . Subtract line 55 from line 47. If line 55 is more than line 47, enter -0-

. .

. .

. .

. .

. .

. .

.

Self-employment tax. Attach Schedule SE

.

.

.

.

.

.

.

8919

.

.

Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required

.

.

. .

. .

Add lines 44, 45, and 46 . . . . . . . Foreign tax credit. Attach Form 1116 if required .

. .

. .

. .

.

.

.

First-time homebuyer credit repayment. Attach Form 5405 if required

.

Household employment taxes from Schedule H

.

.

.

.

Page 2 359,671.

40 41 42 43 44 45 46 47

. . a

106,549. 253,122. 9,720. 243,402. 43,568.

43,568.

49 50 51

Credit for child and dependent care expenses. Attach Form 2441

Education credits from Form 8863, line 19 . . . . . Retirement savings contributions credit. Attach Form 8880 Child tax credit. Attach Schedule 8812, if required . . .

.

38

Total boxes checked a 39a

. .

b 61

.

.

.

4137 .

.

. .

b . .

. .

. .

. .

. .

55 56 57

a

43,568. 18,658.

58 59 60a 60b

Health care: individual responsibility (see instructions) Full-year coverage . . . . . Form 8960 c Taxes from: a Form 8959 b Instructions; enter code(s) a Add lines 56 through 62. This is your total tax . . . . . . . . . . . . . 35,000. 64 Federal income tax withheld from Forms W-2 and 1099 . .

61 62 63

3,898. 66,124.

a

74

65,000.

If line 74 is more than line 63, subtract line 63 from line 74. This is the amount you overpaid

75

2016 estimated tax payments and amount applied from 2015 return

.

65 66a

.

.

.

67

68 69 70

American opportunity credit from Form 8863, line 8 . Net premium tax credit. Attach Form 8962 . . . . Amount paid with request for extension to file . . .

. . .

. . .

68 69 70

71 72

. .

. .

71 72 Credits from Form: a 2439 b Reserved c 8885 d 73 Add lines 64, 65, 66a, and 67 through 73. These are your total payments . Credit for federal tax on fuels. Attach Form 4136

.

.

67

Excess social security and tier 1 RRTA tax withheld

.

.

Earned income credit (EIC) . . . . . . Nontaxable combat pay election 66b Additional child tax credit. Attach Schedule 8812 .

75 76a

.

. .

a

64 65 66a b

.

. .

Unreported social security and Medicare tax from Form:

. .

. .

30,000.

.

.

.

.

. a 76a Routing number Checking Savings X X X X X X X X X a c Type: X X X X X X X X X X X X X X X X X Account number Amount of line 75 you want applied to your 2017 estimated tax a 77 77 78 Amount you owe. Subtract line 74 from line 63. For details on how to pay, see instructions a 78 79 Estimated tax penalty (see instructions) . . . . . . . 79 Do you want to allow another person to discuss this return with the IRS (see instructions)? Yes. Complete below.

a

Third Party Designee

.

58 59 60a

Direct deposit? See a instructions.

Amount You Owe

.

.

73 74

Refund

.

.

62 63

Payments

{

.

Amount of line 75 you want refunded to you. If Form 8888 is attached, check here

b d

No

Personal identification a number (PIN)

Phone no. a

Designee’s name a

1,124.

Sign Here

Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and accurately list all amounts and sources of income I received during the tax year. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Joint return? See instructions. Keep a copy for your records.

F

Paid Preparer Use Only

Your signature

Date

Your occupation

Daytime phone number

Spouse’s signature. If a joint return, both must sign.

Date

Spouse’s occupation

manager homemaker Print/Type preparer’s name

Firm’s name

a

Firm’s address a www.irs.gov/form1040

Preparer’s signature

Date

If the IRS sent you an Identity Protection PIN, enter it here (see inst.) PTIN Check if self-employed Firm’s EIN a Phone no. REV 01/25/17 TTW

Form 1040 (2016)


SCHEDULE A (Form 1040)

OMB No. 1545-0074

Itemized Deductions

Department of the Treasury Internal Revenue Service (99)

a Information about Schedule A and its separate instructions is at www.irs.gov/schedulea. a Attach to Form 1040.

Name(s) shown on Form 1040

2016

Attachment Sequence No. 07 Your social security number

Jason & Jennifer Greco Medical and Dental Expenses Taxes You Paid

Interest You Paid Note: Your mortgage interest deduction may be limited (see instructions).

Caution: Do not include expenses reimbursed or paid by others. 1 Medical and dental expenses (see instructions) . . . . . 1 2 Enter amount from Form 1040, line 38 2 3 Multiply line 2 by 10% (0.10). But if either you or your spouse was born before January 2, 1952, multiply line 2 by 7.5% (0.075) instead 3 4 Subtract line 3 from line 1. If line 3 is more than line 1, enter -0- . . 5 State and local (check only one box): a Income taxes, or . . . . . . . . . . . 5 b General sales taxes 6 Real estate taxes (see instructions) . . . . . . . . . 6 7 Personal property taxes . . . . . . . . . . . . . 7 8 Other taxes. List type and amount a 8 9 Add lines 5 through 8 . . . . . . . . . . . . . . . . 10 Home mortgage interest and points reported to you on Form 1098 10 11 Home mortgage interest not reported to you on Form 1098. If paid to the person from whom you bought the home, see instructions and show that person’s name, identifying no., and address a

.

.

}

11 12 Points not reported to you on Form 1098. See instructions for special rules . . . . . . . . . . . . . . . . . 12 13 Mortgage insurance premiums (see instructions) . . . . . 13 14 Investment interest. Attach Form 4952 if required. (See instructions.) 14 15 Add lines 10 through 14 . . . . . . . . . . . . . . . Gifts to 16 Gifts by cash or check. If you made any gift of $250 or more, see instructions . . . . . . . . . . . . . . . . 16 Charity 17 Other than by cash or check. If any gift of $250 or more, see If you made a gift and got a instructions. You must attach Form 8283 if over $500 . . . 17 benefit for it, 18 Carryover from prior year . . . . . . . . . . . . 18 see instructions. 19 Add lines 16 through 18 . . . . . . . . . . . . . . .

Casualty and Theft Losses

.

20 Casualty or theft loss(es). Attach Form 4684. (See instructions.) .

.

.

.

.

4

11,000.

.

.

.

.

.

.

9

11,000.

15

48,000.

49,000.

48,000.

.

.

.

.

.

.

49,000.

.

.

.

.

.

.

19

.

.

.

.

.

.

20

.

.

.

.

.

27

Job Expenses 21 Unreimbursed employee expenses—job travel, union dues, and Certain job education, etc. Attach Form 2106 or 2106-EZ if required. Miscellaneous 21 (See instructions.) a Deductions 22 Tax preparation fees . . . . . . . . . . . . . 22 23 Other expenses—investment, safe deposit box, etc. List type and amount a

Other Miscellaneous Deductions

24 25 26 27 28

23 Add lines 21 through 23 . . . . . . . . . . . . 24 Enter amount from Form 1040, line 38 25 Multiply line 25 by 2% (0.02) . . . . . . . . . . 26 Subtract line 26 from line 24. If line 26 is more than line 24, enter -0- . Other—from list in instructions. List type and amount a

28

29 Is Form 1040, line 38, over $155,650? Total Itemized No. Your deduction is not limited. Add the amounts in the far right column for lines 4 through 28. Also, enter this amount on Form 1040, line 40. Deductions

}

. Yes. Your deduction may be limited. See the Itemized Deductions Worksheet in the instructions to figure the amount to enter. 30 If you elect to itemize deductions even though they are less than your standard deduction, check here . . . . . . . . . . . . . . . . . . . a

For Paperwork Reduction Act Notice, see Form 1040 instructions.

.

29

106,549.

Schedule A (Form 1040) 2016


Chapter 5, Problem 103 Department of the Treasury—Internal Revenue Service

Income Tax Return for Single and Joint Filers With No Dependents (99)

Form

1040EZ

Your first name and initial

2016

OMB No. 1545-0074 Your social security number

Last name

Janice

Morgan

If a joint return, spouse’s first name and initial

Last name

988

Apt. no.

Home address (number and street). If you have a P.O. box, see instructions.

7829 Dowry Lane City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).

1

Attach Form(s) W-2 here. Enclose, but do not attach, any payment.

Wages, salaries, and tips. This should be shown in box 1 of your Form(s) W-2. Attach your Form(s) W-2.

1

7,180.

2

Taxable interest. If the total is over $1,500, you cannot use Form 1040EZ.

2

210.

3

Unemployment compensation and Alaska Permanent Fund dividends (see instructions).

3

4 5

Add lines 1, 2, and 3. This is your adjusted gross income. If someone can claim you (or your spouse if a joint return) as a dependent, check the applicable box(es) below and enter the amount from the worksheet on back.

4

7,390.

5

6,300.

a

6 7 8a

1,090. 255.

a

9

255.

10 11 12

109.

13a

146.

6 7 8a b 9 10

Payments, Credits, and Tax

11 12 13a

Refund Have it directly deposited! See instructions and fill in 13b, 13c, and 13d, or Form 8888.

Make sure the SSN(s) above are correct.

Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking Foreign postal code a box below will not change your tax or refund. You Spouse

Foreign province/state/county

Income

c

Presidential Election Campaign

Boston MA 02112 Foreign country name

77 6543

Spouse’s social security number

You Spouse If no one can claim you (or your spouse if a joint return), enter $10,350 if single; $20,700 if married filing jointly. See back for explanation. Subtract line 5 from line 4. If line 5 is larger than line 4, enter -0-. This is your taxable income. Federal income tax withheld from Form(s) W-2 and 1099. Earned income credit (EIC) (see instructions) No Nontaxable combat pay election. 8b Add lines 7 and 8a. These are your total payments and credits. Tax. Use the amount on line 6 above to find your tax in the tax table in the instructions. Then, enter the tax from the table on this line. Health care: individual responsibility (see instructions) Full-year coverage Add lines 10 and 11. This is your total tax. If line 9 is larger than line 12, subtract line 12 from line 9. This is your refund. If Form 8888 is attached, check here a

a

b

Routing number

X X X X X X X X X

a

d

Account number

X X X X X X X X X X X X X X X X X

a c Type:

Checking

109.

Savings

Amount You Owe

14

Third Party Designee

Do you want to allow another person to discuss this return with the IRS (see instructions)?

Sign Here

Under penalties of perjury, I declare that I have examined this return and, to the best of my knowledge and belief, it is true, correct, and accurately lists all amounts and sources of income I received during the tax year. Declaration of preparer (other than the taxpayer) is based on all information of which the preparer has any knowledge. Daytime phone number Your occupation Your signature Date

Designee’s a name

F

Joint return? See instructions. Keep a copy for your records.

Paid Preparer Use Only

If line 12 is larger than line 9, subtract line 9 from line 12. This is the amount you owe. For details on how to pay, see instructions.

a

Phone a no.

14 Yes. Complete below.

No

Personal identification a number (PIN)

student Spouse’s signature. If a joint return, both must sign.

Print/Type preparer’s name

Firm’s name

Spouse’s occupation

Date

Preparer’s signature

Date

Firm’s EIN a

a

Firm’s address a

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see instructions.

If the IRS sent you an Identity Protection PIN, enter it here (see inst.) PTIN Check if self-employed

Phone no.

BAA

REV 01/25/17 TTW

Form 1040EZ (2016)


Form

Chapter 5, Problem 104

1040 U.S. Individual Income Tax Return 2016 (99)

Department of the Treasury—Internal Revenue Service

For the year Jan. 1–Dec. 31, 2016, or other tax year beginning Your first name and initial

OMB No. 1545-0074

, 2016, ending

IRS Use Only—Do not write or staple in this space.

See separate instructions.

, 20

Last name

Your social security number

Jose

Martinez

150-45-6789

If a joint return, spouse’s first name and initial

Last name

Spouse’s social security number

Rosanna

Martinez

123-45-7890 Apt. no.

Home address (number and street). If you have a P.O. box, see instructions.

c Make sure the SSN(s) above and on line 6c are correct.

1234 University Drive City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).

Presidential Election Campaign

Coral Gables FL 33146 Foreign country name

Filing Status Check only one box.

Exemptions

1 2 3 6a b

Attach Form(s) W-2 here. Also attach Forms W-2G and 1099-R if tax was withheld.

If you did not get a W-2, see instructions.

Adjusted Gross Income

Head of household (with qualifying person). (See instructions.) If the qualifying person is a child but not your dependent, enter this child’s name here. a

5

Qualifying widow(er) with dependent child

Yourself. If someone can claim you as a dependent, do not check box 6a . Spouse . Dependents:

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

(1) First name

Last name

(2) Dependent’s social security number

(3) Dependent’s relationship to you

Carmen Greg

Martinez Martinez

234-65-4321 234-65-5432

Daughter Son

.

.

.

.

.

.

.

.

.

.

.

.

(4) if child under age 17 qualifying for child tax credit (see instructions)

}

Boxes checked on 6a and 6b No. of children on 6c who: • lived with you

2 2

• did not live with you due to divorce or separation (see instructions) Dependents on 6c not entered above

d

Income

4

Married filing separately. Enter spouse’s SSN above and full name here. a

c

If more than four dependents, see instructions and check here a

Single Married filing jointly (even if only one had income)

Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund. You Spouse

Foreign postal code

Foreign province/state/county

Total number of exemptions claimed

.

.

.

.

.

.

.

.

.

.

.

.

.

.

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.

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.

.

.

7

. 8b . .

.

.

.

.

.

.

.

8a

108,000. 3,500.

.

.

.

.

.

.

.

9a

130.

7

Wages, salaries, tips, etc. Attach Form(s) W-2

.

.

.

.

Taxable interest. Attach Schedule B if required . Tax-exempt interest. Do not include on line 8a . Ordinary dividends. Attach Schedule B if required

. . .

. . .

.

b 10 11

Qualified dividends . . . . . . . . . . . 9b Taxable refunds, credits, or offsets of state and local income taxes Alimony received . . . . . . . . . . . . . . .

. .

. .

10 11

12 13 14

Business income or (loss). Attach Schedule C or C-EZ . . . . . . . . . Capital gain or (loss). Attach Schedule D if required. If not required, check here a Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . .

. .

12 13 14

15a 16a 17

. . . IRA distributions . 15a b Taxable amount Pensions and annuities 16a b Taxable amount . . . Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E

15b 16b 17

18 19 20a

Farm income or (loss). Attach Schedule F . Unemployment compensation . . . . Social security benefits 20a

18 19 20b

. .

. .

. .

130. . .

. .

. .

. . . . . . . . . . . . b Taxable amount

. .

. .

. .

. .

21 22

. . . Jury Duty Pay Other income. List type and amount Combine the amounts in the far right column for lines 7 through 21. This is your total income a

23

Educator expenses

24

Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 or 2106-EZ

25

Health savings account deduction. Attach Form 8889

26 27 28 29 30 31a

.

.

.

.

.

.

.

.

.

.

.

. Moving expenses. Attach Form 3903 . . . . . . Deductible part of self-employment tax. Attach Schedule SE . Self-employed SEP, SIMPLE, and qualified plans . . Self-employed health insurance deduction . . . . Penalty on early withdrawal of savings . . . . . .

26 27 28

Domestic production activities deduction. Attach Form 8903 35 Add lines 23 through 35 . . . . . . . . . . . . . Subtract line 36 from line 22. This is your adjusted gross income

. . .

. . .

. . .

45. 115,465.

36 37

2,268. 113,197. Form 1040 (2016)

268.

29 30 31a

35 36 37

. . .

21 22

24 25

Alimony paid b Recipient’s SSN a IRA deduction . . . . . . . Student loan interest deduction . . Tuition and fees. Attach Form 8917 .

. . .

3,790.

23

32 33 34

. . .

4

.

8a b 9a

. .

Add numbers on lines above a

.

2,000.

32 33 34 . .

. .

. .

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. BAA

. .

. .

. a

REV 01/25/17 TTW


Form 1040 (2016)

38

Amount from line 37 (adjusted gross income)

Tax and Credits

39a

Check if:

b

If your spouse itemizes on a separate return or you were a dual-status alien, check here a

39b

Standard Deduction for— • People who check any box on line 39a or 39b or who can be claimed as a dependent, see instructions. • All others: Single or Married filing separately, $6,300 Married filing jointly or Qualifying widow(er), $12,600 Head of household, $9,300

40 41

Itemized deductions (from Schedule A) or your standard deduction (see left margin) Subtract line 40 from line 38 . . . . . . . . . . . . . . . . .

. .

42 43

Exemptions. If line 38 is $155,650 or less, multiply $4,050 by the number on line 6d. Otherwise, see instructions Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- . . Form 4972 c Tax (see instructions). Check if any from: a Form(s) 8814 b

44 45 46 47 48 49 50 51 52 53 54 55 56 57

Other Taxes

If you have a qualifying child, attach Schedule EIC.

.

You were born before January 2, 1952, Spouse was born before January 2, 1952,

.

.

Blind. Blind.

Alternative minimum tax (see instructions). Attach Form 6251 . Excess advance premium tax credit repayment. Attach Form 8962 Add lines 44, 45, and 46 . . . . . . . Foreign tax credit. Attach Form 1116 if required .

. .

. .

. .

.

.

}

.

. .

.

.

.

.

.

.

.

.

.

.

. 48

.

.

.

.

.

.

First-time homebuyer credit repayment. Attach Form 5405 if required

. .

. .

.

.

. .

. .

.

. .

.

.

. .

Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required

.

.

. .

. .

.

.

4137 .

.

. .

44 45 46 47

9,501.

b . .

. .

. .

. .

. .

2,300. 7,201. 536.

55 56 57

a

.

.

43

800.

.

.

27,330. 85,867. 16,200. 69,667. 9,501.

40 41 42

a

8919

Household employment taxes from Schedule H

.

Page 2 113,197.

1,500.

.

.

38

Total boxes checked a 39a

.

b 61

58 59 60a 60b

Health care: individual responsibility (see instructions) Full-year coverage . . . . . Form 8960 c Taxes from: a Form 8959 b Instructions; enter code(s) a Add lines 56 through 62. This is your total tax . . . . . . . . . . . . . 9,100. 64 Federal income tax withheld from Forms W-2 and 1099 . .

61 62 63

7,737.

a

74

If line 74 is more than line 63, subtract line 63 from line 74. This is the amount you overpaid

75

10,100. 2,363. 2,363.

2016 estimated tax payments and amount applied from 2015 return

67 68 69 70

American opportunity credit from Form 8863, line 8 . Net premium tax credit. Attach Form 8962 . . . . Amount paid with request for extension to file . . .

71 72

71 72 Credits from Form: a 2439 b Reserved c 8885 d 73 Add lines 64, 65, 66a, and 67 through 73. These are your total payments . Excess social security and tier 1 RRTA tax withheld

Credit for federal tax on fuels. Attach Form 4136

.

.

.

.

.

.

. . . .

. . . .

. .

. .

65 66a

Earned income credit (EIC) . . . . . . Nontaxable combat pay election 66b Additional child tax credit. Attach Schedule 8812 .

75 76a

.

.

Self-employment tax. Attach Schedule SE

.

.

.

. .

.

.

.

52 Residential energy credits. Attach Form 5695 . . . . 53 3800 b 8801 c Other credits from Form: a 54 Add lines 48 through 54. These are your total credits . . . . . Subtract line 55 from line 47. If line 55 is more than line 47, enter -0.

.

49 50 51

Credit for child and dependent care expenses. Attach Form 2441

Education credits from Form 8863, line 19 . . . . . Retirement savings contributions credit. Attach Form 8880 Child tax credit. Attach Schedule 8812, if required . . .

.

.

.

a

64 65 66a b

.

.

.

. .

. .

67

1,000.

68 69 70

.

.

.

.

. a 76a Routing number Checking Savings X X X X X X X X X a c Type: X X X X X X X X X X X X X X X X X Account number Amount of line 75 you want applied to your 2017 estimated tax a 77 77 78 Amount you owe. Subtract line 74 from line 63. For details on how to pay, see instructions a 78 79 Estimated tax penalty (see instructions) . . . . . . . 79 Do you want to allow another person to discuss this return with the IRS (see instructions)? Yes. Complete below.

a

Third Party Designee

.

.

Direct deposit? See a instructions.

Amount You Owe

.

Unreported social security and Medicare tax from Form:

73 74

Refund

.

58 59 60a

62 63

Payments

{

.

Amount of line 75 you want refunded to you. If Form 8888 is attached, check here

b d

No

Personal identification a number (PIN)

Phone no. a

Designee’s name a

Sign Here

Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and accurately list all amounts and sources of income I received during the tax year. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Joint return? See instructions. Keep a copy for your records.

F

Paid Preparer Use Only

Your signature

Date

Your occupation

Daytime phone number

Spouse’s signature. If a joint return, both must sign.

Date

Spouse’s occupation

Architect Consultant Print/Type preparer’s name

Firm’s name

a

Firm’s address a www.irs.gov/form1040

Preparer’s signature

Date

If the IRS sent you an Identity Protection PIN, enter it here (see inst.) PTIN Check if self-employed Firm’s EIN a Phone no. REV 01/25/17 TTW

Form 1040 (2016)


SCHEDULE A (Form 1040)

OMB No. 1545-0074

Itemized Deductions

Department of the Treasury Internal Revenue Service (99)

a Information about Schedule A and its separate instructions is at www.irs.gov/schedulea.

2016

Name(s) shown on Form 1040

Attachment Sequence No. 07 Your social security number

Jose & Rosanna Martinez

150-45-6789

Medical and Dental Expenses Taxes You Paid

1 2 3 4 5

6 7 8

Interest You Paid

9 10 11

Note: Your mortgage interest deduction may be limited (see instructions).

a Attach to Form 1040.

Caution: Do not include expenses reimbursed or paid by others. Medical and dental expenses (see instructions) . . . . . 1 113,197. Enter amount from Form 1040, line 38 2 Multiply line 2 by 10% (0.10). But if either you or your spouse was born before January 2, 1952, multiply line 2 by 7.5% (0.075) instead 3 Subtract line 3 from line 1. If line 3 is more than line 1, enter -0- . . State and local (check only one box): a Income taxes, or . . . . . . . . . . . 5 b General sales taxes Real estate taxes (see instructions) . . . . . . . . . 6 Personal property taxes . . . . . . . . . . . . . 7 Other taxes. List type and amount a 8 Add lines 5 through 8 . . . . . . . . . . . . . . . . Home mortgage interest and points reported to you on Form 1098 10 Home mortgage interest not reported to you on Form 1098. If paid to the person from whom you bought the home, see instructions and show that person’s name, identifying no., and address a

11,320. .

.

.

}

11 12 Points not reported to you on Form 1098. See instructions for special rules . . . . . . . . . . . . . . . . . 12 13 Mortgage insurance premiums (see instructions) . . . . . 13 14 Investment interest. Attach Form 4952 if required. (See instructions.) 14 15 Add lines 10 through 14 . . . . . . . . . . . . . . . Gifts to 16 Gifts by cash or check. If you made any gift of $250 or more, see instructions . . . . . . . . . . . . . . . . 16 Charity 17 Other than by cash or check. If any gift of $250 or more, see If you made a gift and got a instructions. You must attach Form 8283 if over $500 . . . 17 benefit for it, 18 Carryover from prior year . . . . . . . . . . . . 18 see instructions. 19 Add lines 16 through 18 . . . . . . . . . . . . . . .

Casualty and Theft Losses

12,300.

20 Casualty or theft loss(es). Attach Form 4684. (See instructions.) .

.

.

.

.

4

980.

9

8,700.

15

13,500.

4,150.

3,200. 5,500.

.

.

.

.

.

.

13,500.

.

.

.

.

.

.

2,500. 1,650. .

.

.

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.

19

.

.

.

.

.

.

20

Job Expenses 21 Unreimbursed employee expenses—job travel, union dues, and Certain job education, etc. Attach Form 2106 or 2106-EZ if required. Miscellaneous 21 (See instructions.) a Deductions 22 Tax preparation fees . . . . . . . . . . . . . 22

220.

23 Other expenses—investment, safe deposit box, etc. List type and amount a Safe deposit box rental fees

Other Miscellaneous Deductions

24 25 26 27 28

23 Add lines 21 through 23 . . . . . . . . . . . . 24 113,197. Enter amount from Form 1040, line 38 25 Multiply line 25 by 2% (0.02) . . . . . . . . . . 26 Subtract line 26 from line 24. If line 26 is more than line 24, enter -0- . Other—from list in instructions. List type and amount a

50. 270. 2,264. .

.

.

.

.

27

0.

28

29 Is Form 1040, line 38, over $155,650? Total Itemized No. Your deduction is not limited. Add the amounts in the far right column for lines 4 through 28. Also, enter this amount on Form 1040, line 40. Deductions

}

. Yes. Your deduction may be limited. See the Itemized Deductions Worksheet in the instructions to figure the amount to enter. 30 If you elect to itemize deductions even though they are less than your standard deduction, check here . . . . . . . . . . . . . . . . . . . a

For Paperwork Reduction Act Notice, see Form 1040 instructions. BAA

REV 01/25/17 TTW

.

29

27,330.

Schedule A (Form 1040) 2016


SCHEDULE B

OMB No. 1545-0074

(Form 1040A or 1040)

Interest and Ordinary Dividends

(Rev. January 2017) Department of the Treasury Internal Revenue Service (99)

a Attach to Form 1040A or 1040. a Information about Schedule B and its instructions is at www.irs.gov/scheduleb.

Name(s) shown on return

Jose & Rosanna Martinez

Part I

1

Interest

2016

Attachment Sequence No. 08 Your social security number

150-45-6789 Amount

List name of payer. If any interest is from a seller-financed mortgage and the buyer used the property as a personal residence, see instructions on back and list this interest first. Also, show that buyer’s social security number and address a

BankOne

3,500.

(See instructions on back and the instructions for Form 1040A, or Form 1040, line 8a.) Note: If you received a Form 1099-INT, Form 1099-OID, or substitute statement from a brokerage firm, list the firm’s name as the payer and enter the total interest shown on that form.

Part II

1

2 3

Add the amounts on line 1 . . . . . . . . . . . . . . . . . . Excludable interest on series EE and I U.S. savings bonds issued after 1989. Attach Form 8815 . . . . . . . . . . . . . . . . . . . . . 4 Subtract line 3 from line 2. Enter the result here and on Form 1040A, or Form 1040, line 8a . . . . . . . . . . . . . . . . . . . . . . a Note: If line 4 is over $1,500, you must complete Part III. List name of payer a 5 Microserf Stock

3,500.

2 3

3,500.

4

Amount

130.

Ordinary Dividends (See instructions on back and the instructions for Form 1040A, or Form 1040, line 9a.) Note: If you received a Form 1099-DIV or substitute statement from a brokerage firm, list the firm’s name as the payer and enter the ordinary dividends shown on that form.

Part III Foreign Accounts and Trusts (See instructions on back.)

5

6

Add the amounts on line 5. Enter the total here and on Form 1040A, or Form 6 1040, line 9a . . . . . . . . . . . . . . . . . . . . . . a Note: If line 6 is over $1,500, you must complete Part III. You must complete this part if you (a) had over $1,500 of taxable interest or ordinary dividends; (b) had a foreign account; or (c) received a distribution from, or were a grantor of, or a transferor to, a foreign trust. 7a

130. Yes No

At any time during 2016, did you have a financial interest in or signature authority over a financial account (such as a bank account, securities account, or brokerage account) located in a foreign country? See instructions . . . . . . . . . . . . . . . . . . . . . . . .

If “Yes,” are you required to file FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR), to report that financial interest or signature authority? See FinCEN Form 114 and its instructions for filing requirements and exceptions to those requirements . . . . . . b If you are required to file FinCEN Form 114, enter the name of the foreign country where the financial account is located a 8 During 2016, did you receive a distribution from, or were you the grantor of, or transferor to, a foreign trust? If “Yes,” you may have to file Form 3520. See instructions on back . . . . . .

For Paperwork Reduction Act Notice, see your tax return instructions.

BAA

REV 01/25/17 TTW

Schedule B (Form 1040A or 1040) 2016


Net Profit From Business

SCHEDULE C-EZ (Form 1040)

OMB No. 1545-0074

Department of the Treasury Internal Revenue Service (99) Name of proprietor

a Attach to Form 1040, 1040NR, or 1041.

Attachment Sequence No. 09A Social security number (SSN)

a See instructions on page 2.

Rosanna Martinez Part I

123-45-7890

General Information

a You May Use Schedule C-EZ Instead of Schedule C Only If You:

a

• Had business expenses of $5,000 or less,

• Had no employees during the year, • Do not deduct expenses for business use of your home,

• Use the cash method of accounting, • Did not have an inventory at any time during the year,

• Do not have prior year unallowed passive activity losses from this business, and • Are not required to file Form 4562, Depreciation and Amortization, for this business. See the instructions for Schedule C, line 13, to find out if you must file.

And You:

• Did not have a net loss from your business, • Had only one business as either a sole proprietor, qualified joint venture, or statutory employee,

A

2016

(Sole Proprietorship) a Partnerships, joint ventures, etc., generally must file Form 1065 or 1065-B.

B Enter business code (see page 2)

Principal business or profession, including product or service

Consulting

a 5 4 1 9 9 0 D Enter your EIN (see page 2)

C Business name. If no separate business name, leave blank. E

Business address (including suite or room no.). Address not required if same as on page 1 of your tax return.

1234 Coral Way City, town or post office, state, and ZIP code

Coral Gables, FL 33146 Did you make any payments in 2016 that would require you to file Form(s) 1099? (see the Instructions for Schedule C) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F

G If “Yes,” did you or will you file required Forms 1099? .

Part II

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

Yes Yes

.

No No

Figure Your Net Profit

Gross receipts. Caution: If this income was reported to you on Form W-2 and the “Statutory employee” box on that form was checked, see Statutory employees in the instructions for Schedule C, line 1, and check here . . . . . . . . . . . . . . . . . . a

1

7,000.

2

Total expenses (see page 2). If more than $5,000, you must use Schedule C

.

2

3,210.

3

Net profit. Subtract line 2 from line 1. If less than zero, you must use Schedule C. Enter on both Form 1040, line 12, and Schedule SE, line 2, or on Form 1040NR, line 13, and Schedule SE, line 2 (see page 2). (Statutory employees do not report this amount on Schedule SE, line 2.) Estates and trusts, enter on Form 1041, line 3 . . . . . . . . . . . . . . . . .

3

3,790.

1

Part III

.

.

.

.

.

.

Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 2.

4

When did you place your vehicle in service for business purposes? (month, day, year) a

5

Of the total number of miles you drove your vehicle during 2016, enter the number of miles you used your vehicle for: a

Business

6

Was your vehicle available for personal use during off-duty hours? .

.

.

.

.

7

Do you (or your spouse) have another vehicle available for personal use? .

.

.

8a

Do you have evidence to support your deduction?

b Commuting (see page 2)

b If “Yes,” is the evidence written? .

.

.

.

.

.

.

c

Other

.

.

.

.

.

.

.

Yes

No

.

.

.

.

.

.

.

.

Yes

No

.

.

.

.

.

.

Yes

No

.

.

.

.

.

.

Yes

No

.

.

.

.

.

.

.

.

.

.

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.

.

.

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.

.

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.

For Paperwork Reduction Act Notice, see the separate instructions for Schedule C (Form 1040).

.

BAA

REV 01/25/17 TTW Schedule C-EZ (Form 1040) 2016


SCHEDULE SE (Form 1040) Department of the Treasury Internal Revenue Service (99)

OMB No. 1545-0074

Self-Employment Tax

2016

a Information about Schedule SE and its separate instructions is at www.irs.gov/schedulese.

Attachment Sequence No. 17

a Attach to Form 1040 or Form 1040NR.

Name of person with self-employment income (as shown on Form 1040 or Form 1040NR)

Rosanna Martinez

Social security number of person with self-employment income a

123-45-7890

Before you begin: To determine if you must file 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 file Schedule SE. If unsure, see Who Must File Schedule SE in the instructions. Did you receive wages or tips in 2016? No d

Yes d

d

Are you a minister, member of a religious order, or Christian Science practitioner who received IRS approval not to be taxed on earnings from these sources, but you owe self-employment tax on other earnings?

Yes

Was the total of your wages and tips subject to social security or railroad retirement (tier 1) tax plus your net earnings from self-employment more than $118,500?

a

No

Yes

Did you receive tips subject to social security or Medicare tax that you didn't report to your employer?

a

Yes

a

No d

No d Did you receive church employee income (see instructions) reported on Form W-2 of $108.28 or more?

a

No d

d Are you using one of the optional methods to figure your net earnings (see instructions)?

Yes

Yes

a

`

No

Did you report any wages on Form 8919, Uncollected Social Security and Medicare Tax on Wages?

Yes

a

No d You may use Short Schedule SE below

d a

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 profit or (loss) from Schedule F, line 34, and farm partnerships, Schedule K-1 (Form 1065), box 14, code A . . . . . . . . . . . . . . . . . . . . . . . . b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve Program payments included on Schedule F, line 4b, or listed on Schedule K-1 (Form 1065), box 20, code Z

2

3 4

5

6

Net profit or (loss) from Schedule C, line 31; Schedule C-EZ, line 3; Schedule K-1 (Form 1065), box 14, code A (other than farming); and Schedule K-1 (Form 1065-B), box 9, code J1. Ministers and members of religious orders, see instructions for types of income to report on this line. See instructions for other income to report . . . . . . . . . . . . . . Combine lines 1a, 1b, and 2 . . . . . . . . . . . . . . . . . . . . . Multiply line 3 by 92.35% (0.9235). If less than $400, you don't owe self-employment tax; don't file this schedule unless you have an amount on line 1b . . . . . . . . . . . . . a Note. If line 4 is less than $400 due to Conservation Reserve Program payments on line 1b, see instructions. Self-employment tax. If the amount on line 4 is: • $118,500 or less, multiply line 4 by 15.3% (0.153). Enter the result here and on Form 1040, line 57, or Form 1040NR, line 55 • More than $118,500, multiply line 4 by 2.9% (0.029). Then, add $14,694 to the result. Enter the total here and on Form 1040, line 57, or Form 1040NR, line 55 . . . . . . . Deduction for one-half of self-employment tax. Multiply line 5 by 50% (0.50). Enter the result here and on Form 1040, line 27, or Form 1040NR, line 27 . . . . . . . . 268. 6

For Paperwork Reduction Act Notice, see your tax return instructions. BAA

REV 01/25/17 TTW

1a 1b (

)

2 3

3,790. 3,790.

4

3,500.

5

536.

Schedule SE (Form 1040) 2016


Form

8863

Department of the Treasury Internal Revenue Service (99)

Education Credits (American Opportunity and Lifetime Learning Credits)

OMB No. 1545-0074

2016

a Attach to Form 1040 or Form 1040A.

Attachment Sequence No. 50

a Information about Form 8863 and its separate instructions is at www.irs.gov/form8863.

Your social security number

Name(s) shown on return

Jose & Rosanna Martinez

150-45-6789

! F

Complete a separate Part III on page 2 for each student for whom you're claiming either credit before you complete Parts I and II.

Part I

Refundable American Opportunity Credit

CAUTION

1 2

After completing Part III for each student, enter the total of all amounts from all Parts III, line 30 . Enter: $180,000 if married filing jointly; $90,000 if single, head of 180,000. household, or qualifying widow(er) . . . . . . . . . . . . . 2

3

Enter the amount from Form 1040, line 38, or Form 1040A, line 22. If you're filing Form 2555, 2555-EZ, or 4563, or you're excluding income from Puerto Rico, see Pub. 970 for the amount to enter . . . . . . 3 113,197. Subtract line 3 from line 2. If zero or less, stop; you can't take any education credit . . . . . . . . . . . . . . . . . . . 4 66,803. Enter: $20,000 if married filing jointly; $10,000 if single, head of household, 20,000. or qualifying widow(er) . . . . . . . . . . . . . . . . . 5 If line 4 is: • Equal to or more than line 5, enter 1.000 on line 6 . . . . . . . . . . . . . . . . • Less than line 5, divide line 4 by line 5. Enter the result as a decimal (rounded to at least three places) . . . . . . . . . . . . . . . . . . . . .

4 5 6

7

8

}

Multiply line 1 by line 6. Caution: If you were under age 24 at the end of the year and meet the conditions described in the instructions, you can't take the refundable American opportunity credit; skip line 8, enter the amount from line 7 on line 9, and check this box . . . . a Refundable American opportunity credit. Multiply line 7 by 40% (0.40). Enter the amount here and on Form 1040, line 68, or Form 1040A, line 44. Then go to line 9 below. . . . . . . . . .

Part II 9 10 11 12 13 14

15 16 17

18 19

1

2,500.

6

1.000

7

2,500.

8

1,000.

9

1,500.

Nonrefundable Education Credits

Subtract line 8 from line 7. Enter here and on line 2 of the Credit Limit Worksheet (see instructions) After completing Part III for each student, enter the total of all amounts from all Parts III, line 31. If zero, skip lines 11 through 17, enter -0- on line 18, and go to line 19 . . . . . . . . . . Enter the smaller of line 10 or $10,000 . . . . . . . . . . . . . . . . . . . . Multiply line 11 by 20% (0.20) . . . . . . . . . . . . . . . . . . . . . . . Enter: $131,000 if married filing jointly; $65,000 if single, head of household, or qualifying widow(er) . . . . . . . . . . . . . 13 Enter the amount from Form 1040, line 38, or Form 1040A, line 22. If you're filing Form 2555, 2555-EZ, or 4563, or you're excluding income from Puerto Rico, see Pub. 970 for the amount to enter . . . . . . . . 14 Subtract line 14 from line 13. If zero or less, skip lines 16 and 17, enter -0on line 18, and go to line 19 . . . . . . . . . . . . . . . 15 Enter: $20,000 if married filing jointly; $10,000 if single, head of household, or qualifying widow(er) . . . . . . . . . . . . . . . . . 16 If line 15 is: • Equal to or more than line 16, enter 1.000 on line 17 and go to line 18 • Less than line 16, divide line 15 by line 16. Enter the result as a decimal (rounded to at least three places) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Multiply line 12 by line 17. Enter here and on line 1 of the Credit Limit Worksheet (see instructions) a Nonrefundable education credits. Enter the amount from line 7 of the Credit Limit Worksheet (see instructions) here and on Form 1040, line 50, or Form 1040A, line 33 . . . . . . . . . .

For Paperwork Reduction Act Notice, see your tax return instructions.

BAA

10 11 12

17 18 19

REV 01/25/17 TTW

1,500. Form 8863 (2016)


Page 2

Form 8863 (2016)

Your social security number

Name(s) shown on return

Jose & Rosanna Martinez

150-45-6789

! F

Complete Part III for each student for whom you're claiming either the American opportunity credit or lifetime learning credit. Use additional copies of page 2 as needed for each student.

Part III

Student and Educational Institution Information See instructions.

CAUTION

20 Student name (as shown on page 1 of your tax return)

21 Student social security number (as shown on page 1 of your tax return)

Carmen Martinez 22

234-65-4321

Educational institution information (see instructions) a. Name of first educational institution

b. Name of second educational institution (if any)

Florida University (1) Address. Number and street (or P.O. box). City, town or post office, state, and ZIP code. If a foreign address, see instructions.

(1) Address. Number and street (or P.O. box). City, town or post office, state, and ZIP code. If a foreign address, see instructions.

111 College Road Miami FL 33134 (2) Did the student receive Form 1098-T (2) Did the student receive Form 1098-T Yes No Yes No from this institution for 2016? from this institution for 2016? (3) Did the student receive Form 1098-T (3) Did the student receive Form 1098-T from this institution for 2015 with box Yes No from this institution for 2015 with box Yes No 2 filled in and box 7 checked? 2 filled in and box 7 checked? If you checked “No” in both (2) and (3), skip (4). If you checked “No” in both (2) and (3), skip (4). (4) If you checked “Yes” in (2) or (3), enter the institution's (4) If you checked “Yes” in (2) or (3), enter the institution's federal identification number (from Form 1098-T). federal identification number (from Form 1098-T).

56-1122334 23

24

25

26

Has the Hope Scholarship Credit or American opportunity credit been claimed for this student for any 4 tax years before 2016?

Yes — Stop! Go to line 31 for this student.

Was the student enrolled at least half-time for at least one academic period that began or is treated as having begun in 2016 at an eligible educational institution in a program leading towards a postsecondary degree, certificate, or other recognized postsecondary educational credential? See instructions.

Yes — Go to line 25.

No — Go to line 24.

No — Stop! Go to line 31 for this student.

Did the student complete the first 4 years of postsecondary education before 2016? See instructions.

Yes — Stop! Go to line 31 for this student.

No — Go to line 26.

Was the student convicted, before the end of 2016, of a felony for possession or distribution of a controlled substance?

Yes — Stop! Go to line 31 for this student.

No — Complete lines 27 through 30 for this student.

! F CAUTION

You can't take the American opportunity credit and the lifetime learning credit for the same student in the same year. If you complete lines 27 through 30 for this student, don't complete line 31.

American Opportunity Credit 27 28 29 30

Adjusted qualified education expenses (see instructions). Don't enter more than $4,000 . . . . . Subtract $2,000 from line 27. If zero or less, enter -0- . . . . . . . . . . . . . . . . . Multiply line 28 by 25% (0.25) . . . . . . . . . . . . . . . . . . . . . . . . If line 28 is zero, enter the amount from line 27. Otherwise, add $2,000 to the amount on line 29 and enter the result. Skip line 31. Include the total of all amounts from all Parts III, line 30, on Part I, line 1 .

27 28 29

4,000. 2,000. 500.

30

2,500.

Lifetime Learning Credit 31

Adjusted qualified education expenses (see instructions). Include the total of all amounts from all Parts III, line 31, on Part II, line 10 . . . . . . . . . . . . . . . . . . . . . . . . .

31 Form 8863 (2016)


8283

Noncash Charitable Contributions

OMB No. 1545-0908

Form a Attach to your tax return if you claimed a total deduction (Rev. December 2014) of over $500 for all contributed property. Department of the Treasury a Information about Form 8283 and its separate instructions is at www.irs.gov/form8283. Internal Revenue Service Name(s) shown on your income tax return

Identifying number

Jose & Rosanna Martinez

150-45-6789

Attachment Sequence No. 155

Note. Figure the amount of your contribution deduction before completing this form. See your tax return instructions.

Section A. Donated Property of $5,000 or Less and Publicly Traded Securities—List in this section only items (or groups of similar items) for which you claimed a deduction of $5,000 or less. Also list publicly traded securities even if the deduction is more than $5,000 (see instructions). Part I Information on Donated Property—If you need more space, attach a statement. (b) If donated property is a vehicle (see instructions), check the box. Also enter the vehicle identification number (unless Form 1098-C is attached).

(a) Name and address of the donee organization

1

United Way 1 Flagler Street Miami FL 33156

A

(c) Description of donated property (For a vehicle, enter the year, make, model, and mileage. For securities, enter the company name and the number of shares.)

Shares of Ford stock

B C D E Note. If the amount you claimed as a deduction for an item is $500 or less, you do not have to complete columns (e), (f), and (g). (d) Date of the contribution

(e) Date acquired by donor (mo., yr.)

03/16/2016 02/2010

A B C D E

Part II

(f) How acquired by donor

(g) Donor’s cost or adjusted basis

Purchase

750.

(h) Fair market value (see instructions)

(i) Method used to determine the fair market value

1,650. Comparative sales

Partial Interests and Restricted Use Property—Complete lines 2a through 2e if you gave less than an entire interest in a property listed in Part I. Complete lines 3a through 3c if conditions were placed on a contribution listed in Part I; also attach the required statement (see instructions).

Enter the letter from Part I that identifies the property for which you gave less than an entire interest a If Part II applies to more than one property, attach a separate statement. a b Total amount claimed as a deduction for the property listed in Part I: (1) For this tax year (2) For any prior tax years a

2a

c

Name and address of each organization to which any such contribution was made in a prior year (complete only if different from the donee organization above): Name of charitable organization (donee) Address (number, street, and room or suite no.)

City or town, state, and ZIP code

d For tangible property, enter the place where the property is located or kept a e Name of any person, other than the donee organization, having actual possession of the property a

3a

Is there a restriction, either temporary or permanent, on the donee’s right to use or dispose of the donated property? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes No

b Did you give to anyone (other than the donee organization or another organization participating with the donee organization in cooperative fundraising) the right to the income from the donated property or to the possession of the property, including the right to vote donated securities, to acquire the property by purchase or otherwise, or to designate the person having such income, possession, or right to acquire? . . . . . . . . . . . . . c Is there a restriction limiting the donated property for a particular use? . . . . . . . . . . . . . . For Paperwork Reduction Act Notice, see separate instructions.

BAA

REV 01/25/17 TTW

Form 8283 (Rev. 12-2014)


Form

Chapter 6, Problem 71

2106

Department of the Treasury Internal Revenue Service (99)

Employee Business Expenses

OMB No. 1545-0074

2016

a Attach to Form 1040 or Form 1040NR. a Information about Form 2106 and its separate instructions is available at www.irs.gov/form2106.

Your name

Occupation in which you incurred expenses

Attachment Sequence No.

129

Social security number

Carl

Part I

Employee Business Expenses and Reimbursements Column A Other Than Meals and Entertainment

Step 1 Enter Your Expenses

1 Vehicle expense from line 22 or line 29. (Rural mail carriers: See instructions.) . . . . . . . . . . . . . . . . . . 2 Parking fees, tolls, and transportation, including train, bus, etc., that didn't involve overnight travel or commuting to and from work . . 3 Travel expense while away from home overnight, including lodging, airplane, car rental, etc. Don't include meals and entertainment. . 4 Business expenses not included on lines 1 through 3. Don't include meals and entertainment . . . . . . . . . . . . . . 5 Meals and entertainment expenses (see instructions) . . . . . 6 Total expenses. In Column A, add lines 1 through 4 and enter the result. In Column B, enter the amount from line 5 . . . . . .

1

12,960

2

300

3

1,100

4

250

Column B Meals and Entertainment

5 6

4,000 14,610

4,000

Note: If you weren't reimbursed for any expenses in Step 1, skip line 7 and enter the amount from line 6 on line 8.

Step 2 Enter Reimbursements Received From Your Employer for Expenses Listed in Step 1 7 Enter reimbursements received from your employer that weren't reported to you in box 1 of Form W-2. Include any reimbursements reported under code “L” in box 12 of your Form W-2 (see instructions) . . . . . . . . . . . . . . . . . . .

7

0

4,000

14,610

4,000

Step 3 Figure Expenses To Deduct on Schedule A (Form 1040 or Form 1040NR) 8 Subtract line 7 from line 6. If zero or less, enter -0-. However, if line 7 is greater than line 6 in Column A, report the excess as income on Form 1040, line 7 (or on Form 1040NR, line 8) . . . . . . .

8

Note: If both columns of line 8 are zero, you can't deduct employee business expenses. Stop here and attach Form 2106 to your return. 9 In Column A, enter the amount from line 8. In Column B, multiply line 8 by 50% (0.50). (Employees subject to Department of Transportation (DOT) hours of service limits: Multiply meal expenses incurred while away from home on business by 80% (0.80) instead of 50%. For details, see instructions.) . . . . . . . . . . . . . .

9 14,610 10 Add the amounts on line 9 of both columns and enter the total here. Also, enter the total on Schedule A (Form 1040), line 21 (or on Schedule A (Form 1040NR), line 7). (Armed Forces reservists, qualified performing artists, fee-basis state or local government officials, and individuals with disabilities: See the instructions for special rules on where to enter the total.) . a For Paperwork Reduction Act Notice, see your tax return instructions.

Cat. No. 11700N

2,000

10

16,610 Form 2106 (2016)


Page 2

Form 2106 (2016)

Part II

Vehicle Expenses

Section A—General Information (You must complete this section if you are claiming vehicle expenses.) 11 12 13 14 15 16 17 18 19 20 21

(a) Vehicle 1

Enter the date the vehicle was placed in service . . . . . . . . . Total miles the vehicle was driven during 2016 . . . . . . . . . Business miles included on line 12 . . . . . . . . . . . . . Percent of business use. Divide line 13 by line 12 . . . . . . . . . Average daily roundtrip commuting distance . . . . . . . . . . Commuting miles included on line 12 . . . . . . . . . . . . Other miles. Add lines 13 and 16 and subtract the total from line 12 . . Was your vehicle available for personal use during off-duty hours? . . . Do you (or your spouse) have another vehicle available for personal use? . Do you have evidence to support your deduction? . . . . . . . . If “Yes,” is the evidence written? . . . . . . . . . . . . . .

11 01 / 01 / 2016 12 miles 30,000 13 miles 24,000 14 % 80 15 miles 16 miles 17 miles 6,000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(b) Vehicle 2 /

Yes Yes ✔ Yes ✔ Yes ✔

/ miles miles % miles miles miles No No No No

Section B—Standard Mileage Rate (See the instructions for Part II to find out whether to complete this section or Section C.) 22

Multiply line 13 by 54¢ (0.54). Enter the result here and on line 1 . . . (a) Vehicle 1 Gasoline, oil, repairs, vehicle 23 insurance, etc. . . . . . . 23 24a Vehicle rentals . . . . . . 24a b Inclusion amount (see instructions) . 24b c Subtract line 24b from line 24a . 24c 25 Value of employer-provided vehicle (applies only if 100% of annual lease value was included on Form W-2—see instructions) 25 26 Add lines 23, 24c, and 25. . . 26 Multiply line 26 by the percentage 27 on line 14 . . . . . . . . 27 28 Depreciation (see instructions) . 28 Add lines 27 and 28. Enter total 29 here and on line 1 . . . . . 29

Section C—Actual Expenses

.

.

.

.

.

.

.

.

22 (b) Vehicle 2

12,960

Section D—Depreciation of Vehicles (Use this section only if you owned the vehicle and are completing Section C for the vehicle.) (a) Vehicle 1 30 31 32

33 34

Enter cost or other basis (see instructions) . . . . . .

.

30

Enter section 179 deduction and special allowance (see instructions)

31

Multiply line 30 by line 14 (see instructions if you claimed the section 179 deduction or special allowance). . . . . . . . Enter depreciation method and percentage (see instructions) . Multiply line 32 by the percentage on line 33 (see instructions) . .

35 36

Add lines 31 and 34 . . . . Enter the applicable limit explained in the line 36 instructions . . .

37

Multiply line 36 by the percentage on line 14 . . . . . . . .

38

Enter the smaller of line 35 or line 37. If you skipped lines 36 and 37, enter the amount from line 35. Also enter this amount on line 28 above . . . . . . . . .

(b) Vehicle 2

32 33 34 35 36 37

38 Form 2106 (2016)


SCHEDULE E (Form 1040) Department of the Treasury Internal Revenue Service (99) Name(s) shown on return

Chapter 6, Problem 72 Supplemental Income and Loss

OMB No. 1545-0074

(From rental real estate, royalties, partnerships, S corporations, estates, trusts, REMICs, etc.) a Attach to Form 1040, 1040NR, or Form 1041.

2016

Attachment Sequence No. 13 Your social security number

a Information about Schedule E and its separate instructions is at www.irs.gov/schedulee.

Gillian Martin

Part I

Income or Loss From Rental Real Estate and Royalties

Note: If you are in the business of renting personal property, use Schedule C or C-EZ (see instructions). If you are an individual, report farm rental income or loss from Form 4835 on page 2, line 40.

Yes ✔ No A Did you make any payments in 2016 that would require you to file Form(s) 1099? (see instructions) Yes No B If “Yes,” did you or will you file required Forms 1099? 1a Physical address of each property (street, city, state, ZIP code) A Telluride, Colorado B C Fair Rental Personal Use 2 For each rental real estate property listed 1b Type of Property QJV above, report the number of fair rental and Days Days (from list below) personal use days. Check the QJV box A A 3 60 15 only if you meet the requirements to file as a qualified joint venture. See instructions. B B C C Type of Property: 3 Vacation/Short-Term Rental 5 Land 7 Self-Rental 1 Single Family Residence 2 Multi-Family Residence 4 Commercial 6 Royalties 8 Other (describe) Income: Properties: A B C 3 Rents received . . . . . . . . . . . . . 3 6,900 4 Royalties received . . . . . . . . . . . . 4 Expenses: 5 Advertising . . . . . . . . . . . . . . 5 6 Auto and travel (see instructions) . . . . . . . 6 7 Cleaning and maintenance . . . . . . . . . 7 160 8 Commissions. . . . . . . . . . . . . . 8 600 9 Insurance . . . . . . . . . . . . . . . 9 320 10 Legal and other professional fees . . . . . . . 10 11 Management fees . . . . . . . . . . . . 11 12 Mortgage interest paid to banks, etc. (see instructions) 12 3,200 13 Other interest. . . . . . . . . . . . . . 13 14 Repairs. . . . . . . . . . . . . . . . 14 15 Supplies . . . . . . . . . . . . . . . 15 16 Taxes . . . . . . . . . . . . . . . . 16 1,600 17 Utilities . . . . . . . . . . . . . . . . 17 400 18 Depreciation expense or depletion . . . . . . 18 560 Other (list) a 19 19 20 Total expenses. Add lines 5 through 19 . . . . . 20 6,840

Subtract line 20 from line 3 (rents) and/or 4 (royalties). If result is a (loss), see instructions to find out if you must file Form 6198 . . . . . . . . . . . . . 21 60 Deductible rental real estate loss after limitation, if any, 22 )( )( on Form 8582 (see instructions) . . . . . . . 22 ( 23a Total of all amounts reported on line 3 for all rental properties . . . . 23a 6,900 b Total of all amounts reported on line 4 for all royalty properties . . . . 23b c Total of all amounts reported on line 12 for all properties . . . . . . 23c 3,200 d Total of all amounts reported on line 18 for all properties . . . . . . 23d 560 e Total of all amounts reported on line 20 for all properties . . . . . . 23e 6,840 24 Income. Add positive amounts shown on line 21. Do not include any losses . . . . . . . 24 25 Losses. Add royalty losses from line 21 and rental real estate losses from line 22. Enter total losses here 25 ( 21

26

Total rental real estate and royalty income or (loss). Combine lines 24 and 25. Enter the result here. If Parts II, III, IV, and line 40 on page 2 do not apply to you, also enter this amount on Form 1040, line 17, or Form 1040NR, line 18. Otherwise, include this amount in the total on line 41 on page 2 . . .

For Paperwork Reduction Act Notice, see the separate instructions.

Cat. No. 11344L

26

)

60 )

60

Schedule E (Form 1040) 2016


Chapter 6, Problem 73

Page 5

Form 1120 (2016)

Schedule L

Beginning of tax year

Balance Sheets per Books (a)

Assets 1

Cash

.

.

.

2a b 3 4 5 6 7 8 9 10a b 11a b 12 13a b 14 15

Trade notes and accounts receivable . Less allowance for bad debts . . . Inventories . . . . . . . . . U.S. government obligations . . . Tax-exempt securities (see instructions) Other current assets (attach statement) Loans to shareholders . . . . . Mortgage and real estate loans . . . Other investments (attach statement) . Buildings and other depreciable assets Less accumulated depreciation . . . Depletable assets . . . . . . . Less accumulated depletion . . . . Land (net of any amortization) . . . Intangible assets (amortizable only) . Less accumulated amortization . . . Other assets (attach statement) . . . Total assets . . . . . . . .

.

.

.

.

.

.

.

.

.

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

16 17 18 19 20 21 22

Accounts payable . . . . . . . . . Mortgages, notes, bonds payable in less than 1 year Other current liabilities (attach statement) . . Loans from shareholders . . . . . . . Mortgages, notes, bonds payable in 1 year or more Other liabilities (attach statement) . . . . Capital stock: a Preferred stock . . . . b Common stock . . . . Additional paid-in capital . . . . . . . Retained earnings—Appropriated (attach statement) Retained earnings—Unappropriated . . . Adjustments to shareholders’ equity (attach statement) Less cost of treasury stock . . . . . . Total liabilities and shareholders’ equity . .

End of tax year

(b)

(c)

(d)

(

)

(

)

(

)

(

)

(

)

(

)

(

)

(

)

Liabilities and Shareholders’ Equity

23 24 25 26 27 28

Schedule M-1

(

)

(

)

Reconciliation of Income (Loss) per Books With Income per Return Note: The corporation may be required to file Schedule M-3. See instructions.

1

Net income (loss) per books .

.

.

.

.

.

2,801,500

2

Federal income tax per books

.

.

.

.

.

1,198,500

3

Excess of capital losses over capital gains

4

Income subject to tax not recorded on books this year (itemize):

5

Depreciation . . . . $ Charitable contributions . $ Travel and entertainment . $

4

Income recorded on books this year not included on this return (itemize): 10,000 Tax-exempt interest $ Insurance proceeds 500,000 510,000

8

Deductions on this return not charged against book income this year (itemize): 40,000 a Depreciation . . $ b Charitable contributions $

9 10

Add lines 7 and 8 . . . . . . Income (page 1, line 28)—line 6 less line 9

30,000

Life Ins. Prem. 5,000; Bad Debt Allow. 20,000 Add lines 1 through 5 . . . . . . . .

Schedule M-2 1 2 3

.

Expenses recorded on books this year not deducted on this return (itemize): a b c

6

7

40,000 55,000 4,055,000

550,000 3,505,000

Analysis of Unappropriated Retained Earnings per Books (Line 25, Schedule L)

Balance at beginning of year Net income (loss) per books . Other increases (itemize):

Add lines 1, 2, and 3 .

.

.

. .

.

. .

.

. .

.

. .

.

. .

.

5

6 7 8

Distributions: a Cash . b Stock . c Property Other decreases (itemize):

. . .

. . .

. . .

Add lines 5 and 6 . . . . . . Balance at end of year (line 4 less line 7) Form 1120 (2016)


Chapter 6, Problem 74

Profit or Loss From Business

SCHEDULE C (Form 1040)

OMB No. 1545-0074

2016

(Sole Proprietorship)

a Information about Schedule C and its separate instructions is at www.irs.gov/schedulec.

Department of the Treasury Internal Revenue Service (99)

Attachment Sequence No. 09

a Attach to Form 1040, 1040NR, or 1041; partnerships generally must file Form 1065.

Name of proprietor

Social security number (SSN)

A

Martin Galloway Principal business or profession, including product or service (see instructions)

C

Consulting Business name. If no separate business name, leave blank.

E

Business address (including suite or room no.) a 1223 Fairfield Street

F G H

City, town or post office, state, and ZIP code Westfield, New Jersey (2) Accrual (3) Other (specify) a Accounting method: (1) ✔ Cash Did you “materially participate” in the operation of this business during 2016? If “No,” see instructions for limit on losses If you started or acquired this business during 2016, check here . . . . . . . . . . . . . . . . .

a

I J

Did you make any payments in 2016 that would require you to file Form(s) 1099? (see instructions) . If "Yes," did you or will you file required Forms 1099? . . . . . . . . . . . . . .

. .

Part I

158-68-7799 B Enter code from instructions a

D Employer ID number (EIN), (see instr.)

. .

. .

. .

. .

. .

. .

.

Yes

No

Yes Yes

No No

Income

2 3

Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on Form W-2 and the “Statutory employee” box on that form was checked . . . . . . . . . a Returns and allowances . . . . . . . . . . . . . . . . . . . . . . . . . Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . .

4 5 6

Cost of goods sold (from line 42) . . . . . . . . . . . . . . . . . . . Gross profit. Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) .

. . .

. . .

. . .

4 5 6

45,000

7

Gross income. Add lines 5 and 6 .

.

. a

7

45,000

1

Part II

Advertising .

9

Car and truck expenses (see instructions) . . . . . Commissions and fees .

11 12 13

.

.

.

.

Contract labor (see instructions) Depletion . . . . . Depreciation and section 179 expense deduction (not included in Part III) (see instructions) . . . . .

14

Employee benefit programs (other than on line 19) . . Insurance (other than health)

15 16

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

45,000

2 3

45,000

Expenses. Enter expenses for business use of your home only on line 30.

8

10

.

1

500

18

Office expense (see instructions)

18

Pension and profit-sharing plans . Rent or lease (see instructions): Vehicles, machinery, and equipment

19

4,636

19 20

20a

Other business property . . . Repairs and maintenance . . . Supplies (not included in Part III) .

20b 21 22

2,900

Taxes and licenses . . . . . Travel, meals, and entertainment: Travel . . . . . . . . .

23

500

24a

600

24b 25

200

25

Deductible meals and entertainment (see instructions) . Utilities . . . . . . . .

26 27a b

Wages (less employment credits) . Other expenses (from line 48) . . Reserved for future use . . .

26 27a 27b

8 9 10

a

11 12

b 21 22 23 24

13

a 14 15

b

17

Interest: Mortgage (paid to banks, etc.) Other . . . . . . Legal and professional services

28

Total expenses before expenses for business use of home. Add lines 8 through 27a .

.

.

.

.

. a

28

9,336

29 30

Tentative profit or (loss). Subtract line 28 from line 7 .

.

.

.

.

.

29

35,664

30

3,939

31

31,725

a b

16a 16b 17 .

.

.

.

.

.

.

.

.

.

.

. Use the Simplified . . . . . . .

Net profit or (loss). Subtract line 30 from line 29. • If a profit, enter on both Form 1040, line 12 (or Form 1040NR, line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3. • If a loss, you must go to line 32.

32

.

Expenses for business use of your home. Do not report these expenses elsewhere. Attach Form 8829 unless using the simplified method (see instructions). Simplified method filers only: enter the total square footage of: (a) your home: and (b) the part of your home used for business: Method Worksheet in the instructions to figure the amount to enter on line 30

31

.

If you have a loss, check the box that describes your investment in this activity (see instructions). • If you checked 32a, enter the loss on both Form 1040, line 12, (or Form 1040NR, line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see the line 31 instructions). Estates and trusts, enter on Form 1041, line 3. • If you checked 32b, you must attach Form 6198. Your loss may be limited.

For Paperwork Reduction Act Notice, see the separate instructions.

Cat. No. 11334P

}

}

32a 32b

All investment is at risk. Some investment is not at risk. Schedule C (Form 1040) 2016


Page 2

Schedule C (Form 1040) 2016

Part III

Cost of Goods Sold (see instructions)

33

Method(s) used to value closing inventory:

34

Was there any change in determining quantities, costs, or valuations between opening and closing inventory? If “Yes,” attach explanation . . . . . . . . . . . . . . . . . . . . . . . . .

Cost

a

b

Lower of cost or market

c

Other (attach explanation)

35

Inventory at beginning of year. If different from last year’s closing inventory, attach explanation .

.

.

35

36

Purchases less cost of items withdrawn for personal use

.

.

.

.

.

.

.

.

.

.

.

.

.

.

36

37

Cost of labor. Do not include any amounts paid to yourself .

.

.

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.

37

38

Materials and supplies

.

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.

.

.

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.

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.

.

.

.

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.

.

.

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38

39

Other costs .

.

.

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.

.

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.

.

.

.

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39

40

Add lines 35 through 39 .

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.

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40

41

Inventory at end of year .

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41

42

Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4 .

.

.

.

.

.

42

Part IV

.

.

.

Yes

.

Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9 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. /

a

/

43

When did you place your vehicle in service for business purposes? (month, day, year)

44

Of the total number of miles you drove your vehicle during 2016, enter the number of miles you used your vehicle for:

a

No

Business

8,400

b Commuting (see instructions)

6,600

c Other

45

Was your vehicle available for personal use during off-duty hours?

.

.

.

.

.

.

.

.

.

.

.

.

.

.

Yes

No

46

Do you (or your spouse) have another vehicle available for personal use?.

.

.

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.

.

.

.

.

.

.

.

.

.

Yes

No

47a

Do you have evidence to support your deduction?

.

.

.

.

.

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.

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.

.

Yes

No

If “Yes,” is the evidence written?

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.

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.

.

Yes

No

b

Part V

48

.

.

.

.

.

.

Other Expenses. List below business expenses not included on lines 8–26 or line 30.

Total other expenses. Enter here and on line 27a .

.

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.

.

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.

.

.

.

.

.

.

.

48 Schedule C (Form 1040) 2016


SCHEDULE SE (Form 1040) Department of the Treasury Internal Revenue Service (99)

Self-Employment Tax

OMB No. 1545-0074

2016

a Information about Schedule SE and its separate instructions is at www.irs.gov/schedulese.

Attachment Sequence No. 17

a Attach to Form 1040 or Form 1040NR.

Name of person with self-employment income (as shown on Form 1040 or Form 1040NR)

Martin Galloway

Social security number of person with self-employment income a

158-68-7799

Before you begin: To determine if you must file 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 file Schedule SE. If unsure, see Who Must File Schedule SE in the instructions. Did you receive wages or tips in 2016? No d

Yes d

d

Are you a minister, member of a religious order, or Christian Science practitioner who received IRS approval not to be taxed on earnings from these sources, but you owe self-employment tax on other earnings?

Yes

Was the total of your wages and tips subject to social security or railroad retirement (tier 1) tax plus your net earnings from self-employment more than $118,500?

a

No

Yes

Did you receive tips subject to social security or Medicare tax that you didn't report to your employer?

a

Yes

a

No d

No d Did you receive church employee income (see instructions) reported on Form W-2 of $108.28 or more?

a

No d

d Are you using one of the optional methods to figure your net earnings (see instructions)?

Yes

Yes

a

`

No

Did you report any wages on Form 8919, Uncollected Social Security and Medicare Tax on Wages?

Yes

a

No d You may use Short Schedule SE below

d a

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 profit or (loss) from Schedule F, line 34, and farm partnerships, Schedule K-1 (Form 1065), box 14, code A . . . . . . . . . . . . . . . . . . . . . . . . b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve Program payments included on Schedule F, line 4b, or listed on Schedule K-1 (Form 1065), box 20, code Z

2

3 4

5

6

Net profit or (loss) from Schedule C, line 31; Schedule C-EZ, line 3; Schedule K-1 (Form 1065), box 14, code A (other than farming); and Schedule K-1 (Form 1065-B), box 9, code J1. Ministers and members of religious orders, see instructions for types of income to report on this line. See instructions for other income to report . . . . . . . . . . . . . . Combine lines 1a, 1b, and 2 . . . . . . . . . . . . . . . . . . . . . Multiply line 3 by 92.35% (0.9235). If less than $400, you don't owe self-employment tax; don't file this schedule unless you have an amount on line 1b . . . . . . . . . . . . . a Note. If line 4 is less than $400 due to Conservation Reserve Program payments on line 1b, see instructions. Self-employment tax. If the amount on line 4 is: • $118,500 or less, multiply line 4 by 15.3% (0.153). Enter the result here and on Form 1040, line 57, or Form 1040NR, line 55 • More than $118,500, multiply line 4 by 2.9% (0.029). Then, add $14,694 to the result. Enter the total here and on Form 1040, line 57, or Form 1040NR, line 55 . . . . . . . Deduction for one-half of self-employment tax. Multiply line 5 by 50% (0.50). Enter the result here and on Form 1040, line 27, or Form 1040NR, line 27 . . . . . . . . 6 2,242

For Paperwork Reduction Act Notice, see your tax return instructions.

Cat. No. 11358Z

1a 1b (

)

2 3

31,725

4

29,298

5

4,483

31,725

Schedule SE (Form 1040) 2016


Form

Chapter 6, Problem 75

1040 U.S. Individual Income Tax Return 2016 (99)

Department of the Treasury—Internal Revenue Service

For the year Jan. 1–Dec. 31, 2016, or other tax year beginning Your first name and initial

OMB No. 1545-0074

, 2016, ending

IRS Use Only—Do not write or staple in this space.

See separate instructions.

, 20

Last name

Your social security number

Jordan

Diego

150-66-7788

If a joint return, spouse’s first name and initial

Last name

Spouse’s social security number

Diana

Diego

150-67-4321 Apt. no.

Home address (number and street). If you have a P.O. box, see instructions.

c Make sure the SSN(s) above and on line 6c are correct.

111 Coral Drive City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).

Presidential Election Campaign

Miami FL 33156 Foreign country name

Filing Status Check only one box.

Exemptions

1

Single Married filing jointly (even if only one had income)

2 3

c

Spouse . Dependents:

Emily If more than four dependents, see instructions and check here a

If you did not get a W-2, see instructions.

Adjusted Gross Income

the qualifying person is a child but not your dependent, enter this child’s name here. a

5

Qualifying widow(er) with dependent child

.

.

.

.

Last name

Diego

.

.

.

.

.

.

.

.

.

.

.

(2) Dependent’s social security number

(3) Dependent’s relationship to you

155-88-4321

Daughter

.

.

.

.

.

.

.

.

.

.

.

.

(4) if child under age 17 qualifying for child tax credit (see instructions)

}

Boxes checked on 6a and 6b No. of children on 6c who: • lived with you

2 1

• did not live with you due to divorce or separation (see instructions) Dependents on 6c not entered above

d

Attach Form(s) W-2 here. Also attach Forms W-2G and 1099-R if tax was withheld.

Head of household (with qualifying person). (See instructions.) If

Yourself. If someone can claim you as a dependent, do not check box 6a .

(1) First name

Income

4

Married filing separately. Enter spouse’s SSN above and full name here. a

6a b

Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund. You Spouse

Foreign postal code

Foreign province/state/county

Total number of exemptions claimed

.

.

.

.

.

.

.

.

.

.

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.

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.

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.

7

. 8b . .

.

.

.

.

.

.

.

8a

7

Wages, salaries, tips, etc. Attach Form(s) W-2

.

.

.

.

8a b 9a

Taxable interest. Attach Schedule B if required . Tax-exempt interest. Do not include on line 8a . Ordinary dividends. Attach Schedule B if required

. . .

. . .

.

.

.

.

.

.

.

.

9a

b 10 11

Qualified dividends . . . . . . . . . . . 9b Taxable refunds, credits, or offsets of state and local income taxes Alimony received . . . . . . . . . . . . . . .

. .

. .

. .

. .

. .

. .

10 11

12 13 14

Business income or (loss). Attach Schedule C or C-EZ . . . . . . . . . Capital gain or (loss). Attach Schedule D if required. If not required, check here a Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . .

. .

12 13 14

15a 16a 17

IRA distributions . 15a b Taxable amount . . . Pensions and annuities 16a b Taxable amount . . . Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E

15b 16b 17

18 19 20a

Farm income or (loss). Attach Schedule F . Unemployment compensation . . . . Social security benefits 20a

18 19 20b

. .

. .

. .

. .

. . . . . . . . . . . . b Taxable amount

. . .

. .

. .

21 22

. . Other income. List type and amount Combine the amounts in the far right column for lines 7 through 21. This is your total income a

23

Educator expenses

24

Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 or 2106-EZ

25

Health savings account deduction. Attach Form 8889

.

24 25

26 27 28

Moving expenses. Attach Form 3903 . . . . . . Deductible part of self-employment tax. Attach Schedule SE . Self-employed SEP, SIMPLE, and qualified plans . .

26 27 28

29 30 31a

Self-employed health insurance deduction Penalty on early withdrawal of savings . .

. .

. .

. .

. .

32 33 34

Alimony paid b Recipient’s SSN a IRA deduction . . . . . . . Student loan interest deduction . . Tuition and fees. Attach Form 8917 .

29 30 31a

. . .

. . .

. . .

. . .

32 33 34

35 36 37

Domestic production activities deduction. Attach Form 8903 35 Add lines 23 through 35 . . . . . . . . . . . . . Subtract line 36 from line 22. This is your adjusted gross income

.

.

.

.

.

.

. . .

.

. . .

.

.

.

.

21 22

Add numbers on lines above a

3

108,000.

3,385.

1,365.

112,750.

23

239.

. .

. .

. .

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. BAA

. .

. .

. a

36 37

REV 01/25/17 TTW

239. 112,511. Form 1040 (2016)


Form 1040 (2016)

38

Amount from line 37 (adjusted gross income)

Tax and Credits

39a

Check if:

b

If your spouse itemizes on a separate return or you were a dual-status alien, check here a

39b

Standard Deduction for— • People who check any box on line 39a or 39b or who can be claimed as a dependent, see instructions. • All others: Single or Married filing separately, $6,300 Married filing jointly or Qualifying widow(er), $12,600 Head of household, $9,300

40 41

Itemized deductions (from Schedule A) or your standard deduction (see left margin) Subtract line 40 from line 38 . . . . . . . . . . . . . . . . .

. .

42 43

Exemptions. If line 38 is $155,650 or less, multiply $4,050 by the number on line 6d. Otherwise, see instructions Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- . . Form 4972 c Tax (see instructions). Check if any from: a Form(s) 8814 b

44 45 46 47 48 49 50 51 52 53 54 55 56 57

Other Taxes

If you have a qualifying child, attach Schedule EIC.

.

You were born before January 2, 1952, Spouse was born before January 2, 1952,

.

.

Blind. Blind.

Alternative minimum tax (see instructions). Attach Form 6251 . Excess advance premium tax credit repayment. Attach Form 8962

}

.

.

.

.

.

. .

. .

. .

. .

. .

. 48

.

.

.

.

.

.

52 Residential energy credits. Attach Form 5695 . . . . 53 3800 b 8801 c Other credits from Form: a 54 Add lines 48 through 54. These are your total credits . . . . . Subtract line 55 from line 47. If line 55 is more than line 47, enter -0-

. .

. .

. .

. .

. .

. .

.

Self-employment tax. Attach Schedule SE

.

.

.

.

.

.

.

8919

.

.

Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required

.

.

. .

. .

Add lines 44, 45, and 46 . . . . . . . Foreign tax credit. Attach Form 1116 if required .

. .

. .

. .

.

.

.

First-time homebuyer credit repayment. Attach Form 5405 if required

.

Household employment taxes from Schedule H

.

.

.

.

Page 2 112,511.

21,967. 90,544. 12,150. 78,394. 11,136.

40 41 42 43 44 45 46 47

. . a

11,136.

49 50 51

Credit for child and dependent care expenses. Attach Form 2441

Education credits from Form 8863, line 19 . . . . . Retirement savings contributions credit. Attach Form 8880 Child tax credit. Attach Schedule 8812, if required . . .

.

38

Total boxes checked a 39a

. .

b 61

.

.

.

4137 .

.

. .

b . .

. .

. .

. .

. .

55 56 57

a

11,136. 478.

58 59 60a 60b

Health care: individual responsibility (see instructions) Full-year coverage . . . . . Form 8960 c Taxes from: a Form 8959 b Instructions; enter code(s) a Add lines 56 through 62. This is your total tax . . . . . . . . . . . . . 11,600. 64 Federal income tax withheld from Forms W-2 and 1099 . .

61 62 63

11,614.

a

74

11,600.

If line 74 is more than line 63, subtract line 63 from line 74. This is the amount you overpaid

75

2016 estimated tax payments and amount applied from 2015 return

65 66a

67

Earned income credit (EIC) . . . No. . . Nontaxable combat pay election 66b Additional child tax credit. Attach Schedule 8812 .

.

.

68 69 70

American opportunity credit from Form 8863, line 8 . Net premium tax credit. Attach Form 8962 . . . . Amount paid with request for extension to file . . .

. . .

. . . .

71 72

. .

. .

71 72 Credits from Form: a 2439 b Reserved c 8885 d 73 Add lines 64, 65, 66a, and 67 through 73. These are your total payments .

75 76a

.

. .

a

64 65 66a b

.

. .

Unreported social security and Medicare tax from Form:

Excess social security and tier 1 RRTA tax withheld

Credit for federal tax on fuels. Attach Form 4136

.

.

.

. .

. .

.

.

67 68 69 70

.

.

.

.

. a 76a Routing number Checking Savings X X X X X X X X X a c Type: X X X X X X X X X X X X X X X X X Account number Amount of line 75 you want applied to your 2017 estimated tax a 77 77 78 Amount you owe. Subtract line 74 from line 63. For details on how to pay, see instructions a 78 79 Estimated tax penalty (see instructions) . . . . . . . 79 Do you want to allow another person to discuss this return with the IRS (see instructions)? Yes. Complete below.

a

Third Party Designee

.

58 59 60a

Direct deposit? See a instructions.

Amount You Owe

.

.

73 74

Refund

.

.

62 63

Payments

{

.

Amount of line 75 you want refunded to you. If Form 8888 is attached, check here

b d

No

Personal identification a number (PIN)

Phone no. a

Designee’s name a

14.

Sign Here

Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and accurately list all amounts and sources of income I received during the tax year. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Joint return? See instructions. Keep a copy for your records.

F

Paid Preparer Use Only

Your signature

Date

Your occupation

Daytime phone number

Spouse’s signature. If a joint return, both must sign.

Date

Spouse’s occupation

manager consultant Print/Type preparer’s name

Firm’s name

a

Firm’s address a www.irs.gov/form1040

Preparer’s signature

Date

If the IRS sent you an Identity Protection PIN, enter it here (see inst.) PTIN Check if self-employed Firm’s EIN a Phone no. REV 01/25/17 TTW

Form 1040 (2016)


SCHEDULE A (Form 1040)

OMB No. 1545-0074

Itemized Deductions

Department of the Treasury Internal Revenue Service (99)

a Information about Schedule A and its separate instructions is at www.irs.gov/schedulea.

2016

Name(s) shown on Form 1040

Attachment Sequence No. 07 Your social security number

Jordan & Diana Diego

150-66-7788

Medical and Dental Expenses Taxes You Paid

1 2 3 4 5

6 7 8

Interest You Paid

9 10 11

Note: Your mortgage interest deduction may be limited (see instructions).

a Attach to Form 1040.

Caution: Do not include expenses reimbursed or paid by others. Medical and dental expenses (see instructions) . . . . . 1 Enter amount from Form 1040, line 38 2 Multiply line 2 by 10% (0.10). But if either you or your spouse was born before January 2, 1952, multiply line 2 by 7.5% (0.075) instead 3 Subtract line 3 from line 1. If line 3 is more than line 1, enter -0- . . State and local (check only one box): a Income taxes, or . . . . . . . . . . . 5 b General sales taxes Real estate taxes (see instructions) . . . . . . . . . 6 Personal property taxes . . . . . . . . . . . . . 7 Other taxes. List type and amount a 8 Add lines 5 through 8 . . . . . . . . . . . . . . . . Home mortgage interest and points reported to you on Form 1098 10 Home mortgage interest not reported to you on Form 1098. If paid to the person from whom you bought the home, see instructions and show that person’s name, identifying no., and address a

.

.

}

11 12 Points not reported to you on Form 1098. See instructions for special rules . . . . . . . . . . . . . . . . . 12 13 Mortgage insurance premiums (see instructions) . . . . . 13 14 Investment interest. Attach Form 4952 if required. (See instructions.) 14 15 Add lines 10 through 14 . . . . . . . . . . . . . . . Gifts to 16 Gifts by cash or check. If you made any gift of $250 or more, see instructions . . . . . . . . . . . . . . . . 16 Charity 17 Other than by cash or check. If any gift of $250 or more, see If you made a gift and got a instructions. You must attach Form 8283 if over $500 . . . 17 benefit for it, 18 Carryover from prior year . . . . . . . . . . . . 18 see instructions. 19 Add lines 16 through 18 . . . . . . . . . . . . . . .

Casualty and Theft Losses

.

20 Casualty or theft loss(es). Attach Form 4684. (See instructions.) .

.

.

.

.

4

3,200. 3,800.

.

.

.

.

.

.

9

7,000.

15

10,020.

3,000.

10,020.

.

.

.

.

.

.

3,000.

.

.

.

.

.

.

19

.

.

.

.

.

.

20

Job Expenses 21 Unreimbursed employee expenses—job travel, union dues, and Certain job education, etc. Attach Form 2106 or 2106-EZ if required. Miscellaneous 21 (See instructions.) a Employee business expenses Deductions 22 Tax preparation fees . . . . . . . . . . . . . 22

4,197.

23 Other expenses—investment, safe deposit box, etc. List type and amount a

Other Miscellaneous Deductions

24 25 26 27 28

23 Add lines 21 through 23 . . . . . . . . . . . . 24 112,511. Enter amount from Form 1040, line 38 25 Multiply line 25 by 2% (0.02) . . . . . . . . . . 26 Subtract line 26 from line 24. If line 26 is more than line 24, enter -0- . Other—from list in instructions. List type and amount a

4,197. 2,250. .

.

.

.

.

27

1,947.

28

29 Is Form 1040, line 38, over $155,650? Total Itemized No. Your deduction is not limited. Add the amounts in the far right column for lines 4 through 28. Also, enter this amount on Form 1040, line 40. Deductions

}

. Yes. Your deduction may be limited. See the Itemized Deductions Worksheet in the instructions to figure the amount to enter. 30 If you elect to itemize deductions even though they are less than your standard deduction, check here . . . . . . . . . . . . . . . . . . . a

For Paperwork Reduction Act Notice, see Form 1040 instructions. BAA

REV 01/25/17 TTW

.

29

21,967.

Schedule A (Form 1040) 2016


Net Profit From Business

SCHEDULE C-EZ (Form 1040)

OMB No. 1545-0074

Department of the Treasury Internal Revenue Service (99) Name of proprietor

a Attach to Form 1040, 1040NR, or 1041.

Attachment Sequence No. 09A Social security number (SSN)

a See instructions on page 2.

Diana Diego Part I

150-67-4321

General Information

a You May Use Schedule C-EZ Instead of Schedule C Only If You:

a

• Had business expenses of $5,000 or less,

• Had no employees during the year, • Do not deduct expenses for business use of your home,

• Use the cash method of accounting, • Did not have an inventory at any time during the year,

• Do not have prior year unallowed passive activity losses from this business, and • Are not required to file Form 4562, Depreciation and Amortization, for this business. See the instructions for Schedule C, line 13, to find out if you must file.

And You:

• Did not have a net loss from your business, • Had only one business as either a sole proprietor, qualified joint venture, or statutory employee,

A

2016

(Sole Proprietorship) a Partnerships, joint ventures, etc., generally must file Form 1065 or 1065-B.

B Enter business code (see page 2)

Principal business or profession, including product or service

consulting

a 5 4 1 9 9 0 D Enter your EIN (see page 2)

C Business name. If no separate business name, leave blank. E

Business address (including suite or room no.). Address not required if same as on page 1 of your tax return.

1234 Coral Way City, town or post office, state, and ZIP code

Coral Gables, FL 33146 Did you make any payments in 2016 that would require you to file Form(s) 1099? (see the Instructions for Schedule C) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F

G If “Yes,” did you or will you file required Forms 1099? .

Part II

.

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.

.

Yes Yes

.

No No

Figure Your Net Profit

Gross receipts. Caution: If this income was reported to you on Form W-2 and the “Statutory employee” box on that form was checked, see Statutory employees in the instructions for Schedule C, line 1, and check here . . . . . . . . . . . . . . . . . . a

1

8,000.

2

Total expenses (see page 2). If more than $5,000, you must use Schedule C

.

2

4,615.

3

Net profit. Subtract line 2 from line 1. If less than zero, you must use Schedule C. Enter on both Form 1040, line 12, and Schedule SE, line 2, or on Form 1040NR, line 13, and Schedule SE, line 2 (see page 2). (Statutory employees do not report this amount on Schedule SE, line 2.) Estates and trusts, enter on Form 1041, line 3 . . . . . . . . . . . . . . . . .

3

3,385.

1

Part III

.

.

.

.

.

.

Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 2.

4

When did you place your vehicle in service for business purposes? (month, day, year) a 08/01/2016

5

Of the total number of miles you drove your vehicle during 2016, enter the number of miles you used your vehicle for: a

Business

6

Was your vehicle available for personal use during off-duty hours? .

.

.

.

.

7

Do you (or your spouse) have another vehicle available for personal use? .

.

.

8a

Do you have evidence to support your deduction?

750

b Commuting (see page 2)

b If “Yes,” is the evidence written? .

.

.

.

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.

.

7,000

c

Other

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Yes

No

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.

Yes

No

.

.

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.

Yes

No

.

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Yes

No

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.

For Paperwork Reduction Act Notice, see the separate instructions for Schedule C (Form 1040).

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BAA

REV 01/25/17 TTW Schedule C-EZ (Form 1040) 2016


SCHEDULE E (Form 1040) Department of the Treasury Internal Revenue Service (99) Name(s) shown on return

Supplemental Income and Loss

OMB No. 1545-0074

(From rental real estate, royalties, partnerships, S corporations, estates, trusts, REMICs, etc.) a Attach to Form 1040, 1040NR, or Form 1041.

2016

Attachment Sequence No. 13 Your social security number

a Information about Schedule E and its separate instructions is at www.irs.gov/schedulee.

Jordan & Diana Diego Income or Loss From Rental Real Estate and Royalties Part I

150-66-7788

Note: If you are in the business of renting personal property, use Schedule C or C-EZ (see instructions). If you are an individual, report farm rental income or loss from Form 4835 on page 2, line 40.

Yes No A Did you make any payments in 2016 that would require you to file Form(s) 1099? (see instructions) Yes No B If “Yes,” did you or will you file required Forms 1099? 1a Physical address of each property (street, city, state, ZIP code) A Vacation Home Breckenridge CO 80424 B C Fair Rental Personal Use 2 For each rental real estate property listed 1b Type of Property QJV above, report the number of fair rental and Days Days (from list below) personal use days. Check the QJV box 3 120 30 A A only if you meet the requirements to file as a qualified joint venture. See instructions. B B C C Type of Property: 3 Vacation/Short-Term Rental 5 Land 7 Self-Rental 1 Single Family Residence 2 Multi-Family Residence 4 Commercial 6 Royalties 8 Other (describe) Income: Properties: A B C 12,000. 3 Rents received . . . . . . . . . . . . . 3 4 Royalties received . . . . . . . . . . . . 4 Expenses: 5 Advertising . . . . . . . . . . . . . . 5 6 Auto and travel (see instructions) . . . . . . . 6 7 Cleaning and maintenance . . . . . . . . . 7 8 Commissions. . . . . . . . . . . . . . 8 9 Insurance . . . . . . . . . . . . . . . 9 1,760. 10 Legal and other professional fees . . . . . . . 10 700. 11 Management fees . . . . . . . . . . . . 11 3,280. 12 Mortgage interest paid to banks, etc. (see instructions) 12 13 Other interest. . . . . . . . . . . . . . 13 400. 14 Repairs. . . . . . . . . . . . . . . . 14 15 Supplies . . . . . . . . . . . . . . . 15 16 Taxes . . . . . . . . . . . . . . . . 16 1,600. 1,440. 17 Utilities . . . . . . . . . . . . . . . . 17 1,455. 18 Depreciation expense or depletion . . . . . . 18 Other (list) a 19 19 20 Total expenses. Add lines 5 through 19 . . . . . 20 10,635.

Subtract line 20 from line 3 (rents) and/or 4 (royalties). If result is a (loss), see instructions to find out if you must 1,365. file Form 6198 . . . . . . . . . . . . . 21 Deductible rental real estate loss after limitation, if any, 22 )( )( on Form 8582 (see instructions) . . . . . . . 22 ( 12,000. 23a Total of all amounts reported on line 3 for all rental properties . . . . 23a b Total of all amounts reported on line 4 for all royalty properties . . . . 23b 3,280. c Total of all amounts reported on line 12 for all properties . . . . . . 23c 1,455. d Total of all amounts reported on line 18 for all properties . . . . . . 23d 10,635. e Total of all amounts reported on line 20 for all properties . . . . . . 23e 24 Income. Add positive amounts shown on line 21. Do not include any losses . . . . . . . 24 25 Losses. Add royalty losses from line 21 and rental real estate losses from line 22. Enter total losses here 25 ( 21

26

Total rental real estate and royalty income or (loss). Combine lines 24 and 25. Enter the result here. If Parts II, III, IV, and line 40 on page 2 do not apply to you, also enter this amount on Form 1040, line . . . 17, or Form 1040NR, line 18. Otherwise, include this amount in the total on line 41 on page 2NPA

For Paperwork Reduction Act Notice, see the separate instructions.

BAA

REV 01/25/17 TTW

1,365.

26

)

1,365. )

1,365.

Schedule E (Form 1040) 2016


SCHEDULE SE (Form 1040) Department of the Treasury Internal Revenue Service (99)

Self-Employment Tax

OMB No. 1545-0074

2016

a Information about Schedule SE and its separate instructions is at www.irs.gov/schedulese.

Attachment Sequence No. 17

a Attach to Form 1040 or Form 1040NR.

Name of person with self-employment income (as shown on Form 1040 or Form 1040NR)

Diana Diego

Social security number of person with self-employment income a

150-67-4321

Before you begin: To determine if you must file 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 file Schedule SE. If unsure, see Who Must File Schedule SE in the instructions. Did you receive wages or tips in 2016? No d

Yes d

d

Are you a minister, member of a religious order, or Christian Science practitioner who received IRS approval not to be taxed on earnings from these sources, but you owe self-employment tax on other earnings?

Yes

Was the total of your wages and tips subject to social security or railroad retirement (tier 1) tax plus your net earnings from self-employment more than $118,500?

a

No

Yes

Did you receive tips subject to social security or Medicare tax that you didn't report to your employer?

a

Yes

a

No d

No d Did you receive church employee income (see instructions) reported on Form W-2 of $108.28 or more?

a

No d

d Are you using one of the optional methods to figure your net earnings (see instructions)?

Yes

Yes

a

`

No

Did you report any wages on Form 8919, Uncollected Social Security and Medicare Tax on Wages?

Yes

a

No d You may use Short Schedule SE below

d a

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 profit or (loss) from Schedule F, line 34, and farm partnerships, Schedule K-1 (Form 1065), box 14, code A . . . . . . . . . . . . . . . . . . . . . . . . b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve Program payments included on Schedule F, line 4b, or listed on Schedule K-1 (Form 1065), box 20, code Z

2

3 4

5

6

Net profit or (loss) from Schedule C, line 31; Schedule C-EZ, line 3; Schedule K-1 (Form 1065), box 14, code A (other than farming); and Schedule K-1 (Form 1065-B), box 9, code J1. Ministers and members of religious orders, see instructions for types of income to report on this line. See instructions for other income to report . . . . . . . . . . . . . . Combine lines 1a, 1b, and 2 . . . . . . . . . . . . . . . . . . . . . Multiply line 3 by 92.35% (0.9235). If less than $400, you don't owe self-employment tax; don't file this schedule unless you have an amount on line 1b . . . . . . . . . . . . . a Note. If line 4 is less than $400 due to Conservation Reserve Program payments on line 1b, see instructions. Self-employment tax. If the amount on line 4 is: • $118,500 or less, multiply line 4 by 15.3% (0.153). Enter the result here and on Form 1040, line 57, or Form 1040NR, line 55 • More than $118,500, multiply line 4 by 2.9% (0.029). Then, add $14,694 to the result. Enter the total here and on Form 1040, line 57, or Form 1040NR, line 55 . . . . . . . Deduction for one-half of self-employment tax. Multiply line 5 by 50% (0.50). Enter the result here and on Form 1040, line 27, or Form 1040NR, line 27 . . . . . . . . 239. 6

For Paperwork Reduction Act Notice, see your tax return instructions. BAA

REV 01/25/17 TTW

1a 1b (

)

2 3

3,385. 3,385.

4

3,126.

5

478.

Schedule SE (Form 1040) 2016


Form

2106-EZ

Department of the Treasury Internal Revenue Service (99) Your name

This form not required for problem

OMB No. 1545-0074

Unreimbursed Employee Business Expenses

2016

a Attach to Form 1040 or Form 1040NR.

Occupation in which you incurred expenses

Attachment Sequence No. 129A Social security number

manager

150-66-7788

a Information about Form 2106-EZ and its instructions is available at www.irs.gov/form2106ez.

Jordan Diego You Can Use This Form Only if All of the Following Apply.

• You are an employee deducting ordinary and necessary expenses attributable to your job. An ordinary expense is one that is common and accepted in your field of trade, business, or profession. A necessary expense is one that is helpful and appropriate for your business. An expense doesn't have to be required to be considered necessary. • You don't get reimbursed by your employer for any expenses (amounts your employer included in box 1 of your Form W-2 aren't considered reimbursements for this purpose). • If you are claiming vehicle expense, you are using the standard mileage rate for 2016. Caution: You can use the standard mileage rate for 2016 only if: (a) you owned the vehicle and used the standard mileage rate for the first year you placed the vehicle in service, or (b) you leased the vehicle and used the standard mileage rate for the portion of the lease period after 1997.

Part I

Figure Your Expenses

Complete Part II. Multiply line 8a by 54¢ (0.54). Enter the result here

.

.

1

2

Parking fees, tolls, and transportation, including train, bus, etc., that didn't involve overnight travel or commuting to and from work . . . . . . . . . . . . . . . . . .

.

2

Travel expense while away from home overnight, including lodging, airplane, car rental, etc. Don't include meals and entertainment . . . . . . . . . . . . . . . . . .

.

3

Business expenses not included on lines 1 through 3. Don't include meals and entertainment . . . . . . . . . . . . . . . . . . . . . .

.

4

Meals and entertainment expenses: $ 260. × 50% (0.50). (Employees subject to Department of Transportation (DOT) hours of service limits: Multiply meal expenses incurred while away from home on business by 80% (0.80) instead of 50%. For details, see instructions.)

5

130.

Total expenses. Add lines 1 through 5. Enter here and on Schedule A (Form 1040), line 21 (or on Schedule A (Form 1040NR), line 7). (Armed Forces reservists, fee-basis state or local government officials, qualified performing artists, and individuals with disabilities: See the instructions for special rules on where to enter this amount.) . . . . . . . . . . . .

6

4,197.

3

4

5

6

Part II

.

.

.

.

.

.

.

.

.

2,592.

1

.

.

1,475.

Information on Your Vehicle. Complete this part only if you are claiming vehicle expense on line 1. 01/01/2016

7

When did you place your vehicle in service for business use? (month, day, year) a

8

Of the total number of miles you drove your vehicle during 2016, enter the number of miles you used your vehicle for: a

Business

9

Was your vehicle available for personal use during off-duty hours? .

.

.

.

.

.

.

10

Do you (or your spouse) have another vehicle available for personal use? .

.

.

.

.

11a

Do you have evidence to support your deduction?

.

.

.

.

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.

.

4,800

b If “Yes,” is the evidence written? .

1,500

b Commuting (see instructions)

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For Paperwork Reduction Act Notice, see your tax return instructions. BAA

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5,700

c

Other

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.

Yes

No

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Yes

No

.

.

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Yes

No

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Yes

No

Form 2106-EZ (2016)


Form

Chapter 7, Problem 70

4562

Depreciation and Amortization

OMB No. 1545-0172

2016

(Including Information on Listed Property)

Department of the Treasury Internal Revenue Service (99)

a Attach to your tax return.

Attachment Sequence No. 179

a Information about Form 4562 and its separate instructions is at www.irs.gov/form4562.

Name(s) shown on return

Business or activity to which this form relates

Identifying number

Barclays Corporation

Part I 1 2 3 4 5 6

Election To Expense Certain Property Under Section 179 Note: If you have any listed property, complete Part V before you complete Part I.

Maximum amount (see instructions) . . . . . . . . . . . . . . . . . . . . . . . Total cost of section 179 property placed in service (see instructions) . . . . . . . . . . . Threshold cost of section 179 property before reduction in limitation (see instructions) . . . . . . Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0- . . . . . . . . . . Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . (a) Description of property

(b) Cost (business use only)

Used office fixtures

1 2 3 4

500,000 2,294,000 2,010,000

5

216,000

284,000

(c) Elected cost

1,100,000

216,000

7 Listed property. Enter the amount from line 29 . . . . . . . . . 7 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 . . . . . . 8 216,000 9 Tentative deduction. Enter the smaller of line 5 or line 8 . . . . . . . . . . . . . . . . 9 216,000 10 Carryover of disallowed deduction from line 13 of your 2015 Form 4562 . . . . . . . . . . . 10 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instructions) 11 216,000 12 Section 179 expense deduction. Add lines 9 and 10, but don’t enter more than line 11 . . . . . . 12 216,000 13 13 Carryover of disallowed deduction to 2017. Add lines 9 and 10, less line 12 a Note: Don’t use Part II or Part III below for listed property. Instead, use Part V. Part II Special Depreciation Allowance and Other Depreciation (Don’t include listed property.) (See instructions.) 14 Special depreciation allowance for qualified property (other than listed property) placed in service during the tax year (see instructions) . . . . . . . . . . . . . . . . . . . . . . 14 200,000 15 Property subject to section 168(f)(1) election . . . . . . . . . . . . . . . . . . . . 15 16 Other depreciation (including ACRS) . . . . . . . . . . . . . . . . . . . . . . 16 Part III MACRS Depreciation (Don’t include listed property.) (See instructions.) Section A 17 17 MACRS deductions for assets placed in service in tax years beginning before 2016 . . . . . . . 18 If you are electing to group any assets placed in service during the tax year into one or more general asset accounts, check here . . . . . . . . . . . . . . . . . . . . . . a Section B—Assets Placed in Service During 2016 Tax Year Using the General Depreciation System (a) Classification of property

(b) Month and year placed in service

(c) Basis for depreciation (business/investment use only—see instructions)

(d) Recovery period

(e) Convention

(f) Method

(g) Depreciation deduction

200,000 1,636,000

5 years 7 years

MQ MQ

200 DB 200 DB

50,000 112,098

MM MM MM MM

S/L S/L S/L S/L S/L

19a 3-year property b 5-year property c 7-year property d 10-year property e 15-year property f 20-year property g 25-year property h Residential rental property i Nonresidential real property

25 yrs. 27.5 yrs. 27.5 yrs. 39 yrs.

Section C—Assets Placed in Service During 2016 Tax Year Using the Alternative Depreciation System S/L 20a Class life 12 yrs. S/L b 12-year 40 yrs. MM S/L c 40-year

Part IV Summary (See instructions.) 21 Listed property. Enter amount from line 28 . . . . . . . . . . . . . . . . . . . . 22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter here and on the appropriate lines of your return. Partnerships and S corporations—see instructions . 23 For assets shown above and placed in service during the current year, enter the portion of the basis attributable to section 263A costs . . . . . . . 23 For Paperwork Reduction Act Notice, see separate instructions.

Cat. No. 12906N

21

11,160

22

589,258

Form 4562 (2016)


Page 2 Listed Property (Include automobiles, certain other vehicles, certain aircraft, certain computers, and property used for entertainment, recreation, or amusement.)

Form 4562 (2016)

Part V

Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 24a, 24b, columns (a) through (c) of Section A, all of Section B, and Section C if applicable. Section A—Depreciation and Other Information (Caution: See the instructions for limits for passenger automobiles.) ✔ Yes 24a Do you have evidence to support the business/investment use claimed? 24b If “Yes,” is the evidence written? No Yes (c) (a) (b) (d) Business/ Type of property (list Date placed investment use Cost or other basis vehicles first) in service percentage

(e) Basis for depreciation (business/investment use only)

(f) Recovery period

(g) Method/ Convention

(h) Depreciation deduction

No

(i) Elected section 179 cost

25 Special depreciation allowance for qualified listed property placed in service during the tax year and used more than 50% in a qualified business use (see instructions) .

25 11,160 26 Property used more than 50% in a qualified business use: New automobile 2/15/2016 100 % 42,000 30,840 5 years 200 DB - MQ 0 % % 27 Property used 50% or less in a qualified business use: S/L – % S/L – % S/L – % 28 Add amounts in column (h), lines 25 through 27. Enter here and on line 21, page 1 . 28 11,160 29 Add amounts in column (i), line 26. Enter here and on line 7, page 1 . . . . . . . . . . . . 29 Section B—Information on Use of Vehicles Complete this section for vehicles used by a sole proprietor, partner, or other “more than 5% owner,” or related person. If you provided vehicles to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles. (a) Vehicle 1

30 Total business/investment miles driven during the year (don’t include commuting miles) . 31 Total commuting miles driven during the year 32 Total other personal (noncommuting) miles driven . . . . . . . . . 33 Total miles driven during the year. Add lines 30 through 32 . . . . . . . 34 Was the vehicle available for personal use during off-duty hours? . . . . . 35 Was the vehicle used primarily by a more than 5% owner or related person? . .

Yes

No

(b) Vehicle 2

Yes

No

(c) Vehicle 3

Yes

(d) Vehicle 4

No

Yes

No

(e) Vehicle 5

Yes

(f) Vehicle 6

No

Yes

No

36 Is another vehicle available for personal use? Section C—Questions for Employers Who Provide Vehicles for Use by Their Employees Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who aren’t more than 5% owners or related persons (see instructions). No 37 Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by Yes your employees? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your employees? See the instructions for vehicles used by corporate officers, directors, or 1% or more owners . . 39 Do you treat all use of vehicles by employees as personal use? . . . . . . . . . . . . . . . . 40 Do you provide more than five vehicles to your employees, obtain information from your employees about the use of the vehicles, and retain the information received? . . . . . . . . . . . . . . . . . . . 41 Do you meet the requirements concerning qualified automobile demonstration use? (See instructions.) . Note: If your answer to 37, 38, 39, 40, or 41 is “Yes,” don’t complete Section B for the covered vehicles.

.

.

Part VI Amortization (a) Description of costs

(b) Date amortization begins

(c) Amortizable amount

(e) Amortization period or percentage

(d) Code section

(f) Amortization for this year

42 Amortization of costs that begins during your 2016 tax year (see instructions):

43 Amortization of costs that began before your 2016 tax year . . . . . . 44 Total. Add amounts in column (f). See the instructions for where to report .

. .

. .

. .

. .

. .

. .

. .

43 44 Form 4562 (2016)


Form

Chapter 7, Problem 71

1040 U.S. Individual Income Tax Return 2016 (99)

Department of the Treasury—Internal Revenue Service

For the year Jan. 1–Dec. 31, 2016, or other tax year beginning Your first name and initial

OMB No. 1545-0074

, 2016, ending

IRS Use Only—Do not write or staple in this space.

See separate instructions.

, 20

Last name

Your social security number

Maria

Sanchez

155-46-6789

If a joint return, spouse’s first name and initial

Last name

Spouse’s social security number

Apt. no.

Home address (number and street). If you have a P.O. box, see instructions.

c Make sure the SSN(s) above and on line 6c are correct.

1234 Universal Avenue City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).

Presidential Election Campaign

Orlando FL 32819 Foreign country name

Filing Status Check only one box.

Exemptions

1 2 3

Single Married filing jointly (even if only one had income)

4

c

Head of household (with qualifying person). (See instructions.) If the qualifying person is a child but not your dependent, enter this child’s name here. a

Married filing separately. Enter spouse’s SSN above and full name here. a

6a b

5

Qualifying widow(er) with dependent child

Yourself. If someone can claim you as a dependent, do not check box 6a . Spouse . Dependents:

(1) First name

.

.

.

.

.

.

.

.

.

.

.

(2) Dependent’s social security number

Last name

Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund. You Spouse

Foreign postal code

Foreign province/state/county

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

(4) if child under age 17 qualifying for child tax credit (see instructions)

(3) Dependent’s relationship to you

}

Dependents on 6c not entered above

d

Attach Form(s) W-2 here. Also attach Forms W-2G and 1099-R if tax was withheld.

If you did not get a W-2, see instructions.

Adjusted Gross Income

1

• did not live with you due to divorce or separation (see instructions)

If more than four dependents, see instructions and check here a

Income

Boxes checked on 6a and 6b No. of children on 6c who: • lived with you

Total number of exemptions claimed

.

.

.

.

.

.

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7

. 8b . .

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.

.

8a

7

Wages, salaries, tips, etc. Attach Form(s) W-2

.

.

.

.

8a b 9a

Taxable interest. Attach Schedule B if required . Tax-exempt interest. Do not include on line 8a . Ordinary dividends. Attach Schedule B if required

. . .

. . .

.

.

.

.

.

.

.

.

9a

b 10 11

Qualified dividends . . . . . . . . . . . 9b Taxable refunds, credits, or offsets of state and local income taxes Alimony received . . . . . . . . . . . . . . .

. .

. .

. .

. .

. .

. .

10 11

12 13 14

Business income or (loss). Attach Schedule C or C-EZ . . . . . . . . . Capital gain or (loss). Attach Schedule D if required. If not required, check here a Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . .

. .

12 13 14

15a 16a 17

. . . IRA distributions . 15a b Taxable amount Pensions and annuities 16a b Taxable amount . . . Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E

15b 16b 17

18 19 20a

Farm income or (loss). Attach Schedule F . Unemployment compensation . . . . Social security benefits 20a

18 19 20b

. .

. .

. .

. .

. . . . . . . . . . . . b Taxable amount

. .

. .

. .

21 22

. . . Other income. List type and amount Combine the amounts in the far right column for lines 7 through 21. This is your total income a

23

Educator expenses

24

Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 or 2106-EZ

25

Health savings account deduction. Attach Form 8889

26 27 28 29 30 31a

.

.

.

.

.

.

.

.

.

.

.

. Moving expenses. Attach Form 3903 . . . . . . Deductible part of self-employment tax. Attach Schedule SE . Self-employed SEP, SIMPLE, and qualified plans . . Self-employed health insurance deduction . . . . Penalty on early withdrawal of savings . . . . . .

26 27 28

Domestic production activities deduction. Attach Form 8903 35 Add lines 23 through 35 . . . . . . . . . . . . . Subtract line 36 from line 22. This is your adjusted gross income

. . .

. . .

. . .

61,342.

4,334. 2,400.

29 30 31a

35 36 37

. . .

61,342.

24 25

Alimony paid b Recipient’s SSN a IRA deduction . . . . . . . Student loan interest deduction . . Tuition and fees. Attach Form 8917 .

. . .

1

23

32 33 34

. . .

21 22

Add numbers on lines above a

32 33 34 . .

. .

. .

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. BAA

. .

. .

. a

36 37

REV 01/25/17 TTW

6,734. 54,608. Form 1040 (2016)


Page 2 54,608.

Form 1040 (2016)

38

Amount from line 37 (adjusted gross income)

Tax and Credits

39a

Check if:

b

If your spouse itemizes on a separate return or you were a dual-status alien, check here a

39b

Standard Deduction for— • People who check any box on line 39a or 39b or who can be claimed as a dependent, see instructions. • All others: Single or Married filing separately, $6,300 Married filing jointly or Qualifying widow(er), $12,600 Head of household, $9,300

40 41

Itemized deductions (from Schedule A) or your standard deduction (see left margin) Subtract line 40 from line 38 . . . . . . . . . . . . . . . . .

. .

42 43

Exemptions. If line 38 is $155,650 or less, multiply $4,050 by the number on line 6d. Otherwise, see instructions Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- . . Form 4972 c Tax (see instructions). Check if any from: a Form(s) 8814 b

44 45 46 47 48 49 50 51 52 53 54 55 56 57

Other Taxes

If you have a qualifying child, attach Schedule EIC.

.

You were born before January 2, 1952, Spouse was born before January 2, 1952,

.

.

Blind. Blind.

Alternative minimum tax (see instructions). Attach Form 6251 . Excess advance premium tax credit repayment. Attach Form 8962

}

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.

. 48

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.

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.

.

52 Residential energy credits. Attach Form 5695 . . . . 53 3800 b 8801 c Other credits from Form: a 54 Add lines 48 through 54. These are your total credits . . . . . Subtract line 55 from line 47. If line 55 is more than line 47, enter -0-

. .

. .

. .

. .

. .

. .

.

Self-employment tax. Attach Schedule SE

.

.

.

.

.

.

.

8919

.

.

Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required

.

.

. .

. .

. .

Health care: individual responsibility (see instructions) Full-year coverage . . . Form 8960 c Taxes from: a Form 8959 b Instructions; enter code(s) Add lines 56 through 62. This is your total tax . . . . . . . . . . . . 64 Federal income tax withheld from Forms W-2 and 1099 . .

.

.

Add lines 44, 45, and 46 . . . . . . . Foreign tax credit. Attach Form 1116 if required .

. .

. .

. .

.

.

.

First-time homebuyer credit repayment. Attach Form 5405 if required

.

Household employment taxes from Schedule H

.

.

.

.

6,300. 48,308. 4,050. 44,258. 6,840.

40 41 42 43 44 45 46 47

a

6,840.

49 50 51

Credit for child and dependent care expenses. Attach Form 2441

Education credits from Form 8863, line 19 . . . . . Retirement savings contributions credit. Attach Form 8880 Child tax credit. Attach Schedule 8812, if required . . .

.

38

Total boxes checked a 39a

.

b 61

.

.

.

4137 .

.

. .

b . .

. .

. .

. .

55 56 57

a

6,840. 8,667.

58 59 60a 60b 61 62 63

15,507.

a

74

If line 74 is more than line 63, subtract line 63 from line 74. This is the amount you overpaid

75

16,000. 493. 493.

2016 estimated tax payments and amount applied from 2015 return

67 68 69 70

American opportunity credit from Form 8863, line 8 . Net premium tax credit. Attach Form 8962 . . . . Amount paid with request for extension to file . . .

71 72

71 72 Credits from Form: a 2439 b Reserved c 8885 d 73 Add lines 64, 65, 66a, and 67 through 73. These are your total payments . Excess social security and tier 1 RRTA tax withheld

Credit for federal tax on fuels. Attach Form 4136

.

.

.

.

.

.

. . . .

. . . .

. .

. .

. .

. .

.

a

16,000.

65 66a

Earned income credit (EIC) . . . No. . . Nontaxable combat pay election 66b Additional child tax credit. Attach Schedule 8812 .

75 76a

.

.

a

64 65 66a b

.

.

Unreported social security and Medicare tax from Form:

67 68 69 70

.

.

.

.

. a 76a Routing number Checking Savings X X X X X X X X X a c Type: X X X X X X X X X X X X X X X X X Account number Amount of line 75 you want applied to your 2017 estimated tax a 77 77 78 Amount you owe. Subtract line 74 from line 63. For details on how to pay, see instructions a 78 79 Estimated tax penalty (see instructions) . . . . . . . 79 Do you want to allow another person to discuss this return with the IRS (see instructions)? Yes. Complete below.

a

Third Party Designee

.

58 59 60a

Direct deposit? See a instructions.

Amount You Owe

.

.

73 74

Refund

.

.

62 63

Payments

{

.

Amount of line 75 you want refunded to you. If Form 8888 is attached, check here

b d

No

Personal identification a number (PIN)

Phone no. a

Designee’s name a

Sign Here

Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and accurately list all amounts and sources of income I received during the tax year. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Joint return? See instructions. Keep a copy for your records.

F

Paid Preparer Use Only

Your signature

Date

Your occupation

Daytime phone number

Spouse’s signature. If a joint return, both must sign.

Date

Spouse’s occupation

consultant

Print/Type preparer’s name

Firm’s name

a

Firm’s address a www.irs.gov/form1040

Preparer’s signature

Date

If the IRS sent you an Identity Protection PIN, enter it here (see inst.) PTIN Check if self-employed Firm’s EIN a Phone no. REV 01/25/17 TTW

Form 1040 (2016)


SCHEDULE C (Form 1040) Department of the Treasury Internal Revenue Service (99)

Profit or Loss From Business

OMB No. 1545-0074

2016

(Sole Proprietorship)

a Information about Schedule C and its separate instructions is at www.irs.gov/schedulec.

Attachment Sequence No. 09

a Attach to Form 1040, 1040NR, or 1041; partnerships generally must file Form 1065.

Name of proprietor

Social security number (SSN)

Maria Sanchez

155-46-6789

A

B Enter code from instructions

Principal business or profession, including product or service (see instructions)

consulting C

a

9 9 9 9 9 9

D Employer ID number (EIN), (see instr.)

Business name. If no separate business name, leave blank.

Maria Sanchez Consulting 111 Sand Lake Road

E

Business address (including suite or room no.) a

F G H

Orlando, FL 32819 City, town or post office, state, and ZIP code Cash (2) Accrual (3) Other (specify) a Accounting method: (1) Did you “materially participate” in the operation of this business during 2016? If “No,” see instructions for limit on losses If you started or acquired this business during 2016, check here . . . . . . . . . . . . . . . . .

a

I J

Did you make any payments in 2016 that would require you to file Form(s) 1099? (see instructions) . If "Yes," did you or will you file required Forms 1099? . . . . . . . . . . . . . .

. .

Part I

. .

. .

. .

. .

. .

. .

.

Yes

No

Yes Yes

No No

Income

2 3

Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on Form W-2 and the “Statutory employee” box on that form was checked . . . . . . . . . a Returns and allowances . . . . . . . . . . . . . . . . . . . . . . . . . Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . .

4 5 6

Cost of goods sold (from line 42) . . . . . . . . . . . . . . . . . . . Gross profit. Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) .

. . .

. . .

. . .

4 5 6

720,000.

7

Gross income. Add lines 5 and 6 .

.

. a

7

720,000.

Expenses. Enter expenses for business use of your home only on line 30. 4,500. 18 Office expense (see instructions) Advertising . . . . . 8

18

24,000.

1

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1

720,000.

2 3

720,000.

Part II 8 9

Car and truck expenses (see instructions) . . . . . Commissions and fees .

10 11 12 13

Contract labor (see instructions) Depletion . . . . . Depreciation and section 179 expense deduction (not included in Part III) (see instructions) . . . . .

14

Employee benefit programs (other than on line 19) . . Insurance (other than health)

15 16 a b 17 28 29 30

31

Interest: Mortgage (paid to banks, etc.) Other . . . . . . Legal and professional services

9 10

2,330.

a

11 12

13

19 20 b 21 22

426,928.

23 24

17

23

18,000. 15,000. 4,800.

25

24b 25

26 27a b

Wages (less employment credits) . Other expenses (from line 48) . . Reserved for future use . . .

26 27a 27b

1,700. 3,800. 150,000.

. a . .

28

b

Total expenses before expenses for business use of home. Add lines 8 through 27a . Tentative profit or (loss). Subtract line 28 from line 7 . . . . . . . . . . .

. .

. .

. .

. .

29

658,658. 61,342.

Expenses for business use of your home. Do not report these expenses elsewhere. Attach Form 8829 unless using the simplified method (see instructions). Simplified method filers only: enter the total square footage of: (a) your home: and (b) the part of your home used for business: Method Worksheet in the instructions to figure the amount to enter on line 30 Net profit or (loss). Subtract line 30 from line 29.

.

.

. Use the Simplified . . . . . . .

• If a profit, enter on both Form 1040, line 12 (or Form 1040NR, line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3. • If a loss, you must go to line 32. 32

20a 20b 21 22

24a

7,600.

16a 16b

Other business property . . . Repairs and maintenance . . . Supplies (not included in Part III) . Taxes and licenses . . . . . Travel, meals, and entertainment: Travel . . . . . . . . .

19

Deductible meals and entertainment (see instructions) . Utilities . . . . . . . .

a 14 15

Pension and profit-sharing plans . Rent or lease (see instructions): Vehicles, machinery, and equipment

If you have a loss, check the box that describes your investment in this activity (see instructions). • If you checked 32a, enter the loss on both Form 1040, line 12, (or Form 1040NR, line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see the line 31 instructions). Estates and trusts, enter on Form 1041, line 3. • If you checked 32b, you must attach Form 6198. Your loss may be limited.

For Paperwork Reduction Act Notice, see the separate instructions.

BAA

}

}

REV 01/25/17 TTW

30

31

61,342.

32a 32b

All investment is at risk. Some investment is not at risk. Schedule C (Form 1040) 2016


Page 2

Schedule C (Form 1040) 2016

Part III

Cost of Goods Sold (see instructions)

33

Method(s) used to value closing inventory:

34

Was there any change in determining quantities, costs, or valuations between opening and closing inventory? If “Yes,” attach explanation . . . . . . . . . . . . . . . . . . . . . . . . .

Cost

a

b

Lower of cost or market

c

Other (attach explanation)

35

Inventory at beginning of year. If different from last year’s closing inventory, attach explanation .

.

.

35

36

Purchases less cost of items withdrawn for personal use

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36

37

Cost of labor. Do not include any amounts paid to yourself .

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37

38

Materials and supplies

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38

39

Other costs .

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39

40

Add lines 35 through 39 .

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40

41

Inventory at end of year .

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41

42

Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4 .

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42

Part IV

.

.

.

Yes

.

Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9 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. a

43

When did you place your vehicle in service for business purposes? (month, day, year)

44

Of the total number of miles you drove your vehicle during 2016, enter the number of miles you used your vehicle for:

a

No

Business

b Commuting (see instructions)

c Other

45

Was your vehicle available for personal use during off-duty hours?

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Yes

No

46

Do you (or your spouse) have another vehicle available for personal use?.

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Yes

No

47a

Do you have evidence to support your deduction?

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Yes

No

If “Yes,” is the evidence written?

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Yes

No

b

Part V

48

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.

Other Expenses. List below business expenses not included on lines 8–26 or line 30.

Total other expenses. Enter here and on line 27a .

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.

REV 01/25/17 TTW

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48 Schedule C (Form 1040) 2016


SCHEDULE SE (Form 1040) Department of the Treasury Internal Revenue Service (99)

OMB No. 1545-0074

Self-Employment Tax

2016

a Information about Schedule SE and its separate instructions is at www.irs.gov/schedulese.

Attachment Sequence No. 17

a Attach to Form 1040 or Form 1040NR.

Name of person with self-employment income (as shown on Form 1040 or Form 1040NR)

Maria Sanchez

Social security number of person with self-employment income a

155-46-6789

Before you begin: To determine if you must file 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 file Schedule SE. If unsure, see Who Must File Schedule SE in the instructions. Did you receive wages or tips in 2016? No d

Yes d

d

Are you a minister, member of a religious order, or Christian Science practitioner who received IRS approval not to be taxed on earnings from these sources, but you owe self-employment tax on other earnings?

Yes

Was the total of your wages and tips subject to social security or railroad retirement (tier 1) tax plus your net earnings from self-employment more than $118,500?

a

No

Yes

Did you receive tips subject to social security or Medicare tax that you didn't report to your employer?

a

Yes

a

No d

No d Did you receive church employee income (see instructions) reported on Form W-2 of $108.28 or more?

a

No d

d Are you using one of the optional methods to figure your net earnings (see instructions)?

Yes

Yes

a

`

No

Did you report any wages on Form 8919, Uncollected Social Security and Medicare Tax on Wages?

Yes

a

No d You may use Short Schedule SE below

d a

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 profit or (loss) from Schedule F, line 34, and farm partnerships, Schedule K-1 (Form 1065), box 14, code A . . . . . . . . . . . . . . . . . . . . . . . . b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve Program payments included on Schedule F, line 4b, or listed on Schedule K-1 (Form 1065), box 20, code Z

2

3 4

5

6

Net profit or (loss) from Schedule C, line 31; Schedule C-EZ, line 3; Schedule K-1 (Form 1065), box 14, code A (other than farming); and Schedule K-1 (Form 1065-B), box 9, code J1. Ministers and members of religious orders, see instructions for types of income to report on this line. See instructions for other income to report . . . . . . . . . . . . . . Combine lines 1a, 1b, and 2 . . . . . . . . . . . . . . . . . . . . . Multiply line 3 by 92.35% (0.9235). If less than $400, you don't owe self-employment tax; don't file this schedule unless you have an amount on line 1b . . . . . . . . . . . . . a Note. If line 4 is less than $400 due to Conservation Reserve Program payments on line 1b, see instructions. Self-employment tax. If the amount on line 4 is: • $118,500 or less, multiply line 4 by 15.3% (0.153). Enter the result here and on Form 1040, line 57, or Form 1040NR, line 55 • More than $118,500, multiply line 4 by 2.9% (0.029). Then, add $14,694 to the result. Enter the total here and on Form 1040, line 57, or Form 1040NR, line 55 . . . . . . . Deduction for one-half of self-employment tax. Multiply line 5 by 50% (0.50). Enter the result here and on Form 1040, line 27, or Form 1040NR, line 27 . . . . . . . . 4,334. 6

For Paperwork Reduction Act Notice, see your tax return instructions. BAA

REV 01/25/17 TTW

1a 1b (

)

2 3

61,342. 61,342.

4

56,649.

5

8,667.

Schedule SE (Form 1040) 2016


Form

4562

Depreciation and Amortization

OMB No. 1545-0172

2016

(Including Information on Listed Property)

Department of the Treasury Internal Revenue Service (99)

a Attach to your tax return.

Name(s) shown on return

Business or activity to which this form relates

Identifying number

Maria Sanchez Sch C consulting Part I Election To Expense Certain Property Under Section 179 Note: If you have any listed property, complete Part V before you complete Part I. 1 2 3 4 5 6

Attachment Sequence No. 179

a Information about Form 4562 and its separate instructions is at www.irs.gov/form4562.

155-46-6789

Maximum amount (see instructions) . . . . . . . . . . . . . . . . . . . . . . . Total cost of section 179 property placed in service (see instructions) . . . . . . . . . . . Threshold cost of section 179 property before reduction in limitation (see instructions) . . . . . . Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0- . . . . . . . . . . Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . (a) Description of property

(b) Cost (business use only)

Computers See Additional Section 179 Property Statement

1 2 3 4

500,000. 449,200. 2,010,000. 0.

5

500,000.

(c) Elected cost

90,000.

90,000. 328,000. 8,928.

7 Listed property. Enter the amount from line 29 . . . . . . . . . 7 426,928. 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 . . . . . . 8 426,928. 9 Tentative deduction. Enter the smaller of line 5 or line 8 . . . . . . . . . . . . . . . . 9 10 Carryover of disallowed deduction from line 13 of your 2015 Form 4562 . . . . . . . . . . . 10 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instructions) 11 488,270. 426,928. 12 Section 179 expense deduction. Add lines 9 and 10, but don’t enter more than line 11 . . . . . . 12 0. 13 13 Carryover of disallowed deduction to 2017. Add lines 9 and 10, less line 12 a Note: Don’t use Part II or Part III below for listed property. Instead, use Part V. Part II Special Depreciation Allowance and Other Depreciation (Don’t include listed property.) (See instructions.) 14 Special depreciation allowance for qualified property (other than listed property) placed in service during the tax year (see instructions) . . . . . . . . . . . . . . . . . . . . . . 0. 14 15 Property subject to section 168(f)(1) election . . . . . . . . . . . . . . . . . . . . 15 16 Other depreciation (including ACRS) . . . . . . . . . . . . . . . . . . . . . . 16 Part III MACRS Depreciation (Don’t include listed property.) (See instructions.) Section A 17 17 MACRS deductions for assets placed in service in tax years beginning before 2016 . . . . . . . 18 If you are electing to group any assets placed in service during the tax year into one or more general asset accounts, check here . . . . . . . . . . . . . . . . . . . . . . a Section B—Assets Placed in Service During 2016 Tax Year Using the General Depreciation System (a) Classification of property

(b) Month and year placed in service

(c) Basis for depreciation (business/investment use only—see instructions)

19a 3-year property b 5-year property c 7-year property d 10-year property e 15-year property f 20-year property g 25-year property h Residential rental property i Nonresidential real property

(d) Recovery period

25 yrs. 27.5 yrs. 27.5 yrs. 39 yrs.

(e) Convention

(f) Method

MM MM MM MM

S/L S/L S/L S/L S/L

(g) Depreciation deduction

Section C—Assets Placed in Service During 2016 Tax Year Using the Alternative Depreciation System S/L 20a Class life 12 yrs. S/L b 12-year 40 yrs. MM S/L c 40-year

Part IV Summary (See instructions.) 21 Listed property. Enter amount from line 28 . . . . . . . . . . . . . . . . . . . . 22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter here and on the appropriate lines of your return. Partnerships and S corporations—see instructions . 23 For assets shown above and placed in service during the current year, enter the portion of the basis attributable to section 263A costs . . . . . . . 23 For Paperwork Reduction Act Notice, see separate instructions. BAA

REV 01/25/17 TTW

21

0.

22

426,928.

Form 4562 (2016)


Page 2 Listed Property (Include automobiles, certain other vehicles, certain aircraft, certain computers, and property used for entertainment, recreation, or amusement.)

Form 4562 (2016)

Part V

Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 24a, 24b, columns (a) through (c) of Section A, all of Section B, and Section C if applicable. Section A—Depreciation and Other Information (Caution: See the instructions for limits for passenger automobiles.) 24a Do you have evidence to support the business/investment use claimed? 24b If “Yes,” is the evidence written? Yes No Yes (c) (a) (b) Business/ (d) Type of property (list Date placed investment use Cost or other basis vehicles first) in service percentage

(e) Basis for depreciation (business/investment use only)

(f) Recovery period

(g) Method/ Convention

(h) Depreciation deduction

No

(i) Elected section 179 cost

25 Special depreciation allowance for qualified listed property placed in service during the tax year and used more than 50% in a qualified business use (see instructions) .

0. 25 26 Property used more than 50% in a qualified business use: Automobile 06/18/2016 80.00 % 39,000. 22,272. 5.00 200 DB-HY 8,928. 0. % % 27 Property used 50% or less in a qualified business use: S/L – % S/L – % S/L – % 28 Add amounts in column (h), lines 25 through 27. Enter here and on line 21, page 1 . 28 0. 8,928. 29 Add amounts in column (i), line 26. Enter here and on line 7, page 1 . . . . . . . . . . . . 29 Section B—Information on Use of Vehicles Complete this section for vehicles used by a sole proprietor, partner, or other “more than 5% owner,” or related person. If you provided vehicles to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles. (a) Vehicle 1

30 Total business/investment miles driven during the year (don’t include commuting miles) . 31 Total commuting miles driven during the year 32 Total other personal (noncommuting) miles driven . . . . . . . . . 33 Total miles driven during the year. Add lines 30 through 32 . . . . . . . 34 Was the vehicle available for personal use during off-duty hours? . . . . . 35 Was the vehicle used primarily by a more than 5% owner or related person? . .

(b) Vehicle 2

(c) Vehicle 3

(d) Vehicle 4

(e) Vehicle 5

(f) Vehicle 6

16,000

4,000 20,000 Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

36 Is another vehicle available for personal use? Section C—Questions for Employers Who Provide Vehicles for Use by Their Employees Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who aren’t more than 5% owners or related persons (see instructions). No 37 Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by Yes your employees? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your employees? See the instructions for vehicles used by corporate officers, directors, or 1% or more owners . . 39 Do you treat all use of vehicles by employees as personal use? . . . . . . . . . . . . . . . . 40 Do you provide more than five vehicles to your employees, obtain information from your employees about the use of the vehicles, and retain the information received? . . . . . . . . . . . . . . . . . . . 41 Do you meet the requirements concerning qualified automobile demonstration use? (See instructions.) . Note: If your answer to 37, 38, 39, 40, or 41 is “Yes,” don’t complete Section B for the covered vehicles.

.

.

Part VI Amortization (a) Description of costs

(b) Date amortization begins

(c) Amortizable amount

(e) Amortization period or percentage

(d) Code section

(f) Amortization for this year

42 Amortization of costs that begins during your 2016 tax year (see instructions):

43 Amortization of costs that began before your 2016 tax year . . . . . . 44 Total. Add amounts in column (f). See the instructions for where to report . REV 01/25/17 TTW

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. .

. .

. .

. .

. .

. .

43 44 Form 4562 (2016)


Maria Sanchez

155-46-6789

1

Additional information from your 2016 Federal Tax Return Schedule C (consulting): Profit or Loss from Business -- Form 4562 (Sch C consulting): Depreciation and Amortization Line 6 Additional Section 179 Property Statement Continuation Statement (a) Description of Property

(b) Cost (bus use only)

(c) Elected Cost

Used fixtures

128,000.

128,000.

New equipment

200,000.

200,000.

Total

328,000.


SCHEDULE D (Form 1040)

Chapter 8, Problem 73 OMB No. 1545-0074

Capital Gains and Losses

2016

a Attach to Form 1040 or Form 1040NR.

Department of the Treasury Internal Revenue Service (99)

a Information about Schedule D and its separate instructions is at www.irs.gov/scheduled.

Attachment Sequence No. 12

a Use Form 8949 to list your transactions for lines 1b, 2, 3, 8b, 9, and 10.

Name(s) shown on return

Your social security number

Gineen Tibeau

Part I

Short-Term Capital Gains and Losses—Assets Held One Year or Less

See instructions for how to figure the amounts to enter on the lines below. This form may be easier to complete if you round off cents to whole dollars.

(d) Proceeds (sales price)

(e) Cost (or other basis)

(g) Adjustments to gain or loss from Form(s) 8949, Part I, line 2, column (g)

(h) Gain or (loss) Subtract column (e) from column (d) and combine the result with column (g)

1a Totals for all short-term transactions reported on Form 1099-B 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 1b . 1b Totals for all transactions reported on Form(s) 8949 with Box A checked . . . . . . . . . . . . . 2 Totals for all transactions reported on Form(s) 8949 with Box B checked . . . . . . . . . . . . . 3 Totals for all transactions reported on Form(s) 8949 with Box C checked . . . . . . . . . . . . .

4,945

5,100

(150)

4 Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684, 6781, and 8824 . 5 Net short-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Short-term capital loss carryover. Enter the amount, if any, from line 8 of your Capital Loss Carryover Worksheet in the instructions . . . . . . . . . . . . . . . . . . . . . . . 7 Net short-term capital gain or (loss). Combine lines 1a through 6 in column (h). If you have any longterm capital gains or losses, go to Part II below. Otherwise, go to Part III on the back . . . . .

Part II

4 5 6

(

7

) (150)

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. This form may be easier to complete if you round off cents to whole dollars.

(d) Proceeds (sales price)

(e) Cost (or other basis)

(g) (h) Gain or (loss) Adjustments Subtract column (e) to gain or loss from from column (d) and Form(s) 8949, Part II, combine the result with line 2, column (g) column (g)

8a Totals for all long-term transactions reported on Form 1099-B 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 8b . 8b Totals for all transactions reported on Form(s) 8949 with Box D checked . . . . . . . . . . . . . 55,400 55,000 9 Totals for all transactions reported on Form(s) 8949 with Box E checked . . . . . . . . . . . . . 10 Totals for all transactions reported on Form(s) 8949 with Box F checked . . . . . . . . . . . . . . 11 Gain from Form 4797, Part I; long-term gain from Forms 2439 and 6252; and long-term gain or (loss) from Forms 4684, 6781, and 8824 . . . . . . . . . . . . . . . . . . . . . .

11

12 Net long-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-1

12

13 Capital gain distributions. See the instructions . . . . . . . . . . . . . . . . . . 14 Long-term capital loss carryover. Enter the amount, if any, from line 13 of your Capital Loss Carryover Worksheet in the instructions . . . . . . . . . . . . . . . . . . . . . . . 15 Net long-term capital gain or (loss). Combine lines 8a through 14 in column (h). Then go to Part III on the back . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13

For Paperwork Reduction Act Notice, see your tax return instructions.

Cat. No. 11338H

400

14 (

)

15

400

Schedule D (Form 1040) 2016


Page 2

Schedule D (Form 1040) 2016

Part III 16

Summary

Combine lines 7 and 15 and enter the result

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16

250

• If line 16 is a gain, enter the amount from line 16 on Form 1040, line 13, or Form 1040NR, line 14. Then go to line 17 below. • If line 16 is a loss, 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 1040NR, line 14. Then go to line 22. 17

Are lines 15 and 16 both gains? Yes. Go to line 18. No. Skip lines 18 through 21, and go to line 22.

18

Enter the amount, if any, from line 7 of the 28% Rate Gain Worksheet in the instructions

a

18

0

19

Enter the amount, if any, from line 18 of the Unrecaptured Section 1250 Gain Worksheet in the instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . a

19

0

21 (

)

20

.

.

Are lines 18 and 19 both zero or blank? 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). Don't complete lines 21 and 22 below. No. Complete the Schedule D Tax Worksheet in the instructions. Don't complete lines 21 and 22 below.

21

If line 16 is a loss, enter here and on Form 1040, line 13, or Form 1040NR, line 14, the smaller of: • The loss on line 16 or • ($3,000), or if married filing separately, ($1,500)

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Note: When figuring which amount is smaller, treat both amounts as positive numbers. 22

Do you have qualified dividends on Form 1040, line 9b, or Form 1040NR, line 10b? 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). No. Complete the rest of Form 1040 or Form 1040NR. Schedule D (Form 1040) 2016


Form

8949

Department of the Treasury Internal Revenue Service

Sales and Other Dispositions of Capital Assets a Information about Form 8949 and its separate instructions is at www.irs.gov/form8949. a File with your Schedule D to list your transactions for lines 1b, 2, 3, 8b, 9, and 10 of Schedule D.

Name(s) shown on return

OMB No. 1545-0074

2016

Attachment Sequence No. 12A

Social security number or taxpayer identification number

Gineen Tibeau

Before you check Box A, B, or C below, see whether you received any Form(s) 1099-B or substitute statement(s) from your broker. A substitute statement will have the same information as Form 1099-B. Either will show whether your basis (usually your cost) was reported to the IRS by your broker and may even tell you which box to check.

Part I

Short-Term. Transactions involving capital assets you held 1 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 1a; you aren't required to report these transactions on Form 8949 (see instructions).

You must check Box A, B, or C below. Check only one box. If more than one box applies for your short-term transactions, complete a separate Form 8949, page 1, for each applicable box. If you have more short-term transactions than will fit on this page for one or more of the boxes, complete as many forms with the same box checked as you need. ✔

(A) Short-term transactions reported on Form(s) 1099-B showing basis was reported to the IRS (see Note above) (B) Short-term transactions reported on Form(s) 1099-B showing basis wasn't reported to the IRS (C) Short-term transactions not reported to you on Form 1099-B

1 (a) Description of property (Example: 100 sh. XYZ Co.)

(b) Date acquired (Mo., day, yr.)

(c) Date sold or disposed of (Mo., day, yr.)

(d) Proceeds (sales price) (see instructions)

5,000 CDF Bonds

4,950

Adjustment, if any, to gain or loss. If you enter an amount in column (g), (e) (h) enter a code in column (f). Cost or other basis. Gain or (loss). See the separate instructions. See the Note below Subtract column (e) and see Column (e) from column (d) and (f) (g) in the separate combine the result Code(s) from instructions with column (g) Amount of instructions adjustment

5,100

(150)

2 Totals. Add the amounts in columns (d), (e), (g), and (h) (subtract negative amounts). Enter each total here and include on your Schedule D, line 1b (if Box A above is checked), line 2 (if Box B above is checked), or line 3 (if Box C above is checked) a

(150) Note: If you checked Box A above but the basis reported to the IRS was incorrect, enter in column (e) the basis as reported to the IRS, and enter an adjustment in column (g) to correct the basis. See Column (g) in the separate instructions for how to figure the amount of the adjustment. For Paperwork Reduction Act Notice, see your tax return instructions.

Cat. No. 37768Z

Form 8949 (2016)


Attachment Sequence No. 12A

Form 8949 (2016) Name(s) shown on return. Name and SSN or taxpayer identification no. not required if shown on other side

Page 2

Social security number or taxpayer identification number

Before you check Box D, E, or F below, see whether you received any Form(s) 1099-B or substitute statement(s) from your broker. A substitute statement will have the same information as Form 1099-B. Either will show whether your basis (usually your cost) was reported to the IRS by your broker and may even tell you which box to check.

Part II

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-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 8a; you aren't required to report these transactions on Form 8949 (see instructions).

You must check Box D, E, or F below. Check only one box. If more than one box applies for your long-term transactions, complete a separate Form 8949, page 2, for each applicable box. If you have more long-term transactions than will fit on this page for one or more of the boxes, complete as many forms with the same box checked as you need. ✔

(D) Long-term transactions reported on Form(s) 1099-B showing basis was reported to the IRS (see Note above) (E) Long-term transactions reported on Form(s) 1099-B showing basis wasn't reported to the IRS (F) Long-term transactions not reported to you on Form 1099-B

1 (a) Description of property (Example: 100 sh. XYZ Co.)

(b) Date acquired (Mo., day, yr.)

(c) Date sold or disposed of (Mo., day, yr.)

(d) Proceeds (sales price) (see instructions)

Adjustment, if any, to gain or loss. If you enter an amount in column (g), (e) (h) enter a code in column (f). Cost or other basis. Gain or (loss). See the separate instructions. See the Note below Subtract column (e) and see Column (e) from column (d) and (f) (g) in the separate combine the result Code(s) from instructions with column (g) Amount of instructions adjustment

100 sh ABC Stock

6,000

4,000

2,000

Dali Drawing

31,000

23,000

8,000

200 sh GFI Stock

6,400

8,000

(1,600)

5,000 sh XYZ Stock

12,000

20,000

(8,000)

2 Totals. Add the amounts in columns (d), (e), (g), and (h) (subtract negative amounts). Enter each total here and include on your Schedule D, line 8b (if Box D above is checked), line 9 (if Box E above is checked), or line 10 (if Box F above is checked) a

400 Note: If you checked Box D above but the basis reported to the IRS was incorrect, enter in column (e) the basis as reported to the IRS, and enter an adjustment in column (g) to correct the basis. See Column (g) in the separate instructions for how to figure the amount of the adjustment. Form 8949 (2016)


Form

Chapter 8, Problem 74

4797

Department of the Treasury Internal Revenue Service

Sales of Business Property

OMB No. 1545-0184

a Attach to your tax return.

Attachment Sequence No. 27

2016

(Also Involuntary Conversions and Recapture Amounts Under Sections 179 and 280F(b)(2)) a Information about Form 4797 and its separate instructions is at www.irs.gov/form4797.

Name(s) shown on return 1

Identifying number

Enter the gross proceeds from sales or exchanges reported to you for 2016 on Form(s) 1099-B or 1099-S (or substitute statement) that you are including on line 2, 10, or 20. See instructions . . . . . . . .

Part I

(a) Description of property

2

1

Sales or Exchanges of Property Used in a Trade or Business and Involuntary Conversions From Other Than Casualty or Theft—Most Property Held More Than 1 Year (see instructions) (c) Date sold (mo., day, yr.)

(b) Date acquired (mo., day, yr.)

(e) Depreciation allowed or allowable since acquisition

(d) Gross sales price

3 4

Gain, if any, from Form 4684, line 39 . . . . . . . . . . . Section 1231 gain from installment sales from Form 6252, line 26 or 37 .

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3 4

5 6 7

Section 1231 gain or (loss) from like-kind exchanges from Form 8824 . . . . . . . . . . . . . . Gain, if any, from line 32, from other than casualty or theft . . . . . . . . . . . . . . . . . Combine lines 2 through 6. Enter the gain or (loss) here and on the appropriate line as follows: . . . . . . . Partnerships (except electing large partnerships) and S corporations. Report the gain or (loss) following the instructions for Form 1065, Schedule K, line 10, or Form 1120S, Schedule K, line 9. Skip lines 8, 9, 11, and 12 below. Individuals, partners, S corporation shareholders, and all others. If line 7 is zero or a loss, enter the amount from line 7 on line 11 below and skip lines 8 and 9. If line 7 is a gain and you didn’t have any prior year section 1231 losses, or they were recaptured in an earlier year, enter the gain from line 7 as a long-term capital gain on the Schedule D filed with your return and skip lines 8, 9, 11, and 12 below.

5 6 7

8

Nonrecaptured net section 1231 losses from prior years. See instructions .

.

8

9

Subtract line 8 from line 7. If zero or less, enter -0-. If line 9 is zero, enter the gain from line 7 on line 12 below. If line 9 is more than zero, enter the amount from line 8 on line 12 below and enter the gain from line 9 as a long-term capital gain on the Schedule D filed with your return. See instructions . . . . . . . . . . . . . .

9

Part II

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(f) Cost or other basis, plus improvements and expense of sale

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(g) Gain or (loss) Subtract (f) from the sum of (d) and (e)

6,000 6,000

Ordinary Gains and Losses (see instructions)

10

Ordinary gains and losses not included on lines 11 through 16 (include property held 1 year or less):

11 12 13

Loss, if any, from line 7 . . . . . . . . . . . Gain, if any, from line 7 or amount from line 8, if applicable Gain, if any, from line 31 . . . . . . . . . .

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11 ( 12 13

14 15 16

Net gain or (loss) from Form 4684, lines 31 and 38a . . . . . Ordinary gain from installment sales from Form 6252, line 25 or 36 . Ordinary gain or (loss) from like-kind exchanges from Form 8824. .

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14 15 16

17 18

Combine lines 10 through 16 .

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17

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) 42,000

42,000

For all except individual returns, enter the amount from line 17 on the appropriate line of your return and skip lines a and b below. For individual returns, complete lines a and b below: a If the loss on line 11 includes a loss from Form 4684, line 35, column (b)(ii), enter that part of the loss here. Enter the part of the loss from income-producing property on Schedule A (Form 1040), line 28, and the part of the loss from property used as an employee on Schedule A (Form 1040), line 23. Identify as from “Form 4797, line 18a.” See instructions . . b Redetermine the gain or (loss) on line 17 excluding the loss, if any, on line 18a. Enter here and on Form 1040, line 14

For Paperwork Reduction Act Notice, see separate instructions.

Cat. No. 13086I

18a

0

18b

6,000 Form 4797 (2016)


Page 2

Form 4797 (2016)

Part III 19

Gain From Disposition of Property Under Sections 1245, 1250, 1252, 1254, and 1255 (see instructions)

(a) Description of section 1245, 1250, 1252, 1254, or 1255 property: A B C D

24 25

26

27

28

4-24-2 3-5-1 6-18-4 11-10-5

12-20-6 12-20-6 12-20-6 12-20-6

Property A

Property B

Property C

Property D

Gross sales price (Note: See line 1 before completing.) Cost or other basis plus expense of sale . . . . Depreciation (or depletion) allowed or allowable . . Adjusted basis. Subtract line 22 from line 21 . . .

. . . .

20 21 22 23

25,000 45,000 25,000 20,000

18,000 75,000 67,000 8,000

51,000 63,000 21,000 42,000

93,000 87,000 18,000 69,000

Total gain. Subtract line 23 from line 20 .

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24

5,000

20,000

9,000

24,000

If section 1245 property: a Depreciation allowed or allowable from line 22 . b Enter the smaller of line 24 or 25a . . . .

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25a 25b

25,000 5,000

67,000 10,000

21,000 9,000

18,000 18,000

If section 1250 property: If straight line depreciation was used, enter -0- on line 26g, except for a corporation subject to section 291. a Additional depreciation after 1975. See instructions .

26a

b Applicable percentage multiplied by the smaller of line 24 or line 26a. See instructions . . . . . . .

26b

c Subtract line 26a from line 24. If residential rental property or line 24 isn’t more than line 26a, skip lines 26d and 26e d Additional depreciation after 1969 and before 1976 . . e Enter the smaller of line 26c or 26d . . . . . . f Section 291 amount (corporations only) . . . . . g Add lines 26b, 26e, and 26f. . . . . . . . .

26c 26d 26e 26f 26g

If section 1252 property: Skip this section if you didn’t dispose of farmland or if this form is being completed for a partnership (other than an electing large partnership). a Soil, water, and land clearing expenses . . . . . b Line 27a multiplied by applicable percentage. See instructions c Enter the smaller of line 24 or 27b . . . . . .

27a 27b 27c

If section 1254 property: a Intangible drilling and development costs, expenditures for development of mines and other natural deposits, mining exploration costs, and depletion. See instructions . . . . . . . . . . . . . b Enter the smaller of line 24 or 28a . . . . . .

29

(c) Date sold (mo., day, yr.)

Machine Machine Machine Machine These columns relate to the properties on lines 19A through 19D. a

20 21 22 23

(b) Date acquired (mo., day, yr.)

28a 28b

If section 1255 property: a Applicable percentage of payments excluded from income under section 126. See instructions . . . . b Enter the smaller of line 24 or 29a. See instructions .

29a 29b

Summary of Part III Gains. Complete property columns A through D through line 29b before going to line 30. 30

Total gains for all properties. Add property columns A through D, line 24

31 32

Add property columns A through D, lines 25b, 26g, 27c, 28b, and 29b. Enter here and on line 13 . . . . . . Subtract line 31 from line 30. Enter the portion from casualty or theft on Form 4684, line 33. Enter the portion from other than casualty or theft on Form 4797, line 6 . . . . . . . . . . . . . . . . . . . .

Part IV

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30 31

48,000

32

6,000

42,000

Recapture Amounts Under Sections 179 and 280F(b)(2) When Business Use Drops to 50% or Less (see instructions) (a) Section 179

33

Section 179 expense deduction or depreciation allowable in prior years.

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34 35

Recomputed depreciation. See instructions . . . . . . . . . . . . . . Recapture amount. Subtract line 34 from line 33. See the instructions for where to report

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(b) Section 280F(b)(2)

33 34 35 Form 4797 (2016)


Chapter 9, Problem 81 Form 4684 (2016)

Page 2

Attachment Sequence No. 26

Name(s) shown on tax return. Do not enter name and identifying number if shown on other side.

Identifying number

Howser Corporation

SECTION B—Business and Income-Producing Property Casualty or Theft Gain or Loss (Use a separate Part l for each casualty or theft.) Part I 19 Description of properties (show type, location, and date acquired for each property). Use a separate line for each property lost or damaged from the same casualty or theft. See instructions if claiming a loss due to a Ponzi-type investment scheme and Section C is not completed. Property A Warehouse Building Property B Property C Property D

Properties A 20

235,000

21 Insurance or other reimbursement (whether or not you filed a claim). See the instructions for line 3 . . . .

21

200,000

Note: If line 20 is more than line 21, skip line 22. Gain from casualty or theft. If line 21 is more than line 20, enter the difference here and on line 29 or line 34, column (c), except as provided in the instructions for line 33. Also, skip lines 23 through 27 for that column. See the instructions for line 4 if line 21 includes insurance or other reimbursement you did not claim, or you received payment for your loss in a later tax year Fair market value before casualty or theft . . . . Fair market value after casualty or theft . . . . . Subtract line 24 from line 23 . . . . . . . . Enter the smaller of line 20 or line 25 . . . . .

22 23 24 25 26

425,000 150,000 275,000 235,000

20 Cost or adjusted basis of each property .

22

23 24 25 26

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B

C

D

Note: If the property was totally destroyed by casualty or lost from theft, enter on line 26 the amount from line 20. 27 Subtract line 21 from line 26. If zero or less, enter -027 35,000 28 Casualty or theft loss. Add the amounts on line 27. Enter the total here and on line 29 or line 34 (see instructions)

Part II

Summary of Gains and Losses (from separate Parts l)

$35,000

28

(b) Losses from casualties or thefts (ii) Incomeproducing and employee property

(i) Trade, business, rental or royalty property

(a) Identify casualty or theft

(c) Gains from casualties or thefts includible in income

Casualty or Theft of Property Held One Year or Less 29 Embezzlement of Cash

(

30 Totals. Add the amounts on line 29

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.

.

.

.

.

.

30

45,000

) (

)

45,000

) ( ) (

) )

31 Combine line 30, columns (b)(i) and (c). Enter the net gain or (loss) here and on Form 4797, line 14. If Form 4797 is not otherwise required, see instructions . . . . . . . . . . . . . . . . . . . . . . .

31

32 Enter the amount from line 30, column (b)(ii) here. Individuals, enter the amount from income-producing property on Schedule A (Form 1040), line 28, or Form 1040NR, Schedule A, line 14, and enter the amount from property used as an employee on Schedule A (Form 1040), line 23, or Form 1040NR, Schedule A, line 9. Estates and trusts, partnerships, and S corporations, see instructions

32

($45,000)

Casualty or Theft of Property Held More Than One Year 33 Casualty or theft gains from Form 4797, line 32 . . . . . . . . . . . . . . . . . . . . . . . . . ( ) ( 34 35,000 ( ) ( 35 Total losses. Add amounts on line 34, columns (b)(i) and (b)(ii) . . . . .

35

(

35,000 . . . . . .

33 ) )

) (

) 36 37

0 ($35,000)

38a

($35,000)

36 Total gains. Add lines 33 and 34, column (c) . . . . . . . . . . . . . . . . . . . 37 Add amounts on line 35, columns (b)(i) and (b)(ii) . . . . . . . . . . . . . . . . . 38 If the loss on line 37 is more than the gain on line 36: a Combine line 35, column (b)(i) and line 36, and enter the net gain or (loss) here. Partnerships (except electing large partnerships) and S corporations, see the note below. All others, enter this amount on Form 4797, line 14. If Form 4797 is not otherwise required, see instructions . . . . . . . . . . . . . . . . . . . . . b Enter the amount from line 35, column (b)(ii) here. Individuals, enter the amount from income-producing property on Schedule A (Form 1040), line 28, or Form 1040NR, Schedule A, line 14, and enter the amount from property used as an employee on Schedule A (Form 1040), line 23, or Form 1040NR, Schedule A, line 9. Estates and trusts, enter on the “Other deductions” line of your tax return. Partnerships (except electing large partnerships) and S corporations, see the note below. Electing large partnerships, enter on Form 1065-B, Part II, line 11 . . . . . . . . .

38b

39 If the loss on line 37 is less than or equal to the gain on line 36, combine lines 36 and 37 and enter here. Partnerships (except electing large partnerships), see the note below. All others, enter this amount on Form 4797, line 3 . . . .

39

Note: Partnerships, enter the amount from line 38a, 38b, or line 39 on Form 1065, Schedule K, line 11. S corporations, enter the amount from line 38a or 38b on Form 1120S, Schedule K, line 10. Form 4684 (2016)


Form

Chapter 9, Problem 82

1040 U.S. Individual Income Tax Return 2016 (99)

Department of the Treasury—Internal Revenue Service

For the year Jan. 1–Dec. 31, 2016, or other tax year beginning Your first name and initial

OMB No. 1545-0074

, 2016, ending

IRS Use Only—Do not write or staple in this space.

See separate instructions.

, 20

Last name

Your social security number

Cletus

Mayor

223-34-4444

If a joint return, spouse’s first name and initial

Last name

Spouse’s social security number

Josepha

Mayor

322-32-2222 Apt. no.

Home address (number and street). If you have a P.O. box, see instructions.

c Make sure the SSN(s) above and on line 6c are correct.

2907 Seven Oaks Lane City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).

Presidential Election Campaign

Columbia SC 29210 Foreign country name

Filing Status Check only one box.

Exemptions

1 2 3

Single Married filing jointly (even if only one had income)

c

Spouse . Dependents:

Sheena Carletta

Attach Form(s) W-2 here. Also attach Forms W-2G and 1099-R if tax was withheld.

If you did not get a W-2, see instructions.

Adjusted Gross Income

the qualifying person is a child but not your dependent, enter this child’s name here. a

5

Qualifying widow(er) with dependent child

.

.

.

.

Last name

Mayor Mayor

.

.

.

.

.

.

.

.

.

.

.

(2) Dependent’s social security number

(3) Dependent’s relationship to you

344-44-1234 566-55-6543

Daughter Daughter

.

.

.

.

.

.

.

.

.

.

.

.

(4) if child under age 17 qualifying for child tax credit (see instructions)

}

Boxes checked on 6a and 6b No. of children on 6c who: • lived with you

2 2

• did not live with you due to divorce or separation (see instructions) Dependents on 6c not entered above

d

Income

Head of household (with qualifying person). (See instructions.) If

Yourself. If someone can claim you as a dependent, do not check box 6a .

(1) First name

If more than four dependents, see instructions and check here a

4

Married filing separately. Enter spouse’s SSN above and full name here. a

6a b

Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund. You Spouse

Foreign postal code

Foreign province/state/county

Total number of exemptions claimed

.

.

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.

.

.

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7

. 8b . .

.

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.

8a

7

Wages, salaries, tips, etc. Attach Form(s) W-2

.

.

.

.

8a b 9a

Taxable interest. Attach Schedule B if required . Tax-exempt interest. Do not include on line 8a . Ordinary dividends. Attach Schedule B if required

. . .

. . .

.

.

.

.

.

.

.

.

9a

b 10 11

Qualified dividends . . . . . . . . . . . 9b Taxable refunds, credits, or offsets of state and local income taxes Alimony received . . . . . . . . . . . . . . .

. .

. .

. .

. .

. .

. .

10 11

12 13 14

Business income or (loss). Attach Schedule C or C-EZ . . . . . . . . . Capital gain or (loss). Attach Schedule D if required. If not required, check here a Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . .

. .

12 13 14

15a 16a 17

. . . IRA distributions . 15a b Taxable amount Pensions and annuities 16a b Taxable amount . . . Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E

15b 16b 17

18 19 20a

Farm income or (loss). Attach Schedule F . Unemployment compensation . . . . Social security benefits 20a

18 19 20b

. .

. .

. .

. .

. . . . . . . . . . . . b Taxable amount

. .

. .

. .

21 22

. . . Other income. List type and amount Combine the amounts in the far right column for lines 7 through 21. This is your total income a

23

Educator expenses

24

Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 or 2106-EZ

25

Health savings account deduction. Attach Form 8889

26 27 28 29 30 31a

.

.

.

.

.

.

.

.

.

.

.

. Moving expenses. Attach Form 3903 . . . . . . Deductible part of self-employment tax. Attach Schedule SE . Self-employed SEP, SIMPLE, and qualified plans . . Self-employed health insurance deduction . . . . Penalty on early withdrawal of savings . . . . . . . . .

. . .

93,360.

29 30 31a

Domestic production activities deduction. Attach Form 8903 35 Add lines 23 through 35 . . . . . . . . . . . . . Subtract line 36 from line 22. This is your adjusted gross income

. . .

1,300.

26 27 28

35 36 37

. . .

91,750. 310.

24 25

Alimony paid b Recipient’s SSN a IRA deduction . . . . . . . Student loan interest deduction . . Tuition and fees. Attach Form 8917 .

. . .

4

250.

23

32 33 34

. . .

21 22

Add numbers on lines above a

32 33 34 . .

. .

. .

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. BAA

. .

. .

. a

36 37

REV 01/25/17 TTW

250. 93,110. Form 1040 (2016)


Page 2 93,110.

Form 1040 (2016)

38

Amount from line 37 (adjusted gross income)

Tax and Credits

39a

Check if:

b

If your spouse itemizes on a separate return or you were a dual-status alien, check here a

39b

Standard Deduction for— • People who check any box on line 39a or 39b or who can be claimed as a dependent, see instructions. • All others: Single or Married filing separately, $6,300 Married filing jointly or Qualifying widow(er), $12,600 Head of household, $9,300

40 41

Itemized deductions (from Schedule A) or your standard deduction (see left margin) Subtract line 40 from line 38 . . . . . . . . . . . . . . . . .

. .

42 43

Exemptions. If line 38 is $155,650 or less, multiply $4,050 by the number on line 6d. Otherwise, see instructions Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- . . Form 4972 c Tax (see instructions). Check if any from: a Form(s) 8814 b

44 45 46 47 48 49 50 51 52 53 54 55 56 57

Other Taxes

If you have a qualifying child, attach Schedule EIC.

.

You were born before January 2, 1952, Spouse was born before January 2, 1952,

.

.

Blind. Blind.

Alternative minimum tax (see instructions). Attach Form 6251 . Excess advance premium tax credit repayment. Attach Form 8962 Add lines 44, 45, and 46 . . . . . . . Foreign tax credit. Attach Form 1116 if required .

. .

. .

. .

.

.

}

.

.

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.

38

Total boxes checked a 39a . .

.

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.

.

.

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.

. 48

.

.

.

.

.

.

43 44 45 46 47

a

460. 280.

52 Residential energy credits. Attach Form 5695 . . . . 53 3800 b 8801 c Other credits from Form: a 54 Add lines 48 through 54. These are your total credits . . . . . Subtract line 55 from line 47. If line 55 is more than line 47, enter -0-

2,000.

. .

Self-employment tax. Attach Schedule SE

.

.

.

First-time homebuyer credit repayment. Attach Form 5405 if required

.

.

.

. .

. . .

Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required

.

.

. .

. .

.

4137 .

.

. .

b . .

. .

. .

. .

. .

8,384.

2,740. 5,644.

55 56 57

a

.

.

.

. .

.

.

.

. .

.

.

.

. .

8919

Household employment taxes from Schedule H

.

. .

13,560. 79,550. 16,200. 63,350. 8,384.

40 41 42

49 50 51

Credit for child and dependent care expenses. Attach Form 2441

Education credits from Form 8863, line 19 . . . . . Retirement savings contributions credit. Attach Form 8880 Child tax credit. Attach Schedule 8812, if required . . .

b 61

58 59 60a 60b

Health care: individual responsibility (see instructions) Full-year coverage . . . . . Form 8960 c Taxes from: a Form 8959 b Instructions; enter code(s) a Add lines 56 through 62. This is your total tax . . . . . . . . . . . . . 7,880. 64 Federal income tax withheld from Forms W-2 and 1099 . .

61 62 63

5,644.

a

74

If line 74 is more than line 63, subtract line 63 from line 74. This is the amount you overpaid

75

7,880. 2,236. 2,236.

2016 estimated tax payments and amount applied from 2015 return

65 66a

67

Earned income credit (EIC) . . . No. . . Nontaxable combat pay election 66b Additional child tax credit. Attach Schedule 8812 .

68 69 70

American opportunity credit from Form 8863, line 8 . Net premium tax credit. Attach Form 8962 . . . . Amount paid with request for extension to file . . .

71 72

71 72 Credits from Form: a 2439 b Reserved c 8885 d 73 Add lines 64, 65, 66a, and 67 through 73. These are your total payments .

75 76a

.

.

a

64 65 66a b

.

.

.

Excess social security and tier 1 RRTA tax withheld

Credit for federal tax on fuels. Attach Form 4136

.

.

.

.

.

.

. . . .

. . . .

. .

. .

. .

. .

67 68 69 70

.

.

.

.

. a 76a Routing number Checking Savings X X X X X X X X X a c Type: X X X X X X X X X X X X X X X X X Account number Amount of line 75 you want applied to your 2017 estimated tax a 77 77 78 Amount you owe. Subtract line 74 from line 63. For details on how to pay, see instructions a 78 79 Estimated tax penalty (see instructions) . . . . . . . 79 Do you want to allow another person to discuss this return with the IRS (see instructions)? Yes. Complete below.

a

Third Party Designee

.

.

Direct deposit? See a instructions.

Amount You Owe

.

Unreported social security and Medicare tax from Form:

73 74

Refund

.

58 59 60a

62 63

Payments

{

.

Amount of line 75 you want refunded to you. If Form 8888 is attached, check here

b d

No

Personal identification a number (PIN)

Phone no. a

Designee’s name a

Sign Here

Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and accurately list all amounts and sources of income I received during the tax year. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Joint return? See instructions. Keep a copy for your records.

F

Paid Preparer Use Only

Your signature

Date

Your occupation

Daytime phone number

Spouse’s signature. If a joint return, both must sign.

Date

Spouse’s occupation

Manager Teacher Print/Type preparer’s name

Firm’s name

a

Firm’s address a www.irs.gov/form1040

Preparer’s signature

Date

If the IRS sent you an Identity Protection PIN, enter it here (see inst.) PTIN Check if self-employed Firm’s EIN a Phone no. REV 01/25/17 TTW

Form 1040 (2016)


SCHEDULE A (Form 1040)

OMB No. 1545-0074

Itemized Deductions

Department of the Treasury Internal Revenue Service (99)

a Information about Schedule A and its separate instructions is at www.irs.gov/schedulea.

2016

Name(s) shown on Form 1040

Attachment Sequence No. 07 Your social security number

Cletus & Josepha Mayor

223-34-4444

Medical and Dental Expenses Taxes You Paid

1 2 3 4 5

6 7 8

Interest You Paid

9 10 11

Note: Your mortgage interest deduction may be limited (see instructions).

a Attach to Form 1040.

Caution: Do not include expenses reimbursed or paid by others. Medical and dental expenses (see instructions) . . . . . 1 93,110. Enter amount from Form 1040, line 38 2 Multiply line 2 by 10% (0.10). But if either you or your spouse was born before January 2, 1952, multiply line 2 by 7.5% (0.075) instead 3 Subtract line 3 from line 1. If line 3 is more than line 1, enter -0- . . State and local (check only one box): a Income taxes, or . . . . . . . . . . . 5 b General sales taxes Real estate taxes (see instructions) . . . . . . . . . 6 Personal property taxes . . . . . . . . . . . . . 7 Other taxes. List type and amount a 8 Add lines 5 through 8 . . . . . . . . . . . . . . . . Home mortgage interest and points reported to you on Form 1098 10 Home mortgage interest not reported to you on Form 1098. If paid to the person from whom you bought the home, see instructions and show that person’s name, identifying no., and address a

9,311. .

.

.

}

11 12 Points not reported to you on Form 1098. See instructions for special rules . . . . . . . . . . . . . . . . . 12 13 Mortgage insurance premiums (see instructions) . . . . . 13 14 Investment interest. Attach Form 4952 if required. (See instructions.) 14 15 Add lines 10 through 14 . . . . . . . . . . . . . . . Gifts to 16 Gifts by cash or check. If you made any gift of $250 or more, see instructions . . . . . . . . . . . . . . . . 16 Charity 17 Other than by cash or check. If any gift of $250 or more, see If you made a gift and got a instructions. You must attach Form 8283 if over $500 . . . 17 benefit for it, 18 Carryover from prior year . . . . . . . . . . . . 18 see instructions. 19 Add lines 16 through 18 . . . . . . . . . . . . . . .

Casualty and Theft Losses

4,300.

20 Casualty or theft loss(es). Attach Form 4684. (See instructions.) .

.

.

.

.

4

0.

9

4,010.

15

9,050.

500.

2,000. 1,825. 185.

.

.

.

.

.

.

9,050.

.

.

.

.

.

.

500.

.

.

.

.

.

.

19

.

.

.

.

.

.

20

Job Expenses 21 Unreimbursed employee expenses—job travel, union dues, and Certain job education, etc. Attach Form 2106 or 2106-EZ if required. Miscellaneous 21 (See instructions.) a See Schedule A, Line 21 Statement Deductions 22 Tax preparation fees . . . . . . . . . . . . . 22

1,170.

23 Other expenses—investment, safe deposit box, etc. List type and amount a

Other Miscellaneous Deductions

24 25 26 27 28

23 Add lines 21 through 23 . . . . . . . . . . . . 24 93,110. Enter amount from Form 1040, line 38 25 Multiply line 25 by 2% (0.02) . . . . . . . . . . 26 Subtract line 26 from line 24. If line 26 is more than line 24, enter -0- . Other—from list in instructions. List type and amount a

1,170. 1,862. .

.

.

.

.

27

0.

28

29 Is Form 1040, line 38, over $155,650? Total Itemized No. Your deduction is not limited. Add the amounts in the far right column for lines 4 through 28. Also, enter this amount on Form 1040, line 40. Deductions

}

. Yes. Your deduction may be limited. See the Itemized Deductions Worksheet in the instructions to figure the amount to enter. 30 If you elect to itemize deductions even though they are less than your standard deduction, check here . . . . . . . . . . . . . . . . . . . a

For Paperwork Reduction Act Notice, see Form 1040 instructions. BAA

REV 01/25/17 TTW

.

29

13,560.

Schedule A (Form 1040) 2016


SCHEDULE D (Form 1040)

OMB No. 1545-0074

Capital Gains and Losses

2016

a Attach to Form 1040 or Form 1040NR.

Department of the Treasury Internal Revenue Service (99)

a Information about Schedule D and its separate instructions is at www.irs.gov/scheduled. a Use Form 8949 to list your transactions for lines 1b, 2, 3, 8b, 9, and 10.

Name(s) shown on return

Your social security number

Cletus & Josepha Mayor Part I

Attachment Sequence No. 12

223-34-4444

Short-Term Capital Gains and Losses—Assets Held One Year or Less

See instructions for how to figure the amounts to enter on the lines below. This form may be easier to complete if you round off cents to whole dollars.

(d) Proceeds (sales price)

(e) Cost (or other basis)

(g) Adjustments to gain or loss from Form(s) 8949, Part I, line 2, column (g)

(h) Gain or (loss) Subtract column (e) from column (d) and combine the result with column (g)

1a Totals for all short-term transactions reported on Form 1099-B 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 1b . 1b Totals for all transactions reported on Form(s) 8949 with Box A checked . . . . . . . . . . . . . 2 Totals for all transactions reported on Form(s) 8949 with Box B checked . . . . . . . . . . . . . 3 Totals for all transactions reported on Form(s) 8949 with Box C checked . . . . . . . . . . . . . 4 Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684, 6781, and 8824 . 5 Net short-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Short-term capital loss carryover. Enter the amount, if any, from line 8 of your Capital Loss Carryover Worksheet in the instructions . . . . . . . . . . . . . . . . . . . . . . . 7 Net short-term capital gain or (loss). Combine lines 1a through 6 in column (h). If you have any longterm capital gains or losses, go to Part II below. Otherwise, go to Part III on the back . . . . .

Part II

4 5 6

(

)

7

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. This form may be easier to complete if you round off cents to whole dollars.

(d) Proceeds (sales price)

(e) Cost (or other basis)

(g) (h) Gain or (loss) Adjustments Subtract column (e) to gain or loss from from column (d) and Form(s) 8949, Part II, combine the result with line 2, column (g) column (g)

8a Totals for all long-term transactions reported on Form 1099-B 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 8b . 8b Totals for all transactions reported on Form(s) 8949 with Box D checked . . . . . . . . . . . . . 9 Totals for all transactions reported on Form(s) 8949 with Box E checked . . . . . . . . . . . . . 10 Totals for all transactions reported on Form(s) 8949 with Box F checked . . . . . . . . . . . . . . 11 Gain from Form 4797, Part I; long-term gain from Forms 2439 and 6252; and long-term gain or (loss) from Forms 4684, 6781, and 8824 . . . . . . . . . . . . . . . . . . . . . .

11

12 Net long-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-1

12

13 Capital gain distributions. See the instructions . . . . . . . . . . . . . . . . . . 14 Long-term capital loss carryover. Enter the amount, if any, from line 13 of your Capital Loss Carryover Worksheet in the instructions . . . . . . . . . . . . . . . . . . . . . . . 15 Net long-term capital gain or (loss). Combine lines 8a through 14 in column (h). Then go to Part III on the back . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13

For Paperwork Reduction Act Notice, see your tax return instructions. BAA

REV 01/25/17 TTW

14 ( 15

1,300.

)

1,300.

Schedule D (Form 1040) 2016


Page 2

Schedule D (Form 1040) 2016

Part III 16

Summary

Combine lines 7 and 15 and enter the result

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

16

1,300.

• If line 16 is a gain, enter the amount from line 16 on Form 1040, line 13, or Form 1040NR, line 14. Then go to line 17 below. • If line 16 is a loss, 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 1040NR, line 14. Then go to line 22. 17

Are lines 15 and 16 both gains? Yes. Go to line 18. No. Skip lines 18 through 21, and go to line 22.

18

Enter the amount, if any, from line 7 of the 28% Rate Gain Worksheet in the instructions

a

18

19

Enter the amount, if any, from line 18 of the Unrecaptured Section 1250 Gain Worksheet in the instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . a

19

20

.

.

Are lines 18 and 19 both zero or blank? 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). Don't complete lines 21 and 22 below. No. Complete the Schedule D Tax Worksheet in the instructions. Don't complete lines 21 and 22 below.

21

If line 16 is a loss, enter here and on Form 1040, line 13, or Form 1040NR, line 14, the smaller of: • The loss on line 16 or • ($3,000), or if married filing separately, ($1,500)

}

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21 (

)

Note: When figuring which amount is smaller, treat both amounts as positive numbers. 22

Do you have qualified dividends on Form 1040, line 9b, or Form 1040NR, line 10b? 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). No. Complete the rest of Form 1040 or Form 1040NR. REV 01/25/17 TTW

Schedule D (Form 1040) 2016


Form

2441

Department of the Treasury Internal Revenue Service (99)

OMB No. 1545-0074

1040 ` 1040A ..........

Child and Dependent Care Expenses

..........

a Attach to Form 1040, Form 1040A, or Form 1040NR.

1040NR

2016

2441

a Information about Form 2441 and its separate instructions is at

Attachment Sequence No. 21

www.irs.gov/form2441.

Your social security number

Name(s) shown on return

Cletus & Josepha Mayor 223-34-4444 Part I Persons or Organizations Who Provided the Care—You must complete this part. (If you have more than two care providers, see the instructions.) 1

(a) Care provider’s name

(b) Address (number, street, apt. no., city, state, and ZIP code)

Dawn-to-dusk Care

(c) Identifying number (SSN or EIN)

Elk Grove St. Columbia SC 29210

(d) Amount paid (see instructions)

59-1234567

2,300.

a Complete only Part II below. No Did you receive dependent care benefits? a Complete Part III on the back next. Yes Caution: If the care was provided in your home, you may owe employment taxes. If you do, you cannot file Form 1040A. For details, see the instructions for Form 1040, line 60a, or Form 1040NR, line 59a.

Part II 2

Credit for Child and Dependent Care Expenses

Information about your qualifying person(s). If you have more than two qualifying persons, see the instructions. (b) Qualifying person’s social security number

(a) Qualifying person’s name Last

First

(c) Qualified expenses you incurred and paid in 2016 for the person listed in column (a)

Sheena

Mayor

344-44-1234

1,150.

Carletta

Mayor

566-55-6543

1,150.

3

Add the amounts in column (c) of line 2. Do not enter more than $3,000 for one qualifying person or $6,000 for two or more persons. If you completed Part III, enter the amount from line 31 . . . . . . . . . . . . . . . . . . . . . . . . . .

4 5

Enter your earned income. See instructions . . . . . . . . . . . . . . . If married filing jointly, enter your spouse’s earned income (if you or your spouse was a student or was disabled, see the instructions); all others, enter the amount from line 4 .

6 7

Enter the smallest of line 3, 4, or 5 . . . . . . . Enter the amount from Form 1040, line 38; Form 1040A, line 22; or Form 1040NR, line 37 . . . . .

8

9 10 11

.

.

.

.

.

.

.

.

.

.

.

3 4

2,300. 59,800.

5 6

31,950. 2,300.

8

X

93,110. 7 Enter on line 8 the decimal amount shown below that applies to the amount on line 7 If line 7 is: But not over Over

Decimal amount is

If line 7 is:

$0—15,000 15,000—17,000 17,000—19,000 19,000—21,000 21,000—23,000 23,000—25,000 25,000—27,000 27,000—29,000

.35 .34 .33 .32 .31 .30 .29 .28

Over

But not over

$29,000—31,000 31,000—33,000 33,000—35,000 35,000—37,000 37,000—39,000 39,000—41,000 41,000—43,000 43,000—No limit

Decimal amount is .27 .26 .25 .24 .23 .22 .21 .20

Multiply line 6 by the decimal amount on line 8. If you paid 2015 expenses in 2016, see the instructions . . . . . . . . . . . . . . . . . . . . . . . . . Tax liability limit. Enter the amount from the Credit Limit Worksheet in the instructions. . . . . . . 8,384. 10 Credit for child and dependent care expenses. Enter the smaller of line 9 or line 10 here and on Form 1040, line 49; Form 1040A, line 31; or Form 1040NR, line 47 . . . .

For Paperwork Reduction Act Notice, see your tax return instructions. BAA

9

11

REV 01/25/17 TTW

.20

460.

460. Form 2441 (2016)


Form

4684

Casualties and Thefts

OMB No. 1545-0177

2016

a Information about Form 4684 and its separate instructions is at www.irs.gov/form4684.

Department of the Treasury Internal Revenue Service Name(s) shown on tax return

a Attach to your tax return.

Attachment Sequence No. 26 Identifying number

a Use a separate Form 4684 for each casualty or theft.

Cletus & Josepha Mayor 223-34-4444 SECTION A—Personal Use Property (Use this section to report casualties and thefts of property not used in a trade or business or for income-producing purposes.) 1 Description of properties (show type, location, and date acquired for each property). Use a separate line for each property lost or damaged from the same casualty or theft. Property A

Diamond ring

01/01/2011

Property B Property C Property D

Properties A 2 Cost or other basis of each property .

.

.

.

.

.

3 Insurance or other reimbursement (whether or not you filed a claim) (see instructions) . . . . . . . . Note: If line 2 is more than line 3, skip line 4. 4 Gain from casualty or theft. If line 3 is more than line 2, enter the difference here and skip lines 5 through 9 for that column. See instructions if line 3 includes insurance or other reimbursement you did not claim, or you received payment for your loss in a later tax year . . 5 Fair market value before casualty or theft . . . . 6 Fair market value after casualty or theft . . . . . 7 Subtract line 6 from line 5 . . . . . . . . . 8 Enter the smaller of line 2 or line 7 . . . . . . 9 Subtract line 3 from line 8. If zero or less, enter -0- . .

B

2

3,700.

3

5,000.

4 5 6 7 8 9

1,300.

C

D

10 Casualty or theft loss. Add the amounts on line 9 in columns A through D . 11 Enter the smaller of line 10 or $100 . . . . . . . . . . . . 12 Subtract line 11 from line 10 . . . . . . . . . . . . . .

. . .

. . .

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. . .

. . .

. . .

. . .

10 11 12

Caution: Use only one Form 4684 for lines 13 through 18. 13 Add the amounts on line 12 of all Forms 4684 . . . . 14 Add the amounts on line 4 of all Forms 4684. . . . .

. .

. .

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. .

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. .

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. .

13 14

0. 1,300.

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15

1,300.

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.

. .

. .

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. .

15 • If line 14 is more than line 13, enter the difference here and on Schedule D. Do not complete the rest of this section (see instructions). • If line 14 is less than line 13, enter -0- here and go to line 16. • If line 14 is equal to line 13, enter -0- here. Do not complete the rest of this section. 16 If line 14 is less than line 13, enter the difference . . . . . . . . . . .

.

16

17 Enter 10% of your adjusted gross income from Form 1040, line 38, or Form 1040NR, line 37. Estates and trusts, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

17

18 Subtract line 17 from line 16. If zero or less, enter -0-. Also enter the result on Schedule A (Form 1040), line 20, or Form 1040NR, Schedule A, line 6. Estates and trusts, enter the result on the “Other deductions” line of your tax return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

18

For Paperwork Reduction Act Notice, see instructions. BAA

.

} .

REV 02/09/17 TTW

Form 4684 (2016)


Form

8863

Department of the Treasury Internal Revenue Service (99)

Education Credits (American Opportunity and Lifetime Learning Credits)

OMB No. 1545-0074

2016

a Attach to Form 1040 or Form 1040A.

Attachment Sequence No. 50

a Information about Form 8863 and its separate instructions is at www.irs.gov/form8863.

Your social security number

Name(s) shown on return

Cletus & Josepha Mayor

223-34-4444

! F

Complete a separate Part III on page 2 for each student for whom you're claiming either credit before you complete Parts I and II.

Part I

Refundable American Opportunity Credit

CAUTION

1 2

After completing Part III for each student, enter the total of all amounts from all Parts III, line 30 Enter: $180,000 if married filing jointly; $90,000 if single, head of household, or qualifying widow(er) . . . . . . . . . . . . . 2

3

Enter the amount from Form 1040, line 38, or Form 1040A, line 22. If you're filing Form 2555, 2555-EZ, or 4563, or you're excluding income from Puerto Rico, see Pub. 970 for the amount to enter . . . . . . 3 Subtract line 3 from line 2. If zero or less, stop; you can't take any education credit . . . . . . . . . . . . . . . . . . . 4 Enter: $20,000 if married filing jointly; $10,000 if single, head of household, or qualifying widow(er) . . . . . . . . . . . . . . . . . 5 If line 4 is: • Equal to or more than line 5, enter 1.000 on line 6 . . . . . . . . . . . . • Less than line 5, divide line 4 by line 5. Enter the result as a decimal (rounded to at least three places) . . . . . . . . . . . . . . . . . . . . .

4 5 6

7

8

11 12 13 14

15 16 17

18 19

.

.

.

.

Multiply line 1 by line 6. Caution: If you were under age 24 at the end of the year and meet the conditions described in the instructions, you can't take the refundable American opportunity credit; skip line 8, enter the amount from line 7 on line 9, and check this box . . . . a Refundable American opportunity credit. Multiply line 7 by 40% (0.40). Enter the amount here and on Form 1040, line 68, or Form 1040A, line 44. Then go to line 9 below. . . . . . . . . .

Part II 9 10

}

1

.

6

7 8

Nonrefundable Education Credits

Subtract line 8 from line 7. Enter here and on line 2 of the Credit Limit Worksheet (see instructions) 9 After completing Part III for each student, enter the total of all amounts from all Parts III, line 31. If zero, skip lines 11 through 17, enter -0- on line 18, and go to line 19 . . . . . . . . . . 10 Enter the smaller of line 10 or $10,000 . . . . . . . . . . . . . . . . . . . . 11 Multiply line 11 by 20% (0.20) . . . . . . . . . . . . . . . . . . . . . . . 12 Enter: $131,000 if married filing jointly; $65,000 if single, head of household, or qualifying widow(er) . . . . . . . . . . . . . 13 131,000. Enter the amount from Form 1040, line 38, or Form 1040A, line 22. If you're filing Form 2555, 2555-EZ, or 4563, or you're excluding income from 93,110. Puerto Rico, see Pub. 970 for the amount to enter . . . . . . . . 14 Subtract line 14 from line 13. If zero or less, skip lines 16 and 17, enter -0on line 18, and go to line 19 . . . . . . . . . . . . . . . 15 37,890. Enter: $20,000 if married filing jointly; $10,000 if single, head of household, 20,000. or qualifying widow(er) . . . . . . . . . . . . . . . . . 16 If line 15 is: • Equal to or more than line 16, enter 1.000 on line 17 and go to line 18 • Less than line 16, divide line 15 by line 16. Enter the result as a decimal (rounded to at least three places) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Multiply line 12 by line 17. Enter here and on line 1 of the Credit Limit Worksheet (see instructions) a 18 Nonrefundable education credits. Enter the amount from line 7 of the Credit Limit Worksheet (see instructions) here and on Form 1040, line 50, or Form 1040A, line 33 . . . . . . . . . . 19

For Paperwork Reduction Act Notice, see your tax return instructions.

BAA

REV 01/25/17 TTW

1,400. 1,400. 280.

1.000 280. 280. Form 8863 (2016)


Page 2

Form 8863 (2016)

Your social security number

Name(s) shown on return

Cletus & Josepha Mayor

223-34-4444

! F

Complete Part III for each student for whom you're claiming either the American opportunity credit or lifetime learning credit. Use additional copies of page 2 as needed for each student.

Part III

Student and Educational Institution Information See instructions.

CAUTION

20 Student name (as shown on page 1 of your tax return)

21 Student social security number (as shown on page 1 of your tax return)

Josepha Mayor 22

322-32-2222

Educational institution information (see instructions) a. Name of first educational institution

b. Name of second educational institution (if any)

State College (1) Address. Number and street (or P.O. box). City, town or post office, state, and ZIP code. If a foreign address, see instructions.

(1) Address. Number and street (or P.O. box). City, town or post office, state, and ZIP code. If a foreign address, see instructions.

1234 University Drive Columbia SC 29210 (2) Did the student receive Form 1098-T (2) Did the student receive Form 1098-T Yes No Yes No from this institution for 2016? from this institution for 2016? (3) Did the student receive Form 1098-T (3) Did the student receive Form 1098-T from this institution for 2015 with box Yes No from this institution for 2015 with box Yes No 2 filled in and box 7 checked? 2 filled in and box 7 checked? If you checked “No” in both (2) and (3), skip (4). If you checked “No” in both (2) and (3), skip (4). (4) If you checked “Yes” in (2) or (3), enter the institution's (4) If you checked “Yes” in (2) or (3), enter the institution's federal identification number (from Form 1098-T). federal identification number (from Form 1098-T).

59-9812345 23

24

25

26

Has the Hope Scholarship Credit or American opportunity credit been claimed for this student for any 4 tax years before 2016?

Yes — Stop! Go to line 31 for this student.

Was the student enrolled at least half-time for at least one academic period that began or is treated as having begun in 2016 at an eligible educational institution in a program leading towards a postsecondary degree, certificate, or other recognized postsecondary educational credential? See instructions.

Yes — Go to line 25.

No — Go to line 24.

No — Stop! Go to line 31 for this student.

Did the student complete the first 4 years of postsecondary education before 2016? See instructions.

Yes — Stop! Go to line 31 for this student.

No — Go to line 26.

Was the student convicted, before the end of 2016, of a felony for possession or distribution of a controlled substance?

Yes — Stop! Go to line 31 for this student.

No — Complete lines 27 through 30 for this student.

! F CAUTION

You can't take the American opportunity credit and the lifetime learning credit for the same student in the same year. If you complete lines 27 through 30 for this student, don't complete line 31.

American Opportunity Credit 27 28 29 30

Adjusted qualified education expenses (see instructions). Don't enter more than $4,000 . . . . . Subtract $2,000 from line 27. If zero or less, enter -0- . . . . . . . . . . . . . . . . . Multiply line 28 by 25% (0.25) . . . . . . . . . . . . . . . . . . . . . . . . If line 28 is zero, enter the amount from line 27. Otherwise, add $2,000 to the amount on line 29 and enter the result. Skip line 31. Include the total of all amounts from all Parts III, line 30, on Part I, line 1 .

27 28 29 30

Lifetime Learning Credit 31

Adjusted qualified education expenses (see instructions). Include the total of all amounts from all Parts III, line 31, on Part II, line 10 . . . . . . . . . . . . . . . . . . . . . . . . .

31

1,400. Form 8863 (2016)


Cletus & Josepha Mayor

223-34-4444

1

Additional information from your 2016 Federal Tax Return Schedule A: Itemized Deductions Line 21 - Employee Business Expenses Subject to 2% Limitation

Continuation Statement

Description

Amount

Employee business expenses

300.

Excess Educator Expenses

870.

Total

1,170.


Chapter 10, Problem 73

1120

U.S. Corporation Income Tax Return

Form Department of the Treasury Internal Revenue Service A Check if: 1a Consolidated return (attach Form 851) . b Life/nonlife consolidated return . . . 2 Personal holding co. (attach Sch. PH) . .

For calendar year 2016 or tax year beginning

Income Deductions (See instructions for limitations on deductions.)

2016

, 20

B Employer identification number

Name

Chelsea Corportion

TYPE OR PRINT

78-9999999

Number, street, and room or suite no. If a P.O. box, see instructions.

C Date incorporated

34 Chelsea Drive

June 15, 2002 D Total assets (see instructions)

City or town, state, or province, country, and ZIP or foreign postal code

Sarasota, FL 33456

.

4 Schedule M-3 attached

Tax, Refundable Credits, and Payments

, 2016, ending

a Information about Form 1120 and its separate instructions is at www.irs.gov/form1120.

3 Personal service corp. (see instructions) .

OMB No. 1545-0123

Address change

1,450,000

Gross receipts or sales .

.

.

.

.

.

.

.

.

.

.

.

.

1a

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

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. . . . .

. . . . .

. . . .

1b . . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

1c 2 3 4

5 6 7

Interest . . Gross rents . Gross royalties

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

5 6 7

8 9 10

Capital gain net income (attach Schedule D (Form 1120)) . . . . Net gain or (loss) from Form 4797, Part II, line 17 (attach Form 4797) Other income (see instructions—attach statement) . . . . . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

8 9 10

11 12 13

Total income. Add lines 3 through 10 . . . . . . . . Compensation of officers (see instructions—attach Form 1125-E)

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. a . a

.

.

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.

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. . .

. . .

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. . .

. . .

. . .

. . . .

. . . .

825,000 187,000 266,000

14 15 16

Salaries and wages (less employment credits) Repairs and maintenance . . . . . . Bad debts . . . . . . . . . . . Rents . . . . . . . . . . . .

11 12 13 14 15 16

14,000

17 18 19

Taxes and licenses . . Interest . . . . . Charitable contributions .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

17 18 19

87,000

20 21 22

Depreciation from Form 4562 not claimed on Form 1125-A or elsewhere on return (attach Form 4562) . Depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . Advertising . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . .

20 21 22

34,000

23 24 25

Pension, profit-sharing, etc., plans . . . . . . . . Employee benefit programs . . . . . . . . . . Domestic production activities deduction (attach Form 8903) .

. . .

23 24 25

28,000 17,000

26 27 28

Other deductions (attach statement) . . . . . . . . . . . . . . . . . . . . . Total deductions. Add lines 12 through 26 . . . . . . . . . . . . . . . . . . . a Taxable income before net operating loss deduction and special deductions. Subtract line 27 from line 11.

26 27 28

91,000 772,000 53,000

29a b

Net operating loss deduction (see instructions) . Special deductions (Schedule C, line 20) . . .

. .

. .

. .

. .

. .

c 30

Add lines 29a and 29b . . . . . . . . . . . . . Taxable income. Subtract line 29c from line 28. See instructions

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

29c 30

53,000

31 32 33 34 35

Total tax (Schedule J, Part I, line 11) . . . . . . . . . . . . . . . . Total payments and refundable credits (Schedule J, Part II, line 21) . . . . . . . Estimated tax penalty. See instructions. Check if Form 2220 is attached . . . . . Amount owed. If line 32 is smaller than the total of lines 31 and 33, enter amount owed

. . . .

. . . .

. . . .

. .

. .

31 32 33 34

8,250 15,000 0 0

Overpayment. If line 32 is larger than the total of lines 31 and 33, enter amount overpaid Enter amount from line 35 you want: Credited to 2017 estimated tax a

.

. . . . Refunded a

35 36

6,250 6,250

36

. . .

. . .

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. . .

. . .

. . .

. . .

1,450,000 625,000 825,000

48,000

29a 29b . .

. .

a

.

.

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Date

Signature of officer Print/Type preparer’s name

Paid Preparer Use Only Firm’s name

Preparer’s signature

F

F

Sign Here

. . .

.

(4)

Returns and allowances . . . . . . Balance. Subtract line 1b from line 1a . Cost of goods sold (attach Form 1125-A) . Gross profit. Subtract line 2 from line 1c . Dividends (Schedule C, line 19) . . . . . .

.

Name change

(3)

b c 2 3 4

. . .

.

Final return

(2)

1a

. . .

.

$

Initial return

E Check if: (1)

May the IRS discuss this return with the preparer shown below? See instructions. Yes No

Title Date

PTIN Check if self-employed Firm’s EIN a

a

Firm’s address a

For Paperwork Reduction Act Notice, see separate instructions.

Phone no. Cat. No. 11450Q

Form 1120 (2016)


Chapter 10, Problem 74

1120

U.S. Corporation Income Tax Return

Form Department of the Treasury Internal Revenue Service A Check if: 1a Consolidated return (attach Form 851) . b Life/nonlife consolidated return . . . 2 Personal holding co. (attach Sch. PH) . .

For calendar year 2016 or tax year beginning

Income Deductions (See instructions for limitations on deductions.)

2016

, 20

B Employer identification number

Name

Snap-It-Open Corporation

TYPE OR PRINT

69-7414447

Number, street, and room or suite no. If a P.O. box, see instructions.

C Date incorporated

3701 Commerce Drive

1-15-16 D Total assets (see instructions)

City or town, state, or province, country, and ZIP or foreign postal code

Baltimore, MD 23239

.

4 Schedule M-3 attached

Tax, Refundable Credits, and Payments

, 2016, ending

a Information about Form 1120 and its separate instructions is at www.irs.gov/form1120.

3 Personal service corp. (see instructions) .

OMB No. 1545-0123

1,876,760

$

Initial return

E Check if: (1)

Final return

(2)

Name change

(3)

Address change

(4)

. . . .

1,935,000 0 . . . . . . . . . . . . . . . .

1c 2 3 4

. . .

. . .

. . .

. . .

. . .

. . .

5 6 7

. . .

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8 9 10

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. a . a

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.

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1,407,000 120,000 66,000

. . .

. . . .

11 12 13 14 15 16

20,000

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

17 18 19

35,698 57,500

20 21 22

Depreciation from Form 4562 not claimed on Form 1125-A or elsewhere on return (attach Form 4562) . Depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . Advertising . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . .

20 21 22

702,302

23 24 25

Pension, profit-sharing, etc., plans . . . . . . . . Employee benefit programs . . . . . . . . . . Domestic production activities deduction (attach Form 8903) .

. . .

23 24 25

18,000

26 27 28

Other deductions (attach statement) . . . . . . . . . . . . . . . . . . . . . Total deductions. Add lines 12 through 26 . . . . . . . . . . . . . . . . . . . a Taxable income before net operating loss deduction and special deductions. Subtract line 27 from line 11.

26 27 28

107,500 1,407,000 0

29a b

Net operating loss deduction (see instructions) . Special deductions (Schedule C, line 20) . . .

. .

. .

. .

. .

. .

c 30

Add lines 29a and 29b . . . . . . . . . . . . . Taxable income. Subtract line 29c from line 28. See instructions

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

29c 30

0

31 32 33 34 35

Total tax (Schedule J, Part I, line 11) . . . . . . . . . . . . . . . . Total payments and refundable credits (Schedule J, Part II, line 21) . . . . . . . Estimated tax penalty. See instructions. Check if Form 2220 is attached . . . . . Amount owed. If line 32 is smaller than the total of lines 31 and 33, enter amount owed

. . . .

. . . .

. . . .

. .

. .

31 32 33 34

0 40,000

Overpayment. If line 32 is larger than the total of lines 31 and 33, enter amount overpaid Enter amount from line 35 you want: Credited to 2017 estimated tax a 40,000

.

. . . . Refunded a

35 36

40,000

1a

Gross receipts or sales .

.

.

.

.

.

.

.

.

.

.

.

.

1a

b c 2 3 4

Returns and allowances . . . . . . Balance. Subtract line 1b from line 1a . Cost of goods sold (attach Form 1125-A) . Gross profit. Subtract line 2 from line 1c . Dividends (Schedule C, line 19) . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . .

1b . . . .

. . . .

5 6 7

Interest . . Gross rents . Gross royalties

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

8 9 10

Capital gain net income (attach Schedule D (Form 1120)) . . . . Net gain or (loss) from Form 4797, Part II, line 17 (attach Form 4797) Other income (see instructions—attach statement) . . . . . .

. . .

. . .

. . .

. . .

11 12 13

Total income. Add lines 3 through 10 . . . . . . . . Compensation of officers (see instructions—attach Form 1125-E)

. .

. .

. .

. .

Salaries and wages (less employment credits) Repairs and maintenance . . . . . . Bad debts . . . . . . . . . . . Rents . . . . . . . . . . . .

.

.

.

.

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.

14 15 16

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. . .

17 18 19

Taxes and licenses . . Interest . . . . . Charitable contributions .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

36

. . .

. . .

. . .

. . .

.

. . .

. . .

.

. . .

. . .

.

. . .

. . .

. . .

. . .

. . .

. .

. .

. .

. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

1,935,000 528,000 1,407,000

240,000

40,000

29a 29b . .

. .

a

.

.

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Date

Signature of officer Print/Type preparer’s name

Paid Preparer Use Only Firm’s name

Preparer’s signature

F

F

Sign Here

. . .

.

May the IRS discuss this return with the preparer shown below? See instructions. Yes No

Title Date

PTIN Check if self-employed Firm’s EIN a

a

Firm’s address a

For Paperwork Reduction Act Notice, see separate instructions.

Phone no. Cat. No. 11450Q

Form 1120 (2016)


Page 2

Form 1120 (2016)

Schedule C

Dividends and Special Deductions (see instructions)

(a) Dividends received

(b) %

1

Dividends from less-than-20%-owned domestic corporations (other than debt-financed stock) . . . . . . . . . . . . . . . . . . . . . . . .

70

2

Dividends from 20%-or-more-owned domestic corporations (other than debt-financed stock) . . . . . . . . . . . . . . . . . . . . . . . .

80

3

Dividends on debt-financed stock of domestic and foreign corporations .

.

.

.

.

see instructions

4

Dividends on certain preferred stock of less-than-20%-owned public utilities

.

.

.

42

5

Dividends on certain preferred stock of 20%-or-more-owned public utilities .

.

.

.

48

6

Dividends from less-than-20%-owned foreign corporations and certain FSCs

.

.

.

70

7

Dividends from 20%-or-more-owned foreign corporations and certain FSCs

.

.

.

80

8

Dividends from wholly owned foreign subsidiaries

100

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

9

Total. Add lines 1 through 8. See instructions for limitation

10

Dividends from domestic corporations received by a small business investment company operating under the Small Business Investment Act of 1958 . . . . .

100

11

Dividends from affiliated group members .

.

.

.

.

.

.

.

.

.

.

.

.

.

100

12

Dividends from certain FSCs

.

.

.

.

.

.

.

.

.

.

.

.

.

100

13

Dividends from foreign corporations not included on line 3, 6, 7, 8, 11, or 12

.

.

.

14

Income from controlled foreign corporations under subpart F (attach Form(s) 5471)

15

Foreign dividend gross-up

16

IC-DISC and former DISC dividends not included on line 1, 2, or 3

17

Other dividends

18

Deduction for dividends paid on certain preferred stock of public utilities

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

19

Total dividends. Add lines 1 through 17. Enter here and on page 1, line 4 .

.

.

20

Total special deductions. Add lines 9, 10, 11, 12, and 18. Enter here and on page 1, line 29b .

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

(c) Special deductions (a) × (b)

a

.

.

.

.

.

.

a

Form 1120 (2016)


Page 3

Form 1120 (2016)

Schedule J

Tax Computation and Payment (see instructions)

Part I–Tax Computation 1 2 3

Check if the corporation is a member of a controlled group (attach Schedule O (Form 1120)). See instructions a a Income tax. Check if a qualified personal service corporation. See instructions . . . . . . . . Alternative minimum tax (attach Form 4626) . . . . . . . . . . . . . . . . . . . .

4 5a b

Add lines 2 and 3 . . . . . . . . Foreign tax credit (attach Form 1118) . . Credit from Form 8834 (see instructions) .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

c d e

General business credit (attach Form 3800) . . . Credit for prior year minimum tax (attach Form 8827) Bond credits from Form 8912 . . . . . . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

6 7

Total credits. Add lines 5a through 5e Subtract line 6 from line 4 . . . .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

8 9a

Personal holding company tax (attach Schedule PH (Form 1120)) . Recapture of investment credit (attach Form 4255) . . . . .

. .

. .

. .

. .

. .

.

b

Recapture of low-income housing credit (attach Form 8611)

.

.

.

.

.

9b

c

Interest due under the look-back method—completed long-term contracts (attach Form 8697) . . . . . . . . . . . . . . . . . . . . . .

9c

d

Interest due under the look-back method—income forecast method (attach Form 8866) . . . . . . . . . . . . . . . . . . . . . . . Alternative tax on qualifying shipping activities (attach Form 8902) . . . . . Other (see instructions—attach statement) . . . . . . . . . . . .

9d 9e 9f

e f 10 11

. .

. . .

. .

. . .

. .

. .

.

.

Total. Add lines 9a through 9f . . . . . . . . . . . . Total tax. Add lines 7, 8, and 10. Enter here and on page 1, line 31 .

.

.

.

.

.

.

3 4

. .

. .

. .

. .

. .

. .

6 7

. . 9a

.

.

.

.

.

8

. . 5a 5b

0

2

5c 5d 5e

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

10 11

0 0

40,000

Part II–Payments and Refundable Credits 12 13

2015 overpayment credited to 2016 2016 estimated tax payments . .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

12 13

14

2016 refund applied for on Form 4466 .

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

15 16

Combine lines 12, 13, and 14 . Tax deposited with Form 7004 .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

14 ( 15 16

17 18

Withholding (see instructions) . . . . Total payments. Add lines 15, 16, and 17

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

17 18

40,000

19

Refundable credits from: Form 2439 . . . . .

.

.

.

.

.

.

.

.

.

.

.

.

.

20

Form 4136 . . . . . . . . . . Form 8827, line 8c . . . . . . . Other (attach statement—see instructions). Total credits. Add lines 19a through 19d .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

19a 19b 19c 19d . . .

.

.

.

.

.

21

Total payments and credits. Add lines 18 and 20. Enter here and on page 1, line 32 .

.

.

.

.

.

20 21

40,000

a b c d

Schedule K

.

.

. .

.

. .

.

.

.

) 40,000

Other Information (see instructions)

1

Check accounting method: a

Cash

b

2 a b

See the instructions and enter the: Business activity code no. a Business activity a Umbrella manufacturing

c

Product or service a

Accrual

c

Other (specify) a

Yes

339900

Custom umbrellas

3

Is the corporation a subsidiary in an affiliated group or a parent-subsidiary controlled group? If “Yes,” enter name and EIN of the parent corporation a

4

At the end of the tax year:

a

Did any foreign or domestic corporation, partnership (including any entity treated as a partnership), trust, or tax-exempt organization own directly 20% or more, or own, directly or indirectly, 50% or more of the total voting power of all classes of the corporation’s stock entitled to vote? If "Yes," complete Part I of Schedule G (Form 1120) (attach Schedule G) . . . . . . Did any individual or estate own directly 20% or more, or own, directly or indirectly, 50% or more of the total voting power of all classes of the corporation’s stock entitled to vote? If "Yes," complete Part II of Schedule G (Form 1120) (attach Schedule G) .

b

No

.

.

.

.

.

.

.

.

.

.

✔ ✔

Form 1120 (2016)


Page 4

Form 1120 (2016)

Schedule K

Other Information (continued from page 3) Yes

5

No

At the end of the tax year, did the corporation: a

Own directly 20% or more, or own, directly or indirectly, 50% or more of the total voting power of all classes of stock entitled to vote of any foreign or domestic corporation not included on Form 851, Affiliations Schedule? For rules of constructive ownership, see instructions. If “Yes,” complete (i) through (iv) below. (i) Name of Corporation

(ii) Employer Identification Number (if any)

(iv) Percentage Owned in Voting Stock

(iii) Country of Incorporation

b Own directly an interest of 20% or more, or own, directly or indirectly, an interest of 50% or more in any foreign or domestic partnership (including an entity treated as a partnership) or in the beneficial interest of a trust? For rules of constructive ownership, see instructions. If “Yes,” complete (i) through (iv) below. (i) Name of Entity

6

(ii) Employer Identification Number (if any)

(iv) Maximum Percentage Owned in Profit, Loss, or Capital

(iii) Country of Organization

During this tax year, did the corporation pay dividends (other than stock dividends and distributions in exchange for stock) in excess of the corporation’s current and accumulated earnings and profits? See sections 301 and 316 . . . . . . . .

If "Yes," file Form 5452, Corporate Report of Nondividend Distributions. If this is a consolidated return, answer here for the parent corporation and on Form 851 for each subsidiary. 7

At any time during the tax year, did one foreign person own, directly or indirectly, at least 25% of (a) the total voting power of all classes of the corporation’s stock entitled to vote or (b) the total value of all classes of the corporation’s stock? . . . .

For rules of attribution, see section 318. If “Yes,” enter: (i) Percentage owned a and (ii) Owner’s country a

8

(c) The corporation may have to file Form 5472, Information Return of a 25% Foreign-Owned U.S. Corporation or a Foreign Corporation Engaged in a U.S. Trade or Business. Enter the number of Forms 5472 attached a Check this box if the corporation issued publicly offered debt instruments with original issue discount . . . . . . a

9 10

If checked, the corporation may have to file Form 8281, Information Return for Publicly Offered Original Issue Discount Instruments. Enter the amount of tax-exempt interest received or accrued during the tax year a $ Enter the number of shareholders at the end of the tax year (if 100 or fewer) a 2

11

If the corporation has an NOL for the tax year and is electing to forego the carryback period, check here

12

If the corporation is filing a consolidated return, the statement required by Regulations section 1.1502-21(b)(3) must be attached or the election won't be valid. Enter the available NOL carryover from prior tax years (don't reduce it by any deduction on line 29a.) a $

13

.

.

.

.

.

a

Are the corporation’s total receipts (page 1, line 1a, plus lines 4 through 10) for the tax year and its total assets at the end of the tax year less than $250,000? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If “Yes,” the corporation isn't required to complete Schedules L, M-1, and M-2. Instead, enter the total amount of cash distributions and the book value of property distributions (other than cash) made during the tax year a $

14

Is the corporation required to file Schedule UTP (Form 1120), Uncertain Tax Position Statement? See instructions

.

.

.

.

. .

. .

. .

. .

If “Yes,” complete and attach Schedule UTP.

. .

. .

. .

. .

. .

. .

. .

✔ ✔

15a b

Did the corporation make any payments in 2016 that would require it to file Form(s) 1099? If “Yes,” did or will the corporation file required Forms 1099? . . . . . . . . .

16

During this tax year, did the corporation have an 80% or more change in ownership, including a change due to redemption of its own stock? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

17

During or subsequent to this tax year, but before the filing of this return, did the corporation dispose of more than 65% (by value) of its assets in a taxable, non-taxable, or tax deferred transaction? . . . . . . . . . . . . . . . . . .

18

Did the corporation receive assets in a section 351 transfer in which any of the transferred assets had a fair market basis or fair market value of more than $1 million? . . . . . . . . . . . . . . . . . . . . . . . . . . .

19

During the corporation's tax year, did the corporation make any payments that would require it to file Forms 1042 and 1042-S under chapter 3 (sections 1441 through 1464) or chapter 4 (sections 1471 through 1474) of the Code? . . . . . . . .

Form 1120 (2016)


Page 5

Form 1120 (2016)

Schedule L

Beginning of tax year

Balance Sheets per Books (a)

Assets 1

Cash

.

.

.

2a b 3 4 5 6 7 8 9 10a b 11a b 12 13a b 14 15

Trade notes and accounts receivable . Less allowance for bad debts . . . Inventories . . . . . . . . . U.S. government obligations . . . Tax-exempt securities (see instructions) Other current assets (attach statement) Loans to shareholders . . . . . Mortgage and real estate loans . . . Other investments (attach statement) . Buildings and other depreciable assets Less accumulated depreciation . . . Depletable assets . . . . . . . Less accumulated depletion . . . . Land (net of any amortization) . . . Intangible assets (amortizable only) . Less accumulated amortization . . . Other assets (attach statement) . . . Total assets . . . . . . . .

.

.

.

.

.

.

.

.

.

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

End of tax year

(b)

(c)

(d) 424,302

(

)

505,000 38,700 )

(

466,300 133,000

53,158

(

)

(

900.000 100,000 )

(

)

(

)

(

)

(

)

800,000

1,876,760

Liabilities and Shareholders’ Equity 16 17 18 19 20 21 22

Accounts payable . . . . . . . . . Mortgages, notes, bonds payable in less than 1 year Other current liabilities (attach statement) . . Loans from shareholders . . . . . . . Mortgages, notes, bonds payable in 1 year or more Other liabilities (attach statement) . . . . Capital stock: a Preferred stock . . . . b Common stock . . . . Additional paid-in capital . . . . . . . Retained earnings—Appropriated (attach statement) Retained earnings—Unappropriated . . . Adjustments to shareholders’ equity (attach statement) Less cost of treasury stock . . . . . . Total liabilities and shareholders’ equity . .

23 24 25 26 27 28

Schedule M-1

100,000 57,500 650,000 204,783 100,000 400,000

500,000

364,477 (

)

(

) 1,876,760

Reconciliation of Income (Loss) per Books With Income per Return Note: The corporation may be required to file Schedule M-3. See instructions.

1

Net income (loss) per books .

.

.

.

.

.

364,477

2

Federal income tax per books

.

.

.

.

.

191,625

3

Excess of capital losses over capital gains

4

Income subject to tax not recorded on books this year (itemize):

5

Expenses recorded on books this year not deducted on this return (itemize): a b c

6

4

Income recorded on books this year not included on this return (itemize): Tax-exempt interest $

8

Deductions on this return not charged against book income this year (itemize): 602,302 a Depreciation . . $ b Charitable contributions $

9 10

Add lines 7 and 8 . . . . . . Income (page 1, line 28)—line 6 less line 9

.

Depreciation . . . . $ Charitable contributions . $ Travel and entertainment . $ Bad debt expense 38,700; Meals 7,500 Add lines 1 through 5 . . . . . . . .

Schedule M-2 1 2 3

7

46,200 602,302

602,302 0

Analysis of Unappropriated Retained Earnings per Books (Line 25, Schedule L)

Balance at beginning of year Net income (loss) per books . Other increases (itemize):

Add lines 1, 2, and 3 .

.

.

. .

.

. .

.

. .

.

. .

.

. .

.

0 364,477

364,477

5

6 7 8

Distributions: a Cash . b Stock . c Property Other decreases (itemize):

. . .

. . .

. . .

Add lines 5 and 6 . . . . . . Balance at end of year (line 4 less line 7)

364,477 Form 1120 (2016)


Form

1125-A

Cost of Goods Sold OMB No. 1545-0123

(Rev. October 2016) Department of the Treasury Internal Revenue Service Name

a Attach to Form 1120, 1120-C, 1120-F, 1120S, 1065, or 1065-B.

a Information about Form 1125-A and its instructions is at www.irs.gov/form1125a.

Snap-It-Open Corporation 1 Inventory at beginning of year 2 Purchases . . . . . .

Employer identification number

69-7414447 . .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

1 2

0 555,000

3 4 5

Cost of labor . . . . . . . . . . . Additional section 263A costs (attach schedule) . Other costs (attach schedule) . . . . . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

3 4 5

106,000

6 7

Total. Add lines 1 through 5 . Inventory at end of year . .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

6 7

661,000 133,000

8

8

528,000

9a

Cost of goods sold. Subtract line 7 from line 6. Enter here and on Form 1120, page 1, line 2 or the appropriate line of your tax return. See instructions . . . . . . . . . . . . . . . Check all methods used for valuing closing inventory:

b

(i) ✔ Cost Lower of cost or market (ii) Other (Specify method used and attach explanation.) a (iii) Check if there was a writedown of subnormal goods . . .

.

.

.

.

.

.

.

a

c

Check if the LIFO inventory method was adopted this tax year for any goods (if checked, attach Form 970)

.

.

.

.

.

.

a

d

If the LIFO inventory method was used for this tax year, enter amount of closing inventory computed under LIFO . . . . . . . . . . . . . . . . . . . . . . . . . . . 9d If property is produced or acquired for resale, do the rules of section 263A apply to the entity? See instructions .

.

e f

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

.

.

.

.

.

.

.

.

.

.

.

.

Was there any change in determining quantities, cost, or valuations between opening and closing inventory? If “Yes,” attach explanation . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Section references are to the Internal Revenue Code unless otherwise noted.

General Instructions Purpose of Form Use Form 1125-A to calculate and deduct cost of goods sold for certain entities.

Who Must File Filers of Form 1120, 1120-C, 1120-F, 1120S, 1065, or 1065-B, must complete and attach Form 1125-A if the applicable entity reports a deduction for cost of goods sold.

Inventories Generally, inventories are required at the beginning and end of each tax year if the production, purchase, or sale of merchandise is an income-producing factor. See Regulations section 1.471-1. If inventories are required, you generally must use an accrual method of accounting for sales and purchases of inventory items. Exception for certain taxpayers. If you are a qualifying taxpayer or a qualifying small business taxpayer (defined below), you can adopt or change your accounting method to account for inventoriable items in the same manner as materials and supplies that are not incidental.

Under this accounting method, inventory costs for raw materials purchased for use in producing finished goods and merchandise purchased for resale are deductible in the year the finished goods or merchandise are sold (but not before the year you paid for the raw materials or merchandise, if you are also using the cash method). If you account for inventoriable items in the same manner as materials and supplies that are not incidental, you can currently deduct expenditures for direct labor and all indirect costs that would otherwise be included in inventory costs. See the instructions for lines 2 and 7. For additional guidance on this method of accounting, see Pub. 538, Accounting Periods and Methods. For guidance on adopting or changing to this method of accounting, see Form 3115, Application for Change in Accounting Method, and its instructions. Qualifying taxpayer. A qualifying taxpayer is a taxpayer that, (a) for each prior tax year ending after December 16, 1998, has average annual gross receipts of $1 million or less for the 3 prior tax years, and (b) its business is not a tax shelter (as defined in section 448(d)(3)). See Rev. Proc. 2001-10, 2001-2 I.R.B. 272. Qualifying small business taxpayer. A qualifying small business taxpayer is a taxpayer that, (a) for each prior tax year

For Paperwork Reduction Act Notice, see instructions.

Cat. No. 55988R

Yes

No

Yes

No

ending on or after December 31, 2000, has average annual gross receipts of $10 million or less for the 3 prior tax years, (b) whose principal business activity is not an ineligible activity, and (c) whose business is not a tax shelter (as defined in section 448 (d)(3)). See Rev. Proc. 2002-28, 2002-18 I.R.B. 815. Uniform capitalization rules. The uniform capitalization rules of section 263A generally require you to capitalize, or include in inventory, certain costs incurred in connection with the following. • The production of real property and tangible personal property held in inventory or held for sale in the ordinary course of business. • Real property or personal property (tangible and intangible) acquired for resale. • The production of real property and tangible personal property by a corporation for use in its trade or business or in an activity engaged in for profit. See the discussion on section 263A uniform capitalization rules in the instructions for your tax return before completing Form 1125-A. Also see Regulations sections 1.263A-1 through 1.263A-3. See Regulations section 1.263A-4 for rules for property produced in a farming business.

Form 1125-A (Rev. 10-2016)


4562

Depreciation and Amortization

Department of the Treasury Internal Revenue Service (99)

a Information about Form 4562 and its separate instructions is at www.irs.gov/form4562.

Form

a Attach to your tax return.

Business or activity to which this form relates

Snap-It-Open Corporation

Umbrella Manufacturing

1 2 3 4 5 6

2016

(Including Information on Listed Property)

Name(s) shown on return

Part I

OMB No. 1545-0172

Attachment Sequence No. 179 Identifying number

69-7414447

Election To Expense Certain Property Under Section 179 Note: If you have any listed property, complete Part V before you complete Part I.

Maximum amount (see instructions) . . . . . . . . . . . . . . . . . . . . . . . Total cost of section 179 property placed in service (see instructions) . . . . . . . . . . . Threshold cost of section 179 property before reduction in limitation (see instructions) . . . . . . Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0- . . . . . . . . . . Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . (a) Description of property

(b) Cost (business use only)

Used Assembly Machines Printing and Fabricating Machines

1 2 3 4

500,000 900,000 2,010,000

5

500,000

0

(c) Elected cost

400,000 500,000

400,000 100,000

7 Listed property. Enter the amount from line 29 . . . . . . . . . 7 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 . . . . . . 8 500,000 9 Tentative deduction. Enter the smaller of line 5 or line 8 . . . . . . . . . . . . . . . . 9 500,000 10 Carryover of disallowed deduction from line 13 of your 2015 Form 4562 . . . . . . . . . . . 10 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instructions) 11 473,722 12 Section 179 expense deduction. Add lines 9 and 10, but don’t enter more than line 11 . . . . . . 12 473,722 13 13 Carryover of disallowed deduction to 2017. Add lines 9 and 10, less line 12 a 26,278 Note: Don’t use Part II or Part III below for listed property. Instead, use Part V. Part II Special Depreciation Allowance and Other Depreciation (Don’t include listed property.) (See instructions.) 14 Special depreciation allowance for qualified property (other than listed property) placed in service during the tax year (see instructions) . . . . . . . . . . . . . . . . . . . . . . 14 200,000 15 Property subject to section 168(f)(1) election . . . . . . . . . . . . . . . . . . . . 15 16 Other depreciation (including ACRS) . . . . . . . . . . . . . . . . . . . . . . 16 Part III MACRS Depreciation (Don’t include listed property.) (See instructions.) Section A 17 17 MACRS deductions for assets placed in service in tax years beginning before 2016 . . . . . . . 18 If you are electing to group any assets placed in service during the tax year into one or more general asset accounts, check here . . . . . . . . . . . . . . . . . . . . . . a Section B—Assets Placed in Service During 2016 Tax Year Using the General Depreciation System (a) Classification of property

(b) Month and year placed in service

(c) Basis for depreciation (business/investment use only—see instructions)

(d) Recovery period

(e) Convention

(f) Method

(g) Depreciation deduction

200,000

7 yrs

HY

200 DB

28,550

MM MM MM MM

S/L S/L S/L S/L S/L

19a 3-year property b 5-year property c 7-year property d 10-year property e 15-year property f 20-year property g 25-year property h Residential rental property i Nonresidential real property

25 yrs. 27.5 yrs. 27.5 yrs. 39 yrs.

Section C—Assets Placed in Service During 2016 Tax Year Using the Alternative Depreciation System S/L 20a Class life 12 yrs. S/L b 12-year 40 yrs. MM S/L c 40-year

Part IV Summary (See instructions.) 21 Listed property. Enter amount from line 28 . . . . . . . . . . . . . . . . . . . . 22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter here and on the appropriate lines of your return. Partnerships and S corporations—see instructions . 23 For assets shown above and placed in service during the current year, enter the portion of the basis attributable to section 263A costs . . . . . . . 23 For Paperwork Reduction Act Notice, see separate instructions.

Cat. No. 12906N

21 22

702,302

Form 4562 (2016)


Form

Chapter 11, Problem 75

1040 U.S. Individual Income Tax Return 2016 (99)

Department of the Treasury—Internal Revenue Service

For the year Jan. 1–Dec. 31, 2016, or other tax year beginning Your first name and initial

Last name

James

Smith

If a joint return, spouse’s first name and initial

Last name

OMB No. 1545-0074

, 2016, ending

IRS Use Only—Do not write or staple in this space.

See separate instructions.

, 20

Your social security number

Spouse’s social security number

Apt. no.

Home address (number and street). If you have a P.O. box, see instructions.

c Make sure the SSN(s) above and on line 6c are correct.

City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).

Foreign country name

Filing Status Check only one box.

Exemptions

Presidential Election Campaign

1 2 3 6a b c

Single Married filing jointly (even if only one had income)

4

Head of household (with qualifying person). (See instructions.) If the qualifying person is a child but not your dependent, enter this child’s name here. a

Married filing separately. Enter spouse’s SSN above and full name here. a

5

Qualifying widow(er) with dependent child

Yourself. If someone can claim you as a dependent, do not check box 6a . Spouse . Dependents:

(1) First name

.

.

.

.

.

.

.

.

.

.

.

(2) Dependent’s social security number

Last name

Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund. You Spouse

Foreign postal code

Foreign province/state/county

.

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.

.

.

.

.

(4) if child under age 17 qualifying for child tax credit (see instructions)

(3) Dependent’s relationship to you

}

• did not live with you due to divorce or separation (see instructions)

If more than four dependents, see instructions and check here a

Dependents on 6c not entered above

d

Income Attach Form(s) W-2 here. Also attach Forms W-2G and 1099-R if tax was withheld.

If you did not get a W-2, see instructions.

Adjusted Gross Income

Boxes checked on 6a and 6b No. of children on 6c who: • lived with you

Total number of exemptions claimed

.

.

.

.

.

.

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7

. 8b . .

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.

8a

Add numbers on lines above a

7

Wages, salaries, tips, etc. Attach Form(s) W-2

.

.

.

.

8a b 9a

Taxable interest. Attach Schedule B if required . Tax-exempt interest. Do not include on line 8a . Ordinary dividends. Attach Schedule B if required

. . .

. . .

.

.

.

.

.

.

.

.

9a

b 10 11

Qualified dividends . . . . . . . . . . . 9b Taxable refunds, credits, or offsets of state and local income taxes Alimony received . . . . . . . . . . . . . . .

. .

. .

. .

. .

. .

. .

10 11

12 13 14

Business income or (loss). Attach Schedule C or C-EZ . . . . . . . . . Capital gain or (loss). Attach Schedule D if required. If not required, check here a Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . .

. .

12 13 14

15a 16a 17

IRA distributions . 15a b Taxable amount . . . Pensions and annuities 16a b Taxable amount . . . Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E

15b 16b 17

18 19 20a

Farm income or (loss). Attach Schedule F . Unemployment compensation . . . . Social security benefits 20a

. . .

18 19 20b

21 22

Other income. List type and amount Combine the amounts in the far right column for lines 7 through 21. This is your total income a

21 22

85,172

23

Educator expenses

24

Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 or 2106-EZ

25

Health savings account deduction. Attach Form 8889

.

24 25

26 27 28

Moving expenses. Attach Form 3903 . . . . . . Deductible part of self-employment tax. Attach Schedule SE . Self-employed SEP, SIMPLE, and qualified plans . .

26 27 28

29 30 31a

Self-employed health insurance deduction Penalty on early withdrawal of savings . .

. .

. .

. .

. .

32 33 34

Alimony paid b Recipient’s SSN a IRA deduction . . . . . . . Student loan interest deduction . . Tuition and fees. Attach Form 8917 .

29 30 31a

. . .

. . .

. . .

. . .

32 33 34

35 36 37

Domestic production activities deduction. Attach Form 8903 35 Add lines 23 through 35 . . . . . . . . . . . . . Subtract line 36 from line 22. This is your adjusted gross income

36 37

6,003 79,169

.

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.

.

.

. . .

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. . .

. .

.

. .

.

. .

.

. .

.

. . . . . . . . . . . . b Taxable amount

. . .

. . .

84,972 200

23

6,003

. .

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions.

. .

. .

. .

. .

. a

Cat. No. 11320B

Form 1040 (2016)


SCHEDULE C (Form 1040)

Profit or Loss From Business

OMB No. 1545-0074

2016

(Sole Proprietorship)

a Information about Schedule C and its separate instructions is at www.irs.gov/schedulec.

Department of the Treasury Internal Revenue Service (99)

Attachment Sequence No. 09

a Attach to Form 1040, 1040NR, or 1041; partnerships generally must file Form 1065.

Name of proprietor

Social security number (SSN)

James Smith A Principal business or profession, including product or service (see instructions)

B Enter code from instructions a

Vending Machine Sales C Business name. If no separate business name, leave blank.

D Employer ID number (EIN), (see instr.)

E

Business address (including suite or room no.) a

F G H

City, town or post office, state, and ZIP code Cash (2) Accrual (3) Other (specify) a Accounting method: (1) Did you “materially participate” in the operation of this business during 2016? If “No,” see instructions for limit on losses If you started or acquired this business during 2016, check here . . . . . . . . . . . . . . . . .

a

I J

Did you make any payments in 2016 that would require you to file Form(s) 1099? (see instructions) . If "Yes," did you or will you file required Forms 1099? . . . . . . . . . . . . . .

. .

Part I

. .

. .

2 3 4 5 6

Cost of goods sold (from line 42) . . . . . . . . . . . . . . . . . . . Gross profit. Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) .

. . .

. . .

7

Gross income. Add lines 5 and 6 .

.

Part II

Advertising .

9

Car and truck expenses (see instructions) . . . . . Commissions and fees .

11 12 13

.

.

.

.

Contract labor (see instructions) Depletion . . . . . Depreciation and section 179 expense deduction (not included in Part III) (see instructions) . . . . .

14

Employee benefit programs (other than on line 19) . . Insurance (other than health)

15 16

. .

. .

No

Yes Yes

No No

.

.

.

.

.

.

.

.

1

288,000

2 3

0 288,000

. . .

4 5 6

121,000 167,000 20,000

. a

7

187,000

18

Office expense (see instructions)

18

19 20

Pension and profit-sharing plans . Rent or lease (see instructions): Vehicles, machinery, and equipment

19 20a

Other business property . . . Repairs and maintenance . . . Supplies (not included in Part III) .

20b 21 22

Taxes and licenses . . . . . Travel, meals, and entertainment: Travel . . . . . . . . .

23 24a

25

Deductible meals and entertainment (see instructions) . Utilities . . . . . . . .

24b 25

2,000 600

26 27a b

Wages (less employment credits) . Other expenses (from line 48) . . Reserved for future use . . .

26 27a 27b

25,000

.

.

.

.

.

.

.

.

.

.

Expenses. Enter expenses for business use of your home only on line 30.

8

10

. .

Yes

Income

Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on Form W-2 and the “Statutory employee” box on that form was checked . . . . . . . . . a Returns and allowances . . . . . . . . . . . . . . . . . . . . . . . . . Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . .

1

. .

.

8 9 10

14,000

a

11 12

13

b 21 22 23 24

35,061

a 14 15

b 12,000

2,400 5,500

17

Interest: Mortgage (paid to banks, etc.) Other . . . . . . Legal and professional services

28

Total expenses before expenses for business use of home. Add lines 8 through 27a .

.

.

.

.

. a

28

96,561

29 30

Tentative profit or (loss). Subtract line 28 from line 7 .

.

.

.

.

.

29

90,439

30

5,467

31

84,972

a b

16a 16b 17 .

.

.

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.

.

.

.

.

.

.

. Use the Simplified . . . . . . .

Net profit or (loss). Subtract line 30 from line 29. • If a profit, enter on both Form 1040, line 12 (or Form 1040NR, line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3. • If a loss, you must go to line 32.

32

.

Expenses for business use of your home. Do not report these expenses elsewhere. Attach Form 8829 unless using the simplified method (see instructions). Simplified method filers only: enter the total square footage of: (a) your home: and (b) the part of your home used for business: Method Worksheet in the instructions to figure the amount to enter on line 30

31

.

If you have a loss, check the box that describes your investment in this activity (see instructions). • If you checked 32a, enter the loss on both Form 1040, line 12, (or Form 1040NR, line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see the line 31 instructions). Estates and trusts, enter on Form 1041, line 3. • If you checked 32b, you must attach Form 6198. Your loss may be limited.

For Paperwork Reduction Act Notice, see the separate instructions.

Cat. No. 11334P

}

}

32a 32b

All investment is at risk. Some investment is not at risk. Schedule C (Form 1040) 2016


SCHEDULE SE (Form 1040) Department of the Treasury Internal Revenue Service (99)

OMB No. 1545-0074

Self-Employment Tax

2016

a Information about Schedule SE and its separate instructions is at www.irs.gov/schedulese.

Attachment Sequence No. 17

a Attach to Form 1040 or Form 1040NR.

Name of person with self-employment income (as shown on Form 1040 or Form 1040NR)

James Smith

Social security number of person with self-employment income a

Before you begin: To determine if you must file 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 file Schedule SE. If unsure, see Who Must File Schedule SE in the instructions. Did you receive wages or tips in 2016? No d

Yes d

d

Are you a minister, member of a religious order, or Christian Science practitioner who received IRS approval not to be taxed on earnings from these sources, but you owe self-employment tax on other earnings?

Yes

Was the total of your wages and tips subject to social security or railroad retirement (tier 1) tax plus your net earnings from self-employment more than $118,500?

a

No

Yes

Did you receive tips subject to social security or Medicare tax that you didn't report to your employer?

a

Yes

a

No d

No d Did you receive church employee income (see instructions) reported on Form W-2 of $108.28 or more?

a

No d

d Are you using one of the optional methods to figure your net earnings (see instructions)?

Yes

Yes

a

`

No

Did you report any wages on Form 8919, Uncollected Social Security and Medicare Tax on Wages?

Yes

a

No d You may use Short Schedule SE below

d a

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 profit or (loss) from Schedule F, line 34, and farm partnerships, Schedule K-1 (Form 1065), box 14, code A . . . . . . . . . . . . . . . . . . . . . . . . b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve Program payments included on Schedule F, line 4b, or listed on Schedule K-1 (Form 1065), box 20, code Z

2

3 4

5

6

Net profit or (loss) from Schedule C, line 31; Schedule C-EZ, line 3; Schedule K-1 (Form 1065), box 14, code A (other than farming); and Schedule K-1 (Form 1065-B), box 9, code J1. Ministers and members of religious orders, see instructions for types of income to report on this line. See instructions for other income to report . . . . . . . . . . . . . . Combine lines 1a, 1b, and 2 . . . . . . . . . . . . . . . . . . . . . Multiply line 3 by 92.35% (0.9235). If less than $400, you don't owe self-employment tax; don't file this schedule unless you have an amount on line 1b . . . . . . . . . . . . . a Note. If line 4 is less than $400 due to Conservation Reserve Program payments on line 1b, see instructions. Self-employment tax. If the amount on line 4 is: • $118,500 or less, multiply line 4 by 15.3% (0.153). Enter the result here and on Form 1040, line 57, or Form 1040NR, line 55 • More than $118,500, multiply line 4 by 2.9% (0.029). Then, add $14,694 to the result. Enter the total here and on Form 1040, line 57, or Form 1040NR, line 55 . . . . . . . Deduction for one-half of self-employment tax. Multiply line 5 by 50% (0.50). Enter the result here and on Form 1040, line 27, or Form 1040NR, line 27 . . . . . . . . 6 6,003

For Paperwork Reduction Act Notice, see your tax return instructions.

Cat. No. 11358Z

1a 1b (

)

2 3

84,972

4

78,472

5

12,006

84,972

Schedule SE (Form 1040) 2016


Form

4797

Department of the Treasury Internal Revenue Service

Sales of Business Property

OMB No. 1545-0184

a Attach to your tax return.

Attachment Sequence No. 27

2016

(Also Involuntary Conversions and Recapture Amounts Under Sections 179 and 280F(b)(2)) a Information about Form 4797 and its separate instructions is at www.irs.gov/form4797.

Name(s) shown on return

Identifying number

James Smith 1 Enter the gross proceeds from sales or exchanges reported to you for 2016 on Form(s) 1099-B or 1099-S (or

substitute statement) that you are including on line 2, 10, or 20. See instructions

Part I

(a) Description of property

2

.

.

.

.

.

.

.

.

1

Sales or Exchanges of Property Used in a Trade or Business and Involuntary Conversions From Other Than Casualty or Theft—Most Property Held More Than 1 Year (see instructions) (c) Date sold (mo., day, yr.)

(b) Date acquired (mo., day, yr.)

(e) Depreciation allowed or allowable since acquisition

(d) Gross sales price

3 4

Gain, if any, from Form 4684, line 39 . . . . . . . . . . . Section 1231 gain from installment sales from Form 6252, line 26 or 37 .

. .

3 4

5 6 7

Section 1231 gain or (loss) from like-kind exchanges from Form 8824 . . . . . . . . . . . . . . Gain, if any, from line 32, from other than casualty or theft . . . . . . . . . . . . . . . . . Combine lines 2 through 6. Enter the gain or (loss) here and on the appropriate line as follows: . . . . . . . Partnerships (except electing large partnerships) and S corporations. Report the gain or (loss) following the instructions for Form 1065, Schedule K, line 10, or Form 1120S, Schedule K, line 9. Skip lines 8, 9, 11, and 12 below. Individuals, partners, S corporation shareholders, and all others. If line 7 is zero or a loss, enter the amount from line 7 on line 11 below and skip lines 8 and 9. If line 7 is a gain and you didn’t have any prior year section 1231 losses, or they were recaptured in an earlier year, enter the gain from line 7 as a long-term capital gain on the Schedule D filed with your return and skip lines 8, 9, 11, and 12 below.

5 6 7

8

Nonrecaptured net section 1231 losses from prior years. See instructions .

.

8

9

Subtract line 8 from line 7. If zero or less, enter -0-. If line 9 is zero, enter the gain from line 7 on line 12 below. If line 9 is more than zero, enter the amount from line 8 on line 12 below and enter the gain from line 9 as a long-term capital gain on the Schedule D filed with your return. See instructions . . . . . . . . . . . . . .

9

Part II

. .

. .

.

. .

.

. .

.

. .

.

. .

.

. .

.

. .

.

. .

(f) Cost or other basis, plus improvements and expense of sale

.

. .

.

. .

.

. .

.

(g) Gain or (loss) Subtract (f) from the sum of (d) and (e)

Ordinary Gains and Losses (see instructions)

10

Ordinary gains and losses not included on lines 11 through 16 (include property held 1 year or less):

11 12 13

Loss, if any, from line 7 . . . . . . . . . . . Gain, if any, from line 7 or amount from line 8, if applicable Gain, if any, from line 31 . . . . . . . . . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

11 ( 12 13

14 15 16

Net gain or (loss) from Form 4684, lines 31 and 38a . . . . . Ordinary gain from installment sales from Form 6252, line 25 or 36 . Ordinary gain or (loss) from like-kind exchanges from Form 8824. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

14 15 16

17 18

Combine lines 10 through 16 .

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17

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.

. . .

.

. . .

.

.

) 200

200

For all except individual returns, enter the amount from line 17 on the appropriate line of your return and skip lines a and b below. For individual returns, complete lines a and b below: a If the loss on line 11 includes a loss from Form 4684, line 35, column (b)(ii), enter that part of the loss here. Enter the part of the loss from income-producing property on Schedule A (Form 1040), line 28, and the part of the loss from property used as an employee on Schedule A (Form 1040), line 23. Identify as from “Form 4797, line 18a.” See instructions . . b Redetermine the gain or (loss) on line 17 excluding the loss, if any, on line 18a. Enter here and on Form 1040, line 14

For Paperwork Reduction Act Notice, see separate instructions.

Cat. No. 13086I

18a 18b

200 Form 4797 (2016)


Page 2

Form 4797 (2016)

Part III 19

Gain From Disposition of Property Under Sections 1245, 1250, 1252, 1254, and 1255 (see instructions)

(a) Description of section 1245, 1250, 1252, 1254, or 1255 property:

(b) Date acquired (mo., day, yr.)

(c) Date sold (mo., day, yr.)

Property C

Property D

A B C D These columns relate to the properties on lines 19A through 19D. a

20 21 22 23 24 25

26

27

28

Property B

Gross sales price (Note: See line 1 before completing.) Cost or other basis plus expense of sale . . . . Depreciation (or depletion) allowed or allowable . . Adjusted basis. Subtract line 22 from line 21 . . .

. . . .

20 21 22 23

5,000 12,500 7,700 4,800

Total gain. Subtract line 23 from line 20 .

200

.

.

.

24

If section 1245 property: a Depreciation allowed or allowable from line 22 . b Enter the smaller of line 24 or 25a . . . .

.

. .

. .

25a 25b

If section 1250 property: If straight line depreciation was used, enter -0- on line 26g, except for a corporation subject to section 291. a Additional depreciation after 1975. See instructions .

26a

b Applicable percentage multiplied by the smaller of line 24 or line 26a. See instructions . . . . . . .

26b

c Subtract line 26a from line 24. If residential rental property or line 24 isn’t more than line 26a, skip lines 26d and 26e d Additional depreciation after 1969 and before 1976 . . e Enter the smaller of line 26c or 26d . . . . . . f Section 291 amount (corporations only) . . . . . g Add lines 26b, 26e, and 26f. . . . . . . . .

26c 26d 26e 26f 26g

If section 1252 property: Skip this section if you didn’t dispose of farmland or if this form is being completed for a partnership (other than an electing large partnership). a Soil, water, and land clearing expenses . . . . . b Line 27a multiplied by applicable percentage. See instructions c Enter the smaller of line 24 or 27b . . . . . .

27a 27b 27c

If section 1254 property: a Intangible drilling and development costs, expenditures for development of mines and other natural deposits, mining exploration costs, and depletion. See instructions . . . . . . . . . . . . . b Enter the smaller of line 24 or 28a . . . . . .

29

Property A

28a 28b

If section 1255 property: a Applicable percentage of payments excluded from income under section 126. See instructions . . . . b Enter the smaller of line 24 or 29a. See instructions .

29a 29b

Summary of Part III Gains. Complete property columns A through D through line 29b before going to line 30. 30

Total gains for all properties. Add property columns A through D, line 24

31 32

Add property columns A through D, lines 25b, 26g, 27c, 28b, and 29b. Enter here and on line 13 . . . . . . Subtract line 31 from line 30. Enter the portion from casualty or theft on Form 4684, line 33. Enter the portion from other than casualty or theft on Form 4797, line 6 . . . . . . . . . . . . . . . . . . . .

Part IV

.

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.

.

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.

.

.

200

30 31

200

32

Recapture Amounts Under Sections 179 and 280F(b)(2) When Business Use Drops to 50% or Less (see instructions) (a) Section 179

33

Section 179 expense deduction or depreciation allowable in prior years.

.

.

.

34 35

Recomputed depreciation. See instructions . . . . . . . . . . . . . . Recapture amount. Subtract line 34 from line 33. See the instructions for where to report

.

.

.

.

. .

. .

(b) Section 280F(b)(2)

33 34 35 Form 4797 (2016)


Form

4562

Depreciation and Amortization

OMB No. 1545-0172

2016

(Including Information on Listed Property)

Department of the Treasury Internal Revenue Service (99)

a Attach to your tax return.

Attachment Sequence No. 179

a Information about Form 4562 and its separate instructions is at www.irs.gov/form4562.

Name(s) shown on return

Business or activity to which this form relates

Identifying number

James Smith

Part I 1 2 3 4 5 6

Election To Expense Certain Property Under Section 179 Note: If you have any listed property, complete Part V before you complete Part I.

Maximum amount (see instructions) . . . . . . . . . . . . . . . . . . . . . . . Total cost of section 179 property placed in service (see instructions) . . . . . . . . . . . Threshold cost of section 179 property before reduction in limitation (see instructions) . . . . . . Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0- . . . . . . . . . . Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . (a) Description of property

(b) Cost (business use only)

1 2 3 4 5

(c) Elected cost

7 Listed property. Enter the amount from line 29 . . . . . . . . . 7 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 . . . . . . 8 9 Tentative deduction. Enter the smaller of line 5 or line 8 . . . . . . . . . . . . . . . . 9 10 Carryover of disallowed deduction from line 13 of your 2015 Form 4562 . . . . . . . . . . . 10 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instructions) 11 12 Section 179 expense deduction. Add lines 9 and 10, but don’t enter more than line 11 . . . . . . 12 13 13 Carryover of disallowed deduction to 2017. Add lines 9 and 10, less line 12 a Note: Don’t use Part II or Part III below for listed property. Instead, use Part V. Part II Special Depreciation Allowance and Other Depreciation (Don’t include listed property.) (See instructions.) 14 Special depreciation allowance for qualified property (other than listed property) placed in service during the tax year (see instructions) . . . . . . . . . . . . . . . . . . . . . . 14 15 Property subject to section 168(f)(1) election . . . . . . . . . . . . . . . . . . . . 15 16 Other depreciation (including ACRS) . . . . . . . . . . . . . . . . . . . . . . 16 Part III MACRS Depreciation (Don’t include listed property.) (See instructions.) Section A 17 17 MACRS deductions for assets placed in service in tax years beginning before 2016 . . . . . . . 27,613 18 If you are electing to group any assets placed in service during the tax year into one or more general asset accounts, check here . . . . . . . . . . . . . . . . . . . . . . a Section B—Assets Placed in Service During 2016 Tax Year Using the General Depreciation System (a) Classification of property

(b) Month and year placed in service

(c) Basis for depreciation (business/investment use only—see instructions)

(d) Recovery period

(e) Convention

(f) Method

(g) Depreciation deduction

24,000 35,000

5 yr 7yr

MQ MQ

200 DB 200 DB

1,200 6,248

MM MM MM MM

S/L S/L S/L S/L S/L

19a 3-year property b 5-year property c 7-year property d 10-year property e 15-year property f 20-year property g 25-year property h Residential rental property i Nonresidential real property

25 yrs. 27.5 yrs. 27.5 yrs. 39 yrs.

Section C—Assets Placed in Service During 2016 Tax Year Using the Alternative Depreciation System S/L 20a Class life 12 yrs. S/L b 12-year 40 yrs. MM S/L c 40-year

Part IV Summary (See instructions.) 21 Listed property. Enter amount from line 28 . . . . . . . . . . . . . . . . . . . . 22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter here and on the appropriate lines of your return. Partnerships and S corporations—see instructions . 23 For assets shown above and placed in service during the current year, enter the portion of the basis attributable to section 263A costs . . . . . . . 23 For Paperwork Reduction Act Notice, see separate instructions.

Cat. No. 12906N

21 22

35,061

Form 4562 (2016)


Chapter 11, Problem 76

1065

Form Department of the Treasury Internal Revenue Service A Principal business activity

U.S. Return of Partnership Income For calendar year 2016, or tax year beginning

OMB No. 1545-0123

, 2016, ending

, 20

2016

.

a Information about Form 1065 and its separate instructions is at www.irs.gov/form1065.

D Employer identification number

Name of partnership

GG Partnership B Principal product or service

C Business code number

Type or Print

Number, street, and room or suite no. If a P.O. box, see the instructions.

E Date business started

City or town, state or province, country, and ZIP or foreign postal code

F Total assets (see the instructions) $

G H I J

Check applicable boxes:

(1) Initial return (2) Final return (3) Name change (4) Address change (5) Technical termination - also check (1) or (2) (6) Other (specify) a Check accounting method: (1) Cash (2) Accrual (3) Number of Schedules K-1. Attach one for each person who was a partner at any time during the tax year a Check if Schedules C and M-3 are attached

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

Amended return

.

.

.

.

.

Deductions (see the instructions for limitations)

Income

Caution. Include only trade or business income and expenses on lines 1a through 22 below. See the instructions for more information.

1a b c 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16a b 17 18 19 20 21 22

Signature of general partner or limited liability company member manager

Print/Type preparer’s name

Firm’s name

Preparer’s signature

F

Paid Preparer Use Only

1c 2 3 4 5 6 7 8 9 10 11 12 13 14 15

150,000 95,000 55,000

55,000 15,000

15,000

16c 17 18 19 20 21 22

4,000 34,000 21,000

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than general partner or limited liability company member manager) is based on all information of which preparer has any knowledge. F

Sign Here

1a Gross receipts or sales . . . . . . . . . . . . . 150,000 Returns and allowances . . . . . . . . . . . . 1b Balance. Subtract line 1b from line 1a . . . . . . . . . . . . . . . . . . Cost of goods sold (attach Form 1125-A) . . . . . . . . . . . . . . . . Gross profit. Subtract line 2 from line 1c . . . . . . . . . . . . . . . . . Ordinary income (loss) from other partnerships, estates, and trusts (attach statement) . . Net farm profit (loss) (attach Schedule F (Form 1040)) . . . . . . . . . . . . Net gain (loss) from Form 4797, Part II, line 17 (attach Form 4797) . . . . . . . . Other income (loss) (attach statement) . . . . . . . . . . . . . . . . . Total income (loss). Combine lines 3 through 7 . . . . . . . . . . . . . . Salaries and wages (other than to partners) (less employment credits) . . . . . . . Guaranteed payments to partners . . . . . . . . . . . . . . . . . . . Repairs and maintenance . . . . . . . . . . . . . . . . . . . . . . Bad debts . . . . . . . . . . . . . . . . . . . . . . . . . . . Rent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Taxes and licenses . . . . . . . . . . . . . . . . . . . . . . . . Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . Depreciation (if required, attach Form 4562) . . . . . . 16a Less depreciation reported on Form 1125-A and elsewhere on return 16b Depletion (Do not deduct oil and gas depletion.) . . . . . . . . . . . . . Retirement plans, etc. . . . . . . . . . . . . . . . . . . . . . . . Employee benefit programs . . . . . . . . . . . . . . . . . . . . . Other deductions (attach statement) . . . . . . . . . . . . . . . . . . Total deductions. Add the amounts shown in the far right column for lines 9 through 20 . Ordinary business income (loss). Subtract line 21 from line 8 . . . . . . . . .

May the IRS discuss this return with the preparer shown below (see instructions)? Yes No

Date Date

PTIN

Firm’s EIN a

a

Firm’s address a

For Paperwork Reduction Act Notice, see separate instructions.

Check if self-employed

Phone no. Cat. No. 11390Z

Form 1065 (2016)


Page 2

Form 1065 (2016)

Schedule B 1 a c e 2

3 a

Other Information

What type of entity is filing this return? Check the applicable box: Domestic general partnership b Domestic limited partnership Domestic limited liability company d Domestic limited liability partnership Foreign partnership f Other a At any time during the tax year, was any partner in the partnership a disregarded entity, a partnership (including an entity treated as a partnership), a trust, an S corporation, an estate (other than an estate of a deceased partner), or a nominee or similar person? . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

No

At the end of the tax year: Did any foreign or domestic corporation, partnership (including any entity treated as a partnership), trust, or taxexempt organization, or any foreign government own, directly or indirectly, an interest of 50% or more in the profit, loss, or capital of the partnership? For rules of constructive ownership, see instructions. If “Yes,” attach Schedule B-1, Information on Partners Owning 50% or More of the Partnership . . . . . . . . . . . . . . .

b Did any individual or estate own, directly or indirectly, an interest of 50% or more in the profit, loss, or capital of the partnership? For rules of constructive ownership, see instructions. If “Yes,” attach Schedule B-1, Information on Partners Owning 50% or More of the Partnership . . . . . . . . . . . . . . . . . . . . 4 a

At the end of the tax year, did the partnership: Own directly 20% or more, or own, directly or indirectly, 50% or more of the total voting power of all classes of stock entitled to vote of any foreign or domestic corporation? For rules of constructive ownership, see instructions. If “Yes,” complete (i) through (iv) below . . . . . . . . . . . . . . . . . . . . . (i) Name of Corporation

(ii) Employer Identification Number (if any)

(iii) Country of Incorporation

(iv) Percentage Owned in Voting Stock

b Own directly an interest of 20% or more, or own, directly or indirectly, an interest of 50% or more in the profit, loss, or capital in any foreign or domestic partnership (including an entity treated as a partnership) or in the beneficial interest of a trust? For rules of constructive ownership, see instructions. If “Yes,” complete (i) through (v) below . . (i) Name of Entity

(ii) Employer Identification Number (if any)

(iii) Type of Entity

(iv) Country of Organization

(v) Maximum Percentage Owned in Profit, Loss, or Capital

Yes

5

No

Did the partnership file Form 8893, Election of Partnership Level Tax Treatment, or an election statement under section 6231(a)(1)(B)(ii) for partnership-level tax treatment, that is in effect for this tax year? See Form 8893 for more details . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6

Does the partnership satisfy all four of the following conditions? a The partnership’s total receipts for the tax year were less than $250,000. b The partnership’s total assets at the end of the tax year were less than $1 million. c Schedules K-1 are filed with the return and furnished to the partners on or before the due date (including extensions) for the partnership return.

d The partnership is not filing and is not required to file Schedule M-3 . . . . . . . . . . . . . . . If “Yes,” the partnership is not required to complete Schedules L, M-1, and M-2; Item F on page 1 of Form 1065; or Item L on Schedule K-1. 7 Is this partnership a publicly traded partnership as defined in section 469(k)(2)? . . . . . . . . . . . . During the tax year, did the partnership have any debt that was cancelled, was forgiven, or had the terms 8 modified so as to reduce the principal amount of the debt? . . . . . . . . . . . . . . . . . . Has this partnership filed, or is it required to file, Form 8918, Material Advisor Disclosure Statement, to provide 9 information on any reportable transaction? . . . . . . . . . . . . . . . . . . . . . . . . 10

At any time during calendar year 2016, did the partnership have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)? See the instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If “Yes,” enter the name of the foreign country. a Form 1065 (2016)


Page 3

Form 1065 (2016)

Schedule B

Other Information (continued) Yes

11

No

At any time during the tax year, did the partnership receive a distribution from, or was it the grantor of, or transferor to, a foreign trust? If “Yes,” the partnership may have to file Form 3520, Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts. See instructions . . . . . . . . .

12a

Is the partnership making, or had it previously made (and not revoked), a section 754 election? . . . . . . See instructions for details regarding a section 754 election. b Did the partnership make for this tax year an optional basis adjustment under section 743(b) or 734(b)? If “Yes,” attach a statement showing the computation and allocation of the basis adjustment. See instructions . . . . c

Is the partnership required to adjust the basis of partnership assets under section 743(b) or 734(b) because of a substantial built-in loss (as defined under section 743(d)) or substantial basis reduction (as defined under section 734(d))? If “Yes,” attach a statement showing the computation and allocation of the basis adjustment. See instructions

13

Check this box if, during the current or prior tax year, the partnership distributed any property received in a like-kind exchange or contributed such property to another entity (other than disregarded entities wholly owned by the partnership throughout the tax year) . . . . . . . . . . . . . . . . . . . a At any time during the tax year, did the partnership distribute to any partner a tenancy-in-common or other undivided interest in partnership property? . . . . . . . . . . . . . . . . . . . . . . . . If the partnership is required to file Form 8858, Information Return of U.S. Persons With Respect To Foreign Disregarded Entities, enter the number of Forms 8858 attached. See instructions a Does the partnership have any foreign partners? If “Yes,” enter the number of Forms 8805, Foreign Partner’s Information Statement of Section 1446 Withholding Tax, filed for this partnership. a Enter the number of Forms 8865, Return of U.S. Persons With Respect to Certain Foreign Partnerships, attached to this return. a

14 15 16 17

18a Did you make any payments in 2016 that would require you to file Form(s) 1099? See instructions . . . . . b If “Yes,” did you or will you file required Form(s) 1099? . . . . . . . . . . . . . . . . . . . . Enter the number of Form(s) 5471, Information Return of U.S. Persons With Respect To Certain Foreign 19 Corporations, attached to this return. a 20 21 22

Enter the number of partners that are foreign governments under section 892. a During the partnership’s tax year, did the partnership make any payments that would require it to file Form 1042 and 1042-S under chapter 3 (sections 1441 through 1464) or chapter 4 (sections 1471 through 1474)? . . . . Was the partnership a specified domestic entity required to file Form 8938 for the tax year (See the Instructions for Form 8938)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Designation of Tax Matters Partner (see instructions) Enter below the general partner or member-manager designated as the tax matters partner (TMP) for the tax year of this return:

Phone number of TMP

F

F

Address of designated TMP

F

If the TMP is an entity, name of TMP representative

Identifying number of TMP

F

F

Name of designated TMP

Form 1065 (2016)


Page 4

Form 1065 (2016)

Schedule K 1 2 3a

Income (Loss)

b c 4 5 6 7 8 9a

Alternative Other Information Minimum Tax (AMT) Items

Foreign Transactions

Credits

SelfEmploy- Deductions ment

b c 10 11 12 13a b c d 14a b c 15a b c d e f 16a b c d g i l m n 17a b c d e f 18a b c 19a b 20a b c

Partners’ Distributive Share Items Ordinary business income (loss) (page 1, line 22) . . . . . . . . . . . . . 1 Net rental real estate income (loss) (attach Form 8825) . . . . . . . . . . . 2 Other gross rental income (loss) . . . . . . . . 3a Expenses from other rental activities (attach statement) 3b Other net rental income (loss). Subtract line 3b from line 3a . . . . . . . . . 3c Guaranteed payments . . . . . . . . . . . . . . . . . . . . . 4 Interest income . . . . . . . . . . . . . . . . . . . . . . . . 5 Dividends: 6a a Ordinary dividends . . . . . . . . . . . . . . . . . . . . . . . 6b b Qualified dividends Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Net short-term capital gain (loss) (attach Schedule D (Form 1065)) . . . . . . . 8 Net long-term capital gain (loss) (attach Schedule D (Form 1065)) . . . . . . . 9a Collectibles (28%) gain (loss) . . . . . . . . . 9b Unrecaptured section 1250 gain (attach statement) . . 9c Net section 1231 gain (loss) (attach Form 4797) . . . . . . . . . . . . . 10 Other income (loss) (see instructions) Type a 11 Section 179 deduction (attach Form 4562) . . . . . . . . . . . . . . . 12 Contributions . . . . . . . . . . . . . . . . . . . . . . . . 13a Investment interest expense . . . . . . . . . . . . . . . . . . . 13b (1) Type a Section 59(e)(2) expenditures: (2) Amount a 13c(2) Other deductions (see instructions) Type a 13d Net earnings (loss) from self-employment . . . . . . . . . . . . . . . 14a Gross farming or fishing income . . . . . . . . . . . . . . . . . . 14b Gross nonfarm income . . . . . . . . . . . . . . . . . . . . . 14c Low-income housing credit (section 42(j)(5)) . . . . . . . . . . . . . . 15a Low-income housing credit (other) . . . . . . . . . . . . . . . . . 15b Qualified rehabilitation expenditures (rental real estate) (attach Form 3468, if applicable) 15c Type a 15d Other rental real estate credits (see instructions) Type a Other rental credits (see instructions) 15e Other credits (see instructions) Type a 15f Name of country or U.S. possession a Gross income from all sources . . . . . . . . . . . . . . . . . . . 16b Gross income sourced at partner level . . . . . . . . . . . . . . . . 16c Foreign gross income sourced at partnership level e General category a f Other a 16f Passive category a Deductions allocated and apportioned at partner level h Other . . . . . . . . . . a 16h Interest expense a Deductions allocated and apportioned at partnership level to foreign source income k Other a 16k Passive category a j General category a a Total foreign taxes (check one): Paid Accrued . . . . . . . . 16l Reduction in taxes available for credit (attach statement) . . . . . . . . . . 16m Other foreign tax information (attach statement) . . . . . . . . . . . . . Post-1986 depreciation adjustment . . . . . . . . . . . . . . . . . 17a Adjusted gain or loss . . . . . . . . . . . . . . . . . . . . . . 17b Depletion (other than oil and gas) . . . . . . . . . . . . . . . . . . 17c Oil, gas, and geothermal properties—gross income . . . . . . . . . . . . 17d Oil, gas, and geothermal properties—deductions . . . . . . . . . . . . . 17e Other AMT items (attach statement) . . . . . . . . . . . . . . . . . 17f Tax-exempt interest income . . . . . . . . . . . . . . . . . . . . 18a Other tax-exempt income . . . . . . . . . . . . . . . . . . . . 18b Nondeductible expenses . . . . . . . . . . . . . . . . . . . . . 18c Distributions of cash and marketable securities . . . . . . . . . . . . . 19a Distributions of other property . . . . . . . . . . . . . . . . . . . 19b Investment income . . . . . . . . . . . . . . . . . . . . . . . 20a Investment expenses . . . . . . . . . . . . . . . . . . . . . . 20b Other items and amounts (attach statement) . . . . . . . . . . . . . .

Total amount 21,000

2,000

1,000

21,000

Form 1065 (2016)


Page 5

Form 1065 (2016)

Analysis of Net Income (Loss) Net income (loss). Combine Schedule K, lines 1 through 11. From the result, subtract the sum of Schedule K, lines 12 through 13d, and 16l . . . . . . . . . . . . . . . . . . 1 Analysis by (ii) Individual (iii) Individual (v) Exempt (i) Corporate (iv) Partnership (active) (passive) Organization partner type:

1 2

a General partners b Limited partners

Schedule L 1 2a b 3 4 5 6 7a b 8 9a b 10a b 11 12a b 13 14 15 16 17 18 19a b 20 21 22

Balance Sheets per Books

Other current liabilities (attach statement) All nonrecourse loans . . . . . . .

End of tax year (c)

(d)

. .

Loans from partners (or persons related to partners) Mortgages, notes, bonds payable in 1 year or more

Other liabilities (attach statement) . Partners’ capital accounts . . . Total liabilities and capital . . .

. . .

. . .

. . .

Reconciliation of Income (Loss) per Books With Income (Loss) per Return

Note. The partnership may be required to file Schedule M-3 (see instructions). Net income (loss) per books . . . . Income recorded on books this year not included 6 Income included on Schedule K, lines 1, 2, 3c, 5, 6a, 7, 8, 9a, 10, and 11, not recorded on books this year (itemize):

3

Guaranteed payments (other than health insurance) . . . . . . .

4

Expenses recorded on books this year not included on Schedule K, lines 1 through 13d, and 16l (itemize):

a Depreciation $ b Travel and entertainment $ 5 Add lines 1 through 4 . . .

Schedule M-2

3 4 5

Beginning of tax year (a) (b)

Mortgages, notes, bonds payable in less than 1 year

2

1 2

(vi) Nominee/Other

22,000

Assets Cash . . . . . . . . . . . . . Trade notes and accounts receivable . . . Less allowance for bad debts . . . . . Inventories . . . . . . . . . . . U.S. government obligations . . . . . Tax-exempt securities . . . . . . . Other current assets (attach statement) . . Loans to partners (or persons related to partners) Mortgage and real estate loans . . . . Other investments (attach statement) . . . Buildings and other depreciable assets . . Less accumulated depreciation . . . . Depletable assets . . . . . . . . . Less accumulated depletion . . . . . Land (net of any amortization) . . . . . Intangible assets (amortizable only) . . . Less accumulated amortization . . . . Other assets (attach statement) . . . . Total assets . . . . . . . . . . . Liabilities and Capital Accounts payable . . . . . . . . .

Schedule M-1 1

22,000

.

.

on Schedule K, lines 1 through 11 (itemize):

a

Tax-exempt interest $

a

Deductions included on Schedule K, lines 1 through 13d, and 16l, not charged against book income this year (itemize): Depreciation $

7

8 9

Add lines 6 and 7 . . . . . . . . Income (loss) (Analysis of Net Income (Loss), line 1). Subtract line 8 from line 5 .

6

Distributions: a Cash . . b Property . Other decreases (itemize):

. .

. .

. .

. .

Add lines 6 and 7 .

.

.

.

.

.

Analysis of Partners’ Capital Accounts

Balance at beginning of year . Capital contributed: a Cash . b Property Net income (loss) per books . . Other increases (itemize): Add lines 1 through 4 . . . .

. . . .

. . . .

.

.

7 8 9

.

.

.

Balance at end of year. Subtract line 8 from line 5 Form 1065 (2016)


Form

U.S. Income Tax Return for an S Corporation

1120S

Department of the Treasury Internal Revenue Service

2016

attaching Form 2553 to elect to be an S corporation. a Information about Form 1120S and its separate instructions is at www.irs.gov/form1120s.

For calendar year 2016 or tax year beginning A S election effective date

, 2016, ending

, 20

Name

TYPE B Business activity code number (see instructions)

OMB No. 1545-0123

a Do not file this form unless the corporation has filed or is

D Employer identification number

GG S Corporation Number, street, and room or suite no. If a P.O. box, see instructions.

E Date incorporated

City or town, state or province, country, and ZIP or foreign postal code

F Total assets (see instructions)

OR PRINT

C Check if Sch. M-3 attached

$

Yes No If “Yes,” attach Form 2553 if not already filed G Is the corporation electing to be an S corporation beginning with this tax year? (4) (3) (5) Name change Address change S election termination or revocation Final return (2) Amended return H Check if: (1) a I Enter the number of shareholders who were shareholders during any part of the tax year . . . . . . . . . Caution: Include only trade or business income and expenses on lines 1a through 21. See the instructions for more information.

1a

Gross receipts or sales .

. . . . . . . . . . . . . . 1a 150,000 . . . . . . . . . . . . . . 1b Balance. Subtract line 1b from line 1a . . . . . . . . . . . . . . . . . . . Cost of goods sold (attach Form 1125-A) . . . . . . . . . . . . . . . . . . Gross profit. Subtract line 2 from line 1c . . . . . . . . . . . . . . . . . . Net gain (loss) from Form 4797, line 17 (attach Form 4797) . . . . . . . . . . . . Other income (loss) (see instructions—attach statement) . . . . . . . . . . . . . Total income (loss). Add lines 3 through 5 . . . . . . . . . . . . . . . . a Compensation of officers (see instructions—attach Form 1125-E) . . . . . . . . . . Salaries and wages (less employment credits) . . . . . . . . . . . . . . . . Repairs and maintenance . . . . . . . . . . . . . . . . . . . . . . . Bad debts . . . . . . . . . . . . . . . . . . . . . . . . . . . Rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Taxes and licenses . . . . . . . . . . . . . . . . . . . . . . . . . Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . Depreciation not claimed on Form 1125-A or elsewhere on return (attach Form 4562) . . . . Depletion (Do not deduct oil and gas depletion.) . . . . . . . . . . . . . . . Advertising . . . . . . . . . . . . . . . . . . . . . . . . . . . Pension, profit-sharing, etc., plans . . . . . . . . . . . . . . . . . . . . Employee benefit programs . . . . . . . . . . . . . . . . . . . . . . Other deductions (attach statement) . . . . . . . . . . . . . . . . . . . Total deductions. Add lines 7 through 19 . . . . . . . . . . . . . . . . a Ordinary business income (loss). Subtract line 20 from line 6 . . . . . . . . . . . Excess net passive income or LIFO recapture tax (see instructions) . . 22a Tax from Schedule D (Form 1120S) . . . . . . . . . . . 22b Add lines 22a and 22b (see instructions for additional taxes) . . . . . . . . . . . . 2016 estimated tax payments and 2015 overpayment credited to 2016 23a Tax deposited with Form 7004 . . . . . . . . . . . . 23b Credit for federal tax paid on fuels (attach Form 4136) . . . . . 23c Add lines 23a through 23c . . . . . . . . . . . . . . . . . . . . . . Estimated tax penalty (see instructions). Check if Form 2220 is attached . . . . . . a Amount owed. If line 23d is smaller than the total of lines 22c and 24, enter amount owed . . Overpayment. If line 23d is larger than the total of lines 22c and 24, enter amount overpaid . . Enter amount from line 26 Credited to 2017 estimated tax a Refunded a

Tax and Payments

Deductions (see instructions for limitations)

Income

b Returns and allowances

c 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 a b c 23 a b c d 24 25 26 27

150,000 95,000 55,000

15,000

15,000

4,000 34,000 21,000

22c

23d 24 25 26 27

Date

Signature of officer

Print/Type preparer's name

Paid Preparer Use Only Firm's name

Preparer's signature

F

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. May the IRS discuss this return with the preparer shown below (see instructions)?

F

Sign Here

1c 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21

Yes

Title

Date

No

PTIN Check if self-employed Firm's EIN a

a

Firm's address a

For Paperwork Reduction Act Notice, see separate instructions.

Phone no. Cat. No. 11510H

Form 1120S (2016)


Page 2

Form 1120S (2016)

Schedule B 1 2 3 4

Other Information (see instructions)

Check accounting method:

a c See the instructions and enter the: a Business activity a

Yes No

Cash b Accrual Other (specify) a b Product or service a

At any time during the tax year, was any shareholder of the corporation a disregarded entity, a trust, an estate, or a nominee or similar person? If "Yes," attach Schedule B-1, Information on Certain Shareholders of an S Corporation . . At the end of the tax year, did the corporation: a Own directly 20% or more, or own, directly or indirectly, 50% or more of the total stock issued and outstanding of any foreign or domestic corporation? For rules of constructive ownership, see instructions. If “Yes,” complete (i) through (v) below . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (i) Name of Corporation

(ii) Employer Identification Number (if any)

(iii) Country of Incorporation

(iv) Percentage of Stock Owned

(v) If Percentage in (iv) is 100%, Enter the Date (if any) a Qualified Subchapter S Subsidiary Election Was Made

b Own directly an interest of 20% or more, or own, directly or indirectly, an interest of 50% or more in the profit, loss, or capital in any foreign or domestic partnership (including an entity treated as a partnership) or in the beneficial interest of a trust? For rules of constructive ownership, see instructions. If “Yes,” complete (i) through (v) below . . . . . . . (i) Name of Entity

(ii) Employer Identification Number (if any)

(iii) Type of Entity

(iv) Country of Organization

(v) Maximum Percentage Owned in Profit, Loss, or Capital

5 a At the end of the tax year, did the corporation have any outstanding shares of restricted stock? . . . . . . . If “Yes,” complete lines (i) and (ii) below. (i) Total shares of restricted stock. . . . . . . . . . a (ii) Total shares of non-restricted stock . . . . . . . . a b At the end of the tax year, did the corporation have any outstanding stock options, warrants, or similar instruments?

.

.

If “Yes,” complete lines (i) and (ii) below. (i) Total shares of stock outstanding at the end of the tax year a (ii) Total shares of stock outstanding if all instruments were executed a 6 7

Has this corporation filed, or is it required to file, Form 8918, Material Advisor Disclosure Statement, to provide information on any reportable transaction? . . . . . . . . . . . . . . . . . . . . . . . . Check this box if the corporation issued publicly offered debt instruments with original issue discount . . . . a If checked, the corporation may have to file Form 8281, Information Return for Publicly Offered Original Issue Discount Instruments.

8

9 10

If the corporation: (a) was a C corporation before it elected to be an S corporation or the corporation acquired an asset with a basis determined by reference to the basis of the asset (or the basis of any other property) in the hands of a C corporation and (b) has net unrealized built-in gain in excess of the net recognized built-in gain from prior years, enter the net unrealized built-in gain reduced by net recognized built-in gain from prior years (see instructions) . . . . . . . . . . . . . . . a $ $ Enter the accumulated earnings and profits of the corporation at the end of the tax year. Does the corporation satisfy both of the following conditions? a The corporation’s total receipts (see instructions) for the tax year were less than $250,000 . b The corporation’s total assets at the end of the tax year were less than $250,000 . . . If “Yes,” the corporation is not required to complete Schedules L and M-1.

. .

. .

. .

. .

. .

. .

. .

. .

. .

11

During the tax year, did the corporation have any non-shareholder debt that was canceled, was forgiven, or had the terms modified so as to reduce the principal amount of the debt? . . . . . . . . . . . . . . . . . If “Yes,” enter the amount of principal reduction $ 12 During the tax year, was a qualified subchapter S subsidiary election terminated or revoked? If “Yes,” see instructions . 13 a Did the corporation make any payments in 2016 that would require it to file Form(s) 1099? . . . . . . . . . . b If “Yes,” did the corporation file or will it file required Forms 1099? . . . . . . . . . . . . . . . . . Form 1120S (2016)


Page 3

Form 1120S (2016)

Credits

Deductions

Income (Loss)

Schedule K

Foreign Transactions Alternative Minimum Tax (AMT) Items

Total amount

1 2 3a b c 4 5

Ordinary business income (loss) (page 1, line 21) . . . . . . . . . . . . . . Net rental real estate income (loss) (attach Form 8825) . . . . . . . . . . . . Other gross rental income (loss) . . . . . . . . . . 3a Expenses from other rental activities (attach statement) . . 3b Other net rental income (loss). Subtract line 3b from line 3a . . . . . . . . . . Interest income . . . . . . . . . . . . . . . . . . . . . . . . Dividends: a Ordinary dividends . . . . . . . . . . . . . . . . . . . b Qualified dividends . . . . . . . . . . 5b 6 Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Net short-term capital gain (loss) (attach Schedule D (Form 1120S)) . . . . . . . . 8 a Net long-term capital gain (loss) (attach Schedule D (Form 1120S)) . . . . . . . . b Collectibles (28%) gain (loss) . . . . . . . . . . . 8b c Unrecaptured section 1250 gain (attach statement) . . . . 8c 9 Net section 1231 gain (loss) (attach Form 4797) . . . . . . . . . . . . . . 10 Other income (loss) (see instructions) . . Type a 11 Section 179 deduction (attach Form 4562) . . . . . . . . . . . . . . . . 12a Charitable contributions . . . . . . . . . . . . . . . . . . . . . b Investment interest expense . . . . . . . . . . . . . . . . . . . . c Section 59(e)(2) expenditures (1) Type a (2) Amount a d Other deductions (see instructions) . . . Type a 13a Low-income housing credit (section 42(j)(5)) . . . . . . . . . . . . . . . b Low-income housing credit (other) . . . . . . . . . . . . . . . . . . c Qualified rehabilitation expenditures (rental real estate) (attach Form 3468, if applicable) . . d Other rental real estate credits (see instructions) Type a e Other rental credits (see instructions) . . . Type a f g 14a b c

Items Affecting Shareholder Basis

Shareholders’ Pro Rata Share Items

Biofuel producer credit (attach Form 6478) Other credits (see instructions) . . . . Name of country or U.S. possession a

. .

. . . . Type a

.

.

.

.

.

.

1 2

21,000

3c 4 5a 6 7 8a

9 10 11 12a 12b

2,000

1,000

12c(2)

12d 13a 13b 13c 13d 13e 13f 13g

.

.

.

.

Gross income from all sources . . . . . . . . . . . . . . . . Gross income sourced at shareholder level . . . . . . . . . . . . Foreign gross income sourced at corporate level d Passive category . . . . . . . . . . . . . . . . . . . . e General category . . . . . . . . . . . . . . . . . . . . f Other (attach statement) . . . . . . . . . . . . . . . . . . Deductions allocated and apportioned at shareholder level g Interest expense . . . . . . . . . . . . . . . . . . . . . h Other . . . . . . . . . . . . . . . . . . . . . . . . Deductions allocated and apportioned at corporate level to foreign source income i Passive category . . . . . . . . . . . . . . . . . . . . j General category . . . . . . . . . . . . . . . . . . . . k Other (attach statement) . . . . . . . . . . . . . . . . . . Other information l Total foreign taxes (check one): a Paid Accrued . . . . . . . m Reduction in taxes available for credit (attach statement) . . . . . . . . n Other foreign tax information (attach statement) 15a Post-1986 depreciation adjustment . . . . . . . . . . . . . . . b Adjusted gain or loss . . . . . . . . . . . . . . . . . . . c Depletion (other than oil and gas) . . . . . . . . . . . . . . . d Oil, gas, and geothermal properties—gross income . . . . . . . . . . e Oil, gas, and geothermal properties—deductions . . . . . . . . . . . f Other AMT items (attach statement) . . . . . . . . . . . . . . . 16a Tax-exempt interest income . . . . . . . . . . . . . . . . . b Other tax-exempt income . . . . . . . . . . . . . . . . . . c Nondeductible expenses . . . . . . . . . . . . . . . . . . d Distributions (attach statement if required) (see instructions) . . . . . . . e Repayment of loans from shareholders . . . . . . . . . . . . . .

. .

. .

. .

14b 14c

. . .

. . .

. . .

14d 14e 14f

. .

. .

. .

14g

. . .

. . .

. . .

14i 14j 14k

. .

. .

. .

14l 14m

. . . . . . . . . . .

. . . . . . . . . . .

. . . . . . . . . . .

15a 15b 15c 15d 15e 15f 16a 16b 16c 16d 16e

14h

Form 1120S (2016)


Page 4

Form 1120S (2016)

ReconOther ciliation Information

Schedule K

Total amount

Shareholders’ Pro Rata Share Items (continued)

17a b c d

Investment income . . . . . . . . . . . . . . . Investment expenses . . . . . . . . . . . . . . Dividend distributions paid from accumulated earnings and profits Other items and amounts (attach statement)

18

Income/loss reconciliation. Combine the amounts on lines 1 through 10 in the far right column. From the result, subtract the sum of the amounts on lines 11 through 12d and 14l

Schedule L

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

17a 17b 17c

Beginning of tax year

Balance Sheets per Books Assets

(a)

1 2a b 3 4 5 6 7 8 9 10a b 11a b 12 13a b 14 15

Cash . . . . . . . . . . . . Trade notes and accounts receivable . . Less allowance for bad debts . . . . . Inventories . . . . . . . . . . U.S. government obligations . . . . . Tax-exempt securities (see instructions) . Other current assets (attach statement) . . Loans to shareholders . . . . . . . Mortgage and real estate loans . . . . Other investments (attach statement) . . Buildings and other depreciable assets . . Less accumulated depreciation . . . . Depletable assets . . . . . . . . Less accumulated depletion . . . . . Land (net of any amortization) . . . . . Intangible assets (amortizable only) . . . Less accumulated amortization . . . . Other assets (attach statement) . . . . Total assets . . . . . . . . . . Liabilities and Shareholders’ Equity

. . . . . . . . . . . . . . . . . . .

16 17 18 19 20 21 22 23 24 25 26 27

Accounts payable . . . . . . . . . Mortgages, notes, bonds payable in less than 1 year Other current liabilities (attach statement) . . Loans from shareholders . . . . . . . Mortgages, notes, bonds payable in 1 year or more Other liabilities (attach statement) . . . . Capital stock . . . . . . . . . . . Additional paid-in capital . . . . . . . Retained earnings . . . . . . . . . Adjustments to shareholders’ equity (attach statement) Less cost of treasury stock . . . . . . Total liabilities and shareholders’ equity . .

18

22,000

End of tax year (b)

(c)

(d)

(

)

(

)

(

)

(

)

(

)

(

)

(

)

(

)

(

)

(

) Form 1120S (2016)


Page 5

Form 1120S (2016)

Schedule M-1

Reconciliation of Income (Loss) per Books With Income (Loss) per Return Note: The corporation may be required to file Schedule M-3 (see instructions)

1

Net income (loss) per books

2

Income included on Schedule K, lines 1, 2, 3c, 4, 5a, 6, 7, 8a, 9, and 10, not recorded on books this year (itemize)

3

a b

Expenses recorded on books this year not included on Schedule K, lines 1 through 12 and 14l (itemize): Depreciation $ Travel and entertainment $

4

Add lines 1 through 3

Schedule M-2

.

.

.

.

.

.

.

.

.

.

.

.

.

.

5 Income recorded on books this year not included on Schedule K, lines 1 through 10 (itemize): a Tax-exempt interest $ 6 Deductions included on Schedule K, lines 1 through 12 and 14l, not charged against book income this year (itemize):

a Depreciation $ 7 Add lines 5 and 6 . . . . . 8 Income (loss) (Schedule K, line 18). Line 4 less line 7

Analysis of Accumulated Adjustments Account, Other Adjustments Account, and Shareholders’ Undistributed Taxable Income Previously Taxed (see instructions) (a) Accumulated adjustments account

1 2 3 4 5 6 7 8

Balance at beginning of tax year . . . . . Ordinary income from page 1, line 21 . . . Other additions . . . . . . . . . . ( Loss from page 1, line 21 . . . . . . . ( Other reductions . . . . . . . . . . Combine lines 1 through 5 . . . . . . . Distributions other than dividend distributions Balance at end of tax year. Subtract line 7 from line 6

(b) Other adjustments account

) )(

(c) Shareholders’ undistributed taxable income previously taxed

)

Form 1120S (2016)


Form 1120S (2016)

Credits

Deductions

Income (Loss)

Schedule K

Foreign Transactions Alternative Minimum Tax (AMT) Items

Page 3

Shareholders’ Pro Rata Share Items

Total amount

1 2 3a b c 4 5

Ordinary business income (loss) (page 1, line 21) . . . . . . . . . . . . . . Net rental real estate income (loss) (attach Form 8825) . . . . . . . . . . . . Other gross rental income (loss) . . . . . . . . . . 3a Expenses from other rental activities (attach statement) . . 3b Other net rental income (loss). Subtract line 3b from line 3a . . . . . . . . . . Interest income . . . . . . . . . . . . . . . . . . . . . . . . Dividends: a Ordinary dividends . . . . . . . . . . . . . . . . . . . b Qualified dividends . . . . . . . . . . 5b 6 Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Net short-term capital gain (loss) (attach Schedule D (Form 1120S)) . . . . . . . . 8 a Net long-term capital gain (loss) (attach Schedule D (Form 1120S)) . . . . . . . . b Collectibles (28%) gain (loss) . . . . . . . . . . . 8b c Unrecaptured section 1250 gain (attach statement) . . . . 8c 9 Net section 1231 gain (loss) (attach Form 4797) . . . . . . . . . . . . . . 10 Other income (loss) (see instructions) . . Type a 11 Section 179 deduction (attach Form 4562) . . . . . . . . . . . . . . . . 12a Charitable contributions . . . . . . . . . . . . . . . . . . . . . b Investment interest expense . . . . . . . . . . . . . . . . . . . . c Section 59(e)(2) expenditures (1) Type a (2) Amount a d Other deductions (see instructions) . . . Type a 13a Low-income housing credit (section 42(j)(5)) . . . . . . . . . . . . . . . b Low-income housing credit (other) . . . . . . . . . . . . . . . . . . c Qualified rehabilitation expenditures (rental real estate) (attach Form 3468, if applicable) . . d Other rental real estate credits (see instructions) Type a e Other rental credits (see instructions) . . . Type a f g 14a b c

Items Affecting Shareholder Basis

Chapter 11, Problem 77

Biofuel producer credit (attach Form 6478) Other credits (see instructions) . . . . Name of country or U.S. possession a

. .

. . . . Type a

.

.

.

.

.

.

1 2

3c 4 5a

200,000

8,000

6 7 8a

9 10 11 12a 12b

10,000 20,000 12,000

12c(2)

12d 13a 13b 13c 13d 13e 13f 13g

.

.

.

.

Gross income from all sources . . . . . . . . . . . . . . . . Gross income sourced at shareholder level . . . . . . . . . . . . Foreign gross income sourced at corporate level d Passive category . . . . . . . . . . . . . . . . . . . . e General category . . . . . . . . . . . . . . . . . . . . f Other (attach statement) . . . . . . . . . . . . . . . . . . Deductions allocated and apportioned at shareholder level g Interest expense . . . . . . . . . . . . . . . . . . . . . h Other . . . . . . . . . . . . . . . . . . . . . . . . Deductions allocated and apportioned at corporate level to foreign source income i Passive category . . . . . . . . . . . . . . . . . . . . j General category . . . . . . . . . . . . . . . . . . . . k Other (attach statement) . . . . . . . . . . . . . . . . . . Other information l Total foreign taxes (check one): a Paid Accrued . . . . . . . m Reduction in taxes available for credit (attach statement) . . . . . . . . n Other foreign tax information (attach statement) 15a Post-1986 depreciation adjustment . . . . . . . . . . . . . . . b Adjusted gain or loss . . . . . . . . . . . . . . . . . . . c Depletion (other than oil and gas) . . . . . . . . . . . . . . . d Oil, gas, and geothermal properties—gross income . . . . . . . . . . e Oil, gas, and geothermal properties—deductions . . . . . . . . . . . f Other AMT items (attach statement) . . . . . . . . . . . . . . . 16a Tax-exempt interest income . . . . . . . . . . . . . . . . . b Other tax-exempt income . . . . . . . . . . . . . . . . . . c Nondeductible expenses . . . . . . . . . . . . . . . . . . d Distributions (attach statement if required) (see instructions) . . . . . . . e Repayment of loans from shareholders . . . . . . . . . . . . . .

. .

. .

. .

14b 14c

. . .

. . .

. . .

14d 14e 14f

. .

. .

. .

14g

. . .

. . .

. . .

14i 14j 14k

. .

. .

. .

14l 14m

. . . . . . . . . . .

. . . . . . . . . . .

. . . . . . . . . . .

15a 15b 15c 15d 15e 15f 16a 16b 16c 16d 16e

14h

2,000

Form 1120S (2016)


Page 4

Form 1120S (2016)

ReconOther ciliation Information

Schedule K

Total amount

Shareholders’ Pro Rata Share Items (continued)

17a b c d

Investment income . . . . . . . . . . . . . . . Investment expenses . . . . . . . . . . . . . . Dividend distributions paid from accumulated earnings and profits Other items and amounts (attach statement)

18

Income/loss reconciliation. Combine the amounts on lines 1 through 10 in the far right column. From the result, subtract the sum of the amounts on lines 11 through 12d and 14l

Schedule L

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

17a 17b 17c

Beginning of tax year

Balance Sheets per Books Assets

(a)

1 2a b 3 4 5 6 7 8 9 10a b 11a b 12 13a b 14 15

Cash . . . . . . . . . . . . Trade notes and accounts receivable . . Less allowance for bad debts . . . . . Inventories . . . . . . . . . . U.S. government obligations . . . . . Tax-exempt securities (see instructions) . Other current assets (attach statement) . . Loans to shareholders . . . . . . . Mortgage and real estate loans . . . . Other investments (attach statement) . . Buildings and other depreciable assets . . Less accumulated depreciation . . . . Depletable assets . . . . . . . . Less accumulated depletion . . . . . Land (net of any amortization) . . . . . Intangible assets (amortizable only) . . . Less accumulated amortization . . . . Other assets (attach statement) . . . . Total assets . . . . . . . . . . Liabilities and Shareholders’ Equity

. . . . . . . . . . . . . . . . . . .

16 17 18 19 20 21 22 23 24 25 26 27

Accounts payable . . . . . . . . . Mortgages, notes, bonds payable in less than 1 year Other current liabilities (attach statement) . . Loans from shareholders . . . . . . . Mortgages, notes, bonds payable in 1 year or more Other liabilities (attach statement) . . . . Capital stock . . . . . . . . . . . Additional paid-in capital . . . . . . . Retained earnings . . . . . . . . . Adjustments to shareholders’ equity (attach statement) Less cost of treasury stock . . . . . . Total liabilities and shareholders’ equity . .

18

186,000

End of tax year (b)

(c)

(d)

(

)

(

)

(

)

(

)

(

)

(

)

(

)

(

)

(

)

(

) Form 1120S (2016)


Page 5

Form 1120S (2016)

Schedule M-1

Reconciliation of Income (Loss) per Books With Income (Loss) per Return Note: The corporation may be required to file Schedule M-3 (see instructions)

1

Net income (loss) per books

.

.

.

.

.

.

2

Income included on Schedule K, lines 1, 2, 3c, 4, 5a, 6, 7, 8a, 9, and 10, not recorded on books this year (itemize)

on Schedule K, lines 1 through 10 (itemize): 2,000 a Tax-exempt interest $

3

6 Deductions included on Schedule K,

a b

Expenses recorded on books this year not included on Schedule K, lines 1 through 12 and 14l (itemize): Depreciation $ 4,000 Travel and entertainment $

4

Add lines 1 through 3

192,000 5 Income recorded on books this year not included

lines 1 through 12 and 14l, not charged against book income this year (itemize): 8,000 a Depreciation $

7 Add lines 5 and 6

Schedule M-2

.

.

.

.

.

.

.

.

.

.

.

. 186,000

Analysis of Accumulated Adjustments Account, Other Adjustments Account, and Shareholders’ Undistributed Taxable Income Previously Taxed (see instructions) (a) Accumulated adjustments account

1 2 3 4 5 6 7 8

.

196,000 8 Income (loss) (Schedule K, line 18). Line 4 less line 7

Balance at beginning of tax year . . . . . Ordinary income from page 1, line 21 . . . Other additions . . . . . . . . . . ( Loss from page 1, line 21 . . . . . . . ( Other reductions . . . . . . . . . . Combine lines 1 through 5 . . . . . . . Distributions other than dividend distributions Balance at end of tax year. Subtract line 7 from line 6

(b) Other adjustments account

) )(

(c) Shareholders’ undistributed taxable income previously taxed

)

Form 1120S (2016)


Chapter 11, Problem 78

1065

Form Department of the Treasury Internal Revenue Service A Principal business activity

U.S. Return of Partnership Income For calendar year 2016, or tax year beginning

Repair Services C Business code number

H I J

2016

.

D Employer identification number

Name of partnership

Rite-Way Plumbing Type or Print

238220 G

, 20

a Information about Form 1065 and its separate instructions is at www.irs.gov/form1065.

Residential Plumbing B Principal product or service

OMB No. 1545-0123

, 2016, ending

69-3456789 E Date business started

Number, street, and room or suite no. If a P.O. box, see the instructions.

124 Division Lane

3/1/13

City or town, state or province, country, and ZIP or foreign postal code

F Total assets (see the instructions)

Sarasota, FL 33645

$

Check applicable boxes:

(1) Initial return (2) Final return (3) Name change (4) Address change (5) Technical termination - also check (1) or (2) (6) Other (specify) a Check accounting method: (1) ✔ Cash (2) Accrual (3) Number of Schedules K-1. Attach one for each person who was a partner at any time during the tax year a Check if Schedules C and M-3 are attached

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

Amended return

.

.

.

.

.

Deductions (see the instructions for limitations)

Income

Caution. Include only trade or business income and expenses on lines 1a through 22 below. See the instructions for more information.

1a b c 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16a b 17 18 19 20 21 22

Signature of general partner or limited liability company member manager

Print/Type preparer’s name

Firm’s name

Preparer’s signature

F

Paid Preparer Use Only

1c 2 3 4 5 6 7 8 9 10 11 12 13 14 15

1,240,000

16c 17 18 19 20 21 22

13,014

2,083 1,242,083 378,000 156,000 2,000 28,000 38,000

15,000 10,000 349,000 989,014 253,069

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than general partner or limited liability company member manager) is based on all information of which preparer has any knowledge. F

Sign Here

1a Gross receipts or sales . . . . . . . . . . . . . 1,240,000 Returns and allowances . . . . . . . . . . . . 1b Balance. Subtract line 1b from line 1a . . . . . . . . . . . . . . . . . . Cost of goods sold (attach Form 1125-A) . . . . . . . . . . . . . . . . Gross profit. Subtract line 2 from line 1c . . . . . . . . . . . . . . . . . Ordinary income (loss) from other partnerships, estates, and trusts (attach statement) . . Net farm profit (loss) (attach Schedule F (Form 1040)) . . . . . . . . . . . . Net gain (loss) from Form 4797, Part II, line 17 (attach Form 4797) . . . . . . . . Other income (loss) (attach statement) . . . . . . . . . . . . . . . . . Total income (loss). Combine lines 3 through 7 . . . . . . . . . . . . . . Salaries and wages (other than to partners) (less employment credits) . . . . . . . Guaranteed payments to partners . . . . . . . . . . . . . . . . . . . Repairs and maintenance . . . . . . . . . . . . . . . . . . . . . . Bad debts . . . . . . . . . . . . . . . . . . . . . . . . . . . Rent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Taxes and licenses . . . . . . . . . . . . . . . . . . . . . . . . Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . Depreciation (if required, attach Form 4562) . . . . . . 16a 13,014 Less depreciation reported on Form 1125-A and elsewhere on return 16b 0 Depletion (Do not deduct oil and gas depletion.) . . . . . . . . . . . . . Retirement plans, etc. . . . . . . . . . . . . . . . . . . . . . . . Employee benefit programs . . . . . . . . . . . . . . . . . . . . . Other deductions (attach statement) . . . . . . . . . . . . . . . . . . Total deductions. Add the amounts shown in the far right column for lines 9 through 20 . Ordinary business income (loss). Subtract line 21 from line 8 . . . . . . . . .

May the IRS discuss this return with the preparer shown below (see instructions)? Yes No

Date Date

PTIN

Firm’s EIN a

a

Firm’s address a

For Paperwork Reduction Act Notice, see separate instructions.

Check if self-employed

Phone no. Cat. No. 11390Z

Form 1065 (2016)


Page 2

Form 1065 (2016)

Schedule B 1 a c e 2

3 a

Other Information

What type of entity is filing this return? Check the applicable box: ✔ Domestic general partnership b Domestic limited partnership Domestic limited liability company d Domestic limited liability partnership Foreign partnership f Other a At any time during the tax year, was any partner in the partnership a disregarded entity, a partnership (including an entity treated as a partnership), a trust, an S corporation, an estate (other than an estate of a deceased partner), or a nominee or similar person? . . . . . . . . . . . . . . . . . . . . . . . . . . .

a

At the end of the tax year, did the partnership: Own directly 20% or more, or own, directly or indirectly, 50% or more of the total voting power of all classes of stock entitled to vote of any foreign or domestic corporation? For rules of constructive ownership, see instructions. If “Yes,” complete (i) through (iv) below . . . . . . . . . . . . . . . . . . . . . (i) Name of Corporation

(ii) Employer Identification Number (if any)

(iii) Country of Incorporation

(iv) Percentage Owned in Voting Stock

b Own directly an interest of 20% or more, or own, directly or indirectly, an interest of 50% or more in the profit, loss, or capital in any foreign or domestic partnership (including an entity treated as a partnership) or in the beneficial interest of a trust? For rules of constructive ownership, see instructions. If “Yes,” complete (i) through (v) below . . (i) Name of Entity

(ii) Employer Identification Number (if any)

(iii) Type of Entity

(iv) Country of Organization

(v) Maximum Percentage Owned in Profit, Loss, or Capital

Yes

5

No

At the end of the tax year: Did any foreign or domestic corporation, partnership (including any entity treated as a partnership), trust, or taxexempt organization, or any foreign government own, directly or indirectly, an interest of 50% or more in the profit, loss, or capital of the partnership? For rules of constructive ownership, see instructions. If “Yes,” attach Schedule B-1, Information on Partners Owning 50% or More of the Partnership . . . . . . . . . . . . . . .

b Did any individual or estate own, directly or indirectly, an interest of 50% or more in the profit, loss, or capital of the partnership? For rules of constructive ownership, see instructions. If “Yes,” attach Schedule B-1, Information on Partners Owning 50% or More of the Partnership . . . . . . . . . . . . . . . . . . . . 4

Yes

Did the partnership file Form 8893, Election of Partnership Level Tax Treatment, or an election statement under section 6231(a)(1)(B)(ii) for partnership-level tax treatment, that is in effect for this tax year? See Form 8893 for more details . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

No

6

Does the partnership satisfy all four of the following conditions? a The partnership’s total receipts for the tax year were less than $250,000. b The partnership’s total assets at the end of the tax year were less than $1 million. c Schedules K-1 are filed with the return and furnished to the partners on or before the due date (including extensions) for the partnership return.

d The partnership is not filing and is not required to file Schedule M-3 . . . . . . . . . . . . . . . If “Yes,” the partnership is not required to complete Schedules L, M-1, and M-2; Item F on page 1 of Form 1065; or Item L on Schedule K-1. 7 Is this partnership a publicly traded partnership as defined in section 469(k)(2)? . . . . . . . . . . . . During the tax year, did the partnership have any debt that was cancelled, was forgiven, or had the terms 8 modified so as to reduce the principal amount of the debt? . . . . . . . . . . . . . . . . . . Has this partnership filed, or is it required to file, Form 8918, Material Advisor Disclosure Statement, to provide 9 information on any reportable transaction? . . . . . . . . . . . . . . . . . . . . . . . . 10

At any time during calendar year 2016, did the partnership have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)? See the instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If “Yes,” enter the name of the foreign country. a

✔ ✔ ✔

Form 1065 (2016)


Page 3

Form 1065 (2016)

Schedule B

Other Information (continued) Yes

11

At any time during the tax year, did the partnership receive a distribution from, or was it the grantor of, or transferor to, a foreign trust? If “Yes,” the partnership may have to file Form 3520, Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts. See instructions . . . . . . . . .

12a

Is the partnership making, or had it previously made (and not revoked), a section 754 election? . . . . . . See instructions for details regarding a section 754 election. b Did the partnership make for this tax year an optional basis adjustment under section 743(b) or 734(b)? If “Yes,” attach a statement showing the computation and allocation of the basis adjustment. See instructions . . . . c

Is the partnership required to adjust the basis of partnership assets under section 743(b) or 734(b) because of a substantial built-in loss (as defined under section 743(d)) or substantial basis reduction (as defined under section 734(d))? If “Yes,” attach a statement showing the computation and allocation of the basis adjustment. See instructions

13

Check this box if, during the current or prior tax year, the partnership distributed any property received in a like-kind exchange or contributed such property to another entity (other than disregarded entities wholly owned by the partnership throughout the tax year) . . . . . . . . . . . . . . . . . . . a At any time during the tax year, did the partnership distribute to any partner a tenancy-in-common or other undivided interest in partnership property? . . . . . . . . . . . . . . . . . . . . . . . . If the partnership is required to file Form 8858, Information Return of U.S. Persons With Respect To Foreign Disregarded Entities, enter the number of Forms 8858 attached. See instructions a Does the partnership have any foreign partners? If “Yes,” enter the number of Forms 8805, Foreign Partner’s Information Statement of Section 1446 Withholding Tax, filed for this partnership. a Enter the number of Forms 8865, Return of U.S. Persons With Respect to Certain Foreign Partnerships, attached to this return. a

14 15 16 17

18a Did you make any payments in 2016 that would require you to file Form(s) 1099? See instructions . . . . . b If “Yes,” did you or will you file required Form(s) 1099? . . . . . . . . . . . . . . . . . . . . Enter the number of Form(s) 5471, Information Return of U.S. Persons With Respect To Certain Foreign 19 Corporations, attached to this return. a 20 21 22

Enter the number of partners that are foreign governments under section 892. a 0 During the partnership’s tax year, did the partnership make any payments that would require it to file Form 1042 and 1042-S under chapter 3 (sections 1441 through 1464) or chapter 4 (sections 1471 through 1474)? . . . . Was the partnership a specified domestic entity required to file Form 8938 for the tax year (See the Instructions for Form 8938)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

No

✔ ✔

✔ ✔

Designation of Tax Matters Partner (see instructions) Enter below the general partner or member-manager designated as the tax matters partner (TMP) for the tax year of this return:

Phone number of TMP

F

F

Address of designated TMP

F

If the TMP is an entity, name of TMP representative

Identifying number of TMP

F

F

Name of designated TMP

Form 1065 (2016)


Page 4

Form 1065 (2016)

Schedule K 1 2 3a

Income (Loss)

b c 4 5 6 7 8 9a

Alternative Other Information Minimum Tax (AMT) Items

Foreign Transactions

Credits

SelfEmploy- Deductions ment

b c 10 11 12 13a b c d 14a b c 15a b c d e f 16a b c d g i l m n 17a b c d e f 18a b c 19a b 20a b c

Partners’ Distributive Share Items Ordinary business income (loss) (page 1, line 22) . . . . . . . . . . . . . 1 Net rental real estate income (loss) (attach Form 8825) . . . . . . . . . . . 2 Other gross rental income (loss) . . . . . . . . 3a Expenses from other rental activities (attach statement) 3b Other net rental income (loss). Subtract line 3b from line 3a . . . . . . . . . 3c Guaranteed payments . . . . . . . . . . . . . . . . . . . . . 4 Interest income . . . . . . . . . . . . . . . . . . . . . . . . 5 Dividends: 6a a Ordinary dividends . . . . . . . . . . . . . . . . . . . . . . . 6b b Qualified dividends Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Net short-term capital gain (loss) (attach Schedule D (Form 1065)) . . . . . . . 8 Net long-term capital gain (loss) (attach Schedule D (Form 1065)) . . . . . . . 9a Collectibles (28%) gain (loss) . . . . . . . . . 9b Unrecaptured section 1250 gain (attach statement) . . 9c Net section 1231 gain (loss) (attach Form 4797) . . . . . . . . . . . . . 10 Other income (loss) (see instructions) Type a 11 Section 179 deduction (attach Form 4562) . . . . . . . . . . . . . . . 12 Contributions . . . . . . . . . . . . . . . . . . . . . . . . 13a Investment interest expense . . . . . . . . . . . . . . . . . . . 13b (1) Type a Section 59(e)(2) expenditures: (2) Amount a 13c(2) Other deductions (see instructions) Type a 13d Net earnings (loss) from self-employment . . . . . . . . . . . . . . . 14a Gross farming or fishing income . . . . . . . . . . . . . . . . . . 14b Gross nonfarm income . . . . . . . . . . . . . . . . . . . . . 14c Low-income housing credit (section 42(j)(5)) . . . . . . . . . . . . . . 15a Low-income housing credit (other) . . . . . . . . . . . . . . . . . 15b Qualified rehabilitation expenditures (rental real estate) (attach Form 3468, if applicable) 15c Type a 15d Other rental real estate credits (see instructions) Type a Other rental credits (see instructions) 15e Other credits (see instructions) Type a 15f Name of country or U.S. possession a Gross income from all sources . . . . . . . . . . . . . . . . . . . 16b Gross income sourced at partner level . . . . . . . . . . . . . . . . 16c Foreign gross income sourced at partnership level e General category a f Other a 16f Passive category a Deductions allocated and apportioned at partner level h Other . . . . . . . . . . a 16h Interest expense a Deductions allocated and apportioned at partnership level to foreign source income k Other a 16k Passive category a j General category a a Total foreign taxes (check one): Paid Accrued . . . . . . . . 16l Reduction in taxes available for credit (attach statement) . . . . . . . . . . 16m Other foreign tax information (attach statement) . . . . . . . . . . . . . Post-1986 depreciation adjustment . . . . . . . . . . . . . . . . . 17a Adjusted gain or loss . . . . . . . . . . . . . . . . . . . . . . 17b Depletion (other than oil and gas) . . . . . . . . . . . . . . . . . . 17c Oil, gas, and geothermal properties—gross income . . . . . . . . . . . . 17d Oil, gas, and geothermal properties—deductions . . . . . . . . . . . . . 17e Other AMT items (attach statement) . . . . . . . . . . . . . . . . . 17f Tax-exempt interest income . . . . . . . . . . . . . . . . . . . . 18a Other tax-exempt income . . . . . . . . . . . . . . . . . . . . 18b Nondeductible expenses . . . . . . . . . . . . . . . . . . . . . 18c Distributions of cash and marketable securities . . . . . . . . . . . . . 19a Distributions of other property . . . . . . . . . . . . . . . . . . . 19b Investment income . . . . . . . . . . . . . . . . . . . . . . . 20a Investment expenses . . . . . . . . . . . . . . . . . . . . . . 20b Other items and amounts (attach statement) . . . . . . . . . . . . . .

Total amount 253,069

156,000

26,950 562

281,403

5,000 156,000

Form 1065 (2016)


Page 5

Form 1065 (2016)

Analysis of Net Income (Loss) Net income (loss). Combine Schedule K, lines 1 through 11. From the result, subtract the sum of Schedule K, lines 12 through 13d, and 16l . . . . . . . . . . . . . . . . . . 1 Analysis by (ii) Individual (iii) Individual (v) Exempt (i) Corporate (iv) Partnership (active) (passive) Organization partner type:

1 2

(vi) Nominee/Other

a General partners b Limited partners

Schedule L 1 2a b 3 4 5 6 7a b 8 9a b 10a b 11 12a b 13 14 15 16 17 18 19a b 20 21 22

Assets Cash . . . . . . . . . . . . . Trade notes and accounts receivable . . . Less allowance for bad debts . . . . . Inventories . . . . . . . . . . . U.S. government obligations . . . . . Tax-exempt securities . . . . . . . Other current assets (attach statement) . . Loans to partners (or persons related to partners) Mortgage and real estate loans . . . . Other investments (attach statement) . . . Buildings and other depreciable assets . . Less accumulated depreciation . . . . Depletable assets . . . . . . . . . Less accumulated depletion . . . . . Land (net of any amortization) . . . . . Intangible assets (amortizable only) . . . Less accumulated amortization . . . . Other assets (attach statement) . . . . Total assets . . . . . . . . . . . Liabilities and Capital Accounts payable . . . . . . . . . Other current liabilities (attach statement) All nonrecourse loans . . . . . . .

Other liabilities (attach statement) . Partners’ capital accounts . . . Total liabilities and capital . . .

. . .

(d)

. .

. . .

. . .

Reconciliation of Income (Loss) per Books With Income (Loss) per Return

Note. The partnership may be required to file Schedule M-3 (see instructions). Net income (loss) per books . . . . Income recorded on books this year not included 6 Income included on Schedule K, lines 1, 2, 3c, 5, 6a, 7, 8, 9a, 10, and 11, not recorded on books this year (itemize):

3

Guaranteed payments (other than health insurance) . . . . . . .

4

Expenses recorded on books this year not included on Schedule K, lines 1 through 13d, and 16l (itemize):

a Depreciation $ b Travel and entertainment $ 5 Add lines 1 through 4 . . .

Schedule M-2

3 4 5

End of tax year (c)

Loans from partners (or persons related to partners) Mortgages, notes, bonds payable in 1 year or more

2

1 2

Beginning of tax year (a) (b)

Mortgages, notes, bonds payable in less than 1 year

Schedule M-1 1

Balance Sheets per Books

.

.

on Schedule K, lines 1 through 11 (itemize):

a

Tax-exempt interest $

a

Deductions included on Schedule K, lines 1 through 13d, and 16l, not charged against book income this year (itemize): Depreciation $

7

8 9

Add lines 6 and 7 . . . . . . . . Income (loss) (Analysis of Net Income (Loss), line 1). Subtract line 8 from line 5 .

6

Distributions: a Cash . . b Property . Other decreases (itemize):

. .

. .

. .

. .

Add lines 6 and 7 .

.

.

.

.

.

Analysis of Partners’ Capital Accounts

Balance at beginning of year . Capital contributed: a Cash . b Property Net income (loss) per books . . Other increases (itemize): Add lines 1 through 4 . . . .

. . . .

. . . .

.

.

7 8 9

.

.

.

Balance at end of year. Subtract line 8 from line 5 Form 1065 (2016)


651113 Final K-1

2016

Schedule K-1 (Form 1065)

Part III Partner’s Share of Current Year Income, Deductions, Credits, and Other Items 1

Ordinary business income (loss)

2

Net rental real estate income (loss)

3

Other net rental income (loss)

4

Guaranteed payments

5

Interest income

6a

Ordinary dividends

Rite-Way Plumbing Com[any 124 Division Street Sarasota, FL 33454

6b

Qualified dividends

C

7

Royalties

8

Net short-term capital gain (loss)

9a

Net long-term capital gain (loss)

9b

Collectibles (28%) gain (loss)

9c

Unrecaptured section 1250 gain

10

Net section 1231 gain (loss)

11

Other income (loss)

Department of the Treasury Internal Revenue Service

For calendar year 2016, or tax year beginning ending

A

Information About the Partnership

Credits

16

Foreign transactions

17

Alternative minimum tax (AMT) items

18

Tax-exempt income and nondeductible expenses

78,000

Partnership’s employer identification number

69-3456789 B

15

63,267

, 2016 , 20

Partner’s Share of Income, Deductions, a See back of form and separate instructions. Credits, etc. Part I

OMB No. 1545-0123

Amended K-1

Partnership’s name, address, city, state, and ZIP code

IRS Center where partnership filed return

Ogden, Utah Check if this is a publicly traded partnership (PTP)

D

Part II E

Information About the Partner

Partner’s identifying number

666-66-6666 F

Partner’s name, address, city, state, and ZIP code

(168)

James Henry G

H

General partner or LLC member-manager

Limited partner or other LLC member

Domestic partner

Foreign partner

I1

What type of entity is this partner?

I2

If this partner is a retirement plan (IRA/SEP/Keogh/etc.), check here . . . . . . . . . . . . . . . . . .

J

C

19 .

25 % 25 % 25 %

Loss Capital

12

Section 179 deduction

13

Other deductions

1,250

Distributions

6,738

Partner’s share of profit, loss, and capital (see instructions): Beginning Ending Profit

K

141

A 141

25 % 25 % 25 %

20

78,000 Other information

Partner’s share of liabilities at year end: Nonrecourse

.

.

.

.

.

.

Qualified nonrecourse financing

.

$

Recourse

.

$

.

.

.

.

.

.

14

$

Self-employment earnings (loss)

140,747 *See attached statement for additional information.

Partner’s capital account analysis: Beginning capital account .

.

.

$

Current year increase (decrease)

.

$

Withdrawals & distributions

.

.

$ (

.

.

$

Capital contributed during the year

Ending capital account .

Tax basis

.

GAAP

$

)

Section 704(b) book

Other (explain)

M

For IRS Use Only

L

Did the partner contribute property with a built-in gain or loss? Yes No If “Yes,” attach statement (see instructions)

For Paperwork Reduction Act Notice, see Instructions for Form 1065.

IRS.gov/form1065

Cat. No. 11394R

Schedule K-1 (Form 1065) 2016


651113 Final K-1

2016

Schedule K-1 (Form 1065)

Part III Partner’s Share of Current Year Income, Deductions, Credits, and Other Items 1

Ordinary business income (loss)

2

Net rental real estate income (loss)

3

Other net rental income (loss)

4

Guaranteed payments

5

Interest income

6a

Ordinary dividends

Rite-Way Plumbing Com[any 124 Division Street Sarasota, FL 33454

6b

Qualified dividends

C

7

Royalties

8

Net short-term capital gain (loss)

9a

Net long-term capital gain (loss)

9b

Collectibles (28%) gain (loss)

9c

Unrecaptured section 1250 gain

10

Net section 1231 gain (loss)

11

Other income (loss)

Department of the Treasury Internal Revenue Service

For calendar year 2016, or tax year beginning ending

A

Information About the Partnership

Credits

16

Foreign transactions

17

Alternative minimum tax (AMT) items

18

Tax-exempt income and nondeductible expenses

78,000

Partnership’s employer identification number

69-3456789 B

15

63,267

, 2016 , 20

Partner’s Share of Income, Deductions, a See back of form and separate instructions. Credits, etc. Part I

OMB No. 1545-0123

Amended K-1

Partnership’s name, address, city, state, and ZIP code

IRS Center where partnership filed return

Ogden, Utah Check if this is a publicly traded partnership (PTP)

D

Part II E

Information About the Partner

Partner’s identifying number

555-55-5555 F

Partner’s name, address, city, state, and ZIP code

(168)

John Henry G

H

General partner or LLC member-manager

Limited partner or other LLC member

Domestic partner

Foreign partner

I1

What type of entity is this partner?

I2

If this partner is a retirement plan (IRA/SEP/Keogh/etc.), check here . . . . . . . . . . . . . . . . . .

J

C

19 .

25 % 25 % 25 %

Loss Capital

12

Section 179 deduction

13

Other deductions

1,250

Distributions

6,738

Partner’s share of profit, loss, and capital (see instructions): Beginning Ending Profit

K

141

A 141

25 % 25 % 25 %

20

78,000 Other information

Partner’s share of liabilities at year end: Nonrecourse

.

.

.

.

.

.

Qualified nonrecourse financing

.

$

Recourse

.

$

.

.

.

.

.

.

14

$

Self-employment earnings (loss)

140,747 *See attached statement for additional information.

Partner’s capital account analysis: Beginning capital account .

.

.

$

Current year increase (decrease)

.

$

Withdrawals & distributions

.

.

$ (

.

.

$

Capital contributed during the year

Ending capital account .

Tax basis

.

GAAP

$

)

Section 704(b) book

Other (explain)

M

For IRS Use Only

L

Did the partner contribute property with a built-in gain or loss? Yes No If “Yes,” attach statement (see instructions)

For Paperwork Reduction Act Notice, see Instructions for Form 1065.

IRS.gov/form1065

Cat. No. 11394R

Schedule K-1 (Form 1065) 2016


651113 Final K-1

2016

Schedule K-1 (Form 1065)

Part III Partner’s Share of Current Year Income, Deductions, Credits, and Other Items 1

Ordinary business income (loss)

2

Net rental real estate income (loss)

3

Other net rental income (loss)

4

Guaranteed payments

5

Interest income

6a

Ordinary dividends

Rite-Way Plumbing Com[any 124 Division Street Sarasota, FL 33454

6b

Qualified dividends

C

7

Royalties

8

Net short-term capital gain (loss)

9a

Net long-term capital gain (loss)

9b

Collectibles (28%) gain (loss)

9c

Unrecaptured section 1250 gain

10

Net section 1231 gain (loss)

11

Other income (loss)

Department of the Treasury Internal Revenue Service

For calendar year 2016, or tax year beginning ending

A

Information About the Partnership

Credits

16

Foreign transactions

17

Alternative minimum tax (AMT) items

18

Tax-exempt income and nondeductible expenses

Partnership’s employer identification number

69-3456789 B

15

126,535

, 2016 , 20

Partner’s Share of Income, Deductions, a See back of form and separate instructions. Credits, etc. Part I

OMB No. 1545-0123

Amended K-1

Partnership’s name, address, city, state, and ZIP code

IRS Center where partnership filed return

Ogden, Utah D

Check if this is a publicly traded partnership (PTP)

Part II E

Information About the Partner

Partner’s identifying number

888-88-8888 F

Partner’s name, address, city, state, and ZIP code

(336)

Tom Henry G

General partner or LLC member-manager

H

Domestic partner

Limited partner or other LLC member

I1

What type of entity is this partner?

I2

If this partner is a retirement plan (IRA/SEP/Keogh/etc.), check here . . . . . . . . . . . . . . . . . .

J

.

50 % 50 % 50 %

Loss Capital

12

Section 179 deduction

13

Other deductions

2,500

19

Distributions

20

Other information

13,457

Partner’s share of profit, loss, and capital (see instructions): Beginning Ending Profit

K

C

Foreign partner

281

50 % 50 % 50 %

Partner’s share of liabilities at year end: Nonrecourse

.

.

.

.

.

.

Qualified nonrecourse financing

.

$

Recourse

.

$

.

.

.

.

.

.

14

$

Self-employment earnings (loss)

140,747 *See attached statement for additional information.

Partner’s capital account analysis: Beginning capital account .

.

.

$

Current year increase (decrease)

.

$

Withdrawals & distributions

.

.

$ (

.

.

$

Capital contributed during the year

Ending capital account .

Tax basis

.

GAAP

$

)

Section 704(b) book

Other (explain)

M

For IRS Use Only

L

Did the partner contribute property with a built-in gain or loss? Yes No If “Yes,” attach statement (see instructions)

For Paperwork Reduction Act Notice, see Instructions for Form 1065.

IRS.gov/form1065

Cat. No. 11394R

Schedule K-1 (Form 1065) 2016


Form

4797

Department of the Treasury Internal Revenue Service

Sales of Business Property

OMB No. 1545-0184

(Also Involuntary Conversions and Recapture Amounts Under Sections 179 and 280F(b)(2))

2016

a Attach to your tax return.

Attachment Sequence No. 27

a Information about Form 4797 and its separate instructions is at www.irs.gov/form4797.

Name(s) shown on return

Identifying number

Rite-Way Plumbing 69-3456789 1 Enter the gross proceeds from sales or exchanges reported to you for 2016 on Form(s) 1099-B or 1099-S (or substitute statement) that you are including on line 2, 10, or 20. See instructions . . . . . . . . 1

Part I

Sales or Exchanges of Property Used in a Trade or Business and Involuntary Conversions From Other Than Casualty or Theft—Most Property Held More Than 1 Year (see instructions) (a) Description of property

2

(b) Date acquired (mo., day, yr.)

(c) Date sold (mo., day, yr.)

3/2013

9-12-2015

Computer

(e) Depreciation allowed or allowable since acquisition

(d) Gross sales price

250

. .

. .

3 4

5 6 7

Section 1231 gain or (loss) from like-kind exchanges from Form 8824 . . . . . . . . . . . . . . Gain, if any, from line 32, from other than casualty or theft . . . . . . . . . . . . . . . . . Combine lines 2 through 6. Enter the gain or (loss) here and on the appropriate line as follows: . . . . . . . Partnerships (except electing large partnerships) and S corporations. Report the gain or (loss) following the instructions for Form 1065, Schedule K, line 10, or Form 1120S, Schedule K, line 9. Skip lines 8, 9, 11, and 12 below. Individuals, partners, S corporation shareholders, and all others. If line 7 is zero or a loss, enter the amount from line 7 on line 11 below and skip lines 8 and 9. If line 7 is a gain and you didn’t have any prior year section 1231 losses, or they were recaptured in an earlier year, enter the gain from line 7 as a long-term capital gain on the Schedule D filed with your return and skip lines 8, 9, 11, and 12 below.

5 6 7

8

Nonrecaptured net section 1231 losses from prior years. See instructions .

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8

9

Subtract line 8 from line 7. If zero or less, enter -0-. If line 9 is zero, enter the gain from line 7 on line 12 below. If line 9 is more than zero, enter the amount from line 8 on line 12 below and enter the gain from line 9 as a long-term capital gain on the Schedule D filed with your return. See instructions . . . . . . . . . . . . . .

9

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4,000

Gain, if any, from Form 4684, line 39 . . . . . . . . . . . Section 1231 gain from installment sales from Form 6252, line 26 or 37 .

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3,078

3 4

Part II

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(f) Cost or other basis, plus improvements and expense of sale

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(g) Gain or (loss) Subtract (f) from the sum of (d) and (e)

(672)

(672)

Ordinary Gains and Losses (see instructions)

10

Ordinary gains and losses not included on lines 11 through 16 (include property held 1 year or less):

11 12 13

Loss, if any, from line 7 . . . . . . . . . . . Gain, if any, from line 7 or amount from line 8, if applicable Gain, if any, from line 31 . . . . . . . . . .

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11 ( 12 13

14 15 16

Net gain or (loss) from Form 4684, lines 31 and 38a . . . . . Ordinary gain from installment sales from Form 6252, line 25 or 36 . Ordinary gain or (loss) from like-kind exchanges from Form 8824. .

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14 15 16

17 18

Combine lines 10 through 16 .

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17

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) 2,081

2,081

For all except individual returns, enter the amount from line 17 on the appropriate line of your return and skip lines a and b below. For individual returns, complete lines a and b below: a If the loss on line 11 includes a loss from Form 4684, line 35, column (b)(ii), enter that part of the loss here. Enter the part of the loss from income-producing property on Schedule A (Form 1040), line 28, and the part of the loss from property used as an employee on Schedule A (Form 1040), line 23. Identify as from “Form 4797, line 18a.” See instructions . . b Redetermine the gain or (loss) on line 17 excluding the loss, if any, on line 18a. Enter here and on Form 1040, line 14

For Paperwork Reduction Act Notice, see separate instructions.

Cat. No. 13086I

18a 18b Form 4797 (2016)


Page 2

Form 4797 (2016)

Part III 19

Gain From Disposition of Property Under Sections 1245, 1250, 1252, 1254, and 1255 (see instructions)

(a) Description of section 1245, 1250, 1252, 1254, or 1255 property:

(b) Date acquired (mo., day, yr.)

(c) Date sold (mo., day, yr.)

3/2013

2/2016

Property C

Property D

A Truck B C D These columns relate to the properties on lines 19A through 19D. a

20 21 22 23 24 25

26

27

28

Property B

Gross sales price (Note: See line 1 before completing.) Cost or other basis plus expense of sale . . . . Depreciation (or depletion) allowed or allowable . . Adjusted basis. Subtract line 22 from line 21 . . .

. . . .

20 21 22 23

6,000 17,000 13,083 3,917

Total gain. Subtract line 23 from line 20 .

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24

2,083

If section 1245 property: a Depreciation allowed or allowable from line 22 . b Enter the smaller of line 24 or 25a . . . .

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25a 25b

13,083 2,083

If section 1250 property: If straight line depreciation was used, enter -0- on line 26g, except for a corporation subject to section 291. a Additional depreciation after 1975. See instructions .

26a

b Applicable percentage multiplied by the smaller of line 24 or line 26a. See instructions . . . . . . .

26b

c Subtract line 26a from line 24. If residential rental property or line 24 isn’t more than line 26a, skip lines 26d and 26e d Additional depreciation after 1969 and before 1976 . . e Enter the smaller of line 26c or 26d . . . . . . f Section 291 amount (corporations only) . . . . . g Add lines 26b, 26e, and 26f. . . . . . . . .

26c 26d 26e 26f 26g

If section 1252 property: Skip this section if you didn’t dispose of farmland or if this form is being completed for a partnership (other than an electing large partnership). a Soil, water, and land clearing expenses . . . . . b Line 27a multiplied by applicable percentage. See instructions c Enter the smaller of line 24 or 27b . . . . . .

27a 27b 27c

If section 1254 property: a Intangible drilling and development costs, expenditures for development of mines and other natural deposits, mining exploration costs, and depletion. See instructions . . . . . . . . . . . . . b Enter the smaller of line 24 or 28a . . . . . .

29

Property A

28a 28b

If section 1255 property: a Applicable percentage of payments excluded from income under section 126. See instructions . . . . b Enter the smaller of line 24 or 29a. See instructions .

29a 29b

Summary of Part III Gains. Complete property columns A through D through line 29b before going to line 30. 30

Total gains for all properties. Add property columns A through D, line 24

31 32

Add property columns A through D, lines 25b, 26g, 27c, 28b, and 29b. Enter here and on line 13 . . . . . . Subtract line 31 from line 30. Enter the portion from casualty or theft on Form 4684, line 33. Enter the portion from other than casualty or theft on Form 4797, line 6 . . . . . . . . . . . . . . . . . . . .

Part IV

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2,083

30 31

2,083

32

Recapture Amounts Under Sections 179 and 280F(b)(2) When Business Use Drops to 50% or Less (see instructions) (a) Section 179

33

Section 179 expense deduction or depreciation allowable in prior years.

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34 35

Recomputed depreciation. See instructions . . . . . . . . . . . . . . Recapture amount. Subtract line 34 from line 33. See the instructions for where to report

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(b) Section 280F(b)(2)

33 34 35 Form 4797 (2016)


Form

4562

Depreciation and Amortization a Attach to your tax return.

Business or activity to which this form relates

Rite-Way Plumbing

Plumbing Contractor

6

Attachment Sequence No. 179

a Information about Form 4562 and its separate instructions is at www.irs.gov/form4562.

Name(s) shown on return

1 2 3 4 5

2016

(Including Information on Listed Property)

Department of the Treasury Internal Revenue Service (99)

Part I

OMB No. 1545-0172

Identifying number

69-3456789

Election To Expense Certain Property Under Section 179 Note: If you have any listed property, complete Part V before you complete Part I.

Maximum amount (see instructions) . . . . . . . . . . . . . . . . . . . . . . . Total cost of section 179 property placed in service (see instructions) . . . . . . . . . . . Threshold cost of section 179 property before reduction in limitation (see instructions) . . . . . . Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0- . . . . . . . . . . Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . (a) Description of property

(b) Cost (business use only)

Truck, Computer System, Office Furniture

1 2 3 4

500,000 26,950 2,010,000

5

5,000,000

0

(c) Elected cost

26,950

26,950

7 Listed property. Enter the amount from line 29 . . . . . . . . . 7 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 . . . . . . 8 26,950 9 Tentative deduction. Enter the smaller of line 5 or line 8 . . . . . . . . . . . . . . . . 9 26,950 10 Carryover of disallowed deduction from line 13 of your 2015 Form 4562 . . . . . . . . . . . 10 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instructions) 11 253,069 12 Section 179 expense deduction. Add lines 9 and 10, but don’t enter more than line 11 . . . . . . 12 26,950 13 13 Carryover of disallowed deduction to 2017. Add lines 9 and 10, less line 12 a Note: Don’t use Part II or Part III below for listed property. Instead, use Part V. Part II Special Depreciation Allowance and Other Depreciation (Don’t include listed property.) (See instructions.) 14 Special depreciation allowance for qualified property (other than listed property) placed in service during the tax year (see instructions) . . . . . . . . . . . . . . . . . . . . . . 14 15 Property subject to section 168(f)(1) election . . . . . . . . . . . . . . . . . . . . 15 16 Other depreciation (including ACRS) . . . . . . . . . . . . . . . . . . . . . . 16 Part III MACRS Depreciation (Don’t include listed property.) (See instructions.) Section A 17 17 MACRS deductions for assets placed in service in tax years beginning before 2016 . . . . . . . 13,014 18 If you are electing to group any assets placed in service during the tax year into one or more general asset accounts, check here . . . . . . . . . . . . . . . . . . . . . . a Section B—Assets Placed in Service During 2016 Tax Year Using the General Depreciation System (a) Classification of property

(b) Month and year placed in service

(c) Basis for depreciation (business/investment use only—see instructions)

19a 3-year property b 5-year property c 7-year property d 10-year property e 15-year property f 20-year property g 25-year property h Residential rental property i Nonresidential real property

(d) Recovery period

25 yrs. 27.5 yrs. 27.5 yrs. 39 yrs.

(e) Convention

(f) Method

MM MM MM MM

S/L S/L S/L S/L S/L

(g) Depreciation deduction

Section C—Assets Placed in Service During 2016 Tax Year Using the Alternative Depreciation System S/L 20a Class life 12 yrs. S/L b 12-year 40 yrs. MM S/L c 40-year

Part IV Summary (See instructions.) 21 Listed property. Enter amount from line 28 . . . . . . . . . . . . . . . . . . . . 22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter here and on the appropriate lines of your return. Partnerships and S corporations—see instructions . 23 For assets shown above and placed in service during the current year, enter the portion of the basis attributable to section 263A costs . . . . . . . 23 For Paperwork Reduction Act Notice, see separate instructions.

Cat. No. 12906N

21 22

39,964

Form 4562 (2016)


Chapter 11, Problem 79

Form

U.S. Income Tax Return for an S Corporation

1120S

Department of the Treasury Internal Revenue Service A S election effective date

July 1, 2012

, 2016, ending

, 20

Name

TYPE

D Employer identification number

86-1122334

John's Cabinets

E Date incorporated

Number, street, and room or suite no. If a P.O. box, see instructions.

OR PRINT

321000

2016

attaching Form 2553 to elect to be an S corporation. a Information about Form 1120S and its separate instructions is at www.irs.gov/form1120s.

For calendar year 2016 or tax year beginning

B Business activity code number (see instructions)

OMB No. 1545-0123

a Do not file this form unless the corporation has filed or is

C Check if Sch. M-3 attached

7620 Commerce Place

July 1, 2012

City or town, state or province, country, and ZIP or foreign postal code

F Total assets (see instructions)

Beavercreek, OH

$

Yes No If “Yes,” attach Form 2553 if not already filed G Is the corporation electing to be an S corporation beginning with this tax year? (4) (3) (5) Name change Address change S election termination or revocation Final return (2) Amended return H Check if: (1) a I Enter the number of shareholders who were shareholders during any part of the tax year . . . . . . . . . Caution: Include only trade or business income and expenses on lines 1a through 21. See the instructions for more information.

1a

Gross receipts or sales .

. . . . . . . . . . . . . . 1a 850,000 . . . . . . . . . . . . . . 1b 12,000 Balance. Subtract line 1b from line 1a . . . . . . . . . . . . . . . . . . . Cost of goods sold (attach Form 1125-A) . . . . . . . . . . . . . . . . . . Gross profit. Subtract line 2 from line 1c . . . . . . . . . . . . . . . . . . Net gain (loss) from Form 4797, line 17 (attach Form 4797) . . . . . . . . . . . . Other income (loss) (see instructions—attach statement) . . . . . . . . . . . . . Total income (loss). Add lines 3 through 5 . . . . . . . . . . . . . . . . a Compensation of officers (see instructions—attach Form 1125-E) . . . . . . . . . . Salaries and wages (less employment credits) . . . . . . . . . . . . . . . . Repairs and maintenance . . . . . . . . . . . . . . . . . . . . . . . Bad debts . . . . . . . . . . . . . . . . . . . . . . . . . . . Rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Taxes and licenses . . . . . . . . . . . . . . . . . . . . . . . . . Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . Depreciation not claimed on Form 1125-A or elsewhere on return (attach Form 4562) . . . . Depletion (Do not deduct oil and gas depletion.) . . . . . . . . . . . . . . . Advertising . . . . . . . . . . . . . . . . . . . . . . . . . . . Pension, profit-sharing, etc., plans . . . . . . . . . . . . . . . . . . . . Employee benefit programs . . . . . . . . . . . . . . . . . . . . . . Other deductions (attach statement) . . . . . . . . . . . . . . . . . . . Total deductions. Add lines 7 through 19 . . . . . . . . . . . . . . . . a Ordinary business income (loss). Subtract line 20 from line 6 . . . . . . . . . . . Excess net passive income or LIFO recapture tax (see instructions) . . 22a Tax from Schedule D (Form 1120S) . . . . . . . . . . . 22b Add lines 22a and 22b (see instructions for additional taxes) . . . . . . . . . . . . 2016 estimated tax payments and 2015 overpayment credited to 2016 23a Tax deposited with Form 7004 . . . . . . . . . . . . 23b Credit for federal tax paid on fuels (attach Form 4136) . . . . . 23c Add lines 23a through 23c . . . . . . . . . . . . . . . . . . . . . . Estimated tax penalty (see instructions). Check if Form 2220 is attached . . . . . . a Amount owed. If line 23d is smaller than the total of lines 22c and 24, enter amount owed . . Overpayment. If line 23d is larger than the total of lines 22c and 24, enter amount overpaid . . Enter amount from line 26 Credited to 2017 estimated tax a Refunded a

Tax and Payments

Deductions (see instructions for limitations)

Income

b Returns and allowances

c 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 a b c 23 a b c d 24 25 26 27

838,000 330,000 508,000 714 508,714 111,500 220,000 4,000 36,000 42,720 4,000 9,929 2,000 17,500 3,500 451,149 57,565

22c

23d 24 25 26 27

Date

Signature of officer

Print/Type preparer's name

Paid Preparer Use Only Firm's name

Preparer's signature

F

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. May the IRS discuss this return with the preparer shown below (see instructions)?

F

Sign Here

1c 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21

Yes

Title

Date

No

PTIN Check if self-employed Firm's EIN a

a

Firm's address a

For Paperwork Reduction Act Notice, see separate instructions.

Phone no. Cat. No. 11510H

Form 1120S (2016)


Page 2

Form 1120S (2016)

Schedule B 1 2 3 4

Other Information (see instructions) Yes No

Check accounting method:

a Cash b Accrual c ✔ Other (specify) a See the instructions and enter the: a Business activity a b Product or service a At any time during the tax year, was any shareholder of the corporation a disregarded entity, a trust, an estate, or a nominee or similar person? If "Yes," attach Schedule B-1, Information on Certain Shareholders of an S Corporation . . At the end of the tax year, did the corporation: a Own directly 20% or more, or own, directly or indirectly, 50% or more of the total stock issued and outstanding of any foreign or domestic corporation? For rules of constructive ownership, see instructions. If “Yes,” complete (i) through (v) below . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (i) Name of Corporation

(ii) Employer Identification Number (if any)

(iii) Country of Incorporation

(iv) Percentage of Stock Owned

(v) If Percentage in (iv) is 100%, Enter the Date (if any) a Qualified Subchapter S Subsidiary Election Was Made

b Own directly an interest of 20% or more, or own, directly or indirectly, an interest of 50% or more in the profit, loss, or capital in any foreign or domestic partnership (including an entity treated as a partnership) or in the beneficial interest of a trust? For rules of constructive ownership, see instructions. If “Yes,” complete (i) through (v) below . . . . . . . (i) Name of Entity

(ii) Employer Identification Number (if any)

(iii) Type of Entity

(iv) Country of Organization

(v) Maximum Percentage Owned in Profit, Loss, or Capital

5 a At the end of the tax year, did the corporation have any outstanding shares of restricted stock? . . . . . . . If “Yes,” complete lines (i) and (ii) below. (i) Total shares of restricted stock. . . . . . . . . . a (ii) Total shares of non-restricted stock . . . . . . . . a b At the end of the tax year, did the corporation have any outstanding stock options, warrants, or similar instruments?

.

.

If “Yes,” complete lines (i) and (ii) below. (i) Total shares of stock outstanding at the end of the tax year a (ii) Total shares of stock outstanding if all instruments were executed a 6 7

Has this corporation filed, or is it required to file, Form 8918, Material Advisor Disclosure Statement, to provide information on any reportable transaction? . . . . . . . . . . . . . . . . . . . . . . . . Check this box if the corporation issued publicly offered debt instruments with original issue discount . . . . a

If checked, the corporation may have to file Form 8281, Information Return for Publicly Offered Original Issue Discount Instruments. 8

9 10

If the corporation: (a) was a C corporation before it elected to be an S corporation or the corporation acquired an asset with a basis determined by reference to the basis of the asset (or the basis of any other property) in the hands of a C corporation and (b) has net unrealized built-in gain in excess of the net recognized built-in gain from prior years, enter the net unrealized built-in gain reduced by net recognized built-in gain from prior years (see instructions) . . . . . . . . . . . . . . . a $ $ Enter the accumulated earnings and profits of the corporation at the end of the tax year. Does the corporation satisfy both of the following conditions? a The corporation’s total receipts (see instructions) for the tax year were less than $250,000 . b The corporation’s total assets at the end of the tax year were less than $250,000 . . . If “Yes,” the corporation is not required to complete Schedules L and M-1.

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11

During the tax year, did the corporation have any non-shareholder debt that was canceled, was forgiven, or had the terms modified so as to reduce the principal amount of the debt? . . . . . . . . . . . . . . . . . If “Yes,” enter the amount of principal reduction $ 12 During the tax year, was a qualified subchapter S subsidiary election terminated or revoked? If “Yes,” see instructions . 13 a Did the corporation make any payments in 2016 that would require it to file Form(s) 1099? . . . . . . . . . . b If “Yes,” did the corporation file or will it file required Forms 1099? . . . . . . . . . . . . . . . . .

✔ ✔ ✔

Form 1120S (2016)


Page 3

Form 1120S (2016)

Credits

Deductions

Income (Loss)

Schedule K

Foreign Transactions Alternative Minimum Tax (AMT) Items

Total amount

1 2 3a b c 4 5

Ordinary business income (loss) (page 1, line 21) . . . . . . . . . . . . . . Net rental real estate income (loss) (attach Form 8825) . . . . . . . . . . . . Other gross rental income (loss) . . . . . . . . . . 3a Expenses from other rental activities (attach statement) . . 3b Other net rental income (loss). Subtract line 3b from line 3a . . . . . . . . . . Interest income . . . . . . . . . . . . . . . . . . . . . . . . Dividends: a Ordinary dividends . . . . . . . . . . . . . . . . . . . b Qualified dividends . . . . . . . . . . 5b 6 Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Net short-term capital gain (loss) (attach Schedule D (Form 1120S)) . . . . . . . . 8 a Net long-term capital gain (loss) (attach Schedule D (Form 1120S)) . . . . . . . . b Collectibles (28%) gain (loss) . . . . . . . . . . . 8b c Unrecaptured section 1250 gain (attach statement) . . . . 8c 9 Net section 1231 gain (loss) (attach Form 4797) . . . . . . . . . . . . . . 10 Other income (loss) (see instructions) . . Type a 11 Section 179 deduction (attach Form 4562) . . . . . . . . . . . . . . . . 12a Charitable contributions . . . . . . . . . . . . . . . . . . . . . b Investment interest expense . . . . . . . . . . . . . . . . . . . . c Section 59(e)(2) expenditures (1) Type a (2) Amount a d Other deductions (see instructions) . . . Type a 13a Low-income housing credit (section 42(j)(5)) . . . . . . . . . . . . . . . b Low-income housing credit (other) . . . . . . . . . . . . . . . . . . c Qualified rehabilitation expenditures (rental real estate) (attach Form 3468, if applicable) . . d Other rental real estate credits (see instructions) Type a e Other rental credits (see instructions) . . . Type a f g 14a b c

Items Affecting Shareholder Basis

Shareholders’ Pro Rata Share Items

Biofuel producer credit (attach Form 6478) Other credits (see instructions) . . . . Name of country or U.S. possession a

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. . . . Type a

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1 2

57,565

3c 4 5a 6 7 8a

9 10 11 12a 12b

(2,143) 10,000

12c(2)

12d 13a 13b 13c 13d 13e 13f 13g

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.

.

.

Gross income from all sources . . . . . . . . . . . . . . . . Gross income sourced at shareholder level . . . . . . . . . . . . Foreign gross income sourced at corporate level d Passive category . . . . . . . . . . . . . . . . . . . . e General category . . . . . . . . . . . . . . . . . . . . f Other (attach statement) . . . . . . . . . . . . . . . . . . Deductions allocated and apportioned at shareholder level g Interest expense . . . . . . . . . . . . . . . . . . . . . h Other . . . . . . . . . . . . . . . . . . . . . . . . Deductions allocated and apportioned at corporate level to foreign source income i Passive category . . . . . . . . . . . . . . . . . . . . j General category . . . . . . . . . . . . . . . . . . . . k Other (attach statement) . . . . . . . . . . . . . . . . . . Other information l Total foreign taxes (check one): a Paid Accrued . . . . . . . m Reduction in taxes available for credit (attach statement) . . . . . . . . n Other foreign tax information (attach statement) 15a Post-1986 depreciation adjustment . . . . . . . . . . . . . . . b Adjusted gain or loss . . . . . . . . . . . . . . . . . . . c Depletion (other than oil and gas) . . . . . . . . . . . . . . . d Oil, gas, and geothermal properties—gross income . . . . . . . . . . e Oil, gas, and geothermal properties—deductions . . . . . . . . . . . f Other AMT items (attach statement) . . . . . . . . . . . . . . . 16a Tax-exempt interest income . . . . . . . . . . . . . . . . . b Other tax-exempt income . . . . . . . . . . . . . . . . . . c Nondeductible expenses . . . . . . . . . . . . . . . . . . d Distributions (attach statement if required) (see instructions) . . . . . . . e Repayment of loans from shareholders . . . . . . . . . . . . . .

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14b 14c

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14d 14e 14f

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14g

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14i 14j 14k

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14l 14m

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15a 15b 15c 15d 15e 15f 16a 16b 16c 16d 16e

14h

2,500

Form 1120S (2016)


Page 4

Form 1120S (2016)

ReconOther ciliation Information

Schedule K

Total amount

Shareholders’ Pro Rata Share Items (continued)

17a b c d

Investment income . . . . . . . . . . . . . . . Investment expenses . . . . . . . . . . . . . . Dividend distributions paid from accumulated earnings and profits Other items and amounts (attach statement)

18

Income/loss reconciliation. Combine the amounts on lines 1 through 10 in the far right column. From the result, subtract the sum of the amounts on lines 11 through 12d and 14l

Schedule L

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

17a 17b 17c

Beginning of tax year

Balance Sheets per Books Assets

(a)

1 2a b 3 4 5 6 7 8 9 10a b 11a b 12 13a b 14 15

Cash . . . . . . . . . . . . Trade notes and accounts receivable . . Less allowance for bad debts . . . . . Inventories . . . . . . . . . . U.S. government obligations . . . . . Tax-exempt securities (see instructions) . Other current assets (attach statement) . . Loans to shareholders . . . . . . . Mortgage and real estate loans . . . . Other investments (attach statement) . . Buildings and other depreciable assets . . Less accumulated depreciation . . . . Depletable assets . . . . . . . . Less accumulated depletion . . . . . Land (net of any amortization) . . . . . Intangible assets (amortizable only) . . . Less accumulated amortization . . . . Other assets (attach statement) . . . . Total assets . . . . . . . . . . Liabilities and Shareholders’ Equity

. . . . . . . . . . . . . . . . . . .

16 17 18 19 20 21 22 23 24 25 26 27

Accounts payable . . . . . . . . . Mortgages, notes, bonds payable in less than 1 year Other current liabilities (attach statement) . . Loans from shareholders . . . . . . . Mortgages, notes, bonds payable in 1 year or more Other liabilities (attach statement) . . . . Capital stock . . . . . . . . . . . Additional paid-in capital . . . . . . . Retained earnings . . . . . . . . . Adjustments to shareholders’ equity (attach statement) Less cost of treasury stock . . . . . . Total liabilities and shareholders’ equity . .

18

45,422

End of tax year (b)

(c)

(d)

(

)

(

)

(

)

(

)

(

)

(

)

(

)

(

)

(

)

(

) Form 1120S (2016)


Page 5

Form 1120S (2016)

Schedule M-1

Reconciliation of Income (Loss) per Books With Income (Loss) per Return Note: The corporation may be required to file Schedule M-3 (see instructions)

1

Net income (loss) per books

2

Income included on Schedule K, lines 1, 2, 3c, 4, 5a, 6, 7, 8a, 9, and 10, not recorded on books this year (itemize)

on Schedule K, lines 1 through 10 (itemize): a Tax-exempt interest $

Expenses recorded on books this year not included on Schedule K, lines 1 through 12 and 14l (itemize): Depreciation $ Travel and entertainment $ 500; 2,000 bad debt

6 Deductions included on Schedule K,

2,000 fine; 357 loss

. . . . . 4,857 7 Add lines 5 and 6 47,937 8 Income (loss) (Schedule K, line 18). Line 4 less line 7

3

a b 4

Add lines 1 through 3

Schedule M-2

.

.

.

.

.

.

.

.

.

.

.

.

.

.

43,080 5 Income recorded on books this year not included

0 lines 1 through 12 and 14l, not charged against book income this year (itemize): 2,515 a Depreciation $

Analysis of Accumulated Adjustments Account, Other Adjustments Account, and Shareholders’ Undistributed Taxable Income Previously Taxed (see instructions) (a) Accumulated adjustments account

1 2 3 4 5 6 7 8

2,515 2,515 45,422

Balance at beginning of tax year . . . . . Ordinary income from page 1, line 21 . . . Other additions . . . . . . . . . . ( Loss from page 1, line 21 . . . . . . . ( Other reductions . . . . . . . . . . Combine lines 1 through 5 . . . . . . . Distributions other than dividend distributions Balance at end of tax year. Subtract line 7 from line 6

(b) Other adjustments account

) )(

(c) Shareholders’ undistributed taxable income previously taxed

)

Form 1120S (2016)


671113 Final K-1

2016

Schedule K-1 (Form 1120S) Department of the Treasury Internal Revenue Service

For calendar year 2016, or tax year beginning ending

Shareholder’s Share of Income, Deductions, a See back of form and separate instructions. Credits, etc. Part I

Part III Shareholder’s Share of Current Year Income, Deductions, Credits, and Other Items 13

Credits

14

Foreign transactions

15

Alternative minimum tax (AMT) items

16

Items affecting shareholder basis

C

M&E 168

C

3,354 C

Fines 671

Q

19,307

R

111,185

1

Ordinary business income (loss)

2

Net rental real estate income (loss)

3

Other net rental income (loss)

4

Interest income

19,307

, 2016 , 20

Information About the Corporation

OMB No. 1545-0123

Amended K-1

5a Ordinary dividends

A

Corporation’s employer identification number

B

Corporation’s name, address, city, state, and ZIP code

86-1122334 5b Qualified dividends

6

Royalties

John's Cabinets 7620 Commerce Place Beavercreek, Ohio 45440

7

Net short-term capital gain (loss)

C

8a Net long-term capital gain (loss)

IRS Center where corporation filed return

Cincinnati Part II

8b Collectibles (28%) gain (loss)

Information About the Shareholder

8c Unrecaptured section 1250 gain

D

Shareholder’s identifying number

E

Shareholder’s name, address, city, state, and ZIP code

666-66-6666 9

Net section 1231 gain (loss)

10

Other income (loss)

(719)

Tom Jones 222 Williams Street Fairborn, Ohio 45422 Shareholder’s percentage of stock ownership for tax year . . . .

.

.

.

33.54% %

For IRS Use Only

F

11

Section 179 deduction

12

Other deductions

17

Other information

* See attached statement for additional information. For Paperwork Reduction Act Notice, see Instructions for Form 1120S.

IRS.gov/form1120s

Cat. No. 11520D

Schedule K-1 (Form 1120S) 2016


671113 Final K-1

2016

Schedule K-1 (Form 1120S) Department of the Treasury Internal Revenue Service

For calendar year 2016, or tax year beginning ending

Shareholder’s Share of Income, Deductions, a See back of form and separate instructions. Credits, etc. Part I

Part III Shareholder’s Share of Current Year Income, Deductions, Credits, and Other Items 13

Credits

14

Foreign transactions

15

Alternative minimum tax (AMT) items

16

Items affecting shareholder basis

C

M&E 377

C

6,646 C

Fines 1,329

Q

38,258

R

220,315

1

Ordinary business income (loss)

2

Net rental real estate income (loss)

3

Other net rental income (loss)

4

Interest income

38,258

, 2016 , 20

Information About the Corporation

OMB No. 1545-0123

Amended K-1

5a Ordinary dividends

A

Corporation’s employer identification number

B

Corporation’s name, address, city, state, and ZIP code

86-1122334 5b Qualified dividends

6

Royalties

John's Cabinets 7620 Commerce Place Beavercreek, Ohio 45440

7

Net short-term capital gain (loss)

C

8a Net long-term capital gain (loss)

IRS Center where corporation filed return

Cincinnati Part II

8b Collectibles (28%) gain (loss)

Information About the Shareholder

8c Unrecaptured section 1250 gain

D

Shareholder’s identifying number

E

Shareholder’s name, address, city, state, and ZIP code

555-55-5555 9

Net section 1231 gain (loss)

10

Other income (loss)

(1,424)

John Forsythe 100 Main Street Kettering, Ohio 45435 Shareholder’s percentage of stock ownership for tax year . . . .

.

.

.

66.46% %

For IRS Use Only

F

11

Section 179 deduction

12

Other deductions

17

Other information

* See attached statement for additional information. For Paperwork Reduction Act Notice, see Instructions for Form 1120S.

IRS.gov/form1120s

Cat. No. 11520D

Schedule K-1 (Form 1120S) 2016


Form

1125-A

Cost of Goods Sold OMB No. 1545-0123

(Rev. October 2016) Department of the Treasury Internal Revenue Service Name

a Attach to Form 1120, 1120-C, 1120-F, 1120S, 1065, or 1065-B.

a Information about Form 1125-A and its instructions is at www.irs.gov/form1125a.

John's Cabinets 1 Inventory at beginning of year 2 Purchases . . . . . .

Employer identification number

. .

. .

. .

. .

. .

. .

. .

. .

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. .

. .

. .

1 2

3 4 5

Cost of labor . . . . . . . . . . . Additional section 263A costs (attach schedule) . Other costs (attach schedule) . . . . . .

. . .

. . .

. . .

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. . .

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3 4 5

6 7

Total. Add lines 1 through 5 . Inventory at end of year . .

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. .

. .

. .

. .

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6 7

360,000 30,000

8

8

330,000

9a

Cost of goods sold. Subtract line 7 from line 6. Enter here and on Form 1120, page 1, line 2 or the appropriate line of your tax return. See instructions . . . . . . . . . . . . . . . Check all methods used for valuing closing inventory:

b

(i) ✔ Cost Lower of cost or market (ii) Other (Specify method used and attach explanation.) a (iii) Check if there was a writedown of subnormal goods . . .

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a

c

Check if the LIFO inventory method was adopted this tax year for any goods (if checked, attach Form 970)

.

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.

a

d

If the LIFO inventory method was used for this tax year, enter amount of closing inventory computed under LIFO . . . . . . . . . . . . . . . . . . . . . . . . . . . 9d If property is produced or acquired for resale, do the rules of section 263A apply to the entity? See instructions .

.

f

. .

. .

. .

. .

. .

. .

. .

. .

86-1122334 25,000 335,000

. .

e

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.

Was there any change in determining quantities, cost, or valuations between opening and closing inventory? If “Yes,” attach explanation . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Section references are to the Internal Revenue Code unless otherwise noted.

General Instructions Purpose of Form Use Form 1125-A to calculate and deduct cost of goods sold for certain entities.

Who Must File Filers of Form 1120, 1120-C, 1120-F, 1120S, 1065, or 1065-B, must complete and attach Form 1125-A if the applicable entity reports a deduction for cost of goods sold.

Inventories Generally, inventories are required at the beginning and end of each tax year if the production, purchase, or sale of merchandise is an income-producing factor. See Regulations section 1.471-1. If inventories are required, you generally must use an accrual method of accounting for sales and purchases of inventory items. Exception for certain taxpayers. If you are a qualifying taxpayer or a qualifying small business taxpayer (defined below), you can adopt or change your accounting method to account for inventoriable items in the same manner as materials and supplies that are not incidental.

Under this accounting method, inventory costs for raw materials purchased for use in producing finished goods and merchandise purchased for resale are deductible in the year the finished goods or merchandise are sold (but not before the year you paid for the raw materials or merchandise, if you are also using the cash method). If you account for inventoriable items in the same manner as materials and supplies that are not incidental, you can currently deduct expenditures for direct labor and all indirect costs that would otherwise be included in inventory costs. See the instructions for lines 2 and 7. For additional guidance on this method of accounting, see Pub. 538, Accounting Periods and Methods. For guidance on adopting or changing to this method of accounting, see Form 3115, Application for Change in Accounting Method, and its instructions. Qualifying taxpayer. A qualifying taxpayer is a taxpayer that, (a) for each prior tax year ending after December 16, 1998, has average annual gross receipts of $1 million or less for the 3 prior tax years, and (b) its business is not a tax shelter (as defined in section 448(d)(3)). See Rev. Proc. 2001-10, 2001-2 I.R.B. 272. Qualifying small business taxpayer. A qualifying small business taxpayer is a taxpayer that, (a) for each prior tax year

For Paperwork Reduction Act Notice, see instructions.

Cat. No. 55988R

Yes

No

Yes

No

ending on or after December 31, 2000, has average annual gross receipts of $10 million or less for the 3 prior tax years, (b) whose principal business activity is not an ineligible activity, and (c) whose business is not a tax shelter (as defined in section 448 (d)(3)). See Rev. Proc. 2002-28, 2002-18 I.R.B. 815. Uniform capitalization rules. The uniform capitalization rules of section 263A generally require you to capitalize, or include in inventory, certain costs incurred in connection with the following. • The production of real property and tangible personal property held in inventory or held for sale in the ordinary course of business. • Real property or personal property (tangible and intangible) acquired for resale. • The production of real property and tangible personal property by a corporation for use in its trade or business or in an activity engaged in for profit. See the discussion on section 263A uniform capitalization rules in the instructions for your tax return before completing Form 1125-A. Also see Regulations sections 1.263A-1 through 1.263A-3. See Regulations section 1.263A-4 for rules for property produced in a farming business.

Form 1125-A (Rev. 10-2016)


Form 4684 (2016)

Page 2

Attachment Sequence No. 26

Name(s) shown on tax return. Do not enter name and identifying number if shown on other side.

Identifying number

John's Cabinets

86-1122334

SECTION B—Business and Income-Producing Property Casualty or Theft Gain or Loss (Use a separate Part l for each casualty or theft.) Part I 19 Description of properties (show type, location, and date acquired for each property). Use a separate line for each property lost or damaged from the same casualty or theft. See instructions if claiming a loss due to a Ponzi-type investment scheme and Section C is not completed. Property A Machine Property B Property C Property D

Properties A 20 Cost or adjusted basis of each property .

.

.

.

20

.

21 Insurance or other reimbursement (whether or not you filed a claim). See the instructions for line 3 . . . .

21

Note: If line 20 is more than line 21, skip line 22. Gain from casualty or theft. If line 21 is more than line 20, enter the difference here and on line 29 or line 34, column (c), except as provided in the instructions for line 33. Also, skip lines 23 through 27 for that column. See the instructions for line 4 if line 21 includes insurance or other reimbursement you did not claim, or you received payment for your loss in a later tax year Fair market value before casualty or theft . . . . Fair market value after casualty or theft . . . . . Subtract line 24 from line 23 . . . . . . . . Enter the smaller of line 20 or line 25 . . . . .

22 23 24 25 26

22

23 24 25 26

B

C

D

2,143

2,500 0 2,500 2,143

Note: If the property was totally destroyed by casualty or lost from theft, enter on line 26 the amount from line 20. 27 Subtract line 21 from line 26. If zero or less, enter -027 2,143 28 Casualty or theft loss. Add the amounts on line 27. Enter the total here and on line 29 or line 34 (see instructions)

Part II

Summary of Gains and Losses (from separate Parts l)

2,143

28

(b) Losses from casualties or thefts (ii) Incomeproducing and employee property

(i) Trade, business, rental or royalty property

(a) Identify casualty or theft

(c) Gains from casualties or thefts includible in income

Casualty or Theft of Property Held One Year or Less 29

(

) (

)

30 Totals. Add the amounts on line 29

( (

) ( ) (

) )

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30

31 Combine line 30, columns (b)(i) and (c). Enter the net gain or (loss) here and on Form 4797, line 14. If Form 4797 is not otherwise required, see instructions . . . . . . . . . . . . . . . . . . . . . . .

31

32 Enter the amount from line 30, column (b)(ii) here. Individuals, enter the amount from income-producing property on Schedule A (Form 1040), line 28, or Form 1040NR, Schedule A, line 14, and enter the amount from property used as an employee on Schedule A (Form 1040), line 23, or Form 1040NR, Schedule A, line 9. Estates and trusts, partnerships, and S corporations, see instructions

32

Casualty or Theft of Property Held More Than One Year 33 Casualty or theft gains from Form 4797, line 32 . . . . . . . . . . . . . . . . . . . . . . . . . ( ) ( 34 ( ) ( 2,143 ( ) ( 35 Total losses. Add amounts on line 34, columns (b)(i) and (b)(ii) . . . . . 35 2,143

33

36 Total gains. Add lines 33 and 34, column (c) . . . . . . . . . . . . . . . . . . . . . . 37 Add amounts on line 35, columns (b)(i) and (b)(ii) . . . . . . . . . . . . . . . . . . . . 38 If the loss on line 37 is more than the gain on line 36: a Combine line 35, column (b)(i) and line 36, and enter the net gain or (loss) here. Partnerships (except electing large partnerships) and S corporations, see the note below. All others, enter this amount on Form 4797, line 14. If Form 4797 is not otherwise required, see instructions . . . . . . . . . . . . . . . . . . . . . b Enter the amount from line 35, column (b)(ii) here. Individuals, enter the amount from income-producing property on Schedule A (Form 1040), line 28, or Form 1040NR, Schedule A, line 14, and enter the amount from property used as an employee on Schedule A (Form 1040), line 23, or Form 1040NR, Schedule A, line 9. Estates and trusts, enter on the “Other deductions” line of your tax return. Partnerships (except electing large partnerships) and S corporations, see the note below. Electing large partnerships, enter on Form 1065-B, Part II, line 11 . . . . . . . . .

36 37

2,143

38a

2,143

38b

39 If the loss on line 37 is less than or equal to the gain on line 36, combine lines 36 and 37 and enter here. Partnerships (except electing large partnerships), see the note below. All others, enter this amount on Form 4797, line 3 . . . .

39

) ) )

Note: Partnerships, enter the amount from line 38a, 38b, or line 39 on Form 1065, Schedule K, line 11. S corporations, enter the amount from line 38a or 38b on Form 1120S, Schedule K, line 10. Form 4684 (2016)


Form

4797

Department of the Treasury Internal Revenue Service

Sales of Business Property

OMB No. 1545-0184

(Also Involuntary Conversions and Recapture Amounts Under Sections 179 and 280F(b)(2))

2016

a Attach to your tax return.

Attachment Sequence No. 27

a Information about Form 4797 and its separate instructions is at www.irs.gov/form4797.

Name(s) shown on return

Identifying number

John's Cabinets 86-1122334 1 Enter the gross proceeds from sales or exchanges reported to you for 2016 on Form(s) 1099-B or 1099-S (or substitute statement) that you are including on line 2, 10, or 20. See instructions . . . . . . . . 1

Part I

Sales or Exchanges of Property Used in a Trade or Business and Involuntary Conversions From Other Than Casualty or Theft—Most Property Held More Than 1 Year (see instructions) (a) Description of property

2

(c) Date sold (mo., day, yr.)

(b) Date acquired (mo., day, yr.)

(e) Depreciation allowed or allowable since acquisition

(d) Gross sales price

3 4

Gain, if any, from Form 4684, line 39 . . . . . . . . . . . Section 1231 gain from installment sales from Form 6252, line 26 or 37 .

. .

3 4

5 6 7

Section 1231 gain or (loss) from like-kind exchanges from Form 8824 . . . . . . . . . . . . . . Gain, if any, from line 32, from other than casualty or theft . . . . . . . . . . . . . . . . . Combine lines 2 through 6. Enter the gain or (loss) here and on the appropriate line as follows: . . . . . . . Partnerships (except electing large partnerships) and S corporations. Report the gain or (loss) following the instructions for Form 1065, Schedule K, line 10, or Form 1120S, Schedule K, line 9. Skip lines 8, 9, 11, and 12 below. Individuals, partners, S corporation shareholders, and all others. If line 7 is zero or a loss, enter the amount from line 7 on line 11 below and skip lines 8 and 9. If line 7 is a gain and you didn’t have any prior year section 1231 losses, or they were recaptured in an earlier year, enter the gain from line 7 as a long-term capital gain on the Schedule D filed with your return and skip lines 8, 9, 11, and 12 below.

5 6 7

8

Nonrecaptured net section 1231 losses from prior years. See instructions .

.

8

9

Subtract line 8 from line 7. If zero or less, enter -0-. If line 9 is zero, enter the gain from line 7 on line 12 below. If line 9 is more than zero, enter the amount from line 8 on line 12 below and enter the gain from line 9 as a long-term capital gain on the Schedule D filed with your return. See instructions . . . . . . . . . . . . . .

9

Part II

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(f) Cost or other basis, plus improvements and expense of sale

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.

(g) Gain or (loss) Subtract (f) from the sum of (d) and (e)

Ordinary Gains and Losses (see instructions)

10

Ordinary gains and losses not included on lines 11 through 16 (include property held 1 year or less):

11 12 13

Loss, if any, from line 7 . . . . . . . . . . . Gain, if any, from line 7 or amount from line 8, if applicable Gain, if any, from line 31 . . . . . . . . . .

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11 ( 12 13

14 15 16

Net gain or (loss) from Form 4684, lines 31 and 38a . . . . . Ordinary gain from installment sales from Form 6252, line 25 or 36 . Ordinary gain or (loss) from like-kind exchanges from Form 8824. .

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14 15 16

17 18

Combine lines 10 through 16 .

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17

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) 714

714

For all except individual returns, enter the amount from line 17 on the appropriate line of your return and skip lines a and b below. For individual returns, complete lines a and b below: a If the loss on line 11 includes a loss from Form 4684, line 35, column (b)(ii), enter that part of the loss here. Enter the part of the loss from income-producing property on Schedule A (Form 1040), line 28, and the part of the loss from property used as an employee on Schedule A (Form 1040), line 23. Identify as from “Form 4797, line 18a.” See instructions . . b Redetermine the gain or (loss) on line 17 excluding the loss, if any, on line 18a. Enter here and on Form 1040, line 14

For Paperwork Reduction Act Notice, see separate instructions.

Cat. No. 13086I

18a 18b Form 4797 (2016)


Page 2

Form 4797 (2016)

Part III 19

Gain From Disposition of Property Under Sections 1245, 1250, 1252, 1254, and 1255 (see instructions)

(a) Description of section 1245, 1250, 1252, 1254, or 1255 property:

(b) Date acquired (mo., day, yr.)

(c) Date sold (mo., day, yr.)

7/2012

9/15/2016

Property C

Property D

A Machine B C D These columns relate to the properties on lines 19A through 19D. a

20 21 22 23 24 25

26

27

28

Property B

Gross sales price (Note: See line 1 before completing.) Cost or other basis plus expense of sale . . . . Depreciation (or depletion) allowed or allowable . . Adjusted basis. Subtract line 22 from line 21 . . .

. . . .

20 21 22 23

5,000 10,000 5,714 4,286

Total gain. Subtract line 23 from line 20 .

.

.

.

24

714

If section 1245 property: a Depreciation allowed or allowable from line 22 . b Enter the smaller of line 24 or 25a . . . .

.

. .

. .

25a 25b

5,714 714

If section 1250 property: If straight line depreciation was used, enter -0- on line 26g, except for a corporation subject to section 291. a Additional depreciation after 1975. See instructions .

26a

b Applicable percentage multiplied by the smaller of line 24 or line 26a. See instructions . . . . . . .

26b

c Subtract line 26a from line 24. If residential rental property or line 24 isn’t more than line 26a, skip lines 26d and 26e d Additional depreciation after 1969 and before 1976 . . e Enter the smaller of line 26c or 26d . . . . . . f Section 291 amount (corporations only) . . . . . g Add lines 26b, 26e, and 26f. . . . . . . . .

26c 26d 26e 26f 26g

If section 1252 property: Skip this section if you didn’t dispose of farmland or if this form is being completed for a partnership (other than an electing large partnership). a Soil, water, and land clearing expenses . . . . . b Line 27a multiplied by applicable percentage. See instructions c Enter the smaller of line 24 or 27b . . . . . .

27a 27b 27c

If section 1254 property: a Intangible drilling and development costs, expenditures for development of mines and other natural deposits, mining exploration costs, and depletion. See instructions . . . . . . . . . . . . . b Enter the smaller of line 24 or 28a . . . . . .

29

Property A

28a 28b

If section 1255 property: a Applicable percentage of payments excluded from income under section 126. See instructions . . . . b Enter the smaller of line 24 or 29a. See instructions .

29a 29b

Summary of Part III Gains. Complete property columns A through D through line 29b before going to line 30. 30

Total gains for all properties. Add property columns A through D, line 24

31 32

Add property columns A through D, lines 25b, 26g, 27c, 28b, and 29b. Enter here and on line 13 . . . . . . Subtract line 31 from line 30. Enter the portion from casualty or theft on Form 4684, line 33. Enter the portion from other than casualty or theft on Form 4797, line 6 . . . . . . . . . . . . . . . . . . . .

Part IV

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30 31

714

32

0

714

Recapture Amounts Under Sections 179 and 280F(b)(2) When Business Use Drops to 50% or Less (see instructions) (a) Section 179

33

Section 179 expense deduction or depreciation allowable in prior years.

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.

.

34 35

Recomputed depreciation. See instructions . . . . . . . . . . . . . . Recapture amount. Subtract line 34 from line 33. See the instructions for where to report

.

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.

. .

. .

(b) Section 280F(b)(2)

33 34 35 Form 4797 (2016)


4562

Depreciation and Amortization

Department of the Treasury Internal Revenue Service (99)

a Information about Form 4562 and its separate instructions is at www.irs.gov/form4562.

Form

a Attach to your tax return.

Business or activity to which this form relates

John's Cabinets

Cabinet Making

1 2 3 4 5 6

2016

(Including Information on Listed Property)

Name(s) shown on return

Part I

OMB No. 1545-0172

Attachment Sequence No. 179 Identifying number

86-1122334

Election To Expense Certain Property Under Section 179 Note: If you have any listed property, complete Part V before you complete Part I.

Maximum amount (see instructions) . . . . . . . . . . . . . . . . . . . . . . . Total cost of section 179 property placed in service (see instructions) . . . . . . . . . . . Threshold cost of section 179 property before reduction in limitation (see instructions) . . . . . . Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0- . . . . . . . . . . Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . (a) Description of property

(b) Cost (business use only)

1 2 3 4 5

(c) Elected cost

7 Listed property. Enter the amount from line 29 . . . . . . . . . 7 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 . . . . . . 8 9 Tentative deduction. Enter the smaller of line 5 or line 8 . . . . . . . . . . . . . . . . 9 10 Carryover of disallowed deduction from line 13 of your 2015 Form 4562 . . . . . . . . . . . 10 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instructions) 11 12 Section 179 expense deduction. Add lines 9 and 10, but don’t enter more than line 11 . . . . . . 12 13 13 Carryover of disallowed deduction to 2017. Add lines 9 and 10, less line 12 a Note: Don’t use Part II or Part III below for listed property. Instead, use Part V. Part II Special Depreciation Allowance and Other Depreciation (Don’t include listed property.) (See instructions.) 14 Special depreciation allowance for qualified property (other than listed property) placed in service during the tax year (see instructions) . . . . . . . . . . . . . . . . . . . . . . 14 15 Property subject to section 168(f)(1) election . . . . . . . . . . . . . . . . . . . . 15 16 Other depreciation (including ACRS) . . . . . . . . . . . . . . . . . . . . . . 16 Part III MACRS Depreciation (Don’t include listed property.) (See instructions.) Section A 17 17 MACRS deductions for assets placed in service in tax years beginning before 2016 . . . . . . . 7,503 18 If you are electing to group any assets placed in service during the tax year into one or more general asset accounts, check here . . . . . . . . . . . . . . . . . . . . . . a Section B—Assets Placed in Service During 2016 Tax Year Using the General Depreciation System (a) Classification of property

19a 3-year property b 5-year property c 7-year property d 10-year property e 15-year property f 20-year property g 25-year property h Residential rental property i Nonresidential real property

(b) Month and year placed in service

(c) Basis for depreciation (business/investment use only—see instructions)

(d) Recovery period

(e) Convention

(f) Method

(g) Depreciation deduction

20,000

7 yr

MQ

MACRS

714

MM MM MM MM

S/L S/L S/L S/L S/L

10-2016

25 yrs. 27.5 yrs. 27.5 yrs. 39 yrs.

1,712

Section C—Assets Placed in Service During 2016 Tax Year Using the Alternative Depreciation System S/L 20a Class life 12 yrs. S/L b 12-year 40 yrs. MM S/L c 40-year

Part IV Summary (See instructions.) 21 Listed property. Enter amount from line 28 . . . . . . . . . . . . . . . . . . . . 22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter here and on the appropriate lines of your return. Partnerships and S corporations—see instructions . 23 For assets shown above and placed in service during the current year, enter the portion of the basis attributable to section 263A costs . . . . . . . 23 For Paperwork Reduction Act Notice, see separate instructions.

Cat. No. 12906N

21 22

9,929

Form 4562 (2016)


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