Software Evaluation Copy DO NOT MAIL: E-File Signature Authorization

Form 8879 IRS e-file Signature Authorization
OMB No. 1545-0074
Department of the Treasury

Internal Revenue Service a
a ERO must obtain and retain completed Form 8879.
Go to www.irs.gov/Form8879 for the latest information.
2019
F
Submission Identification Number (SID) 756331202029403qmzo7
Taxpayer’s name Social security number
Daryl R Hobbs 455-47-2189
Spouse’s name Spouse’s social security number
Lauren E Hobbs 449-29-8195
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Part I Tax Return Information — Tax Year Ending December 31, 2019 (Whole dollars only)
1 Adjusted gross income (Form 1040 or 1040-SR, line 8b; Form 1040-NR, line 35) . . . . . . . 1 116,668.
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2 Total tax (Form 1040 or 1040-SR, line 16; Form 1040-NR, line 61) . . . . . . . . . . . . 2 12,573.
3 Federal income tax withheld from Forms W-2 and 1099 (Form 1040 or 1040-SR, line 17; Form 1040-NR,
line 62a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 14,549.
4 Refund (Form 1040 or 1040-SR, line 21a; Form 1040-NR, line 73a; Form 1040-SS, Part I, line 13a) . 4 1,976.
5 Amount you owe (Form 1040 or 1040-SR, line 23; Form 1040-NR, line 75) . . . . . . . . . 5
Part II Taxpayer Declaration and Signature Authorization (Be sure you get and keep a copy of your return)
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Under penalties of perjury, I declare that I have examined a copy of my electronic individual income tax return and accompanying schedules and
statements for the tax year ending December 31, 2019, and to the best of my knowledge and belief, they are true, correct, and complete. I further
declare that the amounts in Part I above are the amounts from my electronic income tax return. I consent to allow my intermediate service provider,
transmitter, or electronic return originator (ERO) to send my return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason
for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize
the U.S. Treasury and its designated Financial Agent to initiate an ACH electronic funds withdrawal (direct debit) entry to the financial institution
account indicated in the tax preparation software for payment of my federal taxes owed on this return and/or a payment of estimated tax, and the
financial institution to debit the entry to this account. This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial
and, if applicable, my Electronic Funds Withdrawal Consent.

Taxpayer’s PIN: check one box only
I authorize
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Agent to terminate the authorization. To revoke (cancel) a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537. Payment
cancellation requests must be received no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions
involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues
related to the payment. I further acknowledge that the personal identification number (PIN) below is my signature for my electronic income tax return
to enter or generate my PIN 7 2 1 8 9 as my

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ERO firm name Enter five digits, but
don’t enter all zeros
signature on my tax year 2019 electronically filed income tax return.
I will enter my PIN as my signature on my tax year 2019 electronically filed income tax return. Check this box only if you are
entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.
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Your signature a Date a
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Spouse’s PIN: check one box only

I authorize to enter or generate my PIN 9 8 1 9 5 as my
ERO firm name Enter five digits, but
don’t enter all zeros
signature on my tax year 2019 electronically filed income tax return.
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I will enter my PIN as my signature on my tax year 2019 electronically filed income tax return. Check this box only if you are
entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.
Spouse’s signature a Date a

Practitioner PIN Method Returns Only—continue below
Part III Certification and Authentication — Practitioner PIN Method Only
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ERO’s EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN.
Don’t enter all zeros
I certify that the above numeric entry is my PIN, which is my signature for the tax year 2019 electronically filed income tax return for the taxpayer(s)
indicated above. I confirm that I am submitting this return in accordance with the requirements of the Practitioner PIN method and Pub. 1345,
Handbook for Authorized IRS e-file Providers of Individual Income Tax Returns.
ERO’s signature a Date a

ERO Must Retain This Form — See Instructions
Don’t Submit This Form to the IRS Unless Requested To Do So
For Paperwork Reduction Act Notice, see your tax return instructions. BAA REV 05/19/20 PRO Form 8879 (2019)
1040 U.S. Individual Income Tax Return 2019
Form Department of the Treasury—Internal Revenue Service (99)
OMB No. 1545-0074 IRS Use Only—Do not write or staple in this space.
Filing Status Single Married filing jointly Married filing separately (MFS) Head of household (HOH) Qualifying widow(er) (QW)
Check only If you checked the MFS box, enter the name of spouse. If you checked the HOH or QW box, enter the child’s name if the qualifying person is
one box.
a child but not your dependent. a
Your first name and middle initial Last name Your social security number
If joint return, spouse’s first name and middle initial Last name Spouse’s social security number
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Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Presidential Election Campaign
Check here if you, or your spouse if filing
1024 S. Sharpshire
jointly, want $3 to go to this fund.
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City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Checking a box below will not change your
Waxahachie TX 75165 tax or refund. You Spouse
Foreign country name Foreign province/state/county Foreign postal code If more than four dependents,
see instructions and here a
Standard Someone can claim: You as a dependent Your spouse as a dependent

Deduction Spouse itemizes on a separate return or you were a dual-status alien
O NO
Age/Blindness You: Were born before January 2, 1955 Are blind Spouse: Was born before January 2, 1955 Is blind
Dependents (see instructions): (2) Social security number (3) Relationship to you (4) if qualifies for (see instructions):
(1) First name Last name Child tax credit Credit for other dependents
Standard
Deduction for—
• Single or Married
filing separately,
1
2a
3a
4a
c
Wages, salaries, tips, etc. Attach Form(s) W-2 .
Tax-exempt interest .
Qualified dividends .
IRA distributions . .
Pensions and annuities .
.
.
.
.
.
.
.
.
.
.
.
2a
3a
4a
4c
opy D . . . . . . . . . . . . . .
b Taxable interest. Attach Sch. B if required
.
b Ordinary dividends. Attach Sch. B if required

b Taxable amount
d Taxable amount
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1
2b
3b
4b
4d
111,495.
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$12,200 5a Social security benefits . . . 5a b Taxable amount . . . . . . 5b
• Married filing
6 Capital gain or (loss). Attach Schedule D if required. If not required, check here . . . . . . . a 6
jointly or Qualifying
widow(er), 7a Other income from Schedule 1, line 9 . . . . . . . . . . . . . . . . . . . . 7a 5,566.
$24,400
• Head of b Add lines 1, 2b, 3b, 4b, 4d, 5b, 6, and 7a. This is your total income . . . . . . . . . . . a 7b 117,061.
household, 393.
$18,350
8a Adjustments to income from Schedule 1, line 22 . . . . . . . . . . . . . . . . . 8a
• If you checked b Subtract line 8a from line 7b. This is your adjusted gross income . . . . . . . . . . . a 8b 116,668.
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any box under
Standard 9 Standard deduction or itemized deductions (from Schedule A) . . . . . 9 24,400.
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Deduction, 10 Qualified business income deduction. Attach Form 8995 or Form 8995-A . . . 10 1,035.
see instructions.
11a Add lines 9 and 10 . . . . . . . . . . . . . . . . . . . . . . . . . 11a 25,435.
b Taxable income. Subtract line 11a from line 8b. If zero or less, enter -0- . . . . . . . . . . . 11b 91,233.
For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Form 1040 (2019)
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Form 1040 (2019) Page 2
12a Tax (see inst.) Check if any from Form(s): 1 8814 2 4972 3 12a 11,787.
b Add Schedule 2, line 3, and line 12a and enter the total . . . . . . . . . . . . . . a 12b 11,787.
13a Child tax credit or credit for other dependents . . . . . . . . . . 13a
b Add Schedule 3, line 7, and line 13a and enter the total . . . . . . . . . . . . . . a 13b
14 Subtract line 13b from line 12b. If zero or less, enter -0- . . . . . . . . . . . . . . . 14 11,787.
15 Other taxes, including self-employment tax, from Schedule 2, line 10 . . . . . . . . . . . . 15 786.
16 Add lines 14 and 15. This is your total tax . . . . . . . . . . . . . . . . . . a 16 12,573.
17 Federal income tax withheld from Forms W-2 and 1099 . . . . . . . . . . . . . . . 17 14,549.
• If you have a
18 Other payments and refundable credits:
qualifying child, a Earned income credit (EIC) . . . . . . . . . . . . No
. . . 18a
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attach Sch. EIC.
• If you have b Additional child tax credit. Attach Schedule 8812 . . . . . . . . . 18b
nontaxable c American opportunity credit from Form 8863, line 8 . . . . . . . . 18c
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combat pay, see
instructions. d Schedule 3, line 14 . . . . . . . . . . . . . . . . . 18d
e Add lines 18a through 18d. These are your total other payments and refundable credits . . . . . a 18e
19 Add lines 17 and 18e. These are your total payments . . . . . . . . . . . . . . . a 19 14,549.
Refund 20 If line 19 is more than line 16, subtract line 16 from line 19. This is the amount you overpaid . . . . . . 20 1,976.
21a Amount of line 20 you want refunded to you. If Form 8888 is attached, check here . . . . . . a 21a 1,976.
Direct deposit? a b Routing number X X X X X X X X X a c Type: Checking Savings
O NO
See instructions.
a d Account number X X X X X X X X X X X X X X X X X
22 Amount of line 20 you want applied to your 2020 estimated tax . . . . a 22
Amount 23 Amount you owe. Subtract line 19 from line 16. For details on how to pay, see instructions . . . . . a 23
You Owe 24 Estimated tax penalty (see instructions) . . . . . . . . . . . a 24
Third Party Do you want to allow another person (other than your paid preparer) to discuss this return with the IRS? See instructions. Yes. Complete below.
Designee No
(Other than
paid preparer)
Sign
Here
Designee’s
name a
Your signature
opy D Date
Phone
no. a
Your occupation
Personal identification
number (PIN) a
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 complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
If the IRS sent you an Identity

Protection PIN, enter it here
F
Joint return? Mechanic (see inst.)

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See instructions. Spouse’s signature. If a joint return, both must sign. Date Spouse’s occupation If the IRS sent your spouse an
Keep a copy for Identity Protection PIN, enter it here
your records. (see inst.)
Self
Phone no. Email address
Preparer’s name Preparer’s signature Date PTIN Check if:
Paid 3rd Party Designee
Preparer Firm’s name a Phone no. Self-employed
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Use Only
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Firm’s address a Firm’s EIN a
Go to www.irs.gov/Form1040 for instructions and the latest information. BAA REV 05/19/20 PRO Form 1040 (2019)
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SCHEDULE 1 OMB No. 1545-0074
Additional Income and Adjustments to Income
2019
(Form 1040 or 1040-SR)
a Attach to Form 1040 or 1040-SR.
Department of the Treasury Attachment
Internal Revenue Service a Go to www.irs.gov/Form1040 for instructions and the latest information. Sequence No. 01
Name(s) shown on Form 1040 or 1040-SR Your social security number
Daryl R & Lauren E Hobbs 455-47-2189
At any time during 2019, did you receive, sell, send, exchange, or otherwise acquire any financial interest in any
virtual currency? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No
Part I Additional Income
1 Taxable refunds, credits, or offsets of state and local income taxes . . . . . . . . . . . . 1
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2a Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a
b Date of original divorce or separation agreement (see instructions) a
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3 Business income or (loss). Attach Schedule C . . . . . . . . . . . . . . . . . . . 3 5,566.
4 Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . . . . . . . . . 4
5 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E . . . . . 5
6 Farm income or (loss). Attach Schedule F . . . . . . . . . . . . . . . . . . . . 6
7 Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Other income. List type and amount a
O NO
8
9 Combine lines 1 through 8. Enter here and on Form 1040 or 1040-SR, line 7a . . . . . . . . 9 5,566.
Part II Adjustments to Income
10 Educator expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
11 Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach
Form 2106 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
12
13
14
15
16
17
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Health savings account deduction. Attach Form 8889 . . . . . . . . . . . . . . . .
Moving expenses for members of the Armed Forces. Attach Form 3903 . . . . . . . . . .
Deductible part of self-employment tax. Attach Schedule SE . . . . . . . . . . . . . .
Self-employed SEP, SIMPLE, and qualified plans . . . . . . . . . . . . . . . . . .
Self-employed health insurance deduction . . . . . . . . . . . . . . . . . . . .
Penalty on early withdrawal of savings . . . . . . . . . . . . . . . . . . . . .
12
13
14
15
16
17
393.
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18a Alimony paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18a
b Recipient’s SSN . . . . . . . . . . . . . . . . . . . . . a
c Date of original divorce or separation agreement (see instructions) a
19 IRA deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
20 Student loan interest deduction . . . . . . . . . . . . . . . . . . . . . . . 20
21 Tuition and fees. Attach Form 8917 . . . . . . . . . . . . . . . . . . . . . . 21
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22 Add lines 10 through 21. These are your adjustments to income. Enter here and on Form 1040 or
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1040-SR, line 8a . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 393.

For Paperwork Reduction Act Notice, see your tax return instructions. REV 05/19/20 PRO Schedule 1 (Form 1040 or 1040-SR) 2019
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SCHEDULE 2 OMB No. 1545-0074
Additional Taxes
2019
(Form 1040 or 1040-SR)
a Attach to Form 1040 or 1040-SR.
Name(s) shown on Form 1040 or 1040-SR Your social security number
Part I Tax
1 Alternative minimum tax. Attach Form 6251 . . . . . . . . . . . . . . . . . . . 1
2 Excess advance premium tax credit repayment. Attach Form 8962 . . . . . . . . . . . . 2
3 Add lines 1 and 2. Enter here and include on Form 1040 or 1040-SR, line 12b . . . . . . . . 3
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Part II Other Taxes
4 Self-employment tax. Attach Schedule SE . . . . . . . . . . . . . . . . . . . . 4 786.
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5 Unreported social security and Medicare tax from Form: a 4137 b 8919 . . . . . 5
6 Additional tax on IRAs, other qualified retirement plans, and other tax-favored accounts. Attach Form
5329 if required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7a Household employment taxes. Attach Schedule H . . . . . . . . . . . . . . . . . 7a
b Repayment of first-time homebuyer credit from Form 5405. Attach Form 5405 if required . . . . 7b
8 Taxes from: a Form 8959 b Form 8960
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c Instructions; enter code(s) 8
9 Section 965 net tax liability installment from Form 965-A . . . . . . . 9
10 Add lines 4 through 8. These are your total other taxes. Enter here and on Form 1040 or 1040-SR,
line 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 786.
For Paperwork Reduction Act Notice, see your tax return instructions. REV 05/19/20 PRO Schedule 2 (Form 1040 or 1040-SR) 2019
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SCHEDULE C Profit or Loss From Business OMB No. 1545-0074
2019
(Form 1040 or 1040-SR) (Sole Proprietorship)
a Go to www.irs.gov/ScheduleC for instructions and the latest information.
Internal Revenue Service (99) a Attach to Form 1040, 1040-SR, 1040-NR, or 1041; partnerships generally must file Form 1065. Sequence No. 09
Name of proprietor Social security number (SSN)
A Principal business or profession, including product or service (see instructions) B Enter code from instructions
Drug testing a 6 2 1 5 1 0
C Business name. If no separate business name, leave blank. D Employer ID number (EIN) (see instr.)
Step One
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E Business address (including suite or room no.) a 201 E Main St suit 201
City, town or post office, state, and ZIP code Waxahachie, TX 75165
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F Accounting method: (1) Cash (2) Accrual (3) Other (specify) a
G Did you “materially participate” in the operation of this business during 2019? If “No,” see instructions for limit on losses . Yes No
H If you started or acquired this business during 2019, check here . . . . . . . . . . . . . . . . . a
I Did you make any payments in 2019 that would require you to file Form(s) 1099? (see instructions) . . . . . . . . Yes No
J If “Yes,” did you or will you file required Forms 1099? . . . . . . . . . . . . . . . . . . . . . Yes No
Part I Income
O NO
1 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 1 288,570.
2 Returns and allowances . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . 3 288,570.
4 Cost of goods sold (from line 42) . . . . . . . . . . . . . . . . . . . . . . 4
5 Gross profit. Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . . . . 5 288,570.
6
7
Part II
8
9
Advertising . . . .
Car and truck expenses (see
instructions) . . . . .
. 8
9
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Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) .
Gross income. Add lines 5 and 6 . . . . . . . . . . . . . . . . . . .
Expenses. Enter expenses for business use of your home only on line 30.
16,180.
18
19
20
Office expense (see instructions)
.
.
Pension and profit-sharing plans .

Rent or lease (see instructions):
.
. a
. 6
7
18
19
288,570.
965.
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10 Commissions and fees . 10 90,702. a Vehicles, machinery, and equipment 20a 223.
11 Contract labor (see instructions) 11 2,174. b Other business property . . . 20b 31,673.
12 Depletion . . . . . 12 21 Repairs and maintenance . . . 21 1,179.
13 Depreciation and section 179 22 Supplies (not included in Part III) . 22 13,168.
expense deduction (not
included in Part III) (see 23 Taxes and licenses . . . . . 23 7,787.
instructions) . . . . . 13 24 Travel and meals:
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14 Employee benefit programs a Travel . . . . . . . . . 24a
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(other than on line 19) . . 14 b Deductible meals (see

15 Insurance (other than health) 15 1,825. instructions) . . . . . . . 24b 3,147.
16 Interest (see instructions): 25 Utilities . . . . . . . . 25 9,357.
a Mortgage (paid to banks, etc.) 16a 26 Wages (less employment credits) . 26 101,786.
b Other . . . . . . 16b 1,000. 27a Other expenses (from line 48) . . 27a 1,832.
17 Legal and professional services
17 6. b Reserved for future use . . . 27b
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28 Total expenses before expenses for business use of home. Add lines 8 through 27a . . . . . . a 28 283,004.
29 Tentative profit or (loss). Subtract line 28 from line 7 . . . . . . . . . . . . . . . . . 29 5,566.
30 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: . Use the Simplified
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Method Worksheet in the instructions to figure the amount to enter on line 30 . . . . . . . . . 30

31 Net profit or (loss). Subtract line 30 from line 29.
}
• If a profit, enter on both Schedule 1 (Form 1040 or 1040-SR), line 3 (or Form 1040-NR, line
13) and on Schedule SE, line 2. (If you checked the box on line 1, see instructions). Estates and 31 5,566.
trusts, enter on Form 1041, line 3.
• If a loss, you must go to line 32.
}
32 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 Schedule 1 (Form 1040 or 1040-SR), line 3 (or
Form 1040-NR, line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see the line 32a All investment is at risk.
31 instructions). Estates and trusts, enter on Form 1041, line 3. 32b Some investment is not
at risk.
• 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 05/19/20 PRO Schedule C (Form 1040 or 1040-SR) 2019
Schedule C (Form 1040 or 1040-SR) 2019 Page 2
Part III Cost of Goods Sold (see instructions)
33 Method(s) used to
value closing inventory: a Cost b Lower of cost or market c Other (attach explanation)
34 Was there any change in determining quantities, costs, or valuations between opening and closing inventory?
If “Yes,” attach explanation . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No
35 Inventory at beginning of year. If different from last year’s closing inventory, attach explanation . . . 35
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36 Purchases less cost of items withdrawn for personal use . . . . . . . . . . . . . . 36
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37 Cost of labor. Do not include any amounts paid to yourself . . . . . . . . . . . . . . 37
38 Materials and supplies . . . . . . . . . . . . . . . . . . . . . . . . 38
39 Other costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
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40 Add lines 35 through 39 . . . . . . . . . . . . . . . . . . . . . . . . 40
41 Inventory at end of year . . . . . . . . . . . . . . . . . . . . . . . . 41
42 Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4 . . . . . . 42
Part IV Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9
43
44
file Form 4562.
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and are not required to file Form 4562 for this business. See the instructions for line 13 to find out if you must
When did you place your vehicle in service for business purposes? (month, day, year)
Of the total number of miles you drove your vehicle during 2019, enter the number of miles you used your vehicle for:
a 01/01/2019
ion C
a Business 27,896 b Commuting (see instructions) c Other 10,523
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?. . . . . . . . . . . . . . Yes No
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47a Do you have evidence to support your deduction? . . . . . . . . . . . . . . . . . . . . Yes No
b If “Yes,” is the evidence written? . . . . . . . . . . . . . . . . . . . . . . . . . Yes No

Part V Other Expenses. List below business expenses not included on lines 8–26 or line 30.
Tolls/Parking 268.
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Subscriptions 881.
Gifts 683.
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48 Total other expenses. Enter here and on line 27a . . . . . . . . . . . . . . . . 48 1,832.

REV 05/19/20 PRO Schedule C (Form 1040 or 1040-SR) 2019
SCHEDULE SE OMB No. 1545-0074
(Form 1040 or 1040-SR) Self-Employment Tax
2019
a Go to www.irs.gov/ScheduleSE for instructions and the latest information. Attachment
Internal Revenue Service (99) a Attach to Form 1040, 1040-SR, or 1040-NR. Sequence No. 17
Name of person with self-employment income (as shown on Form 1040, 1040-SR, or 1040-NR) Social security number of person
Lauren E Hobbs with self-employment income a 449-29-8195
Before you begin: To determine if you must file Schedule SE, see the instructions.
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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.
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Did you receive wages or tips in 2019?
No Yes
d d d
Are you a minister, member of a religious order, or Christian
Yes Was the total of your wages and tips subject to social security Yes
O NO
Science practitioner who received IRS approval not to be taxed a or railroad retirement (tier 1) tax plus your net earnings from a
on earnings from these sources, but you owe self-employment
self-employment more than $132,900?
tax on other earnings?
No
No
d d
Are you using one of the optional methods to figure your net Did you receive tips subject to social security or Medicare tax Yes
Yes a
earnings (see instructions)? a that you didn't report to your employer?
d
No
Did you receive church employee income (see instructions)

reported on Form W-2 of $108.28 or more?
d
No
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Yes
a
`
No
d
No
Did you report any wages on Form 8919, Uncollected Social

Security and Medicare Tax on Wages?
Yes
a
d
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You may use Short Schedule SE below 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1a
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b If you received social security retirement or disability benefits, enter the amount of Conservation
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Reserve Program payments included on Schedule F, line 4b, or listed on Schedule K-1 (Form 1065),
box 20, code AH . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1b ( )
2 Net profit or (loss) from Schedule C, line 31; and Schedule K-1 (Form 1065), box 14, code A (other
than farming). Ministers and members of religious orders, see instructions for types of income to
report on this line. See instructions for other income to report . . . . . . . . . . . . . 2 5,566.
3 Combine lines 1a, 1b, and 2 . . . . . . . . . . . . . . . . . . . . . . . . 3 5,566.
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4 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 4 5,140.
Note: If line 4 is less than $400 due to Conservation Reserve Program payments on line 1b, see
instructions.
5 Self-employment tax. If the amount on line 4 is:
• $132,900 or less, multiply line 4 by 15.3% (0.153). Enter the result here and on Schedule 2 (Form
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1040 or 1040-SR), line 4, or Form 1040-NR, line 55.

• More than $132,900, multiply line 4 by 2.9% (0.029). Then, add $16,479.60 to the result.
Enter the total here and on Schedule 2 (Form 1040 or 1040-SR), line 4, or Form 1040-NR, line 55 . 5 786.
6 Deduction for one-half of self-employment tax.
Multiply line 5 by 50% (0.50). Enter the result here and on Schedule 1 (Form
1040 or 1040-SR), line 14, or Form 1040-NR, line 27 . . . . . . . . 6 393.
For Paperwork Reduction Act Notice, see your tax return instructions. BAA REV 05/19/20 PRO Schedule SE (Form 1040 or 1040-SR) 2019
Form 8995 Qualified Business Income Deduction OMB No. 1545-0123
Simplified Computation
a Attach
to your tax return.
2019
Name(s) shown on return Your taxpayer identification number
1 (a) Trade, business, or aggregation name (b) Taxpayer (c) Qualified business
identification number income or (loss)
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i Step One 449298195 5,173.
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ii
iii
iv
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v
2 Total qualified business income or (loss). Combine lines 1i through 1v,

column (c) . . . . . . . . . . . . . . . . . . . . . . 2 5,173.
3 Qualified business net (loss) carryforward from the prior year . . . . . . . 3 ( 0. )
4
5
6
7
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Total qualified business income. Combine lines 2 and 3. If zero or less, enter -0-
Qualified REIT dividends and publicly traded partnership (PTP) income or (loss)
(see instructions) . . . . . . . . . . . . . . . . . . . .
Qualified REIT dividends and qualified PTP (loss) carryforward from the prior
year . . . . . . . . . . . . . . . . . . . . . . . . .
4
Qualified business income component. Multiply line 4 by 20% (0.20) . . . . . . . . . . .
7 (
5,173.
0. )
5 1,035.
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8 Total qualified REIT dividends and PTP income. Combine lines 6 and 7. If zero
or less, enter -0- . . . . . . . . . . . . . . . . . . . . 8 0.
9 REIT and PTP component. Multiply line 8 by 20% (0.20) . . . . . . . . . . . . . . . 9 0.
10 Qualified business income deduction before the income limitation. Add lines 5 and 9 . . . . . . 10 1,035.
11 Taxable income before qualified business income deduction . . . . . . 11 92,268.
12 Net capital gain (see instructions) . . . . . . . . . . . . . . . 12 0.
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13 Subtract line 12 from line 11. If zero or less, enter -0- . . . . . . . . 13 92,268.
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14 Income limitation. Multiply line 13 by 20% (0.20) . . . . . . . . . . . . . . . . . . 14 18,454.

15 Qualified business income deduction. Enter the lesser of line 10 or line 14. Also enter this amount on
the applicable line of your return . . . . . . . . . . . . . . . . . . . . . . a 15 1,035.
16 Total qualified business (loss) carryforward. Combine lines 2 and 3. If greater than zero, enter -0- . . 16 ( 0. )
17 Total qualified REIT dividends and PTP (loss) carryforward. Combine lines 6 and 7. If greater than
zero, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 ( 0. )
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For Privacy Act and Paperwork Reduction Act Notice, see instructions. REV 05/19/20 PRO Form 8995 (2019)
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Form 4868 Application for Automatic Extension of Time
To File U.S. Individual Income Tax Return
OMB No. 1545-0074

Internal Revenue Service (99)
a Go to www.irs.gov/Form4868 for the latest information. 2019
There are three ways to request an automatic extension of time to
file a U.S. individual income tax return. Pay Electronically
1. You can pay all or part of your estimated income tax due and
indicate that the payment is for an extension using Direct Pay, You don’t need to file Form 4868 if you make a payment using our
the Electronic Federal Tax Payment System, or using a credit electronic payment options. The IRS will automatically process an
or debit card. See How To Make a Payment on page 3. extension of time to file when you pay part or all of your estimated
2. You can file Form 4868 electronically by accessing IRS e-file income tax electronically. You can pay online or by phone (see
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using your home computer or by using a tax professional who page 3).
uses e-file.
E-file Using Your Personal Computer
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3. You can file a paper Form 4868 and enclose payment of your
estimate of tax due (optional). or Through a Tax Professional
Refer to your tax software package or tax preparer for ways to file
It’s Convenient, electronically. Be sure to have a copy of your 2018 tax return—
Safe, and Secure you’ll be asked to provide information from the return for taxpayer
verification. If you wish to make a payment, you can pay by
IRS e-file is the IRS’s electronic filing program. You can get an electronic funds withdrawal or send your check or money order to
automatic extension of time to file your tax return by filing Form the address shown in the middle column under Where To File a
O NO
4868 electronically. You’ll receive an electronic acknowledgment Paper Form 4868 (see page 4).
once you complete the transaction. Keep it with your records. Don’t
mail in Form 4868 if you file electronically, unless you’re making a
payment with a check or money order (see page 3).
File a Paper Form 4868
Complete Form 4868 to use as a worksheet. If you think you may If you wish to file on paper instead of electronically, fill in the Form
owe tax when you file your return, you’ll need to estimate your total 4868 below and mail it to the address shown on page 4.
tax liability and subtract how much you’ve already paid (lines 4, 5,
and 6 below). For information on using a private delivery service, see page 4.
Several companies offer free e-filing of Form 4868 through the
Free File program. For more details, go to IRS.gov and click on
freefile.
Purpose of Form
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General Instructions
Note: If you’re a fiscal year taxpayer, you must file a paper Form
4868.
1. Properly estimate your 2019 tax liability using the information

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available to you,
Use Form 4868 to apply for 6 more months (4 if “out of the
country” (defined on page 2) and a U.S. citizen or resident) to file 2. Enter your total tax liability on line 4 of Form 4868, and
Form 1040, 1040-SR, 1040-NR, 1040-NR-EZ, 1040-PR, or 1040-SS. 3. File Form 4868 by the regular due date of your return.
Although you aren’t required to make a payment of the tax
Gift and generation-skipping transfer (GST) tax return (Form
709). An extension of time to file your 2019 calendar year income
tax return also extends the time to file Form 709 for 2019. However,
F
!
CAUTION
you estimate as due, Form 4868 doesn’t extend the time
to pay taxes. If you don’t pay the amount due by the
it doesn’t extend the time to pay any gift and GST tax you may owe regular due date, you’ll owe interest. You may also be charged
t
for 2019. To make a payment of gift and GST tax, see Form 8892. If penalties. For more details, see Interest and Late Payment Penalty
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you don’t pay the amount due by the regular due date for Form 709, on page 2. Any remittance you make with your application for
you’ll owe interest and may also be charged penalties. If the donor extension will be treated as a payment of tax.
died during 2019, see the instructions for Forms 709 and 8892. You don’t have to explain why you’re asking for the extension.
We’ll contact you only if your request is denied.
Qualifying for the Extension Don’t file Form 4868 if you want the IRS to figure your tax or
To get the extra time, you must: you’re under a court order to file your return by the regular due date.
I DETACH HERE I
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Form 4868 Application for Automatic Extension of Time REV 05/19/20 PRO 1555
Internal Revenue Service (99)
To File U.S. Individual Income Tax Return
For calendar year 2019, or other tax year beginning , 2019, ending , . 2019
Part I Identification Part II Individual Income Tax
1 4 Estimate of total tax liability for 2019. . . $ 11,390.
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5 Total 2019 payments. . . . . . . . . . . . . . . . . . 14,549.

DARYL R & LAUREN E HOBBS 6 Balance due. Subtract line 5 from line 4
(see instructions) . . . . . . . . . . . . . . . . . . . . . 0.
7 Amount you are paying
1024 S SHARPSHIRE (see instructions) . . . . . . . . . . . . . . . . . . . . . G 0.
WAXAHACHIE,TX 75165 8 Check here if you’re “out of the country” and a U.S.
2 3 citizen or resident (see instructions) . . . . . . a
455-47-2189 449-29-8195 9 Check here if you file Form 1040-NR or 1040-NR-EZ and
didn’t receive wages as an employee subject to U.S.
income tax withholding . . . . . . . . . . a
455472189 SK HOBB 30 0 201912 670

Tax History Report 2019
G Keep for your records
Name(s) Shown on Return

Daryl R & Lauren E Hobbs
Five Year Tax History:
2015 2016 2017 2018 2019
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Filing status MFJ MFJ MFJ MFJ
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Total income 70,707. 249,228. 175,014. 117,061.
Adjustments to income 9,008. 2,610. 393.
Adjusted gross income 70,707. 240,220. 172,404. 116,668.
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Tax expense 1,200. 2,288. 1,894. 1,452.
Interest expense 5,472. 4,149.
Contributions
Misc. deductions
Other itemized ded’ns
Total itemized/
standard deduction 12,600.
opy D 12,700. 24,000. 24,400.
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Exemption amount 12,000. 12,150. 0. 0.
QBI deduction 6,867. 1,035.
Taxable income 46,107. 215,370. 141,537. 91,233.

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Tax 5,996. 47,188. 23,017. 11,787.
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Alternative min tax
Total credits 338. 500.
Other taxes 18,016. 5,220. 786.

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Payments 8,353. 3,125. 15,582. 14,549.
Form 2210 penalty 1,478. 338.
Amount owed 63,557. 12,493.

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Applied to next
year’s estimated tax
Refund 2,695. 1,976.
Effective tax rate % 8.00 19.64 13.06 10.10
**Tax bracket % 15.0 28.0 22.0 22.0
**Tax bracket % is based on Taxable income.

2019 Preparer Electronic Filing Instructions
Federal

1024 S SHARPSHIRE
WAXAHACHIE TX 75165
Accepted Date
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This return is NOT FINISHED until you complete the following instructions
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Prior to transmission of the return
Form 8879
The taxpayer should review, sign and date Form 8879 and return to
you prior to transmitting the tax return.
Refund Amount
O NO
There is a refund in the amount of $1976.00.
Receiving a paper check has been selected.
After transmission of the return

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Receive acknowledgement of the transmitted return
Connect with ProSeries after 24 hours to receive your acknowledgement.
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IRS e-file Authentication Statement 2019
Name(s) Shown on Return Social Security Number

A ' Practitioner PIN Authorization
Note - PIN information is entered in Part VI of the Federal Information Worksheet. This worksheet only
serves as a record of the PIN information transmitted in the electronic return.
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QuickZoom to the Federal Information Worksheet to enter PIN information
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Taxpayer(s) entered PIN(s)
ERO entered Primary Taxpayer’s PIN
ERO entered Secondary Taxpayer’s PIN
ERO entered PIN(s) on behalf of taxpayer(s) X
O NO
B ' Signature of Electronic Return Originator
ERO Declaration:
I declare that the information contained in this electronic tax return is the information furnished to me by the
taxpayer. If the taxpayer furnished me a completed tax return, I declare that the information contained in
this electronic tax return is identical to that contained in the return provided by the taxpayer. If the furnished
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return was signed by a paid preparer, I declare I have entered the paid preparer’s identifying information in
the appropriate portion of this electronic return. If I am the paid preparer, under the penalties of perjury I
declare that I have examined this electronic return, and to the best of my knowledge and belief, it is true,
correct, and complete. This declaration is based on all information of which I have any knowledge.
I am signing this Tax Return by entering my PIN below.

ion C
ERO’s PIN (EFIN followed by any 5 numbers) EFIN Self-Select PIN
C ' Signature of Taxpayer/Spouse
Perjury Statement:
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Under penalties of perjury, I declare that I have examined this return, including any accompanying
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statements and schedules and, to the best of my knowledge and belief, it is true, correct, and complete.
Consent to Disclosure:
I consent to allow my Intermediate Service Provider, transmitter, or Electronic Return Originator (ERO) to
send my return to IRS and to receive the following information from IRS: (1) acknowledgement of receipt or
reason for rejection of transmission; (2) refund offset; (3) reason for any delay in processing or refund; and,
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(4) date of any refund.
I am signing this Tax Return and Electronic Funds Withdrawal Consent, if applicable,
with my Self-Select PIN below.
QuickZoom to the Federal Information Worksheet to enter PIN numbers
Taxpayer’s PIN (5 numbers) 72189
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Spouse’s PIN (5 numbers) 98195

Date 10/14/2020
D ' Form 1310 Signature and Verification
Completion of this section indicates that I am requesting a refund of taxes overpaid by or on behalf of the
decedent. Under penalties of perjury, I declare that I have examined this Form 1310 claim, and to the best
of my knowledge and belief, it is true, correct, and complete.
Signature of person claiming refund (35 character limit) Date

Federal Information Worksheet 2019
Part I ' Personal Information

Taxpayer: Spouse:
Last name Hobbs Last name (if different)
First name Daryl First name Lauren
Middle initial R Suffix Middle initial E Suffix
Social security no. 455-47-2189 Social security no. 449-29-8195
Occupation Mechanic Occupation Self
Date of birth 11/01/1965 (mm/dd/yyyy) Date of birth 09/08/1963 (mm/dd/yyyy)
Age as of 1-1-2020 54 Age as of 1-1-2020 56
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Date of death Date of death
Legally blind Legally blind
E-mail address E-mail address
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Work phone Ext Work phone Ext
Cell phone Cell phone
Home phone Note: Work phone is transmitted for electronic funds withdrawal.
Fax number
Best contact phone number
Print phone number on Form 1040 Home Taxpayer work Spouse work
Print Form 1040-SR instead of Form 1040 Yes No
O NO
X
US Address:
Address 1024 S. Sharpshire Apt no.
City Waxahachie State TX ZIP code 75165
Foreign Address: Check this box to use foreign address
Address Apt no.
City
Foreign code Foreign country
Foreign province/county
Foreign phone
APO/FPO/DPO address
Part II ' Federal Filing Status

APO
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FPO
Foreign postal code
DPO
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1 Single
X 2 Married filing jointly
3 Married filing separately
Taxpayer did not live with spouse at any time during year
Taxpayer eligible to claim spouse’s exemption (state use), blind, or over age 65 (see Help)
4 Head of household
If qualifying person is child but not dependent:
Child’s First name MI Last Name Suff
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Child’s social security number
5 Qualifying widow(er)
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Year spouse died 2017 2018

Enter the qualifying person’s name:
Child’s First name MI Last Name Suff
Child’s social security number
Part III ' Dependent/Earned Income Credit/Child and Dependent Care Credit Information
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Qualified
child/dep Not
Dependent care exps qual
Identity incurred credit
A Protection PIN and paid other
G (see tax help) 2019 dep
Date of birth E Lived Not qual
(mm/dd/yyyy) with Educ for child
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Social security E taxpyr Tuition tax credit

First name MI number Date of death I in and Or non
Last name Suff *Relationship (mm/dd/yyyy)** C U.S. Fees Code U.S.***
* Caution: If claiming child other than taxpayer’s see Relationship in Help

** The health care shared responsibility payment calculation does not include individuals after date of death
*** Caution: If this person is NOT a U.S. citizen, U.S. national, or a U.S. resident check this box
Identity Verification Worksheet 2019
GSee tax help for more information on identity verification

Driver’s License or State Id Information

Required for electronic filing, either complete the driver’s license or state id detail information below or
select the appropriate box for taxpayer and spouse to indicate why driver’s license or state id information is
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not present.
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Note: Providing identification numbers helps the IRS and states verify taxpayer identity which can prevent
unnecessary delays in tax return processing.
All identity verification information should be entered here and will automatically flow to the
state return.
O NO
Taxpayer/Spouse does not have a driver’s license or state id
X Taxpayer Note: Alabama does not allow this option
X Spouse
Taxpayer/Spouse did not provide driver’s license or state id information
Taxpayer Note: Alabama, New York and Ohio do not allow this option
Spouse
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Check to confirm transferred driver’s license or state id information (which appears in green) is correct
Note: Transfer not available for returns with Alabama, Iowa, or New York state taxes. See tax help for
more information.
Driver’s License Detail

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Taxpayer: Spouse:
Issuing state Issuing state
License number License number
Issue date Issue date
Expiration date Expiration date
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Does not expire Does not expire
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NY Document number (first 3 chars)* NY Document number (first 3 chars)*
State Identification Card Detail
Taxpayer: Spouse:
Issuing state Issuing state
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Identification number Identification number

Issue date Issue date
Expiration date Expiration date
Does not expire Does not expire
NY Document number (first 3 chars)* NY Document number (first 3 chars)*
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* Enter the first 3 characters of the NY document number, which is the 8 or 10 number/letter combination
found at the bottom of the NY license (or NY state ID) or on the back if it was issued after January 28, 2014.
Additional Verification Information

Use these fields to record the client status and method used to verify the taxpayer and spouse identity.
Client Status:
New client
Returning client to same preparer and firm
Returning client to same firm
Identity Verification Method (select one):
In person
Remote via email, phone, or fax
Both in person and remote
Identity not verified
Documents Used to Verify Primary Taxpayer Identity:

Driver’s license (complete detail above)
State issued identification card (complete detail above)
Passport
IL
Account statement from financial institution
Utility billing statement
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Credit card billing statement
Documents Used to Verify Spouse Identity (If you file joint return):
Driver’s license (complete detail above)
State issued identification card (complete detail above)
O NO
fdiv7101.SCR 12/18/19
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t ion C
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Electronic Filing Information Worksheet 2019

Payment by Check (Form 1040-V) ' Federal Balance Due

Date Form 1040-V was given to client
Electronic Return Originator Information
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The ERO Information below will automatically calculate based on the preparer code entered on the
Federal Information Worksheet.
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Calculates to the EFIN for the ERO that is responsible for filing this return based on the
preparer code. For returns that are marked as a "Non-Paid Preparer" (XNP) or
"Self-Prepared" (XSP) can be changed but is required.
For returns that are marked as a "Non-Paid Preparer" (XNP) or "Self-Prepared" (XSP)
enter a PIN for the ERO that is responsible for filing return
O NO
ERO Name ERO Electronic Filers Identification Number (EFIN)
ERO Address ERO Employer Identification Number
City State ZIP Code ERO Social Security Number or PTIN
Country
Paid Preparer Information
Firm Name
opy D Social Security Number or PTIN
ion C
Name Employer Identification Number
Address Phone Number Fax Number
City State ZIP Code

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Country E-mail Address
Non Paid Preparer Information
If the return was prepared or reviewed through an IRS tax assistance program, self-prepared by the
taxpayer, or was prepared by another person who was not paid to prepare the return, check one of the
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following boxes that applies to this return.
IRS-reviewed
IRS-prepared
Prepared by taxpayer or other non-paid preparer
Amended Returns
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File another Amended Form 114 Report of Foreign Bank and Financial Accounts (FBAR) electronically
Check this box to file another state and/or city amended return electronically
* Select the state and/or city amended return(s) to file electronically.
State/City *
Georgia
Michigan
New York
Vermont
Daryl R & Lauren E Hobbs 455-47-2189 Page 2
Miscellaneous Electronic Filing Items
If the return was rejected for dependent name and SSN mismatch (business rule R0000-504-01) or
Schedule EIC qualifying child name and SSN mismatch (business rule SEIC-F1040-501-01),
check this box to retransmit this return as an imperfect return.
Enter an ’in care of addressee’ if applicable
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Name of personal representative for deceased returns
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If married filing joint and one spouse is deceased, is the surviving spouse also the
personal representative? Yes No
Check this box if your client is in the U.S. Armed Forces with a stateside address
Select the appropriate combat zone from the picklist if the taxpayer (or spouse) last served in an area
O NO
designated as a combat zone or qualified hazardous duty area.
Other combat zone deployment date
Option of Transmitting the Forms as PDF with the Electronic Submission or Mailing the Forms with
Form 8453: U.S. Individual Income Tax Transmittal for an IRS e-file Return.
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Note: To Attach and Send a PDF file with this return, click on the "E-File" drop down menu, and then select "Attach PDF Files".
Check the applicable box(es) on forms to be attached and mail with form 8453 Transmit
PDF
Print & Mail
with 8453
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Form 2848. Power of Attorney and Declaration of Representative
Form 3468, Historic Structure Certificate
Form 4136, Credit for Federal Tax Paid on Fuels
Form 8283, Noncash Charitable Contributions (Declaration of Appraiser)
Form 1098-C, Contributions of Motor Vehicles, Boats and Airplanes
Form 8332, Release of Claim to Exemption for Child by Custodial Parent or Other Doc
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Form 8885, Health Coverage Tax Credit
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Form 8949. Sales and Other Disp of Capital Assets.(or a stmt w/the same information)
Form 3115, Change in Accounting Method
These forms are not supported in ProSeries. You may print a completed form to Transmit Print & Mail
mail with your Form 8453, please check the applicable box(es) . PDF with 8453
Form 5713, International Boycott Report N/A
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Form 8858, Foreign Disregarded Entities N/A

Form 8864, attach the Certificate for Biodiesel N/A
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Form 1040 Forms W-2 & W-2G Summary 2019

Form W-2 Employer SP Wages Federal Tax State Wages State Tax
Step One X
Oracle Elevator Holdco Inc 111,495. 14,549.
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Totals 111,495. 14,549.
O NO
Form W-2 Summary
Box No. Description Taxpayer Spouse Total
1 Total wages, tips and compensation:

Non-statutory & statutory wages not on Sch C 111,495. 111,495.
Statutory wages reported on Schedule C
4
5
6
Foreign wages included in total wages
Unreported tips
Total federal tax withheld
3 & 7 Total social security wages/tips
Total social security tax withheld
Total Medicare wages and tips
Total Medicare tax withheld
opy D 0.
14,549.
119,295.
7,396.
119,295.
1,730.
0. 0.
14,549.
119,295.
7,396.
119,295.
1,730.
ion C
8 Total allocated tips
9 Not used
10 a Total dependent care benefits
b Offsite dependent care benefits
c Onsite dependent care benefits
11 Total distributions from nonqualified plans
12 a Total from Box 12
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29,393. 29,393.
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b Elective deferrals to qualified plans 7,800. 7,800.

c Roth contrib. to 401(k), 403(b), 457(b) plans
d Deferrals to government 457 plans
e Deferrals to non-government 457 plans
f Deferrals 409A nonqual deferred comp plan
g Income 409A nonqual deferred comp plan
h Uncollected Medicare tax
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i Uncollected social security and RRTA tier 1

j Uncollected RRTA tier 2
k Income from nonstatutory stock options
l Non-taxable combat pay
m QSEHRA benefits
n Total other items from box 12 21,593. 21,593.
14 a Total deductible mandatory state tax
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b Total deductible charitable contributions

c Total state deductible employee expenses
d Total RR Compensation
e Total RR Tier 1 tax
f Total RR Tier 2 tax
g Total RR Medicare tax
h Total RR Additional Medicare tax
i Total RRTA tips
j Total other items from box 14
16 Total state wages and tips
17 Total state tax withheld
19 Total local tax withheld
Form 1040 Form W-2 Worksheet 2019
Name as shown on return Social Security Number

Employer EIN 82-1431166

Employer Name Oracle Elevator Holdco Inc
Name (cont.)
Street Address or P. O. Box 8800 Grand Oak Cir #550
IL
City Tampa State FL ZIP 33637
Foreign Province/County
Foreign Postal Code
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Foreign Country
Spouse’s W-2 Do not transfer this W-2 to next year

Automatically calculate lines 3 through 6 and line 16.
Caution: Box 12 entries for deferred compensation will change lines 3 through 6 automatically.
O NO
1 Wages, tips, other comp 111,495. 2 Federal tax withheld 14,549.
3 Social security wages 119,295. 4 Social sec tax withheld 7,396.
5 Medicare wages and tips 119,295. 6 Medicare tax withheld 1,730.
7 Social security tips 8 Allocated tips
13 b X Retirement plan
Foreign source income eligible for exclusion on Form 2555
Active duty military pay
Box 12
Code
D
DD
Box 12
Amount
7,800.
21,593.
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If Box 12 code is:
A: Enter amount attributable to RRTA Tier 2 tax
M: Enter amount attributable to RRTA Tier 2 tax
P: Double click to link to Form 3903, line 4
R: Enter MSA contribution for Taxpayer
Spouse
ion C
W: Enter HSA contribution for Taxpayer
Spouse
G: Employer is not a state or local government
Box 15 Box 16 Box 17

State Employer’s state I.D. no. State wages, tips, etc. State income tax
t
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I confirm that the state withholding identification number(s) are accurate
Box 20 Box 18 Box 19 Associated

Locality name Local wages, tips, etc. Local income tax State
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9 9
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10 Dependent care benefits (Check if employer furnished care at work) 10

Dependent care benefits - Amount forfeited from flexible spending account
11 Distributions from Section 457 and other nonqualified plans (See help,
if EIC, Child Care, Child Tax Credit, or IRAs.) 11
Box 14 ProSeries Identification of Description or Code

Description or Code (Identify this item by selecting the identification from
on Actual Form W-2 Amount the drop down list. If not on the list, select Other).
Form 1040 Form W-2 Worksheet Additional Information 2019
Daryl R Hobbs 455-47-2189 Page 2
Employer Name Oracle Elevator Holdco Inc

Part I Statutory employees
A Box 13a. Statutory employee

B Deducting expenses in connection with this income
C If deducting expenses, double click to link to Schedule C C
IL
Part II Clergy, church employees, members of recognized religious sects
T MA
Clergy only:
D Designated housing or parsonage allowance D
E Smallest of (a) the designated housing or parsonage allowance,
(b) amount spent on qualifying housing expenses, or (c) fair rental value E
F If no FICA was withheld, check the applicable box below
1 Pay self-employment tax on housing or parsonage allowance only
2 Pay self-employment tax on W-2 income only
3 Pay self-employment tax on W-2 income and housing allowance
O NO
4 Exempt from self-employment tax and has approved Form 4361
Non-Clergy only:
G If no FICA was withheld, check the applicable box below
1 Pay self-employment tax on this W-2 income
2 Exempt from self-employment tax and has approved Form 4029
Part III Unreported Tip Income
H1
2
3
4
5
6
opy D
Tips $20 or more in a month which were not reported to employer
Tips less than $20 in a month which were not required to be reported
Value of non-cash tips, such as tickets or passes, not reported
Actual amount of allocated tips if different than the amount in box 8
Tips paid out through a tip-sharing arrangement
Employer is a federal, state, or local government and tips are
only subject to Medicare tax
H1
H2
H3
H4
H5
ion C
Part IV Substitute Form W-2
I a If substitute Form W-2 needed, double-click to link this W-2 to a Form 4852
b Enter Form 4852, Line 9 information. "How did you determine amounts on line 7 of Form 4852?"
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c Form 4852, Line 10 information. "Explain your efforts to obtain Form W-2?"
d QuickZoom to completed Form 4852 for reference

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Part V Inmate In a Penal Institution
J a Pay from work performed while an inmate in a penal institution
Part VI Additional Information for Electronic Filing and Certain States (See Help)
13 c Third-party sick pay

Non-standard W-2 (handwritten, typewritten, or altered in any way)
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Corrected W-2
Income from Paid Family Leave
Control number (optional)
Employee information: Correct to match employee information on W-2

Employee’s SSN. 455-47-2189
First name M.I. Last name Suff.
Daryl R Hobbs
Address City St ZIP code
1024 S. Sharpshire Waxahachie TX 75165
Foreign Province/County Foreign Postal Code
Foreign Country
Form 1099-K Summary 2019

Form 1099-K Summary
Box Description Taxpayer Spouse Total
IL
1 Net Amount of Payment Card/Third Party
T MA
Network Transactions after Adjustments 74,736. 74,736.
A Schedule C 74,736. 74,736.

A Schedule E
A Schedule F
A Other Income
O NO
4 Federal tax withheld
8 State tax withheld - total
opy D
t ion C
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Form 1099-K Payment Card and 2019
Third Party Network Transactions Worksheet
Name Social Security Number

Filer’s Federal ID No. 75-2515225

Filer’s Name First American Payment Systems L.P
IL
CORRECTED (if checked)
T MA
X Spouse’s 1099-K Do not transfer this 1099-K to next year
Box 1 Gross amount of payment card/third party network transactions 63,436.

Required: double-click to select the form on which to report this income:
Schedule C Drug testing
Schedule E
O NO
Schedule F
Other Income
Box 4 Federal income tax withheld
First State
Box 6
Box 8
Box 6
Box 8
State TX
State income tax withheld
Second State
State
Box 7
Box 7
opy D
State identification number

ion C
1099-K Reconciliation
1 Gross amount of payment card/third party network transactions 63,436.

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2 Less: Adjustments
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3 Net amount of payment card/third party network transactions 63,436.

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Form 1099-K Payment Card and 2019
Third Party Network Transactions Worksheet
Name Social Security Number

Filer’s Federal ID No. 58-1916822

Filer’s Name Elavon Inc
IL
CORRECTED (if checked)
T MA
X Spouse’s 1099-K Do not transfer this 1099-K to next year
Box 1 Gross amount of payment card/third party network transactions 11,300.

Required: double-click to select the form on which to report this income:
Schedule C Drug testing
Schedule E
O NO
Schedule F
Other Income
Box 4 Federal income tax withheld
First State
Box 6
Box 8
Box 6
Box 8
State
Second State
State
Box 7
Box 7
opy D

ion C
1099-K Reconciliation
1 Gross amount of payment card/third party network transactions 11,300.

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2 Less: Adjustments
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3 Net amount of payment card/third party network transactions 11,300.

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Form 1099-MISC Summary 2019

Form 1099-MISC Summary
Box Description Taxpayer Spouse Total
IL
1 Total Rents
T MA
A Schedule C
A Schedule E
A Form 4835
A Other Income
2 Total Royalties
O NO
A Schedule C
A Schedule E
3 Total Other income 1,416. 1,416.

A Schedule C 1,416. 1,416.
A Schedule F
A Form 4835
For Form 1040:
A Winnings (Prizes, etc.)
A Tribal Gaming
A Alaska Permanent Fund
A Other Income
opy D
ion C
4 Federal tax withheld
5 Fishing boat proceeds
6 Medical and health care payments 2,074. 67,070. 69,144.
7 Total Nonemployee compensation 5,435. 137,839. 143,274.

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A Schedule C 5,435. 137,839. 143,274.
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A Schedule F
A Wages
A Other Income
8 Substitute payments
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10 Total Crop insurance proceeds

A Schedule F
A Form 4835
13 Excess golden parachute payments

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14 Gross proceeds paid to an attorney

A Taxable amount
15a Section 409A deferrals

15b Section 409A income
16 State tax withheld - total
Total Boxes 1-3, 5-8, 10, 13-15b 8,925. 204,909. 213,834.

Form 1099-MISC Income Worksheet 2019
Payer’s EIN 95-3523988 or SSN
Payer’s Name Centre for Neuro Skills
Name (cont.)
X Spouse’s 1099-MISC Do not transfer this 1099-MISC to next year
Box 7 Nonemployee compensation 12,557.

Double click to link to: Schedule C Drug testing
Schedule F
IL
Report on Form 1040, line 7 (or Form 1040NR, line 8) and Form 8919
If checked, enter Reason Code for Form 8919 (see Help) Code on 8919
T MA
If Reason Code A or C, enter determination date
Other Income
Box 1 Rents
Box 2 Royalties
Double click to link rents or royalties to: Schedule C
Schedule E
Form 4835
O NO
Check to link Box 1 rents to: Other Income
Box 3 Other income
Double click to link to: Schedule C
Schedule F
Form 4835
For Form 1040, Other Income line:
Tribal Member Gaming Payments
Box 8
Box 4
Box 16
Winnings (Prizes, etc.)
opy D
Olympic or Paralympic Prize Money
Alaska Permanent Fund
Substitute payments in lieu of dividends or interest
Federal income tax withheld
First state
State tax withheld
Other income
ion C
Box 17 State Payer’s state no.
Box 18 State income
Second state
Box 16 State tax withheld
Box 18 State income
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Box 5 Fishing boat proceeds

Box 6 Medical and health care payments
Box 10 Crop insurance proceeds

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Double click to link to: Schedule F

Form 4835
Box 13 Excess golden parachute payments
Box 14 Gross proceeds paid to an attorney.

Taxable attorney fees to transfer to Schedule C
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Box 15a Section 409A deferrals
Box 15b Section 409A income
FATCA filing requirement
Additional Payer and Recipient Information

Payer’s address and ZIP code Recipient’s address and ZIP code
Transfer address from Federal Information Wks
Street Street
City City
State ZIP Code State ZIP Code
Foreign Country Foreign Country
Payer’s Name WWF Operating Co
Name (cont.)

Schedule F
IL
T MA
Other Income
Box 1 Rents
Box 2 Royalties
Schedule E
Form 4835
O NO
Box 3 Other income
Schedule F
Form 4835
Box 8
Box 4
Box 16
opy D
First state
State tax withheld
Other income
ion C
Box 18 State income
Second state
Box 18 State income
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Form 4835

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Street Street
City City
Payer’s Name Laboratory Corporation
Name (cont.)
Box 7 Nonemployee compensation 720.

Schedule F
IL
T MA
Other Income
Box 1 Rents
Box 2 Royalties
Schedule E
Form 4835
O NO
Box 3 Other income
Schedule F
Form 4835
Box 8
Box 4
Box 16
opy D
First state
State tax withheld
Other income
ion C
Box 18 State income
Second state
Box 18 State income
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Form 4835

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Street Street
City City
Payer’s Name Ben E Keith Company
Name (cont.)

Schedule F
IL
T MA
Other Income
Box 1 Rents
Box 2 Royalties
Schedule E
Form 4835
O NO
Box 3 Other income
Schedule F
Form 4835
Box 8
Box 4
Box 16
opy D
First state
State tax withheld
Other income
ion C
Box 18 State income
Second state
Box 18 State income
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Form 4835

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Street Street
City City
Payer’s Name Ellis County
Name (cont.)

Schedule F
IL
T MA
Other Income
Box 1 Rents
Box 2 Royalties
Schedule E
Form 4835
O NO
Box 3 Other income
Schedule F
Form 4835
Box 8
Box 4
Box 16
opy D
First state
State tax withheld
Other income
ion C
Box 18 State income
Second state
Box 18 State income
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Box 6 Medical and health care payments 12,622.
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Form 4835

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Street Street
City City
Payer’s Name Concentra Group Holdings LLC
Name (cont.)

Schedule F
IL
T MA
Other Income
Box 1 Rents
Box 2 Royalties
Schedule E
Form 4835
O NO
Box 3 Other income
Schedule F
Form 4835
Box 8
Box 4
Box 16
opy D
First state
State tax withheld
Other income
ion C
Box 18 State income
Second state
Box 18 State income
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Form 4835

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Street Street
City City
Payer’s Name Swell Village Cadillac
Name (cont.)

Schedule F
IL
T MA
Other Income
Box 1 Rents
Box 2 Royalties
Schedule E
Form 4835
O NO
Box 3 Other income
Schedule F
Form 4835
Box 8
Box 4
Box 16
opy D
First state
State tax withheld
Other income
ion C
Box 18 State income
Second state
Box 18 State income
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Form 4835

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Street Street
City City
Payer’s Name City Of Lewisville
Name (cont.)
Box 7 Nonemployee compensation

Schedule F
IL
T MA
Other Income
Box 1 Rents
Box 2 Royalties
Schedule E
Form 4835
O NO
Box 3 Other income
Schedule F
Form 4835
Box 8
Box 4
Box 16
opy D
First state
State tax withheld
Other income
ion C
Box 18 State income
Second state
Box 18 State income
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Form 4835

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Street Street
City City
Payer’s Name Quest Diagnostics Inc
Name (cont.)

Schedule F
IL
T MA
Other Income
Box 1 Rents
Box 2 Royalties
Schedule E
Form 4835
O NO
Box 3 Other income
Schedule F
Form 4835
Box 8
Box 4
Box 16
opy D
First state
State tax withheld
Other income
ion C
Box 18 State income
Second state
Box 18 State income
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Form 4835

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Street Street
City City
Payer’s Name First Hospital Laboratories Inc
Name (cont.)

Schedule F
IL
T MA
Other Income
Box 1 Rents
Box 2 Royalties
Schedule E
Form 4835
O NO
Box 3 Other income
Schedule F
Form 4835
Box 8
Box 4
Box 16
opy D
First state
State tax withheld
Other income
ion C
Box 18 State income
Second state
Box 18 State income
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Box 6 Medical and health care payments 675.
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Form 4835

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Street Street
City City
Payer’s Name Escreen Inc
Name (cont.)

Schedule F
IL
T MA
Other Income
Box 1 Rents
Box 2 Royalties
Schedule E
Form 4835
O NO
Box 3 Other income
Schedule F
Form 4835
Box 8
Box 4
Box 16
opy D
First state
State tax withheld
Other income
ion C
Box 18 State income
Second state
Box 18 State income
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Form 4835

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Street Street
City City
Payer’s Name Fieldprint Equipmen Corp
Name (cont.)
Spouse’s 1099-MISC Do not transfer this 1099-MISC to next year

Schedule F
IL
T MA
Other Income
Box 1 Rents
Box 2 Royalties
Schedule E
Form 4835
O NO
Box 3 Other income
Schedule F
Form 4835
Box 8
Box 4
Box 16
opy D
First state
State tax withheld
Other income
ion C
Box 18 State income
Second state
Box 18 State income
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Form 4835

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Street Street
City City
Payer’s Name Unique Staff Leasing I LTD
Name (cont.)

Schedule F
IL
T MA
Other Income
Box 1 Rents
Box 2 Royalties
Schedule E
Form 4835
O NO
Box 3 Other income
Schedule F
Form 4835
Box 8
Box 4
Box 16
opy D
First state
State tax withheld
Other income
ion C
Box 18 State income
Second state
Box 18 State income
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Form 4835

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Street Street
City City
Payer’s Name First Advantage Occupational Health Services Corp
Name (cont.)

Schedule F
IL
T MA
Other Income
Box 1 Rents
Box 2 Royalties
Schedule E
Form 4835
O NO
Box 3 Other income
Schedule F
Form 4835
Box 8
Box 4
Box 16
opy D
First state
State tax withheld
Other income
ion C
Box 18 State income
Second state
Box 18 State income
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Box 6 Medical and health care payments 686.
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Form 4835

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Street Street
City City
Payer’s Name Trinity River Authority
Name (cont.)

Schedule F
IL
T MA
Other Income
Box 1 Rents
Box 2 Royalties
Schedule E
Form 4835
O NO
Box 3 Other income 1,416.
Schedule F
Form 4835
Box 8
Box 4
Box 16
opy D
First state
State tax withheld
Other income
ion C
Box 18 State income
Second state
Box 18 State income
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Form 4835

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Street Street
City City
Payer’s Name Ellis County Coalition For Health Options Inc
Name (cont.)

Schedule F
IL
T MA
Other Income
Box 1 Rents
Box 2 Royalties
Schedule E
Form 4835
O NO
Box 3 Other income
Schedule F
Form 4835
Box 8
Box 4
Box 16
opy D
First state
State tax withheld
Other income
ion C
Box 18 State income
Second state
Box 18 State income
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Form 4835

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Street Street
City City
Qualified Business Income Component Worksheet 2019

Aggregate trade or business name Step One

Aggregate trade or business ID number (EIN)
Social Security Number of owner if no EIN available 449-29-8195
Reason for no EIN or SSN if none available
IL
For multiple businesses being aggregated under Regulations section 1.199A-4, complete the
explanation statements below.
T MA
Provide a description of the trade or business and an explanation of the factors met that allow the
aggregation in accordance with Regulations section 1.199A-4.
Has this trade or business aggregation changed from the prior year? This includes changes due to a
a trade or business being formed, acquired, disposed, or ceasing operations. If yes, explain.
O NO
Business name Tax ID QBI W2 wages UBIA
Step One 5,173. 101,786. 0.
2
3
4
5
Qualified business income (QBI)
Taxable Income opy D

If using Simplified Worksheet, stop here.
Threshold Amount. $321,400 if MFJ, $160,725 if MFS, otherwise $160,700

Subtract line 3 from line 2. If less than 0, enter 0.
Phase-in range amount. Enter $100,000 if filing joint, otherwise $50,000
5,173.
ion C
6 Reduction ratio. If line 4 is less than line 5, divide line 4 by line 5.
Otherwise, enter 1.
7 Applicable percentage. Subtract the reduction ratio (line 6) from 1.0000
8 Wages allocable to qualified business income
9 Unadjusted Basis Immediately after Acquisition of Assets (UBIA) allocable
to qualified business income
Reductions for Specified Service Trades or Businesses
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Check if Specified Service Trade or Business (SSTB)

11 SSTB reduction to QBI
12 SSTB reduction to allocable wages
13 SSTB reduction to allocable UBIA
QBI, wages, and UBIA after applicable SSTB reductions
14 Qualified business income
15 Allocable wages
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16 Allocable UBIA
Tentative QBI component
17 Adjustments for QBI losses
18 Loss-adjusted QBI (line 14 plus line 17)
19 Tentative QBI component before limitations (20% of line 18)
Wages and assets limits
20 50% of W2 wages
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21 25% of W2 wages
22 2.5% of UBIA
23 Sum of 25% of W2 wages and 2.5% of UBIA
24 Wage and Asset Limit. Larger of line 20 or line 23
25 Subtract wage/asset limit (line 24) from tentative QBI component (line 19)
(But not less than 0)
26 Reduction Amount. Multiply line 6 by line 25
27 Subtract the Reduction Amount (line 26) from Tent. QBI Ded’n (line 19)
28 Qualified payments from agricultural or horticultural coop
29 Wages allocable to qualified payments from coop
30 Patron reduction (lesser of 9% of line 28 or 50% of line 29)
Qualified business income component amount
31 Subtract line 30 from line 27
Qualified Business Income Deduction Summary 2019

QuickZoom to QBI Component Worksheet

QuickZoom to Form 8995
QuickZoom to Form 8995-A
IL
1 Trade or business name Net QBI
T MA
Step One 5,173.
2 Net qualified business income (QBI) from qualified trades or businesses 5,173.
3 Loss from previous year 0.
4 Sum of activities with gains (only positive amounts from table on line 1) 5,173.
O NO
5 Sum of activities with losses (only negative amounts from table on line 1) 0.
6 Check if using Simplified Computation (Form 8995) X
7 QBI component from Form 8995 line 5 or Form 8995A line 16 1,035.
8 QBI loss carryover from Form 8895 line 16 or Form 8995A Schedule C line 6 0.
9
10
11
12
13
Total REIT dividends
PTP Income from non-SSTBs
PTP Income from SSTBs
Allowed PTP Income from SSTBs
opy D
Total Allowed PTP income (sum of line 10 and line 12)
ion C
14 Carryover REIT/PTP losses from prior year 0.
15 Total REIT/PTP income
16 20% of total REIT/PTP income
17 Disallowed REIT/PTP loss 0.
18 Combined QBI Amount (QBI component plus 20% of REIT/PTP income) 1,035.
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19 Taxable income before qualified business income deduction 92,268.

20 Net capital gains 0.
21 Taxable income minus net capital gains. If zero or less, enter -0- 92,268.
22 20% of taxable income minus net capital gains 18,454.
23 QBI deduction before DPAD 1,035.

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Lesser of Combined QBI Amount or 20% of taxable income minus cap gains
24 Section 199A(g) deduction for domestic production activities
25 Total 199A (QBI) deduction (sum of lines 23 and 24) 1,035.

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Tax Payments Worksheet 2019

Estimated Tax Payments for 2019 (If more than 4 payments for any state or locality, see Tax Help)
Federal State Local
Date Amount Date Amount ID Date Amount ID
IL
T MA
1 04/15/19 04/15/19 04/15/19
2 06/17/19 06/17/19 06/17/19
3 09/16/19 09/16/19 09/16/19
O NO
4 01/15/20 01/15/20 01/15/20
Tot Estimated
Payments
Tax Payments Other Than Withholding

(If multiple states, see Tax Help)
opy D Federal State ID Local ID
ion C
6 Overpayments applied to 2019
7 Credited by estates and trusts
8 Totals Lines 1 through 7
9 2019 extensions 0.
Taxes Withheld From: Federal State Local

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10 Forms W-2 14,549.

11 Forms W-2G
12 Forms 1099-R
13 Forms 1099-MISC, 1099-K and 1099-G
14 Schedules K-1
15 Forms 1099-INT, DIV and OID
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16 Social Security and Railroad Benefits

17 Form 1099-B St Loc
18 a Other withholding St Loc
b Other withholding St Loc
c Other withholding St Loc
d Additional Medicare Tax
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19 Total Withholding Lines 10 through 18d

14,549.
20 Total Tax Payments for 2019 14,549.
Prior Year Taxes Paid In 2019 State ID Local ID

(If multiple states or localities, see Tax Help)
21 Tax paid with 2018 extensions

22 2018 estimated tax paid after 12/31/2018
23 Balance due paid with 2018 return
24 Other (amended returns, installment payments, etc)
Earned Income Worksheet 2019

Part I ' Earned Income Credit Worksheet Computation
Taxpayer Spouse Total

1 If filing Schedule SE:
IL
a Net self-employment income 5,566. 5,566.
b Optional Method and Church Employee income
T MA
c Add lines 1a and 1b 5,566. 5,566.
d One-half of self-employment tax 393. 393.
e Subtract line 1d from line 1c 5,173. 5,173.
2 If not required to file Schedule SE:
a Net farm profit or (loss)
b Net nonfarm profit or (loss)
O NO
c Add lines 2a and 2b
3 If filing Schedule C as a statutory employee,
enter the amount from line 1 of that
Schedule C
4 Add lines 1e, 2c and 3. To EIC Wks, line 5 5,173. 5,173.
7a
b
opy D
Part II ' Form 2441 and Standard Deduction Worksheet Computations
5 Net self-employment earnings (line 4 above)

Wages, salaries, and tips less distributions
from nonqualified or section 457 plans, etc
Taxable employer-provided adoption benefits
Foreign earned income exclusion
111,495.
5,173. 5,173.
111,495.
ion C
8 Add lines 5 through 7b. To Form 2441, lines 19
and 20 111,495. 5,173. 116,668.
9a Taxable dependent care benefits
b Nontaxable combat pay
10 Add lines 8, 9a & 9b . To Form 2441, lines
4 and 5 111,495. 5,173. 116,668.
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11 Scholarship or fellowship income not on W-2
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12 SE exempt earnings less nontaxable income

13 Distributions from nonqualified/Sec. 457 plans
14 Add lines 5, 6, 7a, 9a and 11 through 13.
To Standard Deduction Worksheet 111,495. 5,173. 116,668.
Part III ' IRA Deduction Worksheet Computation

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15 Net self-employment income or (loss) 5,173. 5,173.

16 Wages, salaries, tips, etc 111,495. 111,495.
17 Net self-employment loss
18 Alimony received
19 Nontaxable combat pay
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20 Foreign earned income exclusion

21 Keogh, SEP or SIMPLE deduction
22 Combine lines 15 through 21. To IRA Wks, ln 2 111,495. 5,173. 116,668.
Part IV ' Schedule 8812 and Child Tax Credit Line 14 Worksheet Computations
23 Self-employed, church and statutory employees 5,173. 5,173.

24 Wages, salaries, tips, etc 111,495. 111,495.
25 Nontaxable combat pay
26 Combine lines 23 through 25. To Schedule
8812, line 6a & Line 14 Wks, line 2 111,495. 5,173. 116,668.
Schedule SE Adjustments Worksheet 2019

(a) Taxpayer (b) Spouse
QuickZoom to the Short Schedule SE (Schedule SE, page 1) X
IL
QuickZoom to the Long Schedule SE (Schedule SE, page 2)
T MA
A Use Long Schedule SE, even if qualified to use Short Schedule SE
B Approved Form 4029. Exempt from SE tax on all income
C Chapter 11 bankruptcy net profit or loss for Schedule SE, line 3
D QuickZoom to the Explanation statement for any adjustment to
SE income/loss shown on a partnership K-1. (See Help)
O NO
Part I Farm Profit or (Loss) Schedule SE, line 1
1 Total Schedules F
2 Farm partnerships, Schedules K-1
3 Other SE farm profit or (loss) (See Help)
4 Less SE exempt farm profit or (loss) (See Help)
5 Total for Schedule SE, line 1
6
employment tax reported on:
a Schedule F, line 4b
opy D
Conservation Reserve Program payments not subject to self-
b Schedule K-1 (Form 1065), box 20, code AH

c Total CRP payments not subject to SE tax
ion C
Part II Nonfarm Profit or (Loss) Schedule SE, line 2
1a Total Schedules C 5,566.
b Less SE exempt Schedules C (approved Form 4361)
2 Nonfarm partnerships, Schedules K-1
3 Forms 6781
4 Other SE income reported as income on Form 1040, line 7
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5a Clergy Form W-2 wages
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b Clergy housing allowance

c Less clergy business deductions
d QuickZoom to the Explanation statement for entry on line 5c
6 Other SE nonfarm profit or (loss) (See Help)
7 Less other SE exempt nonfarm profit or (loss) (See Help)
8 Total for Schedule SE, line 2 5,566.
are E
9 Exempt Notary Public income for Schedule SE, line 3 (See Help)
Part III Farm Optional Method Schedule SE, page 2, Part II

1 Use Farm Optional Method
2 Gross farm income from Schedules F
3 Gross farming or fishing income from partnership Schedules K-1
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4 Other gross farming or fishing self-employment income

5 Total gross income for Farm Optional Method
Part IV Nonfarm Optional Method Schedule SE, page 2, Part II

1 Use Nonfarm Optional Method (Must have had net SE earnings
of $400 or more in 2 of prior 3 years and used the
Nonfarm Optional Method less than 5 times)
2 Gross nonfarm income from Schedules C
3 Gross nonfarm income from partnership Schedules K-1
4 Other gross nonfarm self-employment income
5 Total gross income for Nonfarm Optional Method
Federal Carryover Worksheet 2019

2018 State and Local Income Tax Information
(a) (b) (c) (d) (e) (f) (g)

State or Paid With Estimates Pd Total With- Paid With Total Over- Applied
IL
Local ID Extension After 12/31 held/Pmts Return payment Amount
T MA
Totals
O NO
2018 State Extension Information 2018 Locality Extension Information
(a) (b) (a) (b)

State Paid With Extension Locality Paid With Extension
2018 State Estimates Information
(a)
State
(c)
opy D
Estimates Paid After 12/31
2018 Locality Estimates Information
(a)
Locality
(c)
Estimates Paid After 12/31
ion C
2018 State Taxes Due Information 2018 Locality Taxes Due Information
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(a) (e) (a) (e)
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State Paid With Return Locality Paid With Return
2018 State Refund Applied Information 2018 Locality Refund Applied Information
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(a) (g) (a) (g)

State Applied Amount Locality Applied Amount
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2018 State Tax Refund Information 2018 Locality Tax Refund Information
(a) (d) (f) (a) (d) (f)

Total Total Total Total
State Withheld/Pmts Overpayment Locality Withheld/Pmts Overpayment
Federal Carryover Worksheet page 2 2019
Other Tax and Income Information 2018 2019
1 Filing status 1 2 MFJ 2 MFJ

2 Number of exemptions for blind or over 65 (0 - 4) 2
3 Itemized deductions 3 1,894. 1,452.
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4 Check box if required to itemize deductions 4
5 Adjusted gross income 5 172,404. 116,668.
T MA
6 Tax liability for Form 2210 or Form 2210-F 6 27,737. 12,573.
7 Alternative minimum tax 7
8 Federal overpayment applied to next year estimated tax 8
QuickZoom to the IRA Information Worksheet for IRA information
O NO
Excess Contributions 2018 2019
9a Taxpayer’s excess Archer MSA contributions as of 12/31 9a

b Spouse’s excess Archer MSA contributions as of 12/31 b
10 a Taxpayer’s excess Coverdell ESA contributions as of 12/31 10 a
b Spouse’s excess Coverdell ESA contributions as of 12/31 b
11 a
b
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Taxpayer’s excess HSA contributions as of 12/31
Spouse’s excess HSA contributions as of 12/31
Loss and Expense Carryovers

Note: Enter all entries as a positive amount
11 a
b
2018 2019
ion C
12 a Short-term capital loss 12 a
b AMT Short-term capital loss b
13 a Long-term capital loss 13 a
b AMT Long-term capital loss b
14 a Net operating loss available to carry forward 14 a
b AMT Net operating loss available to carry forward b
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15 a Investment interest expense disallowed 15 a
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b AMT Investment interest expense disallowed b

16 Nonrecaptured net Section 1231 losses from: a 2019 16 a
b 2018 b
c 2017 c
d 2016 d
e 2015 e
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f 2014 f
17 AMT Nonrecap’d net Sec 1231 losses from: a 2019 17 a
b 2018 b
c 2017 c
d 2016 d
e 2015 e
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f 2014 f
Federal Carryover Worksheet page 3 2019
Credit Carryovers 2018 2019
18 General business credit 18

19 Adoption credit from: a 2019 19 a
b 2018 b
c 2017 c
d 2016 d
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e 2015 e
f 2014 f
T MA
20 Mortgage interest credit from: a 2019 20 a
b 2018 b
c 2017 c
d 2016 d
21 Credit for prior year minimum tax 21
22 District of Columbia first-time homebuyer credit 22
O NO
23 Residential energy efficient property credit 23
Other Carryovers 2018 2019
24 Section 179 expense deduction disallowed 24

25 Excess a Taxpayer (Form 2555, line 46) 25 a
foreign
housing
deduction:
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b Taxpayer (Form 2555, line 48)
c Spouse (Form 2555, line 46)
d Spouse (Form 2555, line 48)
Charitable Contribution Carryovers

b
c
d
ion C
26 2018 Carryover of Other Property Capital Gain Cash Qualified
charitable
contributions from: (a) 50% (b) 30% (c) 30% (d) 20% (e) 60% (f) 100%
a 2018 0. 0.
b 2017
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c 2016
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d 2015
e 2014
27 2019 Carryover of Other Property Capital Gain Cash

charitable
contributions from: (a) 50% (b) 30% (c) 30% (d) 20% (e) 60%
are E
a 2019
b 2018
c 2017
d 2016
e 2015
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Qualified Business Income Deduction (Section 199A) carryovers 2018 2019
29 Qualified business loss carryforward 29 0.

30 Qualified PTP loss carryforward 30 0.
Car and Truck Expenses Worksheet 2019
Sch C Drug testing

Vehicle Information Vehicle 1 Vehicle 2 Vehicle 3

Complete for all vehicles
IL
1 Make and model of vehicle CHEVY TAHOE
T MA
2 Date acquired
3 Date placed in service 01/01/2019
4 Type of vehicle A2 - Lt truck/van/SUV
5a Ending mileage reading
b Beginning mileage reading
c Total miles for the year 38,419
O NO
6 Business miles for the year 27,896
7 Commuting miles for the year
8 Other personal miles for the year 10,523
9 Percent of business use 72.61 % % %
10 Months for special allocation. See Tax Help
11 Is another vehicle available for personal use? X Yes No Yes No Yes No
12 Was the vehicle available for personal use
13
during off-duty hours?
Was the vehicle used primarily by a more
than 5% owner or related person?
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14 a Is there evidence to support the business use claimed?
b If ’Yes,’ is the evidence written?
X
X
Yes
Yes
No
No
Yes
Yes
No
No
X
X
Yes
Yes
Yes
Yes
No
No
No
No
ion C
Standard Mileage Rate
15 Does vehicle qualify for standard mileage rate? X Yes No Yes No Yes No
16 Was the vehicle leased? Yes X No Yes No Yes No
17 Standard mileage deduction 16,180.
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Actual Expenses
18 Expenses:
a Gasoline, oil, repairs, insurance, etc
b Vehicle registration, license (excluding
property taxes)
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c Vehicle lease or rental fees:

1 30 days or more
2 29 days or less
3 Total vehicle lease/rental fees
d Leased vehicle inclusion amount:
1 Year lease began
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2 FMV of leased vehicle

3 Number of lease days in year
4 Inclusion amount
19 Expenses subtotal
20 Expenses applicable to business
21 Vehicle depreciation and Sec 179 (from page 2)
22 Total actual expenses
Standard Mileage vs Actual Expenses Check box to force a method

M M M
23 Standard mileage 16,180.
24 Actual expenses
Sch C Drug testing Page 2
Total Car and Truck Expenses Vehicle 1 Vehicle 2 Vehicle 3

Complete for all vehicles CHEVY TAHOE
25 Line 23 or line 24 16,180.

26 Additional expenses:
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a Business-related parking fees, tolls, etc
b Property taxes (including property tax portion
T MA
of registration)
c Less personal portion of property taxes
d Interest on vehicle
e Less personal portion of vehicle interest
27 Total expenses 16,180.
28 Less business portion of lease or rental fees
O NO
less inclusion amount (if actual expenses)
29 Less business portion of depreciation
(if actual expenses)
30 Total car and truck expenses 16,180.
Vehicle Depreciation Information ' Complete for Actual Expenses only
31
32
33
34 a
Cost or basis
Section 179 expense elected
opy D
Depreciation and Sec 179 limit for automobiles
Economic Stimulus - Qualified Property
1 If yes, and if placed in service after 9/27/17, Yes
Yes
No N/A
No
Yes
Yes
No N/A
No
Yes
Yes
No N/A
No
ion C
was this property acquired after 9/27/17?
2 For post 9/27/17, elect 50% in place of 100% Yes No N/A Yes No N/A Yes No N/A
Special Depreciation Allowance
b Qualified Disaster Area - Qualified Property Yes No Yes No Yes No
c Kansas Disaster Zone - Qualified Property Yes No Yes No Yes No
Reg Ext No Reg Ext No Reg Ext No
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d Gulf Opportunity Zone - Qualified Property
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100% & 50% 100% & 50% 100% & 50%

e Percentage for Special Depr Allowance 30% 30% 30%
N/A N/A N/A
fElect OUT of Special Depr Allowance Yes No Yes No Yes No
gElect 30% in place of 50% Allowance Yes No Yes No Yes No
hQuickZoom to Election Stmts
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iSpecial Depreciation Allowance

jAMT Special Depreciation Allowance
35 Prior depreciation
36 Depreciation deduction
37 Alternative minimum tax prior depreciation
38 AMT depreciation deduction
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39 AMT adjustment/preference
40 QuickZoom to Asset Life History
MACRS Property Involved in a Like-Kind Exchange
or Involuntary Conversion
41 Elect OUT of regs under Sec 1.168(i)-6(i) Yes N/A Yes N/A Yes N/A
42 If asset represents entire basis of replacement
property, enter excess basis
Pre-02/28/04 transactions only (See TaxHelp):
43 Asset ID (Enter same ID on all related assets)
44 Check if asset represents exchanged basis of
replacement property
45 Total basis of all related parts
Sch C Drug testing Page 3
State Depreciation ' Complete for Actual Expenses only
46 QuickZoom to select or delete states
47 a State (CA info must be entered in CA state return, do not enter here)
b Asset status
c Vehicle description
d Vehicle number
e State cost or basis
f State Section 179 deduction
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g State Section 179 deduction allowed (enter for dispositions only)
h State Special Depreciation Allowance
T MA
i State asset class
j State depreciation method
k State MACRS convention
l State recovery period
m State depreciable basis
n State prior depreciation
O NO
o State depreciation deduction
p If this asset represents entire basis of replacement property, enter excess basis
q Form 8824: If luxury auto, enter depreciation at 100% business use
r State gain/loss basis, if different from state cost
o Include vehicle in state return Yes No
Disposition of Vehicle
Complete for all vehicles
47
48
49
50
51
Date of disposition
Sales price (business portion only)
Expense of sale (business portion only)
Sec 179 deduction allowed
Double-click to link sale to Form 6252
opy D Vehicle 1
CHEVY TAHOE
Vehicle 2 Vehicle 3
ion C
52 Reserved
53 Gain/loss basis, if diff from ln 30 (enter 100%)
54 AMT gain/loss basis, if diff from ln 77 (100%)
55 Depreciation allowed or allowable
56 AMT depreciation allowed or allowable
57 Gain or loss
58 Alternative minimum tax gain or loss
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59 Part of Form 4797 to which gain/loss carries

Detail Vehicle Depreciation Information ' Complete for Actual Expenses only
60 Subject to auto limitations? Yes No Yes No Yes No
61 Truck or van? Yes No Yes No Yes No
62 Electric passenger vehicle? Yes No Yes No Yes No
63 Heavy SUV? Yes No Yes No Yes No
64 Listed property? X Yes No Yes No Yes No
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65 Eligible for Sec 179 (current yr assets only)? Yes No Yes No Yes No
66 Use IRS tables for MACRS property? Yes No Yes No Yes No
67 Qualified Indian reservation property? Yes No Yes No Yes No
68 Used Property? Yes No Yes No Yes No
69 Depreciation type
70 Asset class
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71 Depreciation method
72 Convention (HY assumed for MACRS property)
73 QZ to set 2019 convention
74 Recovery period
75 Year of depreciation
76 Depreciable basis
77 Alternative minimum tax basis, if diff from ln 30
78 Alternative minimum tax depreciation method
79 Alternative minimum tax recovery period
80 Alternative minimum tax depreciable basis
Section 199A (QBI Deduction) attributes
If this asset belongs to a qualified business under Section 199A, the following attributes will be used to
calculate the deduction for the qualified business.
UBIA for this asset 0. 0. 0.
This asset is ineligible for UBIA
Gains/(losses) from disposition of asset
Short term gain/(loss) 0. 0. 0.
Ordinary income from depreciation recapture 0. 0. 0.
Long term gain/(loss) 0. 0. 0.
Gain/(loss) is not eligible for 199A deduction
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T MA
O NO
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Two-Year Comparison 2019

Income 2018 2019 Difference %
Wages, salaries, tips, etc 130,980. 111,495. -19,485. -14.88

Interest and dividend income 69. -69. -100.00
State tax refund
IL
Business income (loss) 36,946. 5,566. -31,380. -84.93
Capital and other gains (losses)
T MA
IRA distributions
Pensions and annuities 0. 0.
Rents and royalties
Partnerships, S Corps, etc
Farm income (loss)
Social security benefits
O NO
Income other than the above 7,019. -7,019. -100.00
Total Income 175,014. 117,061. -57,953. -33.11
Adjustments to Income 2,610. 393. -2,217. -84.94
Adjusted Gross Income 172,404. 116,668. -55,736. -32.33
Itemized Deductions
Medical and dental
Income or sales tax
Real estate taxes
Personal property and other taxes
Interest paid
Gifts to charity
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1,894. 1,452. -442. -23.34
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Casualty and theft losses
Miscellaneous
Total Itemized Deductions 1,894. 1,452. -442. -23.34
Standard or Itemized Deduction 24,000. 24,400. 400. 1.67
Qualified Business Income Deduction 6,867. 1,035. -5,832. -84.93
Taxable Income 141,537. 91,233. -50,304. -35.54
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Income tax 23,017. 11,787. -11,230. -48.79

Additional income taxes
Alternative minimum tax
Total Income Taxes 23,017. 11,787. -11,230. -48.79
Nonbusiness credits 500. -500. -100.00
Business credits
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Total Credits 500. -500. -100.00

Self-employment tax 5,220. 786. -4,434. -84.94
Other taxes
Total Tax After Credits 27,737. 12,573. -15,164. -54.67
Withholding 15,582. 14,549. -1,033. -6.63
Estimated and extension payments
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Earned income credit

Additional child tax credit
Other payments
Total Payments 15,582. 14,549. -1,033. -6.63
Form 2210 penalty 338. -338. -100.00
Applied to next year’s estimated tax
Refund 1,976. 1,976.
Balance Due 12,493. -12,493. -100.00
Current year effective tax rate 10.10 %

Schedule C Two-Year Comparison 2019
Proprietor name: Lauren E Hobbs 449-29-8195

Business or profession: Drug testing
Note: Transferred data will not be displayed in the prior year column unless you have entered
current year data on the Schedule C.
2018 2018 2019 2019 2018 to 2019
IL
Percent Percent Comparison
of Net of Net X as amount
T MA
Sales* Sales* as percent
Income:
1 Gross receipts or sales 222,584. 100.00 288,570. 100.00 65986.00
2 Returns & allowances
3 Net receipts or sales 222,584. 100.00 288,570. 100.00 65986.00
Cost of goods sold:
O NO
4 a Beginning inventory
b Purchases
c Cost of labor
d Materials & supplies
e Other costs
f Ending inventory
5 Cost of goods sold
6
7
8
9
10
Gross profit
Other income
Gross income
Expenses:
Advertising
Car & truck expenses
opy D
222,584.
222,584.
1,055.
100.00
100.00
0.47
288,570.
288,570.
16,180.
100.00
100.00
5.61
65986.00
65986.00
-1055.00
16180.00
ion C
11 Commissions and fees 85,766. 38.53 90,702. 31.43 4936.00
12 Contract labor 7,863. 3.53 2,174. 0.75 -5689.00
13 Depletion
14 Depreciation & Sec 179
15 Employee benefits
16 Insurance 1,042. 0.47 1,825. 0.63 783.00
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17 a Mortgage interest
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b Other interest 1,000. 0.35 1000.00

18 Legal and professional 750. 0.34 6. 0.00 -744.00
19 Office expense 1,425. 0.64 965. 0.33 -460.00
20 Pension & profit-sharing
21 Rent or lease:
a Vehicle/machinery/equip 604. 0.27 223. 0.08 -381.00
are E
b Other business property 24,008. 10.79 31,673. 10.98 7665.00

22 Repairs & maintenance 802. 0.36 1,179. 0.41 377.00
23 Supplies 15,248. 6.85 13,168. 4.56 -2080.00
24 Taxes and licenses 30,386. 13.65 7,787. 2.70 -22599.00
25 a Travel 2,005. 0.90 -2005.00
b Meals & entertainment 2,356. 1.06 3,147. 1.09 791.00
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26 Utilities 9,800. 4.40 9,357. 3.24 -443.00

27 Wages (less job credit) 101,786. 35.27 101786.00
28 Other expenses 2,528. 1.14 1,832. 0.63 -696.00
29 Total expenses 185,638. 83.40 283,004. 98.07 97366.00
30 Tentative profit (loss) 36,946. 16.60 5,566. 1.93 -31380.00
31 Office in home
32 Net profit (loss) 36,946. 16.60 5,566. 1.93 -31380.00
Passive suspended losses:

Schedule C
Form 4797
Schedule D
*Lines 1 through 32 as a percentage of net sales revenue.
Tax Summary Report 2019
Name(s) Shown on Return
Filing status Married Filing Jointly Number of exemptions 2
Gross Income
Wages and salaries 111,495.
Interest and dividend income
Business income (loss) 5,566.
Capital gains (losses)
IL
Pensions and annuities
Rents, royalties, partnerships, etc
T MA
Farm income (loss)
Social security benefits
Other income
Total Gross Income 117,061.
Adjustments to Income 393.
O NO
Adjusted Gross Income (Last year’s AGI) 172,404. 116,668.
Itemized/Standard Deductions
Medical and dental
Taxes 1,452.
Interest
Contributions
Casualty or theft loss(es)
Miscellaneous
Phaseout of itemized deductions
Total Itemized Deductions
Standard deduction
opy D 1,452.
24,400.
ion C
Taxable Income 91,233.
Income tax 11,787.

Alternative minimum tax
Total Taxes before Credits 11,787.
Nonbusiness credits
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Business credits
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Total Credits
Self-employment tax 786.
Other taxes
Total Tax 12,573.
Withholding 14,549.
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Estimated tax payments

Other payments
Total Payments 14,549.
Estimated tax penalty
Refund applied to next year’s estimated tax
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Amount Overpaid 1,976.
Refund 1,976.
Amount Applied to Estimate
Amount Due 0.
Tax bracket 22.0 %

Effective tax rate 10.10 %
Daryl R & Lauren E Hobbs 455-47-2189 1
Smart Worksheets from your 2019 Federal Tax Return
SMART WORKSHEET FOR: Schedule C (Drug testing): Profit or Loss from Business
Business Address Information Smart Worksheet
IL
Business street address 201 E Main St suit 201
City, State and Zip Code (do not enter State and Zip Code if foreign address)
T MA
Waxahachie TX 75165
Or, foreign country information:
O NO
opy D
t ion C
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Qualified Business Income Deduction Smart Worksheet

Completing this worksheet is generally only necessary if Form 8995A must be filed (i.e. taxable
income is above threshold amounts or qualified coop payments are present).
A QBI worksheet to report (double click to link) Step One
IL
B Trade or Business Name Step One
C Trade or Business ID Number
D 1 Specified Service Trade or Business (SSTB)? X Yes No
T MA
2 If No, is income attributable to SSTB? Yes X No
3 QBI worksheet for SSTB income (this will auto-populate if Yes)
4 Percentage of qualified income attributable to SSTB %
E 1 Tentative Sch C profit (loss) from this business 5,566.
O NO
2 Adjustments to qualified business income
3 Tentative Sch C profit (loss) from qualified business 5,566.
4 a Calculated QBI allowed after passive/at-risk limits 5,566.
b Adjustments to allowed QBI
c Allowable QBI after loss limits 5,566.
5 Self employed deductions connected to this business
6
opy D
a Self employed health insurance for this business
b Total deduction for 1/2 self employment tax
c Deduction for 1/2 S.E. tax connected to this business
d Total deduction for S.E. retirement contributions
e S.E. retirement deduction connected to this business
Total self employed deductions connected to this business
Sch C profit (loss) after S.E. deductions
393.
393.
393.
5,173.
ion C
7 Additional deductions related to this business reported on separate schedules
8 Net profit (loss) after adjustments, limitations, and deductions 5,173.
9 Allowable Sch C profit (loss) allocated to SSTB 0.
10 Allowable Sch C profit (loss) from this business 5,173.
F 1 Ordinary gain (loss) from business assets 0.

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2 Ordinary gain (loss) adjustments
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3 Qualified ordinary gain (loss) 0.

4 a Calculated QBI allowed after passive/at-risk limits 0.
c Allowable short term qualified gain (loss) after passive/at-risk limits 0.
5 Allowable ordinary gain (loss) allocated to SSTB 0.
6 Allowable ordinary gain (loss)/recapture from this business 0.
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G 1 Section 1231 gain (loss) from business assets 0.

2 Section 1231 gain (loss) adjustments
3 Section 1231 gain (loss) from qualified business 0.
4 a Calculated QBI allowed after passive/at-risk limits 0.
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c Allowable ordinary 1231 qualified gain (loss) 0.
5 Allowable ordinary 1231 gain (loss) allocated to SSTB 0.
6 Allowable ordinary 1231 gain (loss) from this business 0.
Qualified Business Income Deduction Smart Worksheet, Continued
H 1 Allowable QBI (E10 plus F6 plus G6) 5,173.

2 Qualified business income allocated to SSTB 0.
3 a Previously disallowed losses freed up in current year
IL
b Adjustments to previously disallowed losses
c Previously disallowed QBI losses to be reported as separate business 0.
d QBI wksht for previously disallowed losses, if present
T MA
I 1 Tentative wages 101,786.
2 Adjustments
3 Qualified wages 101,786.
4 Qualified wages allocated to SSTB 0.
O NO
J 1 Tentative Unadjusted Basis Immediately after Acquisition (UBIA) 0.
2 Adjustments
3 Qualified UBIA 0.
4 Qualified UBIA allocated to SSTB 0.
K 1
2
3
4 opy D
Net income allocable to qualified payments from agricultural or horticultural coop
Wages allocable to qualified payments from coop
Form 1099PATR line 6 (DPAD) from coop(s) w/ tax year starting before 1/1/2018
Form 1099PATR line 6 (DPAD) from coop(s) w/ tax year starting after 12/31/17
ion C
Activity Summary Smart Worksheet

Supporting information provided by program. NO ENTRIES ARE NEEDED.
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Regular Tax QBI Alternative

Minimum Tax
A Ownership Spouse
B At risk status All
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C Passive status Nonpassive

Schedule C
D Tentative profit (loss) 5,566. 5,566. 5,566.
E Other adjustments
F At risk disallowed loss
G Passive carryover loss
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H Passive disallowed loss

I Net profit (loss) allowed 5,566. 5,566. 5,566.
Related Dispositions
J Tentative profit (loss) 0.
K At risk disallowed loss
L Passive carryover loss
M Passive disallowed loss
N Net profit (loss) allowed 0.
QBI (Section 199A) Attributes by Year Smart Worksheet

Supporting information provided by program. *MANUAL ENTRIES NEEDED
IL
Percentage of SSTB income (by category)
Applicable % Operating % Form 4797 ord Form 4797 l/t
T MA
2018 100.00 100.00 100.00 100.00
Section 179 Deduction
O NO
Prior Year Carryovers by Year Regular Tax QBI
Before 2018
A Section 179 carryover
2018
B Section 179 carryover
A
B
C
2019 Section 179 election
Total deduction (all years)
Allowed deduction in 2019
opy D
Allowed deductions by year Regular Tax QBI
ion C
D Freed up deduction from before 2018
E Freed up deduction from 2018
F If SSTB, reduced loss from 2018
Carryforwards to 2020 Regular Tax QBI

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Before 2018
A Section 179 carryforward
2018
B Section 179 carryforward
2019
C Section 179 carryforward
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At-Risk Limits
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At-Risk Prior Year Carryovers Suspended Loss

by Year and Category Regular Tax QBI
Before 2018
A Operating loss
B Form 4797 ordinary loss
C Form 4797 long-term loss
2018
D Operating loss
E Form 4797 ordinary loss
F Form 4797 long-term loss
SMART WORKSHEET FOR: Form 4868: Application for Automatic Extension
Mailing Address and Filing Instruction Smart Worksheet
WHERE TO FILE YOUR EXTENSION
MAIL FORM 4868 (WITH PAYMENT IF APPLICABLE) TO THE ADDRESS LISTED BELOW
IL
DEPARTMENT OF THE TREASURY
INTERNAL REVENUE SERVICE CENTER
T MA
AUSTIN TX 73301-0045
USA
O NO
SMART WORKSHEET FOR: Federal Information Worksheet
2017 Tax Cuts & Jobs Act
Yes
opy D
Apply 15-year recovery period to qualified improvement property
(asset types J2, J3, J4 and J5)
placed in service after December 31, 2017?
No X
IMPORTANT NOTE: The Coronavirus Aid, Relief, and Economic Security (CARES) Act signed into
law on March 27, 2020 has retroactively made qualified improvement property 15-year property.
ion C
Refer to Tax Help

Print page 2
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Print page 3

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Print page 5
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Print page 6
SMART WORKSHEET FOR: Form W-2 Worksheet (Oracle Elevator Holdco Inc)
Qualified Business Income Deduction Smart Worksheet

Completing this worksheet is only necessary if Statutory Employee (Box 13) has been checked
and expenses will not be deducted on Schedule C (Part I row B is not checked).
A Is this activity a qualified trade or business under Section 199A?
IL
B QBI worksheet to report
C Specified Service Trade or Business (SSTB)?
T MA
O NO
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Additional information from your 2019 Federal Tax Return
Schedule C (Drug testing): Profit or Loss from Business

Ln 26: Gross Wages Itemization Statement
Description Amount
IL
WAGES 101,786.
Total 101,786.
T MA
Ln 24b: 50% limit Itemization Statement
Description Amount
O NO
Office/Meeting Meals 4,706.86
Travel Meals 1,587.52
Total 6,294.

Line 18
Postage
Description
opy D Total
Itemization Statement
Amount
965.
965.
ion C
Line 10 Itemization Statement
Description Amount
Lab Fees 74,982.39
Clinic Fees
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11,889.78
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Bank & CC Fees 738.32

Payroll Fees 3,091.11
Total 90,702.

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Line 20b Itemization Statement

Description Amount
Office Rent 31,673.
Total 31,673.
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Description Amount
Bldg Maint 1,179.37
Total 1,179.

Description Amount
Medical Supplies 13,167.59
Office Supplies
Total 13,168.
IL
T MA
Description Amount
PAYROLL TAXES 7,786.63
Total 7,787.
O NO
Description Amount
Prof and Liability Ins 1,285.
Health Ins
opy D
Line 25
Total
540.
1,825.
Itemization Statement
ion C
Description Amount
Utilities 9,356.70
Total 9,357.

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Ln 16b: Other Interest Itemization Statement

Description Amount
triple net 1,000.
Total 1,000.
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Description Amount
Legal fees 6.
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Total 6.

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Form 8879 IRS e-file Signature Authorization

OMB No. 1545-0074

Department of the Treasury

and, if applicable, my Electronic Funds Withdrawal Consent.

to enter or generate my PIN 7 2 1 8 9 as my

Spouse’s PIN: check one box only

Spouse’s signature a Date a

ERO’s signature a Date a

Standard Someone can claim: You as a dependent Your spouse as a dependent

b Ordinary dividends. Attach Sch. B if required

If the IRS sent you an Identity

Joint return? Mechanic (see inst.)

Firm’s address a Firm’s EIN a

1040-SR, line 8a . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 393.

Pension and profit-sharing plans .

(other than on line 19) . . 14 b Deductible meals (see

Method Worksheet in the instructions to figure the amount to enter on line 30 . . . . . . . . . 30

38 Materials and supplies . . . . . . . . . . . . . . . . . . . . . . . . 38

41 Inventory at end of year . . . . . . . . . . . . . . . . . . . . . . . . 41

47a Do you have evidence to support your deduction? . . . . . . . . . . . . . . . . . . . . Yes No

b If “Yes,” is the evidence written? . . . . . . . . . . . . . . . . . . . . . . . . . Yes No

48 Total other expenses. Enter here and on line 27a . . . . . . . . . . . . . . . . 48 1,832.

Did you receive church employee income (see instructions)

Did you report any wages on Form 8919, Uncollected Social

1040 or 1040-SR), line 4, or Form 1040-NR, line 55.

2 Total qualified business income or (loss). Combine lines 1i through 1v,

14 Income limitation. Multiply line 13 by 20% (0.20) . . . . . . . . . . . . . . . . . . 14 18,454.

Department of the Treasury

1. Properly estimate your 2019 tax liability using the information

5 Total 2019 payments. . . . . . . . . . . . . . . . . . 14,549.

455472189 SK HOBB 30 0 201912 670

Name(s) Shown on Return

Five Year Tax History:

2015 2016 2017 2018 2019

Adjustments to income 9,008. 2,610. 393.

Adjusted gross income 70,707. 240,220. 172,404. 116,668.

Interest expense 5,472. 4,149.

Other itemized ded’ns

QBI deduction 6,867. 1,035.

Taxable income 46,107. 215,370. 141,537. 91,233.

Alternative min tax

Total credits 338. 500.

Other taxes 18,016. 5,220. 786.

Payments 8,353. 3,125. 15,582. 14,549.

Form 2210 penalty 1,478. 338.

Amount owed 63,557. 12,493.

Refund 2,695. 1,976.

Effective tax rate % 8.00 19.64 13.06 10.10

**Tax bracket % 15.0 28.0 22.0 22.0

**Tax bracket % is based on Taxable income.

Daryl R & Lauren E Hobbs 455-47-2189

After transmission of the return

Name(s) Shown on Return Social Security Number

A ' Practitioner PIN Authorization

I am signing this Tax Return by entering my PIN below.

C ' Signature of Taxpayer/Spouse

(4) date of any refund.

Spouse’s PIN (5 numbers) 98195

D ' Form 1310 Signature and Verification

Signature of person claiming refund (35 character limit) Date

Part I ' Personal Information

Part II ' Federal Filing Status