Deparment tte eazy - noe Sees 1040 Fang status L] single US. Individual Income Tax Return Bef Mant ing chy [] Marie ag separate (HFS) [Head ot oust (HOF) [2019 | cura uaitying widow(er (QW) sateen te Check only you checked the MFS box, ener the tame of spouse. you checked ihe HOH or QW box, enter the cds ramet the qualifying person fs fone box __a.child but aot your dependent. > "Your fet Rama and mite intial Tastrame Your socal eecurymaribor REBECCA A. HYNHART, int raum, spouse's firstname and middie | Last name [Sp0use's social securty number DAVID Le (CDUFF ‘Home adaiess ramber aid sea Iryou have a P.O, box, see instricions. 1900 PANAMA STREET per. residema Election Campa Sratiacien een ‘iy, aw oF pos of stale, and ZIP eods you Fave 9 orign adress, also complete spaces below (see nsuuctions). PHILADELPHIA, PA 19103 eejat hod nig erbeorulapyes ewe ‘You []spouse, Foreign country name Foraign province/state/oounty — Foralgn po sta code ‘fare than Tour dependents, see instrctions and Jee] [Tour spouse as a dependent ‘oro 2 dualstatus ai Standard pre ‘ean claim: [| You as a dopendont eauetion _[ | Spousoitomizes on a soparate tum or ‘AaeBlingaess You: [] were bor before samary 2, 1955 [1] ae bins Spouse: [] was bern bere January 2, 1955 Oisaing ‘Dependents (re (2) pastoenpoyey (2) Scat seer oan (4) auto to sinus covet Orla caer [DAUGHTER 1 Wages, salaries tips ete. Attach Forms) W2. 4 243,124. “Taxcexernptintarest 2a 2 280. valid dividends 8 2,593. 3 LVEFEN IRA distributions 4s 0 Pensions and annuities 4c 4d ‘Social security benefits a ‘5 Capital gain or oss). Attach Schedule D Wrequied. not required, check here S. =3, 000. Otherincome from Schedule 1, tna 9, my 7a Oe ‘Add les 1, 2b, 3b, 4b, 44, Sb, 0, and 7a, This your total Income [zo 244,73 ‘Adjustments to income fem Scheviute 1, ine 22 Ba ‘Sublract ine Ba rom lie 7b. Tiss your adjusted gross income 246,737. ‘Standard deduetion or itemized deductions trom Schedule A) ‘Qvale businss income deduction, Ata Form 8805 or Form BO95-A ‘Add ines 9 and 10 110 28,262. ‘Taxable income. Subtract Ine 11a fam tne ab. If zor or less, enter 0. 11 216,475. TRA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Fam 1049 oe)fmnow REBECCA A. RHYNHART & DAVID L. MCDUFF Sp ome 2 a Tax Soyten Lows 2L] rz aL] Be bb Add Schedule, ine 3, and ine 72a and enter the ota 40,070. 485 Ohistax cel or ere for other dependents... b Add Schedule, ino 7, nd ine a and enter the tot 2,672. 14 Subtract ine 12 rom tn 12. zor o la, entr-0 37,338. 45. Ottertaces, inducing sa'employment tax, iam Schedule ne 10 5.407. %6 Add ines 14 and 16. This fs you total tax 42,805. 17 Federal incom tax wihata frm Forms 2 and 1000 38,048. [etreinees UE. Other payments and retundabie res: ghia, a eamevincome cre) {120 SERSEPS Tp auatonal chid tax creat. tach Schecule 6612 780 ‘mous | © American opportunity cre om Form 8863, no 8 ae SSrcam"] @ Schedules, ine 14 184 ‘© Addines 18 trough 180. These are your total other payments and refundable reas > | 180 | 19 Adc ines 17 and 169, These ao your total payments >l 10 38,048. Refund 20 ir ine 191s more than ne 16, subtract ine 16 Fam tno 10. Tia ito amount you overpaid, | 20 2t= Amount of ne 20 you want refunded tp vou, Horm 3868 atochodchockhoro PL] [ata Bist erst® eb Routing mimbor ete: []cnecrina [] Savings Da Becount ruber 22 _fmotntof ine 20 you want appled to you 220 estimated tax De] 22 |_| Ravount 23 Amount you owe. Subtract Ee 19 fom ne 16, For deals ch how 10 pay, soa nstuetons. D> a,773. You Owe 24 estimated tax penaty (62 instructions)... bla] 16. Third Party Oo you wantio alow another person (omer ten your pa preparer) to discuss bis relum wit the IRS? Sevinstuctons. | T Yes, Complee below. ase rene Penoratiatetin [] No sone_Pe ro sumone a PR | Ta pon Scope eT SmI weg a fn omy wD TS, ‘Sree cule Elsa unre hein oannd coat opinion oun etre May sees Sarsiaroe ote "esr ocpaan Jreorssanjosanteniy farsi) BUDGET DIRECTOR seceg,, pen toma Ta poets tor [res aeararapoae Scion, bse Petar Pa poms perl Bald erw a a 7 ma Preparer WESLEY S. CASCONE, ‘Page Use Only cpa 7/14/20 00967974 sett ant p ____CITRIN COOPERMAN & COMPANY, LLP py 1800 JFK BLVD 20TH FLOOR icc PHILADELPHIA, PA 19103 oto nwaia.goviFomto40 for instuctons and the latest Infematon. Fo 1040 com‘SCHEDULE 1 Additional Income and Adjustments to Income | OME No. 16450074 (Form 104007 108088) 019 > attach to Form 1040 or 1040-5. 2 ‘ka wen ace > Go to www.irs.gov/Form 1040 for instructions and the latest information. Seqienceto, OF amas) shown on Form TOAD or TAOS il secant eumber REBECCA A. RHYNHART & DAVID L. MCDUFF a [At any te curing 2019, did you eosve, sel send, exchange, ot otherwise aoauive any franca interest any idual curency/? Fives Ewe Part! Additional income “1 Tarable refunds, ced, or offsots of slate and loal income tes 1 2a Aimony resid, 2s bate of original divores or separation agreerent (ooo instructions) be 3 Business income or oss Attach Schedule C 8 44 Other gains or (sso). Attach Form 4787 « 5 Rental realestate, ovate, partnerships, S corporat 8. Fann income or (oss). Attach Schedule F a Unemployment compensation —— FI 8 Other income. List type and amount Be 33 8 9. Combine ines 1 tvough 6 Enterhere and on Form 1080 or 1040, Ine 7a 2 0. Parti” Adjustments to income 40 Educator expenses , 70, 111 Certain business expenses of reserits,paforming artists, and fos basis government offic. Aach Form 2108 rn 42 Heath savings account deduction, Attach Ferm 889 % 43. Moving exponss for members ofthe Armed Forces. ach Form S903 Cs | 14 Deductbte part of seltemployment tax. Attach Schedule SE 14. 18 Selterpoyed SEP, SIMPLE, end qualified plans 5 16 Soltemployed health ineurance deduction Fs | 37 Penalty on early withdrawal of savings a7 +a Alimony paid EC bb Racipionte SSN © Date cof egal verce or separation agreement (ace instctions) Be 49 mAdediction 0 29 Student loan interest deduction ” Got 21 Toon and foes, Attach Form 8917 : [as] 22 Add ines 10 through 21. These ar your adjustments fo income. Enter here and 09 Form 1040 or 10408, tne 8a 2 THA” For Paperwork Reduction Act Note, see your tax return instructions. ‘Shee 1 Foran YO4D or 1040-5) 2019SCHEDULE 2 Additions Taxes oe tse (Frm 100 09088) ent iy > Attach to Form 1040 or 1040-5R- | 2019 Serene > coo wits. gouFor 040 for Instructions andthe atest infrmaton Sm. Ty shou en For THe TOOSA Tear ety amber REBECCA A. REYNHAR & DAVID L. MCDUFF Part Tae 1 Atsnatve ina tx Auch Fo 654 7 2 Excon edvanen prom tax repayment tach ann 6668 2 Addn and 2, Enero nd sad on Fam 1640 O40 in a 7 Parti Other Taxes. 4 Sefomplment iw Nah Saneaio SE, az 5 Usepoted soda ect and adoar taxa Fam a (sia? » Teni6 . {Acton axon Rao he uid ratament lr and lor lxavred acne Atach Fo 229 trogied 8 7a Houoldemsloyment inves. ach Scosic H Zs 5 2e7 1 Repayrent of rete nome cot am Frm 508 ach Form 608 Hegre Le 8 Tmeston: 2 CX) romaaso —» [] Fameosa © Tiesto: re entat) 8 120. Seaton 06 ex nbity rtalra Fom Forn BBA 10 dige«troug . Towa wr your oa oer tare, Er hw on Fam 1040 or THOR, ms ; 0 5,407. TA For Paparwork Redaction At Noe, see your taxroturn nswustons, Sched orm 1 or oe) 201SCHEDULE 3 Additional Credits and Payments (Porm $040 or 108058) > Attach to Form 1040 or 1040-5, iter bao” > Go to www.irs.cov/Forrn1040 for instructions and the latest information. ame) shown on Fora 1040 or 1000S REBECCA A. RHYNHART & DAVID L. MCDUFF Part! _Nonrefundable Credits OMB No, 1846.0074 2 ; ] Geingitbtosareada sana n 308: f (Dousecn unease 2 t Nemeticna sr eeeictra anit ak ami F ¢ eairsonea anon fo $ 2 Geteactonroan aEfsow Teas 3 7__Add ines 1 through 6, Enter here and include on Form 1040 or 1040-SR, He 190 ees 7 672. Partil_ Other Payments and Refundable Credits SDs aa Sar TT ey] 9 Net premium tax credit. Attach Form 8962, Let 10 Amount paid with request for extencion to fie (see instructions) 410 2 Seas mony eueer mani 2 oe 4 3 Gmitetonfome a Lae b L] promod s [Teas 3 se eae erm a strtas arson testonnr sane, g arse mnana Sais taa na woot aTmete Pest REBECCA Part1 Part2 ‘Ghd Tax Greail and Oredi or Other Dependents Workaheat passim ast a eee & DAVID L BHYNHART | a 1. Number of qualifying chitdren under ape 17 with the required ‘socal severity number: 1 % $2,000, Enter the result. t 1 2,000. 2. Mra onan ara ug ae a rnold oF vs Sli o_o ‘ee sot sey nba San rr tere 2 2. adie 1x62 —_ ee Enter the amount from Form 1040, Ene &b or Form 1040NR, line 35. 4 244,737. 5. ‘040 ten Ere ofan — (© Exclusion of income from Puerto Rico, and s oO. os toe 28 es an 0 —_——_— andro a 1 tov erent 6. Ane and Er be 7. Ertan sn tr ag Sat (© Married filing jointly ~ $400,000 a 7 400,000 aig sts 00000 ao 8. tsineamaten ine Sma te oon oe 72 CX) Wo. Leove tine 8 biank. Enter -- on line 3. 5 Yes. sutiract ine? trom tine 6. 8 Hovrests mo rater tiie isthe ml of Sion cer ean es 5 S100, ss SED S200 uty te amount oe 8 05. Entr ees ‘ tse sou nia iar ne auton ee? we. [ser Yu cot ake a hci oreo oer eens on Form 100 ne, befor It ne 4. You soca kee eral a ee. Subtract fing 9 from tine 3. Enter the ras 2,000. Ti. Enter the amount from Form 1049, fine 12 or Form IC40NR, line 45, W 40,070. 42. tote teal! eons ton Sees } Oo t a 2,000 6 244,737. Ties tough C404 fers: Enter te tla of he amour ro nes 46 trough 48” 48, Subtract ne 12 OM ETT son 8 39,398 14. fre you claiming any ote folawing eres? ‘Residential energy ecient propery eri Form $696, Part, (© Mortgage intrest credit, Form 8998 ‘© Adntion rei Form 8839 ‘Disc of Colunbla ttn homebuyer ro, Frm 8658, (1 to, Enter. } soe C7 Yes. ityou ce ing Form 2565, enter -0- Otherwise, complete the Line +4 Worksheet to figure te amount to enter here, 48, Subtrecttine 14 from ine 18 Enter the rescl 16. Is the amount on fine 10 of tis woishest more than the aunt on fine 159 (CX) to, Enter the amount trom ine 10. ‘This is yoor child tox credit Ent the amount from tine 15. x 2,000. 6 39,398. ~ Ais rclode amounts ore For 5685, 39 Form 891, ine 15 Form 8986, fie 23 Schedule, ns 222210 Underpayment of Estimated Tax by |__cmsnossescor er Individuals, Estates, and Trusts > Go to wormirs. gov/Form2210 for instructions and the latest information. ‘earn nee” > Attach to Form 1040, 1040-SR, 1040-NR, 1040-NA-EZ, oF 4041. aes) sow on tore REBECCA A. RHYNHART & DAVID L. MCDUFF Do You Have To File Form 2210? [orp ines teen 7m ano Viethen 61.0607 }-Y®* _» [oon re orm azta You dont owe a pena Ko v. Complete lines 6 anda baow lslneGeqiltoormanian | Yeo | Youdon'towesponahy, Dont fe Form 2270 [| tout box ein Part I! applies, you must fe page 1 ot Fomm2210) ‘You may owe penalty. Does any boxin Pant Hbaiow apaly? |-Y®* [You mus le Form 2270, Doos box 8, G,orD in Part analy? No yes no Ls _» [Youmustfawrvour sera. | ¥ ‘Dan fe Form 2210, You aor equed to foe your ‘Yu aro cued to igure your penalty because the IS wi analy boone the IS wil gue and send you a bil fr ary {gio Rand send you a bil fr any unpat emourt. yu want 0 {pal amet you wart o fig you may wae at Ir fgu you may use Pat or Part W a8 a workahoe end rtor Parva a worchoat and eter your pena mount on Your tax Your pel amount on your taxretum, but fle only page tof, return, bt dor le Form 2210. Form 2210, [Part | Required Annual Payment 1 Eiaryour 2019 tc ater ees For Form 300 or Form 1080-5, ine 16 a6 etractons Wat fog Frm 1040 Fem 1040-88) sons 1 37,398. 2a tes ntcng sttempoyment xan apie, Adio are Tox nor tesa ‘Income Tax (see instructions) ne “ 2 5,407. 4 finde eres lug te emia x ea (es rucon) 2 4 Conta. Combi ne 1,2 an 3 ess han $1,000, stp; you dant owe a pal. Gan fe Fm 2210 “ az, 805. 5 Multiply line 4 by 90% (0.90) 6 Withholding taxes. Don’t include estimated tax payments (see instructions) 6 38,048. 7 Subtract line 6 fromt line 4. If less then $1,000, stop; you don't owe a penalty. Don't fle Form 2270 Z 4,757. 8 Maximum requires annul payment besed on prior year's tax (see instructions) & 50,754. 9 Requited annual payment. Enter the smalier of line 5 os line 8 .. 2 38,525. Next iting 9 mre rane 6? ho. You don't owe a penalty. Dont file Form 2210 unless box E below appli, (EI Yos. You may awe a pent, but doe le For 2210 unless one or ors oxo in Pat blow apis * tf b0«8,¢, oD apis, you must igure your penalty ad te Frm 2210 * 1 boxA or aplas (ut ot , oD) le ny sae tof Form 2210. You are rene io fue you peat be RS wit grand see you ior any unoid amount. you want to gure your pny, you ay use Pat or Ve 2 woke and ener your penton your txt, But page Lot Form 2210, feasons for FIing. Check epploabie bores. rons apply, dow fie Form 2210. 7 1 You request waver (eens uctons) of our eke peal You must check his bax and fle page Tf Farm 290, bayou sean eee to gue yor pealy. #1 You eqesta waiver (Sinsation) of part of your analy. You must ure your peat and war aount an fa Fcm 2210 ¢ F] Your nema varied dig te yer and your penalty sredoced or limited when Fued using the annualized income installment metho, You must ‘gure tie peaty wing Sched Aland fl Form 210. © (Your peas ower wen que ty wasting he festa income tax tel om your names pld n the aes wes actualy witha, nteas a ia equal amounts onthe payer de ites. You rust figure your nay a fla Ferm 220 © 1 eu meso are tng et rtua for ete 2018 2010, bu or both ye tn ® above lsat than 8 above. You must he page Lot Fees 220, ut you aren request pure your panty (uness tox B,C, 0D apps). {TH For Paperwork Reduction Act Notice, see separate insiructons, Farm 2210 (019)REBECCA A. RHYNHART & DAVID L. MCDUFF Pagez ‘Gan You Use the "You can uve the short method fe ‘Short Method? * You made no estimated tax payments (or your only payments were withheld federal income tax), oF ‘© You paid the same amount of estimated tax on each ofthe four payment due dats. ‘Must You Use the ‘You must ues the regular method (Part Wy instead of the chon mathed I Regular Methos? "© You rade any estimated tax payments lato, '* You checked box C or Din Part, or (© You ate fling Form 1040-NR or 1O40.NR-EZ end you did receive wages ‘38 an employee subject to U.S. income tax withholain. Note: It any payment was made eater then the die date, you can use the short method, but using itmay cause you to pay alarger penalty then ‘the regular method. Ithe payment was only afew days early, the ference is Thay tobe smal. 10 Erie the amount rom Form 220, fe 8 o 38,525. 11 Ener he aroun it any, rom Ferm 240, fe 6 it 38,048. 12 Ente te tll amount fan of sina tx ayes you made ese LM 18) Addings tHand 12 ce eee , Ls 38,048. 44 Total underpayment ar year. Subtacttne 1 rom te 1 00 ss, top; you dont one ¢ peal. Dont fe Form 2210 unless you checked box Ein Patt 4 ATI. 15 utile 14by 0.03368 ss x 16. 46 # tttheamount ene 14 was pid ono ater 482, eior ‘rhe amount on ine 14 wa al before 4/8720, nak he lowing compton tn the amount nto ie 16. “Amount on Number ot days paid nox bare i820 X14 . 18 0 17 Penalty Svtact ine 16 tom fine 18. Ener the est ee and on Frm 1840 erSerm 1080'S, ine 2 Form 1O80-MR, ine 7, Form 1O¢O/NR-EZ, ne 25; or Form 108, ne 27. Don ite Far 2210 unless you checked a box in Part pl 16. Form 2270 G19)‘SCHEDULE A Itemized Deductions (Form 1080 or 1040-SA) > Go to wuntirs.gow/Schedulea for instructions and the latest information. ena) ntact te Fee oo .SR Searetaneseees ee] Caution: Ityou are chiming a het quaed clsastar logs on Form 4684, soe the instructens farting 16. Sarge nro OTTO Tau Sa noir REBECCA A. RHYNHART & DAVID L. MCDUFP ee Medical Coulee Oo et node axponana einburend er pay oes and 1 Musial nd daria expences ee uc 1 Dental 2 Enter amount from Form 1040 or 1040.SR, fine 6 2 Expenses = 3 Muttiply line 2 by 7.5% (0.075) 3 4 Subtract line 3 from Sine 1. tine 3 is 1 enter 0 Ta Taxes You 5 State and local taxes. Paid a State and local income taxes or general sales taxes. You mey inca eter ncome ees or ana sales totes on ne 5 trot bath iyo et ence ara ses tes stead of income taxes, check thi BOX... SEE STATEMENT. 3. F) [sal 18,885. 'b State and loss! real estate taxes (900 instructions) EY 9,451. ¢ State ant wet pernal rary oe. se Add lines 53 through 5c: 5d) 28, 336- Enter tne ana of ine So 0.00 #5 00 maid ing separately) - Se 10,000. Other tases. List yp and amount be s 7 Mimetoaws 10,000. Interest YOu 6 Home evigage naar and pana you dt uso aol yout home Paid ‘mongage loan(s) to buy, build, or improve your home, see auionver ination and hed box Oo ‘eran te 9 Herne mortgage ilorest and points reported to you on Frm 1088. Soe ‘enited 308 ‘instructions if limited SEE STATEMENT 4 |{aal 17,688. Sct Home mongee inte na reported You ok Form 1086. See instante paid the person om io yo ough the Nome, se irstuctons and show tat person's ame, entying no, and ass a «Pains rat ropa You on Fo T0R8. Ses tnsrocon for Speci es bo <4 Moone stance premiums fe Hon) ea ‘e Add lines 8a through 8d 20] 17,688. 3 imvesment ret Ata Form S562 sed Sas inst 2 40 _Agd lines 8e and 9 101 17,688. Gifie to 44 Gib can or cho you ade ay HR oF 28D oro Charity ‘see instructions 44) 568. atin. yyae 12 Otorthon by eho heck’ made any git $350 or mae, Sectors soe mucins You must stack Form 8280 evr $500 2 gear 49 Canyover rom pl yest hal 44 Adstnes 1 ough 18 a 568. Saovaiy and 18 “Casuly and thet ase tom edraly declared ese ee han et qd a disaster tosses). Attach Form 4684 and enter the amount trom line 18 of that form. See inststons s Sher IE Oto om atin instoctone: st Spend emer tarot Beotons 6 Tota) ap peepee a apache tw tne Teepe Ta Aan ate w ane Itemized Form 1040 oF 1040-SA, line 9 17} 28,256. Deductions 45 ryou elect to Remize deductions evan thoush they are less than your standard box >» CI) Trg ForPaparvorkRedutn et te, see he Tsirctons fr Fons 1050 ond 1000'SR. Sheds AF orn WHO or TAOS AOTO‘SCHEDULE B (oer 4040 o 1080-88) interest and Ordinary Dividends > Go to wnairs.gov/ScheduleB for instructions and the fatest information. 201 Fabaceae avs” > Attach to Form 1040 or 1040-SR. Sree OB. Faron TR TT REBECCA A. RHYNHART & DAVID L. MCDUFF gh Part! 7 Ustnams of payer if any intrest s fem a sll anced mortgage and the buyer used the ‘Amount interest Property aaa personal resienca, see he instructions ands this interest ft Also, show that buyer's seca! socutty number and adkocs —__ WELLS FARGO a5. RBC CAPITAL, 235. 1 ethed Som Soasinr, For tess, create strekenge tr fetthetiime rare as ine payer and enter ‘retora terest flew onthe” 2 “Aaathe amounts en net 2 280. 7 Exclude interest on serie EE and US. savings bonds issued afer 1969, ‘attach Form 8615 3 4. Subtract ine 3 from ine 3 Enter the rest here and on Form 1040 or 1040SR. line 20 pla 780. Note: fine 4 fs over $1,500, you must complete Parti ‘Aout Parti 5 _Listrame ot payer Be onary RBC_CAPITAL, £333. Dividends 5 -6 “Add the amounts on ine 5, Ener the foal hore and on Form 1040 or 1040.SR, ine Sb bls #353. Hote: Wine 6 is ove $1,800, you must completo Part I Part lil Youmst eomotete this part if you (a) had ovr 81,500 of taxable interest or ordinary dnidends: (B) hada lin {eign account or (e ace oution rom, or were aantor of, tranefarar niu ven Foreign “7a Atery time during 2019, di you havea hancta terest in or signature authority ever a financial account (Such ‘Accounts, as a bank account, securities account, or brokerage aoccunt cated ina forelgn country? Seo intrtions > and Trusts "Yo." are yourequredto fle FnGEN Fo 114, Ropar af Forsign Bank and Financ Accounts (FEA, Caution ‘oreport tat nancial intros or eigature authority? See FinGEN For 114 and ts insetions for fing fequited. ahure requirements and exceptions tothose requirements 7 : Fam mayb tfyou are request fe FCEN Form 114, enter the nama ofthe foreign courity where tho Bani! accourt ’ istocated > Panaties See During 2019, did you receive iatributen trom, or were you Uwe grantor of, or aneterar o,& foreign TSN? If", you may hav to fie Form 3520. Se instructions, x LHA For Paperwork Reduction Aet Notice, see your tax return instructions. ‘Schedule B (Form 1040 or 1080-5} 2019SCHEDULE D (Fore 1040 or 1040-SA) Dip tna tesnny bom vee res) Navaho nen REBECCA A. RHYNHART & DAVID L. MCDUFF Capital Gains and Losses > Attach to Form 1040, 1040-SR, or 1040-NA > Go to wumies.gow/ScheduleD for instructions and the latest information. D> Use Form 6949 to fict your transactions for fines th 2b, ‘0d 10, ‘Dedyou eispose of any wactment(} in qualified opportunity fund during tho tax year? Ll Ves LXINo 11s, tao Form 8049 and ges aston fer adios regutemonts or eporng your gai ross. Pari] | Short-Term Capital Gains and Losses - Generally Assets Held One Year or Less (see instructions) ‘Soe instructions for how fo figure the amounts to @ {hy Gan or foes) ‘enter on the ines (@ © Adustments | Subtract coun) the lines Balow. Proceeds Cost togah orless trom | trom coluren (@) and “This form may be easier to completeit you round ot | (sales price) (orotherbasis) | Forms) 8649, Part, | combine the rosut cents to whole dollars, line 2, column (a) _| with column fg) Ya Tos otc vanes Fam trovishtadv un ypaesto ta RS acta wes outs aadianra a nus Howes ou choot (eon ca ors Foon War i ae 4b Totals fr all wansactions reported en Form(s) 8949 with Box A checked 2 Total fra transactions reported on Form(s) 949 with Box B checked 3 Tolls ora transaction parted on Form(s) 2049 with Box C checked “Shortt gan rom Form 6262 and short ten gain or Voss) rom Forms 4684, 6781, and 6834 5 Net chorttorm gain or ss} fom partnerships, $ corporations, estates, and trusts fromm Schedules) Ket 16 Shorten capital loss canyover. Enter the amount it any, fom ine 8 of your Capital Loss. Carryover Worksheet inthe instructions 7. Net short-term capital gain or (loss). Combine ings 1 through in cela Ifyou have any capil gains or losses, go to Part below. Othorwisa, go to Part len pane 2 k 8.1784 Tongterm <8,178.> [Partil] Long-Term Capital Gains and Losses - Generally Assets Held More Than One Year (see instructions) ‘Spe suction for ow to figure the amounts to ‘enter on tho nes BoIow. “This form may be eaclor to comple you round off cents 10 wmole dolls. @ Proceeds (sales price) to) cost (or other basis) Adjustments toga o oss from Forms) 8349, Pat Tine 2, cluren (a) (Gain or fosay ‘Subtract coum (2) ‘rom caturnn and Combine the resut ‘wth column a Tamer ate versace on Fam 88 Aerwichtasinnsrepats Oa RS ea HN YUE a amena ee atrind How you anes o (eprta nc enacts afar ot ee ia adootaton "2 Tots for all transactions reparted on Form(s) 040 with Box D choctd 12,199. 12,271. <12.> '@ Totals for all transactions reportad on Form(s) 2949 wth Box E chested... 0 Totals fr al waneaotions reported on Form(s) 9949 with Box F checked “77 Gain fromm Form 4797, Par fongsten gain Wom Forms 2438 and 6252; and ongterm gain er (053) ftom Forms 4684, 6781, and 8824 142 Netiongterm galn or (ose) rom partnorhips, & corporations, ostaes, ane sts from Schedule) Kt 18, Capital gain astibutions 44 Longtem capital oss caryover, Enter the amount, ary, fom ine 13 of your Capital Loss Carryover ‘Worksheet inthe instructions 48 Netlong-term capital gain or tous}. Combine tines 8a threugh 14 n eotumn f). Then go to Parton page 2 THA For Paperwork Reduction Act Notice, see your tax return instructions.‘Scheduie D (Form 1040 or 10405R) 2019 REBECCA A. REYNHART & DAVID L. MCDUFF SaNMWROe,... 2 Summary 46 Combine lines 7 and 15 and enter the result. 16 <8,760.> #: unpreber gen sror in wnancion ie aici 15 or (SER nara ‘own ana wan ga tone awe «tine oaataay np oe 1 tug Be. Than go ne. Ako beset ono a wr eS md itn ania 6 Fe TO ONDER sain tigen overran bn vin ii Wie lee 1 Yes. Goto line 18, No. skip tines 18 through 21, and go to ling 22. {2 typo reget comsetthe 2% Rae Gan Wrst enc) ere Sazrwclg iron Tareat acta 7 1 wjaasiogs asap wa inspec in iearal aaveeniontewrenestseateaae sn ® a2 joie ieiitlei month 1 Yes. Compicte the Qualified Dividends and Capital Gain Tax Worksheet in the instructions | {eFom or sna 109 te arin nectar Toute omy, Bor Squauincrsiaarexon [No Comptste the Schedule D Tax Worksheet in the instructions. Don’t completelines 21 ie Si Wi Sj sian wari aed nc Ri URI or Fr TROT ne ous ee ei 28, STATEMENT, 5 3,000 © ($3,000), or it maied filing separately, ($1,500) oe Wan nig wich monn sae, et oh arm ste brs an sip ce rh samara Radner mike ‘Yes. Complete the Qualified Dividends and Capital Gain Tex Worksheet in the instructions for Forms 1040 and 1040-SR, ne 122 (or the instructions for Form 1040-NR, tne 42). Tl ne. Complete the rest of Form 1040, 1040SR, or 1040NR. ‘Schedule D (Form 1040 or 1040-SR) 2019Form 8949 12019) Attachment Sequence No_ 12A. Page 2 Names) shown on tum, Name and SSN or taxpayer identlfcation no, not required shown on page 1 ‘Social security number or taxpayer identification no. REBECCA _A. RHYNHART & DAVID L. MCDUFF so ak BODE ee nor ode fa ble eal ear oy eek sated Sh Li ie ae ee oe ee ee TE [a a as naan ao OT FSET ton Hot: You may aggregate ol ongterm irensactons reported on Fors) 1000-8 showing basis was reported ta the IRS and for which tsor ides er eagle Eslrth tee dey on Snecse ie Bayou arent reqared tS rap hese Tareacions en For Saud oe votre] Tea ee ncaa EX] (0) Long-term transactions reported 0 Fan(s) 1098.8 showing basis was reported to the RS (see Note above) (ie) Longtertn teansactions reported on Form(s} 1098.8 showing basis. wasn't reported to the IRS Tae et nae aa cease 1 (a ) © poll rr) asain, Way 1 noe Descrition of property | Dato acquired | Date-sotdor | Procoads, | Cost or other foe you ant amount | Gain oF Go compe Woo nv2e=) | la-coy'n) | deposodor | Saesonce) | tans Goto | Reoumm Ge acae sles mes, sett an [Om eine: Romecctg lsee Gotu ft i) combine the result theinetuctons | Code(s) | Ametntot | tt eoimn (9 REC #6052 ARIOUS [12731/19| 12,199.| 12,277. <2.> "Totals Acd the amounts in columns @,(@), (GI. and (subtract negative amounts). Enter each total ere ar include on your “Schedule D, ine Bb (f Box D above is checked}, tne 9 (Box E above is checked, oF ling 40 ff Box F above iso 12,199.] 12,271. <12.> Note: i you chocked Box D above but the basis reported to the IRS was neorect enter in column (e) he basis as reported to the IRS, and enter an ‘adjistment in column (to corect the Back. Seo. Column (a Inthe separate instuetions for hw to igure the amount ofthe adjustment. Form 8949 (2019)‘Qualified Dividends and Capital Gain Tax Worksheet - Line 12a ‘Koop ter Your Records Nameje) shown an retum Yours REBECCA A. RHYNHART & DAVID L. MCDUFF a ‘Before you begin: / Soothe instructions for line 12a to see if you can use this worksheet to fauxe your tax. ¥, Before completing this worksheet, complete Form 1040 or 1040SA through ine 1. > tyou dent have ta file Schedule B and you received capita gan detrbutions, be sure you chested the box on Form 7080 oF 10405, Ene 6. “E_Eitor the amount from Form 1040 oF 1040-SR, Ine 116, However, you ao ing Form 2855 lating to forelgn earned income), enter tha amount from tne 3 ofthe Foreign Eamed Inoame Tax Worksheet. ‘2 Enter the emount rom Form 1040 or 1040R, fre Ba. 2 ‘a. Are you fing Schedule LH] Ves, sour ine smaller eine ce wot + 216,475. ‘Shou tetarive ‘sortie a 0. ‘Sucorebas en ———_2 CF Wie. mene un tam Frm 100 ‘Add tes 2 ard 3 filing Form 4962 (ised to igure investment ‘terest expanse decstion), enter any amount ftom ine 4g ofthat form. Otherwise, enter-O- 8. Qo. {6 Subtract no 5 tem ine 4 I za70 or less, enter 0- 77. Scbtract line 6 fom ine 1.2220 or ess, entar0- & Enter: $99,375 i single or matted fing separately, $78,750 ifenartad fling city or qualiying widower), a 78,750. $52,750 ifhead of household. 18 Enter tho smaller ofine tor ine 8 10, Entor the smaller offine 7 or ine 8 41, Subtracting 10 fom ne 9. This amount is taxed at O76 42, Enter the smaller of fine or ine 8 48. Enterthe amount fom line 11 14, Subtract line 13 from ing 12 45, Enter $.494,550 single, $244,425 if manied ning separately, 8. $488,850 if manied fling jointy or qualtying widow(e, $461,700 ithead of household. ae we ___ 216,475. ‘hed tines 20,28, and 24 25. 40,070. Figure the tax onthe arnount on Fne 1. ithe amount on Ine 11s fess thar $100,000, use the Tax Table to {igure the tax. the amount online 1 is $100,000 oF mara, use the Tax Computation Workstest 28. 40,303. ‘Tax onall taxable income. Enter the smaller of ita 26 oF 28, Also Incude this amount on te entry space ‘0n Form 1049 or 1040'S, Ine 128 fyou are fling Form 2888, dort enter this amount onthe enty space on Form 1040 or 1040-SR, fine 12a, Instead, enter it on line 4 ofthe Foregn Eamed Income Tax Workshaot 27, 40,070. 46, Enter the smaller offine 1 or ine 15 47, Addlines 7 and 11 7. 213,882. 48, Subtract line 17 from ine 16. zero oF 8. 2,593. 49, Enter the smaller of fre 14 oF ine 18 0. 2,593. £20, Mulply Sno 10 by 18% 0-15) a 389 21. Add tines 11 and 19 2 2,553. 22. Subtract ine 21 trom line 12 em Oe 23, Multiply ine 22 by 20% (020) 5 2. a 2A, Figure the tax on the amount on ne 7. Ifthe amount on line 71s loss than $100,000, use the Tax Table to {igure the tax. 1 te amount online 7 Is $100,000 or mora, use the Tax Coenputation Workshest 2, 39,681 25. 3. 2. *1fyou ar ing Form 2555, 90 the footnot in the Foreign Famed Income Tax Worksheet balore compiating tis ineForeign Tax Credit [ncAmacanernay ~ 1116 ean 2019 > Attach to Form 1040, 1040-$R, 1040-NR, 1041, or 990-7. Site ear Seer) Go to wow.rs.gov/Formt116 for instructions and the latest information. Seqeenetes 19 Name Aendyiag ner team onsen tees ic ren REBECCA A. RHYNHART & DAVID L. MCDUFF Ea Use a separate Form 1716 foreach ealagary of ioome listed below. Se® Categories of income inthe insvuctins, Check eniy one box on eech Form 1116 Report all amouns in US. dels except where specie in art I below. 2 Seation asia category income © [X] Passive category income —e L_] Section 901) income 62) Lume-sum distributions > L) Foreign ncanch category income 6] General category income —¢ [_} Certain inoome re-soureod by taaty ‘Resident nae ofcounin) > UNITED STATES "Note: if you paid taxes to only one foreign county or U.S. possession, use col in Part I. you paid taxes to ‘more than one foreign county or U.S. possession, use a separate column and ine foc each country or possession. Tota (Ads als. A,B, and) {Enter the name of the foreign county erus. TEER possession SOUNTRIES KR ‘42 Goss income trom sources within country Shown above and of the ype checked above: 1,324. a) 1,324. bp Ghickif ino {a compensation fr persoteenices as an employee, your total compensation from a sources is $250,000 or more, and you used an atte bass to termine its sours fst Insuctions) » oO ‘Dacuetions and losses (Gaution: Soe instructons} 2 Faron ety relates te ome ns 1 nly elated: Cera teized deductions or tandars dadection 10,000. 40,000. ‘ter desuctons ata sstement) ‘ada ines 3a and 3 10,000. 10, 000- 1,324. » Gross foreign sore income . 2aT,737.|__ 247,737. 1 a 9 Provatasre of ether deduetons CGroesncome tom al sources Divide ine aby ne 32 7000000000} -005344377| ‘Muti ie 36 by ret 53. 4 Promata sere ofimerest expense: ‘Home morigagefateres (use the Worksheet for ome Mortgage nest inthe structions) bb Obser interest expense 5 Loses from foreign soeess Aad nes 2 39.6442 : 53. bla 1,271. (bastlt] Foreign Taxse Palatas Ase EE Tusa Toa @ EX]ow | Toes vimntsatsnceo: tomer Tate witht sot “twegn | “tisepanor jane lamer twespi or | sud fats eA ( ql BI 72. 72. d "&_ Add ines A Throng, column [Ener he total here and on ine 9. page 2 mn Fas Zi For Paperwork Reduction Aet Note, see means, Fam TS C010)form 1116 2019) REBECCA A. RHYNHART & DAVID L. MCDUFF. ee 2 [Partiil | Figuring the Credit ‘© Enler the amount om in 8, These ae your teal ferlgn axes paloracrusd ‘orthe calegry income checked aove Part | 2 72. 40 Canyhac orcaryover (attach detailed computation)... 20 (ityourncora was socton 951A category ingame (box a above Part eae fing toa) 44 Asalines Sand 10 4 72. 32 Reduction inforeion tes 2 49 Tana elsif under igh tne Kekout Ee 44 Combine nes 1,12, and 18. This she total amount foreign toes aalabe for credit 14 72. 45 Ener tha amount rae 7. This is your taxable income or (ss) rom sources cuts the Lied States (before astments] forthe eatery ot ncome checks above Part EA 1,271. 46 Adusimenis tne +] -17 orm theamaunts on ines 15 and 16. Thi your at ori sowee toate cone. (ithe rests zr. les, you hve no freon tax eres forthe ctegcy of income ‘eu ches above Par, Ski ins 1 though 2, However, you are fing ore tn one Form 1116, you mist compe ee 20.) | 1,271. 18 lndiivals: Ener the ameunt ro Form 1040 or 104038, ice TH 0° Form 040-4, Esaes ands Enter your late income without the deduction for your exemton Fr 216,475. Caution: yu ore your tax sing the ler aes on cutie ends cata gan, seeinsbuctors 48 Divide ne 17 bye 18 ing 17 fs more than ne 18, ete“ 9 00587 20 nivale: Enter the tot of Form 1040 or 1040-9, ine 12a, and Schedule 2 Fan TOAD or YO4O-S), ne 2 Ityou area nomesient alin enter th otal of Form TOKO-AR, nes 4 and, Estates and tts: Ent the acu tom Farm 1041, Schedule Gn 1 rhe total of Fon 90-7 ines 4,42, 2nd 44 Foci states ss shoul ener the amount irom Frtn TOAD, int 42 20) 40,070. youare completing ne 20 for separatcatepery g (lrt-sum estilo), se introns. 24 dtp ine 20 byte 18 (restr amount of cre — . 24 235. ‘22 Ener the smaller of ine 14 or ine 21, the ony Farm 1116 ya ing, pHs 28 trough 30 and ener is amcun a fn 3. Oberst, complete he appropiate ing in Part V > |20| 72. [Partiv] Summary of Credits From Separate Parts il) 25 Crit fortes on Seton 9A category eae za 24 ret for tes on foean branch atgory income 26 25 ret for tvs on assve category income 2s 26 retorts on general atenry income 2 2 Cre for taxes on section 904) iecme : 27 2 Cred fortes on cetin income rescued by ety as 25 Cre for tees on amp sum distrbtons zo 30, ines 23 Ug 29. lao 231 Enter the satter of in 20 ne 30 [asl 72 ‘82 Redution of ered for intrnatoalboeot operons [sal 3 Sub ine 2 rm tn 1, Ths your fal tax ret Exar ete and on Shale 9 ar 040 or “O40 tine Form 1040-98, Sn 4; Frm 14, Scheu G ine 2a oF Form 80 > | ss} 72. Form 4496 (2019)Child and Dependent Care Expenses [ea Seen rom 2AA1 Patan a Ferm 010, 1105, oF HOH 2019 > Go to wanirs.goviForm2461 for instructions and the oe Senos 24 FName() shown on roturn ‘Your seta security render REBECCA A. RHYNHART & DAVID L. MCDUFF | ‘You cannot claim a red for child and dependent ere expeneos Ifyou fing talus lo married fing ssparstoly unless you moet the roquirements liste inthe instructions unde: ‘Maried Persons Fiing Separately” yeu mset these requirements, check this box. [Part] Persons or Organizations Who Provided the Care - You must complete this part. (younave more than wo oar provider, eo the mettona) roves aces (eenaiingna 1 ae (curber, stret, apt a. thy state, and ZIP code) (RENT | (6) Amount paid ‘5 KINGSPORT COURT SAMANTHA DAVIS. Boone ELGIN, IL 60177 aa 21,600. Did youreseve | No ———— Compto only Part I below. dependent care benefits? | ————Yos > Complate Pat Il on page 2 nant. Caution: If the care was provided in your home, you may owe employment txes. For details, seo the instructions for Schedule 2 (Ferm 1040 or 1040:SR), tine 7a: or Form 1OAO-NR, Tne S83. re ‘and Dependent Care Expenses 2._lnformaiion sbout your qualifying poreoris) Ifyou lave more than twa qualiving parsons, oe the structions (a) Qualifying parsons came (0) uaivng peers [eT ORTEN ERR as a nt Muaieeevae | iemmveareres, JULIA A Ton? Somme sc. Aad the amounis h columa (—)afline 2, Don’t entar more than $9,000 for ane qualiying person or $6,000, ‘ortwo or mere parsons. you completed Part Il, enter the amount from ine $1 a 3,000. 44 Entoryour earned Income. See netuctions. « 720,234. ‘5 mared fling ln, enter your spouse's eamed income (f you Or your spouse was a student or was labled, 200 the instructions; all ethers, enter tho amount fom fe 6 3,000. 6 Enter the smallest of ine 3,4, or 5 7 Enterthe amount from Ferm 1040 or 10408, ine 8b; or Foam 1020NA, ine 35, £8. Enleron ne 8 the decimal amount shown ine 7s: Butnot Decimal 244,737 915000 15080:17.000 47800-18000 $sf00- 27000 319003300 $000. 27000 2700201000 ‘9 Multly tne 6 bythe decal amount on ne 8, Ifyou pald 2018 expenses in 2019, cee ‘he lnstrctions 10 Tox lat iit. Enter tho amount from the Credit Link Worksheet Inthe instuctions STATEMENT. 6. |_10 39,998. +11 Gredit for child and dependent care oxpenses. Enter the smaller of ine 9 ar line 10 hare and lon Schedule 3 (Form 1040 or 1040-S0), ine 2: or Form $040.NR, Ine 47 1“ 600. TA For Paperwork Reduction Act Notice, see your tax return instructions. Form Baas (2019) 8 x+20 BeseReke SeRBRRRS ES 2 600.Fom20s1 gov) REBECCA A. RHYNHART & DAVID I. MCDUFF SI 0 2 (Part if [Dependent Care Benefits 12 Enter the total amount of dependent care benefits you received in 2019. Amounts you received as an ‘employee should be shown ln box 10 of your Forms) W.2. Don'tinclde amounts reported as wages in box 1 cf Form(s) W2.H you were seltemployed or a partner, incide amounts you received under a dependent care assistance program trom your sole proprietorship or partnership 2 49 Enter he amount, if ny, you cared over from 2018 and used in 2019 cing the grace period. See instructions [49 114 Enter the amount, if any, you forfeited or caries forward to 2020. See instructions 4 15 Combine lines 12 tough 14. See instructions x 16 Enter he totet amount of qualified expenses incured in 2018 forthe care of the qualifying person(s) 18 17 Enter the smaller offing 15 0F 16 2 Enter your earned income. Ses instructions 2 Enter the amount shown below that apples to you, 1 ematied ling jointly, enter your spouse's earned income ff you or your spouse was.a student or was disabled, coo the instructions fori 6). ‘© Texanied titng separately, see insinctions, 9 ‘= Al‘others, entor:he amount fom fre 78. 20 Entor the smallest of ine 47, 18, or 19 [2 21 tor $5,000 ($2,600 if married fing separately and you were required to enter ‘your spouse's earned income online 19) Lat 22 Is any amount on ine 12 from your sole propistership or parinarship? J Wo, Enter 0. 21 Yes. Enter the amourt hore .. bonne 22 ‘Subtract ine 22 from Eno 15 Deductible benefits. Enter tho smallest of ina 20,21, or 22. Ato, include this amount on the approvriste tints) of your rtum. Seo instructions 24 g8 25 Excluded bonefits you checked "No" on ine 22, enter the smaller of Ine 20 0°21 (Otherwise, subtract Ine 24 fram the salir of fre 20 orline 21. I zero or less, enter-O- 2s 26 Taxable bonefits, Subtract ne 25 fromm line 23. I z0r0 oF ess, ener. Aso, Inckde thie amount ‘on Form 1040 or 1040, ne 1; ot Fm 1040-NR, ne 8, On the dotted Ene next to Form 1040 1 1040S, ne 1; oF Foom 1O40.NR. ine 8 enter "DCB" 28 To claim the child and dependent oare croc, ‘complete tines 27 thrcugh 3 below. 27 Enter $5,000 $6,000 it two or mere quabfying persons) 27 8 ‘Add tines 24 and 25, 28 29 Subtract line 26 from line 27. It zec0 or les, stop. You cant take the erect Exception. Ifyou pais 2018 expenses in 2019, se the instructions for Ine 9 29 {90 Complete line 2 on page 1 ofthis form. Don't inckide in column (e any Benefits shown on tne 28 ‘above. Then, add the ameunts in clue (e) aed enter the total here [30 31 Enter the smaller of ine 29 or 30, Also, enter this amount on fine Son page ofthis fom anc compre ines 4 ough 3 a For 2447 (3010)ALTERNATIVE MINIMUM TAX Foreign Tax Credit ((naivicual, Estate, or Trust) > attach to Form 1040, 1040-SR, 1040-NR, 1041, or 990-T. 2019 = 1116 ‘rot ean Ss em > Go to wwrwirs.gov/Formt 116 for instructions and the latest information. Stout. 19 Name denying number 2=omen espa tyar on REBECCA A. RHYNHART & DAVID L. MCDUEF i Use separate Form 1716 foreach catagory of icone listed be mounts in U.S dlars except where specified in Patt teow 2 LZ Seaton 951A category income —¢ [KE] Passive category income —¢ [L_}__ Section 904() income 0 Lump- [J Foreign branch category income —d[—] General category income —t (_} Carton income re-sourced by treaty 180 Galogoics of heorne nto nstvetons. Check only one bax om ash Form 1116. Report a TRedeaofigare ofeoumy) p UNITED STATES ‘Note: If you pad taxes to any one foreign county oF U.S, possession, Use column Ah Part land Ene Ain Par Il you paid taxes to more than one foreign country or U.S. possession, use a separate colurin and line for each county or possesion, [Park | tavante Income or Loss From Sources Outside the United States (for catepory checked above) Foreign Country or U.S. Possession Total x 5 © (Add cos. AB dC) 1 swine iniediooenioesrtis; | PE possession > COUNTRIES kR ‘4a Geossincome tom sauces wii country shown above and of he type checked above: 1,324. 1 4,324. 1b Checking fais compensation for personal sences as an erployee, your tll compensation trom al sources is $50,000 or more and you used an ates basi tO eterine its source (see instructions) > CI ‘eduetions and iosses (Gautlon: Sos instructions} 2 efiely related ote neome on in 12 felon sete ‘8 Proraasharect othr dice wot oily elated: ‘Crs tame ducts or standard detuton © Ofer deerns (tach site) es arc Gross foreign source income, i324.) ° ‘ 3 Grogs icome trom al sources a 247, 737.| 247,737. Divide ine 3 ye 32 000000000) .005344377| Muti ine Se by feat 4 Proraashae ot interest expense ‘9. Home morgage interest (use the Worksheet for Home Mocgagelrestin he instructions)... Otherinterast expense... |S Losees trom oral sources 6 _ hina 2, 3,4, Ab dS 7 Subtract ine 6 rom and on ine 15, page bl Ta2a. [Parti] fLFovaign Taxes Putt or Nested faxes Paid or Accrued Treits crime] Forelan anes paid or accrued fees ino TUS woe heck one) ner | wa (p Clu | Tes witeist source oc po Te wt! ou on Smo | “hepa i ‘ayes pido tae pan or anced (aden Eas [epowoom| CERES] op wom | Hue [Gepmcamn | OTR] ayer | Ue | (astronan(o) { Tas {" 72. calumny). Ener th eal here and ble Ta. THA For Paperwork reduction Act Notice, se instructions, Foam F976 (2039)ALTERNATIVE MINIMUM TAX Form 1116 (208) REBECCA A. RHYNHART & DAVID L. MCDUFF Se? (Partilt |_— Figuring the Credit © Ener he amount oan, These are you toa fain taxes pal or abaued Yor theater of income checked above Prt | +30 canjack or caryoer (atch deta computton) oe sol (tou incre was seston 951A calgary name (box above Par, ave tine Ur) 11 Add lines 9 end 10° 72. 42 duction noon tas 2 19 Tavs else under high ax tchout FA 14 Coin nas 11,12 and 1. Ts the toa amount of forintaxes alate for ret 14 7. 1 Sar earn am ne 7 Te sur tae nom (ss Tom sources aie he Ute iat (ore aime) fer ecategory a ncome head above Pat as 4,324. 416 Adusent tone 15 .. bs 47 Combine he amounts on ince 15 nd 16. ss Yur Steen sowes taxa incre. (eesti er or ess you have na forign axereat fr he eegcryof noma _ovehechad above Pact Skip tines 18 through 2. However, you are flag mare tan ane Form 1116, you must complete le 2) Ey 1,324. 18 Indvidal: Ener te ameut rom Frm 1040 a 140-5, ie Mor Fea YONO-HR, Ane 4, Ettes an ose; Ene your tae income witout ‘the Geduction for your exemption 18 226,475. Canton: yu fgred your tx ving thelr ates on Guat aden x cpt gin, 8 nstusios. 48 Die tne 17 tne 18. in 77s mare tan ee 18, enter ve 9 00585 20 Indus: xt th fll fora 1040 or 100-9, ine 25 and Schedule 2 (Form 7049 o 1080-5, Ine 2. you area nosient alle, ext th ttl of Form TOKO ines 42 an 4. Estates and rss Enter he acont ro Farm 10¢, Sched, ie 1a; theta ot Form 2907, ins 4, 42, 0d 44 Foreign estates and rusts should enter the amount from Form 1040-HA, tine 42, 20] 29,556. Caxton: your eamplting ine 2 for soparts eatogory g (uss distribu), see insiccions. 24 Muli in 20 by ine 19 (nasa ame cred) 24 173. 22 En tho smaller tna 14 rn 2 Ii i theo Frm 11 you ae ing, ines 23 rough 30 and eri amount on ine 3, Oe, compas he apron tn Past > Leo 72. [Bartiv [Summary of Grecits From Separate Parts [it 28, Cre fortes on secbon 951A calgary none za 24 Crores on foreign branch category ica as 25 rai fortaees on passive category income fas 20 Gre or tes on caer categar come 2s 27 Cato taxes on seston £01) reoe 27 28 Creditor tes on cern income resourced by ety 2s 2 Creo taxes on p-sum dstbutons 29] 90 Add lines 23 through 28 toss 30 34 Enter the smaller of line 20 or tine 30. 31] 72. {32 Reduction of eet or tratinal baat operations zal £38 Suro ine 22 rm ne 31 Ths is your oeign tax ere Enter ere nd on Schade 8 Farm 100 or 1040-SR), tet; Fm {040-NR, ee 4 Fm 104%, Schedule 6, tng 2a or Form -T tne 42 > tsa! 72. Fore 16 2015)SCHEDULE H Household Employment Taxes (Form 1040 t040-sa) | (For Social Secuity, Mecieare, Withheld Income, and Federal Unemployment (FUTA) Taxes) > Attach to Form 1040, 1040-SR, 1040-NR, 1040-83, or 1041. OMB No, 1545-1971 2019 SERA > Go to www.irs.gou/SchedluleH for instructions and the latest information Seow, 44 ‘tame of employer “Social security number | REBECCA A. AHMAR oy (Calender year taxpayers having no household employees in 2019 don’ have to complete this form for 2018, A Did you pay any ene hoveshld employee cash wages of $2,100 or more 2018? ft any household employee was your spouse, your child Lnder age 21, your parent, or anyone under age 18, see the Ine A instructions belore you answer this question} CE] ves. Skiptines B and 6 and gototine 1, CO we. GotoiineB. 1B Did you withhold federal income tax during 2019 for any household employee? Yes. Skiptine C and go to ine 7. (1 no. Gotolinec. © Did you pay total cash wages of $1,000 or morein any calendar quarter of 2018 cr 2019 to all household employees? {Bon't count cash wages paid in 2018 of 2019 to your spouse, your child under age 21, or your parent) 1 nie. Stop. Don't file this sohedtio, 1 Yes. Skip tines 1-9 and go to line 10, [Parti] Social Security, Medicare, and Federal income Taxes 1 Total cash wages subject to social surly tax 2 Socie securly tax. Multiply tine 1 by 12.496/0.124) 2 2,686. 3 Total cash wages subject to Medicare tox 4 Medicare tox, Mltply Ene 3 by 2.0% 0.029. 4 628. 5 Total cash wages subject to Additional Medicare Tax withholding 6. Adsitional Medicare Tax withholding, Multiply Ine § by 0.9% (0.000). 8 7) Federal ncome tax witht, tary Lt 1,931 8 Tots! social security, Macioare, and federal income taxes. Add tines 2,4, 6, and 7 8 5,245. 8 Bid you pay total cash wagse of $1,000 or moran any calendar quarter of 2018 er 2010 toll household employaes? (on't count cash wages pad in 2018 or 2019 to your spouse, your child under age 21, or your parent) Tne. stop. include the amount from fine 8 above on Schedule 2 (Ferm 1040 or 1040-SR}, line 7a. If you're not requiced tole Form 1040 or 1040-SR, e20 the ine instructions. [KX] ves. Gotoline 10, THA Fer Privacy Act and Poperwork Reduotion Act Notice, see the instructions. ‘Schale H Far 1040 or 1ONO-SRI ROAsaetiogan ea wosnees REBECCA A. RHYNHART ta intone FOLATE oS ae snag wait ana nen wi SoS Ue TC, Serene : alz 11 Days peal ane nero soi wy p18 3557 Fes ow cn ate {2 tawatmjetut ue mate lr PuTAtrasotbe jor sas norm ete Nee tyne yer bran a nes onn con Con a Hiageaelos Wet ens clastes so Os aetoek comida etn Section A STR RAR, a 1h Gaia riers. A 335. 3 taucan mopman oFotAw x 1,000. 16. FUTA tax. Multiply line 15 by 0.5% (0.003) Enter the result here, sip Section 6, and go to line 25. 16 42. ‘Section B 7 Seana aes pea Rs ce a @ | wtke [ote | ay | te a ee ee as os scans 2 fonensmioces ora ‘21 Multiply line 20 by 6.0% (0.060) 2 apy imcn yea 3 toute mane ofeetweresis Gira aur nentnget onaia las yas acon and check here) se Obes titan omnedincion fo Biss aalicw od sw 2 (bart PGi FioaSohod! enploymenr anes 25 Enter the ammount from line 8. if you checked the "Yes" box on line C of page 1, enter 0- 25 5,245. 26 Add line 16 (or line 24) and ine 25 L_26 | 5,287 3 meynsmnresota tem 00 [1] Yes. ‘stop. include the amount from line 26 above cn Schedule 2 (Form 1040 or 1040-57}, Ene 7a. Don't complete Part IV below. fr Wolnmytants cueiiuanN Sestatcoe aan IV] Address and Signature - Complete this part only # required. Sea the Ine 27 matructions. Se ES —= Ty TAN TE SIP rape Pe Sea RS a a A ER SS EE ET eeee tellin nadine Stet ton ayaa eres Soaton coupe tpn ston ) ama Da Paid | nlTyPe preparers rare Preparers signature Date heck] w [PTI employed Preparer | Fim rane Fis EIN Use Only Fins address: Phone no, fem nae ‘Schedule H Ferm 1040 or 1050-5R) 2010rom §995 Qualified Business Income Deduction Simplified Computation et ny attach to your taxreturn, i howneto D> Go to wuru.irs.nov/Form8905 for insiructions and tho latest informat Nei) shown on eum REBECCA A. RHYNHART & DAVID L. MCDUFF (a) Tad, business, or aggregation name Taxpayer | (o)Quaed business ' (2) Trade os id idenfieason omer | income foe) 2 Total qualified business income or (oss). Cambine ines ti through 1, alum) 2 3 Quits business ne oss) carycrward rom the pie year ati 4 Tolal quad business income, Combine ines 2 ere, izero orlss enter. Loa 5 Qualifed business income component. Multiply line 4 by 20% (020) 0... svenennnennns Ss 8 Qualifies REIT dividends and publicly traded partnership {PTP} income or (loss) {see instructions), SEE STATEMENT 7. 6 31. 7 Qui REIT dividends and Guaiied PP fos cyforaa ram the pir year . : seven ran ! 18 Tolalqusifed RéiTciidends ana PTP Income, Combine nes 6 and7. 20 ‘of lass, enter 0 , vec i B i. {© RétTand PTP component. Multiply ine 8 by 2096 (020) 2 6. It any line does not apply to you, leave it blank. Seo separate instructions. > Attach to Form 1040, 1040-SR, 1040-NR, 1040-PR, or 1040-88, rom 8959 fcmmewessran ‘Namal shown on rotary "Your social security number REBECCA A. RHYNHART & DAVID L. MCDUFF “Partl Additional Medicare Tax on Medicare Wages “1 Medicare wages and tips from Form W2, box 5. Ifyou have more thas one Form W2, enter the tota ofthe amounts from box 5 . 263,310. ‘Wages from Form 8919, line 6 ‘Add tines 1 through 3 1 Unreported tips from Fer 4197, tine © [2 3 4 263,310- Entor the fotowing amount fer your fling status: Married fling joiny ‘Marted fling separately 126,000 ‘Single, Had of household, oF Qualifying widower) 200,000 [_s 250,000. 8. Subtract ne 5 from line 4. I(zero or fess, enter © 17 Additonal Mocécare Tax on Madieare wagos. Multiply ine 6 by 0.986.008). Entr here and goto Part $250,000 13,310 120. Part li_ Additional Medicare Tax on Self-Employment income '8. Salfemploymant income from Schedule SE (Form 1040 er 10405, Section ‘A, fne 4, or Section B, line 6. I'you had a less, enter 0-(Foum CAPR or 1020 fies, s00instrations) 9 Enter the folowing amount for your ifn status: Married tng joietly Marced fling eeparataly ‘Shale, Head of ousehosd, or Guativing wisowien $126,000 440. Entor the amount from ine 4 10. 411. Subtract fine 10 fom tie © W zero or loss, enter 0 0 42 Subtract ne 11 from ne 8. 2210 or lees, entar-0- 41 Additonal Medicare Tax an sottemployment income, Multiply lino 12 by 0.9% (0.009). Entor her ard goto Patt Part Iit__ Additional Medicare Tax on Railroad Flelirement Tax Act (RATA) Gompensation “14. Railroad retirement (ARTA) compensation and tips from Form(s) 2, box 14 6 {see instuctions) 48: Enter the fotowing amount for your fing status: Marte fing jointly Martie fing separately ‘Single, Head of housshotd, or Gualying widow(e) 48 Subtract ine 18 from fine 14. tf 2er0or fess, entor-0- 47 Additonal Mecicore Tax on rairoad retizement (ARTA) compensation, Multiply ine 16 by 0.9% (0,000). Entor here and go to Part V ._ $280,000 "$128,000 $200,000 Part IV Total Additional Medicare Tax. “18 Add ines 7,19, and 17. Also incide this amount on Schedule 2 (Farm 1040 or 1O40GR¥, Ine @ (check box a} Form 1040.NR, 1040, or 104055 fiers, seo instructions), and go to Part 120. PartV Withholding Reconciliation 19. Medicare tax withheld fom Form W.2, box 6, IF you have more than one Fos We, enter the total ofthe amounts fom box 6... 9 3,818. 120 Enter the amount trom tne 1 20 263,310. 21 Mutiply ino 20 by 1.4856 @.0146). This io your regular Mecoae tax \wiolding on Medicare wages 21 3,818. 22 Subtract ne 21 trom line 19, I 2%0 oF less, enter 0. This Ts Your Additonal Medicare Tax withholding on Medioaro wages, 23. Adstional Medicare Tax withholding on raliread retirement (ARTA) compensation Fam Form W2, bax 14 (20 instructions) 26 Total Additions! Medicare Tax withholding. Add fines 22 and 23. Also include this amount with federal income tax withnolsing on Form 1040 or 1040-SR, ne 17 (Form TOAONR, 1040PR, or 1040 SS Hers, 500 instructions) ‘2459 LHA. For Paperwork Reduction Act Notice, see your tax return instructions. Form 8359 (2019)rom 8283 Noncash Charitable Contributions ‘Row. evambor 2018) > Attach one or more Forms 8283 to your tex return if you claimed a total deduction inet ty ‘evr $50 a conte propery Sea rts Dotan guFomt269 fr station andthe teat infarmation Hamels) sown ea your RCo Tre REBECCA A. RHYNHART & DAVID L. MCDUFF Note: Fite te amount of your cntioufon ceduction before competing tis frm Gee you tx ret nsreclans. Seetion A. Donated Property of $5,000 or Less and Publi Traded Secures List in hs scion ony an am (or roups of Snir items) for mtch you claimed a deduction oF $5,000 or ess, ADs pubic aded secures and certain oer propery ven ithe destin s mate than $5,000 (se instructions) [Parti] Information on Donated Property - If yau need more space, attach a statement, {a} Name and acdress of the Pal Semin caine sine Ear, Far aint cont ation of coated oer ' maar tiie aivaceas | "if eure are” [BERT M GREENFIELD HOME AND S o [2200 C, PHILADELPHIA, PA 19103 WINE FOR AUCTION 8 oO ¢ o it oO TH Eo iam none es RE EL pegs: | meets | Ors | Okman | migemaas | Ovemmgzaee ne 03/23/19 03/19 PURCHASE 600. PURCHASE PRICE ESET ja asam annua pony foro nai bapninivegmontoroemewaeinaper lista n Part | Complete Sines 3s trough Sci conditions were placed on a contribution Wists in Pat | lsu allah the requiadstatoment (se Instructions). 2 Enter ie eer from Part that deties the property for whch you gave less than an ee rest D> IsPar.t apples to more than one papery, tach a separate statement. > Tota amount eimed as.a deduction fer the propery Hstodin Pat: 1) For his tx year » (2)Forany prior taxyeas De Name and address of ooh erganiztion ta wtih any suo eontbution was made ina prot yar (oomplee nly arent ror the donee erganzation above): ane of carbine Beaman ae 4 Fertangile property, ener ww place where te propery is ocated or kept © Mame of any person, oe han tho donee orgartation, having actual possession ofthe propery D>, ‘88 tetheraa estan, ter moray or pamenen ate dane tus rae ofthe dns propery? 1 Didyou gi to amjore oer han the dane xarizatn ornate raion prtlaing wth the done organization coperate unas) ie iho he ome fom he donate property or tothe pasession fhe proper, Including the gto vos conte ecu, to acquire tha propery by purchase raters, orto desks the person having sich Income, pases, o it toscasie? _Istherea ein ing dai orpay for a pair va? Yes | Wo TFA For Paperwor: Reduction Aet Notice, see separate instructions. Foo 8268 (Rev. 17-2019)Expenses for Business Use of Your Home Taare Tour sa sey mor DAVID I. MCDUFF a Part business Persona 1 Area used exclusively for business: it 285 2 Total area of home 7 ws 2 2,000 3 Divideline 1 by ling 2. Enter the result as a percentage... 3 14.2500% 4 Tout outs ty wsed 4 TT 5 Tothhous waise : 5 {Ode ey ne, Eartha rest dina ont. ‘ 7 Business percentage. Multiply ine 6 by line 3. Enter the result as a percentage. r 14.2500% tsa nocat uridine {Net pofitfore hone ote dese, pus ay gin derived rm the buiess usec your Kame and shawn on Se Dot Form 407, trons any lose rom the tad o business not derived rm the busine seo your ame and shown on Sch Dor Fouma7O7 o © casuaty osees ® 10 Deductible mortgage interest 10 18,139. 1 Reales es... SEB oe 18,139. te Aste, an 2s 1 Moly ne 1, eur yine 7 14 Adie 2, column (a) anda 13. " 2,585, 5, Sutract tne 14 rom ine 8 8 on 16. Excess morgage intrest 6 7 Besssreal esto twes w 7,201. 18 Insrarco 3,966. 9 Rent 20 Repairs and maintenance === 2 ties 5,136. 22 Oherespences 23. Ads ines 16 through 22 2 1,200, S102, 24 Mullin 23, corn by ne 2 1,297. 25 Carryover of 2018 operating expenses 28 2,498. 26 Ada toa 2, column (a), ne 24 and ine 25, 2% 4,996. 21 Alowable opeatng expences. Ener te sma a O. 28 ‘Limit on excess casually losses anc deprstaon. Suberact ne 27 tom Hine 1. 2 o. 29 Bees casi sses 80 Deseciaton rom Part, ine $2 0 ‘1 Caryoer of 2018 excess casualty losses and depresicion at ‘82 Ada ins 29 rough 31 188 Alowable excess easuay losses and deren, PT 35 Eo Eater the mater of ine 28 tine 32 ‘Hines 14,27 a 38. ‘Casualty loss porn, i any tm ines 14 and 33 ‘Alowable expences for business use of home. Subtract ine 35 tom ne 34 a % 2,585. Part lll Depreciaon 7 Entor the smaller of home's dusted base ots ar market value lus of and inaluded om 237 ‘39. Bass of pling. Subtract ine 38 rom Ine 87 40. bushess bass of bung. Multiply ne $9 by ne 7 4 Depeocitonparcertage a 42 Dexociaton allowable. Muli line 40 ine 41 Part IV caryoves, 48 Camyoer of opecating expenses. Seba ine 27 fom ina 28 - “ 4,996. 44 Cazyova of ences caval losses and cere. Subvetne 3 Fon ine 32 4oie etna = §1040 5 indviduatincomeTacRetum [2021 | ws | pcccy.marcusvetnsiean Fig Stas L] Single] wai ing ony] Mad ng spay (HFS) [] Header tusela HOH) ] Guat widower (a) Fae ee coer acttsedar ects ra te tehlae no ora oad camte ae (90 BOK. _achild but not your dependent Pe “Your ft ie an msde al Tana ro sera ear maT REBECCA A. 7 it tan, SPOUT Ta wT RTOTANAT | Lat 0 vor socal erry aE DAVID Le (CDUEF Tana ess PTB an woo. VSO TET, se rt ETS eet een op 1900 PANAMA STREET Scag way art $10 a PHILADELPHIA Pa9103 nwt or Fog int name Fear OTRO ~ Fore weld [von [sone ‘wie ng SOA, Ed earandia 2a eng w ohawise aposs anyinaa ieee amlomeo? Lye film ‘candlaim; L] You es adependent |] Your spouse as a dependent Standord eduction | | Spouseitenézs on separate rehun or you wer adsl stats alien ‘zesiindacss Vou: [] wae bora before Jumsay2. 1857 []webing spouse: [TwesbornbetoreJancay2, 1957 [Lis ind Dependents (ee nstrctons) (enizneniyanie | {l)Rantnenpiye> |) / rgnkeats fon eo | Att me Lasts Chutoaah oreo oa AUGHTER fora fo > LiL Wages, slr. pe et. 5 SIME. La 266,179 Alach 2a Taxenomptinterost tb nel interest 2 “21. ener Qualitod dividers 1 Ordinary dies ‘Sb 3,424. wee 4a IRAditibutions Teale amount rs ‘5m Pensions and arutios| Teatie amount & Saeara —] 88 Sova ccurty benefits bTarleanoat [eo] [SeSsttan we-| 7 Capital gen or Goss) Attach Scheduled Hveqawed. not reguted, heck hers 1 3,453 Jesqiee nis] © Otherncaie rom Sehadul S90 10, - Cet BS 19. Adatines 1, 20,9, 4,86, 8, 7 and. This your total income »fet 275,017. ls mcris | 10 Acumen income rom Schedule 1, no 26 . _. De BES, 44 Subwact ine 10ttom na. Tis your adksted gross coma “Lae PERECUA TERT “20 Standard deduction or itemized deductions (rom SchoduioA) | 42a 25,100. J xc Chae eontbtons you thst standard econ ssi). [aap 600. BeBe |e nasinoetonana “nnn lize] ___-25, 700. Je tyctesed | 19 Quad business como deducitn om Farm 8895 or Frm 895A 7 ra 8. SREP | ta Adige t2e era 3 . 48 25,708. Bette | 18 Taxable income. Subtract re 16 om toe 1 ttzero ores, ena 1 247,409. {Tha For Diacloswe, Pvacy Act, ae Paperwork Reduction Act Notice, 580 separate nstwuctons. Fan 100 er 3 02310418 790347 49464 2021.03031 RHYNHART, REBECCA A 4946461femioeaen REBECCA A, RHYNHART & DAVID L. MCDUFF STM 346 Tax (ecehstusion).checkitanyfomFom(s: aL fears aL] Elyes.comiveteou [no ace Fema ataton gy DHESLEY S. CASCONE, CPA m p215.545.4800 _srovem 9103 Bolster hn papas sander msmrions ch pepo noeanyhnoessae Sign Nera me fersraaan isersantrnesaemy Here [neve [eITY CONTROLLER »[ Poel Seesiaeiieiiibeeliead ca sare aaa ‘oes ey feos csi stene RRHYNHART@ YAHOO. COM Fesaeere airings fee Fan Preparer WESLEY S$. CASCONE, heat Use Only cpa 4/18 /2200967974 _| [J smom S » CITRIN COOPERMAN ADVISORS LLC 1800 JFK BLVD 20TH PLOOR De rereen SURPHILADELPHTA, PA 19103 (Goto wii. gow/Form 040 for nstuations and the latest nforation. Fo 1040 xz 4 02310418 790347 49464 2021.03031 RHYNHART, REBECCA A 49464_1.SCHEDULE 2 i ‘(Fort 1040) Additional Taxes cioemanit ae aay > Antach to Form 1040, 1040-SR, or 1040-NR. ‘arihowme trioe > G0 to wuts. goviF ora 080 for instruction 3nd the latest information. | ows no. 5150076 | 2021 Soret 02 Fares) sown on For 1000, 1040 SR, oF 1OHAR REBECCA _A. RHYNHART & DAVID L. MCDUFF Parti Tax ia seeuty umber 7 2 3 ‘Aemtive minum tax, tach Form 6251 Excess advance premium tax ere epsyert. Attach Frm 8562 ‘Aud ines 1 and 2. Enter here and on Form 1040, 102058, o¢ 1040. no 17 Parti Other Taxes 4 s u 8 ‘Safempoyment tax. Aaah Schedule 9S aan ‘Socal eocrty and Medicare tax on unreported tip income. ‘itsch Form 4137 UUncofected socal senurty and Meseare tax on wages. tach Form 6018 soni LB “Total ational socal security and Modicare tax. Adi Ines Sand @ ‘Adana tax on IFAs or ther tactavored accounts. Attach Form 8929 Hrequired Household expleyment taxes Attach Schodula H Repayment of fsttme homebuyer eve. tach For 84065 i required ‘Adonel Medicare Tax. Attach FO 8959 enone Net investment nccme tx Attach Form 8860 ‘Uncollected socal securty and Macicare or ARTA tax on tps o rauptarm Iie Insurance trom Form W2, box 12 Interest on tax due on statment Fim fom to sla of covtain reside ots and timeshares Interest on th colored taxon gan fom earain instar sues witha alee price 86 BIEO.000 ns FRecapture of iowincome housing edit Attach For 864% z a [1 2379 10 4 363. 2 264. 2 For Paperwork Reduction Act Notice, see your taxroturn instructions. 02310418 790347 49464 5 Jeontinued.on page 2). ‘Sabedul 2 (Far 1040) 2021 2021.03031 RHYNHART, REBECCA A a9a64_a‘Sgredule2 (Form 1040, 2021 Partil Other Taxes (continvoa) Page? 7 * 0 a ‘Other atone taxes Rocepture of ater erect, List ype, frm number, aad amount Be ral Recapli of federal merigage eubsiy,Hyou cold your homain 2021, sasinstctions ~ en [08 ‘esstonal tax on HSA cetbtions. tach Form sre] ‘Adticnal tax on a HSA because you dn’ remain an oigble Fvdun. Attach Ferm 8860 - | sal Aastra tax on cher MSA distruliors. Atiach Form 6053 A ‘Aaddtonal tax on Mesiare Advantage MSA cstnbutons. Attach Form 8653 Fecepture of achariate cortibtion deduction related i a ‘factional interest n tanghle personal property Income you receund rom a nongualiied Gefered compensation lan tha! taste meat tho roquramants of section 400A... am ‘Compencation you roeived fom a nonqualifed doecod ‘compensation plan described in section 257A sn ‘Section 72¢m)) excess bonofts tax a ‘Golden parechuto payments . [ane ‘Tacon accumulation trinution of frusts : a7 Excise tax on insider stock compensation fom en expatsted ccomeraton : ; ae Loakcback intrest under ection 167() er 460) from Farm (8607 er 8068 - 0 ‘Tax on norotictvly connected income tor any part of the year you were anonestdont aon fem FOAM 1OHONR cease 20 ‘ny teret tam Form 862, a 16, relating to dietbutions from, and ispostions of stock ofa suction 1264 fund | xe ‘Any interest or Form 862", ine 24 “7 ‘Any ther tes. List ype and amount Be ‘Teal adtional es Ad toes 17a tough 17 ‘astona! ax om Schedule B12 ‘Section 965 net tax abil installment fess Form 965A ‘Acdlnes 4,7 trough 16,18, and 10. These are your total ather taxes. Entor Hore nd on Form 1040 er 1040, i023, or Foren 1060\NR, tne 28 at 3,606. 02310418 790347 49464 6 2021.03031 RHYNHART, REBECCA A ‘Schedule 2 Foim 1040) 2021SOHEDULES Additional Credits and Payments | own. ss4scnre_ > tc to Frm 14, 1-5 or 040A 2021 Samm i: samt gerne ese te cece, sae oo Fag onan fom ORT HIT Taare RESECCA A, NAYNHANT g DAVID L. MCDUFF Part! Nonrefundable Credits Frege tax creel Attach Form 1196 I roqured (reat fo ld end dependent care xpenses rom Farm 2447 ine 11. tach Form 2441 aicaion ered fam For 8868, re 18 Rotirmont savings contrbations cred. attach For 8860 . ' Residential energy eects Attach FP 565 ~ (Other nonvetundebl credits: Genera bsinass crt. Attach Form 9800 (Crd fr prior year tireum tax Attach Fon 8804 ‘Adoption crest. Atach For B58 on (reat ortho elderty or isle. ttsch Schedule F _Ateratve motor vehi eect Attach Form 8010. . CCunlfes plugin meter vehile rat. Attach Form 8536 ~ ‘Mortgage incest rect. Attach Form 8806 District of Columbia festiime homebuyer rect Attach Form 8858 Qualed electric vehicle crest attach Form 634 -Aecatv tu etc reg propery cet. attach Form 21 ‘Gea to Polder of tax crett bonds. attach Form 8912 ‘Amount on Form 8978, ie 14, See instructions ‘Other nontefendeble creas. ist type snd amount oa. FPP F ke PPEPPPRPEReE 7 Totalothernonrehandable crite, Adel nes a tough 62 {8 Ad ines 1 through and 7. Enter nore andl an Ferm 1040, 1040'S, o° 1O40.NR, tre 20 = = 3 64. (continued on 0909 2) THA For Paperwork Reduction Act Notice, see your texrelurn instructions. ‘Sebecule$ (Form 1040) 2021 1 02310418 790347 49464 2021-03031 RHYNHART, REBECCA A 49d64_1‘SeheduloS Form 1040, 2021 Pe Part Il_ Other Payments and Refundable Grediis ‘9 Net premium tax cet Attach FOM 8862 ssw = 410 Amount paid win toques for extension to fe (se instructions) - 10 11 Excess social secuity and ter 1 RATA tex withheld tt 412 Cred for federal taxon fk, Attach Form 4138. 12 43. Other payments or refundable credits: 8 FM 299 ne = 198 1 Quali sok and family lave crects tom Schedule) Hand For) 7202 for leave taken bafero Agel 2, 2021 7 12 © Heath coverge nx cot rom Form 8585... ae co {4 Grae frrepaynent of amounts includes fa noma fm ear YORE ta Reserved for fore use . : 13e. Deferred amount of net 985 tax sabi (Se rstructons) ot ‘9 Credit for child anc dapendent care expen fom Form 24, Sine 10.Atach Form 2441. : 189 1h Quali sick an family lave crects fem Schedules] Hard Ferme) 7202 tor eave taken afer Mareh 31, 2021 2 Other payments or refundable rect, List ype and amount Be 430 114 Tolalother payments orrohindeble ests, Add ines 19aitwough 1a 4 418 As ines @ tough 12 and 14, Entar hove and on Form 1040, 1040-SR, oF 1040.NR, finest 6 ‘atoaul Ferm 1040) 2021 a 02310418 790347 49464 2021.03031 REYNHART, REBECCA A 494641Recovery Rebate Credit Worksheet - Line 30 Name(s chown on retum Your ss REBECCA A. RHYNHART & DAVID L. MCDUFF Before you begin: / See tieineructons for 20 to fd out you can Take his erect and for deions and other Information | ‘eeved to lout ths worksneck J. Hye recalved Notice 1444-0, nave tava, Dott neue on ine 13 any amount ou received but ater returned to the IRS. Ifyou cart take tho rocoveryreuata ered, you det have fo repay ay amount of EJP on Form 1040 or 1040.SR 1 2 2. anya be Gad depron anche pass 2021 rei? flng [ot try, 9010 8. EE}na. Goring. vara (vee. Sop, Taamuusteanapammatase Soe yer 2021 reine of sey nba was ve en or 68 he df a 2021 ‘sanford fr You a, fing ae, yourspousa? [iyes, cotoines Fini yor retain. goto ne Hai Rectal pote, wes tent one cf yaa mer US. Armed Feros al ry eect 221, and dest eas on ol yeu ao sol pcre tat asisued on oboe the do 6 of Yr 202% ren larg mtr? [vee Yours time, Gotan (ne. Gotoine 4. Dan ne cf you have sod ey number ta sien on oboe th do act your 2021 sta ca tenon? Cvex Yourcistin trae Goto nes Tne. cowines. Gayonav any depend tedin the Oepncerts aan on page of Farm 04 of TDS fr wh ye ertrod a scl ey nur load ono oer a at four 2021 ta arg everson) oan option eye ital ncrbe? [iver cersmo onion Gera gato tne (Ono. stor Sigurt aos ene 81400 sr, ad of amos marie fg separ or hing wow, 8100 mari ina jean you rauere Ya" 2 euston A © $2,800 if married filing jointly and you anewered "Yes" to question 2 or 8 a & 2,800. stripy $1400 to ro openers ned ne epee 2etonen page of Form 160 er “ospan oranern you otra cosa! ncny rubra ocd on bette Gu to your 221 teu retiang oxen) ot a scpton taxpayer aneaton raMDA fasines ne? , fo sourt on ino 1 of Fm e161 martha sot Saw ao ior ering iat Slo Mario tin soar -$75000 hee tiga gutsy wor) $150.00 Heat ornouenos 6112500 LE] ves. Enter the amount trom line 17 of Form 7040 or 1040'S end go to line 10 a 273,117. Tl1No. Enter the amount trom the 6 on line 12 and skip ines 10 and 11. Keine Sree then te amount rom ir your ig ah? = Seal or ard ing separa $2000 1 Haws tng lyon ew 460,000 1 Hea orogens £12000 [il vee stor imstiimsanabomeer iss T)Ne. Sites ie9 tom esr sboun above yur an ielice Oby t ount shown low or yourfing tae. Etta a ose endo st sso oc. ‘Sg cr rare eg separey $5000 1 baad ng jaye city weno) 10000 Head crraieold #750 tasty iro 907 nw 11 Eire arent any, 83 ta was sno toa hg ai aur cee amc any Yourspruses 63. You may Noe WH yar tt ann a tS gaee fect ameunt ort hare ° Recovery rebate ced, Si! ine 18m ina 1. ero: 19 rere nin 2 {ou da vate py Dash erencn, Ctra eat an, more than 20, ora S0 of Fam “ator 101088 ” oats s z 1,400. a 4,200. 1" 2 o23i04 @ 190347 49460 2021-03031 REYNHART, REBECCA A a9a64_1SCHEDULE B (Ferm 1080) Interest and Ordinary Dividends > Go to wwerirs.gow/SoneduleB for instructions andthe atest information. REBECCA A. RHYNHART & DAVID L. MCDUZF Part "TUst name of payer any interest fom a ealeirancod meigage and ie buy wood To ‘Amount Interest ropery as personal residence, sea the instructions ait thisintarest st. ls, show that buyer ool eocutiypumber and adceess WELLS FARGO REC CAPITAL MARKETS LLC a. 1 Note: ityou teow Ferm jeoon Fom 108000, Sreubetiie Sateen orn abrkerae ir, iethotame fangasthe an ontee toilet ghomonthat 2 Aad teamouRtsONEFET oe cnn = 2 ats # 3 Proudabeintrcton sees EE and U.S. savings bonds sued ater 1089. ‘tach Fo 8615 a 4_Subvact ine fom ine 2 Ener the result here are on Form 1040 «1080358, fo0 25 Be [a 21. Hote: tine 4s cvs $1,500, ou must comobts Pat ‘oan Fant 8 Listname of payer Ordinary REC_CAPITAL MARKETS ULC Dividends 6 “Aide ener oi 6, Err tho toa av ado Form 1040 or 1040S, aw Sb els EE Noe: tne 6 sever S150, you must complete Pat Partly You must compet his pt you fa) a eve $1,500 of rae interest er ovtnany aivaends:(B) ad a Yee] ne {eonignacoounts oo recived a dstibuton mn. er wer a rana: of oa transferor to, foram tne Foreign 7a Any tina cbrng 2021, cd you have a nancial ness incr sgnsire authority ove atari aout uch Accounts ‘ss abank account, scutes account, or brokerage acount located ina foreign county? See hstctons x and Trusts *Yee,sre you reqed tof FNCEN Fo 114, Report of Fetegn Bark and Fanci Acoounts (FAP, ‘caution: {report thal areal tore or ratte audhaity? Sea FnGEN Form 24 andeinsrucons or ing BLGIYe requirements aed xoaptone to tate retOmens Ferm iT rTay you we ead of FEN Form 714, rte the ra ie taign cour were the nani ee islocated ee Perales See a During 2021 id you receives csrioton kom, oF Were you the rantr o,f WanSlrr to, a Toei BE? ee 11¥on youmay have tole Form 520. S00 ntucions x LHA For Paperwork Reduction Act Notco, see your tax return instructions. 10 02310418 790347 49464 2021.03031 RHYNHART, REBECCA A “Schedule B (Form 1040) 2023 49464_1IT 5 TF Te » e 1 " ° 4 rs 0 7 7 7 ° | a | v pea | naan | mewn | semen | spoopria Up | ewer wees | seemrevisg weusmos | mieims | sexeres | wownen |vesi voneas | semnomen | mztuonoes | setexn | uo mieHD TTT TFT T wr E ‘sm | | z ' ' u 4 2 4 3 0 WTF SET ERE REIS Bei] o wr t ITER RELA 3 a aR FA y spcopna | spenpno [cides] wnoong | eam | comin | maton | maa ea perso | fewapig | enesirutno | ioven _|Anmavenva| russia, | ‘snows FEES NESE Auewiuing puepiaiq pue ysesequ}SCHEDULE D {Foem 1020) Capital Gains and Losses LOM No. 145074 Foes end eS werner 2021 ‘Seen ce) Use Form 8949 to list your transactions for lines tb, 2,2, 8,8, and 10. Sore, 12 Nana zene onrnen ‘ox ea ctu REBECCA A. RHYNHART & DAVID L. MCDUFF oe (id you espose of any investments in a qvaliod opportunity fund during the wxyear? CJ Yes lean attach Fam £949 and toa nenuctions fr adsl requirements for repoting your gen offs. ‘Short-Term Gapital Gains and Losses - Generally Assets Held One Year or Less (sae instructions) ‘See netrclions fer how to figure tha amounts to @ Te Gain or fas) ‘onter an the ines bolo. C © ‘Adjstments | Subtract column (@) Proceeds cost toga ariess rom | team calvin (6) 0 ‘Tis frm may be easier to complete yourounctost | (elas price) forotieebasiy | Forts) 8949, Part, | combine ino recut cents te whole datas, “ine 2, column (gh | “with cola ) a Tosats townientanncioa eed Fon ha Sjnmcteo cto town onsen ngte “Total fr al anesatione repeted on Fos) e010 wih Bor A cached 2 Totals for al rersaction epoied on Fomis) 40 wih Bax 8 creche 3 Total fr al ersactions epaied on Fomis 2949 with Box &chockod @_ Storer gn ro Fen 6252 and herr grin or (os) Rom Foes 08,6781, ar BEA, {5 Retshortteem gain or fos} rom partnership, 6 corporations, aetaes, a! sts ftom Schedles) 1 coe [8 6 Shortt capita lous caryover Ener the amount, Hany, om ine of your Capital Loss Coryover Worksheet nth nstuctons ines 18 tough 6 in corn @y you have any ongterm Net short-term capita gain or (0s). Comin sot gains ass, go to Pat I bow, trie, goto Part Mon psce2 x Long-Term Capital Gains and Losses - Generally Assats Held Mare Than One Year (see instructions) ‘See reruns forhow to fare he aourts To @ ican or tors. ‘meron ees ytnenes | latvact cour teron he ines bso Pred Ste togunarcaton | femedurm(jact “Tito iy bo easerte compte you roundon | gales ree) (oratherbassy | Forme ae: Pal, | ‘conse tna reaut cana whee dolore, ina a.com @)_|_~ wi ann 83 Tomstereionr um vonmrierepres rem rE traces nus ap ih Ran senha ‘aaajaeena io attend Hv Fou ee ania ‘BB Total for al Wansactions raperted on Fri) 8849 wih Box D checked 14,751. 11,300. 3,451. ‘Tole el raneactonsreparted on Forieh 3940 wih Box checked Y@ Totals feral reneactions reported on Forms), {£949 vith Box F checked F_ Gain ean Form 4797, Part ong term gan trem Forse 2480 and 6250; and long tem gan ose) ‘rom Forms 4684, 6701, and 6224 a 42 Notlongtorm gain or fess) fom partners, S comorations,eetates, and tus from Schoduios) 7. sa 43. Capital gan dieutione : “SEE 'STAaaaT "5 8 44 Longtam capital loss canyover Enfer the amount, any, rom ina 19 of your Capital Loss Carryover Worksheet in the WstheBOn8 . wens [A 1 418 _Nettong-term capital gain or {oss}. Comrie ines Part rp 2 6 3,493. TIA” For Paperwork Reduction Act Notice, see your tax ret instructions. “Schedule D (Form 1040) 2028 12 02310418 790347 49464 2021.03031 RHYNHART, REBECCA A 49464 _3‘Schack D (Form 1040) 2024 Summary REBECCA A. RHYNHART & DAVID L. MCDUFF $SRuMaMOMI) 0.55 2 6 7 * a Combinetines 7 and 15 and enterthorecuit - - - © Wine 162 gan, enter the ameunt om ne 36 on Form 1040, T0205, Or }HONR, tn 7 Ten, goo ne 17 below. ‘© ling 162 toes, ep nes 17 through 20 below. Thon, goto ne 21. Ako bo sure to compote ene, ‘© line 166 zere, skip nes 17 through 2 below and enter 0-on Form 4040, 1O40:SA, oF 1040.NR, Ihe. Then, go tne 2, ‘9 bes 15 and 16 both gains? ([X) Yes. Goto tne +8. 7 No. Skip ines 18 through 21, and go to lino 22. 1 you are raqur to completo tho 25% hate Gain Worksheet (coe intuction),onter tho ‘amount, any, fom Ka 7 ofthat worksheet It you re required to complete the Unrecaptured Section 1250 Gain Worksheet (se Instructions), enter the amount fn, from ne 18 ofthat warksheot ‘ce ines 18 and 19 both zero ce lank anc a you not fling Fox 49827 Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions {tr Ferms 1040 ane 10%0'5R, ne 18. Don't complete lines 21 and 22 below. (nic. compote the Schedule D Tax Worksheet In the instructions. owt compista nes 21 ‘and 22 boom. {1 fine 16 ie a loss antec here ancien Ferm 1040, 10405, or TOAD-NA, line 7, tho smaller of + Te Nieaasin, } ‘Notes When fguing which amount ema: teat both arnounts as postive numbers, Do you have qualified dividends on Form 1040, 1040'S, or 1040NA, ne 98? [Dres. camalete the Qualified Dividends and Capita! Gain Tax Worksheet in ths instructions fer Forms 1040 and 10405F, ine 16, [7 no. comple the rest of Form 1040, 1040.8R, oF 1040.NAL +6 3,493. 8 ale ) 02310418 790347 aoa6e 13 ‘Schedule D (Form 1040) 2021 2021.03031 RHYNHART, REBECCA A 49464_1Form 8049 2021), Aitachmant SaquecosNo 124 Page? "Name(s shown en tum, Namo and SSN or taxpayer entifcaion no, not raquived own en page 1 ‘Social security number or {expayerKdentneation no. REBECCA A. RHYNHART & DAVID L. MCDUFF ec Bore you check Bax DE or F below, ove whether you received any For 1000°B or substlute eatrnoo() fora your broker. A substuie Sater hare he sae crane arn 108-8 hor al ower our as fay your cos mas apr eS By your Tong-Term esra mang cia ce yovhe a a Ga gto BaF For tam TAT, ny ayn ante evans epateden a 1009.0 song hase mas apart Sard wich no adage dracon Shedie bays ears eet ras Say rans an Pa eo ae ean Festina Sesiomomen, tenet aresaea yz eenenemrespeensopeseem oes CEL (0) Long term transactions reported cn Form(s) 1099-8 showing basis was reported to the IRS (see Note above) Ej) Lonatterm transactions reposted on Fores) 1090-8 showing bosis wasn't ported to the IRS Longer vansasors at epoca to yu on Fos 109883 1 (a) o ry (a) te) | Aaiustnent, any, to gsin or th Descipionot propery | ostasceied | Datescisor | Poseeds tes ote aman | Gain o Goss Examese: 1009 30200) | fo, day. ye) | sposed of | PRREPICO) | basi. Sour aie tenn (ion ay, 9) mean ee cournn el tare even Tater | O28 tein RBC _CAPYTAL MARKETS, LLC 5 /22/1804/26/21| 14,751.) 11,300. 3,451. 1B Totals, od he arcuntah colzeae (and (9 abeat regativeamcunts). Ene ac ttat ese and ie! on your SchedulsD, ine 8 (1 ox D above chackod) line 9 6" Box E abovo is encekod, or ine 10 {4 Box F above ic checked) 14,753.| 11,300. 3,451. Tote: if you checked Box D above but he base reperted otha IRS was ineorron, ener column thas as voportod to Uw RS, and ents an ciate in coun (1 comect the Bais. See, Catn if tho soparato inet uctons for howto gure the amcunt ofthe adustment Tana eat orm 8349 (2071) 14 02310418 790347 49464 2021.03031 RHYNHART, REBECCA A 49464__1.Qualified Dividends and Capital Gain Tax Worksheet - Line 16 ‘Koop for Your Records J, Before completing ti worksheet, complete Far 1040 or (408A through ine 15. ‘Y itypudonthaveto flo SenoautaD ana you recelvos capa ga dletieutons, be aura you check! the box on Form 1040 ar 1040557 in 7 TNamo(@ shown on retum Your SS REBECCA A. RHYNHART & DAVID L. MCDUFE | Before you begin: J See the ear inatustione for ine 16 to sno you can vou tis workshwet to gure your tax. "1 Enter the amount frm Form 1010 or 10403, ine 15, However, you are ing Form £2556 (lating to foreign eamed income), onter the ancunt from {ie 3 ofthe Foreign Eamed Income Tax WOHSHEEL vcnanmenenennmn 2. Eater the amount rom Form 1040 or 104053, nee 2 2,080. 3. Arwyou fing Sched OF Yes. srt smaller ene se Scehteeminsa ss | 3,493. (Ano, ow areuntam ram 9:08 4, Addiines? ont, 5, Subtractiine 4 tomne 120 oF ass, emer 0 ' a 241,836. 6. Enter $ 40400 single or maniad fling separately, $00,001 maried fing joictly or quaiying widowed, .., e 80,800. $58,100iFnead of household. 7. Enter tha smal of tne 1 or tine 8 Crome Te 80,800. 8 EnterthosmalroflineS orine7 san 80,800. 9 Subtracting 8 rom oe 7. This amcunt is tax68 OV oc raennnsnonnnne % oe 40, Entecthe smaller fin 1 oFine-4 - eee Wh 5573. 411. Enterthe amount rom tine 7 1 0 42, Subtract ne 1 fromtine 10 2 5,573. 48, Ente: 8.445 280 Ifsngl, '$ 260,800 faci lng sepertoy, 2, 501,600. ‘ton oot mria ing ray raving wou, Sa73.720i neato bus : 14 ___ 247,409. 44 Entarthe mater of ine tine 13, 46, Addtings Sando Rieti WE, 241,836. 46, Subtract ne 15 fro Ene 14 1200 rls, enter 2- 16. 5,573- 47, Ener ho srallor of ne 12 cr Fro 18 - ” 5573 1B. Multiply tne 17 by 1550.15). ot 18. 836. 18, Add ines 9nd 17 - - e 5873. 20, Subsractline 19 torn tae 10 ve oo. 0 21. Mutt ne 20 by 20% 0.20) a on 22. Fyre the tax on ine amount en Ene. tha aeesunt on lino floc than $100,000, vo the Tax Tblo to figure tho tex. the amount on Hne 8s $100,000 er more, use the Tax Computation WorKAHESt a jcnnnne BB 46,083. 2a Ads nee 18,24, and 22 a 46,919. ‘24. Figur te taxon the ent on na 7. tho amauta line 1 floss than $100,000, use tha Tax Table to| figure the tax. the amount on Fn 1 $100,000 or move, use the Tax Computation Worksheet Es 47, 420. 28. Tax on all taxable income. Enter the smaller of ne 23 oF 24. Ale include this amount on the ent ‘on Form 1040 oF 1040.57, fie 16. you wo fing Form 2585, dont enter this amount cn the ary spice on For 1040 or 1040.5, na 16 Instad, enter ikon tne 4 ofthe Foreign Eumod income Tax Worksheet 2. 46,919. *ityou ce fing Form 2555, sen the footnote nthe Foreign Esrmad Income Tax Worksheot before completing tis ne. 15 02310418 790347 49464 2021-03031 RHYNHART, REBECCA A 49464_1roam 2441 Child and Dependent Care Expenses Wipe Hah Ere taco Frm 19, 140.5, o 040 2021 peenmnanraae > cotownwiragouremaatt for mevuctos anne Benita : eras Pat) own oan Te ae oe REBECCA A. RHYNHART & DAVID L. MCDUFF —- 1k Youcan cn a cet rc and ipod ae exaust mare ig SN TRS HO oT late in tha inatuctins under "Marie Persons Fiing Saparatly* I ou meet these requiements, check this box 3 oO 15 For 2021, your cre for cid ana dependert core expenses refundable you, or your spouse i masied ig onl, had aprincpl lace of gate nes nas tr nas nana St yma ss teria Ss ar to Paril | Persons or Organizations Who Provid th Cate Yo mst conpes Spot ‘you nave more than niga case prosdgare, ee te insiruetions and check is ie 7 Cease aetingd ss ass s aeay memegiots | cen stacror tiie mt Pcie) | eliietig [esartaas| Amanoss ace ium Ci Ol Dayoreake [No <=> consiewowyret on sevens sovvenats? | ——You ———- oro Pan en ages nc ‘Caution: ifthe eare was proved in your home, you may ovo employ taxes, For deals, see the ineructions for Schedule H (Form 1040, i youincerred care expenses In 2021 but ie pay ther unt 2022, or you propa in 2021 for care tobe provided 1 2022, don nel tase expenses In column (9) of ne 2 for 2021, Sex the nstction 7 rand Depandant Care Expenses 2 fem dou your quaisingpareanfl you Pave mor taxes Gulingparice, ost mntucions and choc sax {) uettyng parsers nme {@)oslving parsan's_ |) Gualeg expenses sox Fiat ast Scealsuy conte | SSPoorTssrhs ‘Add the amounts tn column (2) of tne 2. Don’t entor mere tan $8,000" you Rad one qusiing person or {$16,000 you had two er mere persons. yu completed Part I enter the amount rom ine $1 4 Enter your earned income, See nsictions ‘5 stmarred ing jolly, enter your spouse's eariod Income ff you ot you" spouse was actudont or was loctlod, see the rstructons: all others, enter the arneunt rom nw 4 © Extertha smallest off 3, 4, oF 5 17 Exter the amount tom Form 1040, 1 18 Erteron ine the Gosimal amount shown below that appeos tothe arsounl on Sine 7 ‘ifine7 1 $125,000 or less, enter 50 cn ine ‘iin 7 is ver $126,000 ane no more then $438,000, 9 the instructions for ne B forthe amount to eter. ‘tne 7's ver $43,00, ca come 8. rer 20 in a. You maybe ae todaim a cre on ke Mail ine 6 by tbe daca emaunt en tine 8 ’> you pala 2020 expenessin 2021, complate Workshest Ain the nsuetine, Enter he amourt ‘tom ine 19 ofthe worksheet here, menue, goto Ine 10. 9, 10 Addlinas Ga and 96 and enter the resi. Kyou checked the box on tine 8 abiove, this k your refundable creat {or child and dependent care expenses; enter the arcant from his ine on Schedule (Form 1040), ro 139, ‘and dont complete Ine 11. you i’ check the box online B above, goto ina 11 - 0 111 Nonretundable credit for child and dependent care expences. Ifyou did't check Tine 8 above, your ‘ro je nonratandabio and Kite bythe amount of your tax sea the nstrctions to gure the portion of ine 0 that you can claim and enter that amoet here ard on Schedule 3 (Fon 1040), ine 2 1 THA For Paperwork Reduction Act Notice, see your tax etum instructions. Form aur 027) 16 02310418 790347 49464 2021.03031 RHYNHART, REBECCA A 49d64_1Fam 2441 02¢NREBECCA. A. @P_& DAVID L. MCDUFF Part Ii re Ben “12 Entar tha total amount of dependent care benefits you recewedin BOR1. Amour yourecaved as an ‘emplayes shout be shown in box 10 cf your Formis) W2, Don't incl amounts reported 2s wages in bor 1 of Forni) 2. you were seltemployed ora partner, include amounts you received under a _depancent care assistance rogram fom your sole propitership or partners, +48. Entr tha amount ery, you cared over om 2020 and usod in 2021, See instructions 13 ‘44 you trated or cari overt 2022 nyo the amounts reprtedon ne {2 1, enter the aroun. See instuctons 1% 1 15 Combine fines 12 through 4, $20 INSUUCHOAS an 48 16 Exar ho total amount of quale expanses incised hn 2021 for the care of the qualitving person(s) - 16 17 Emer tho amater of ne 15 or 18 - - 2 18 Enter your earned income, Sosinstuctons: 2 19 Enter ho amount shown below that apples to you. «if marios fing jit, enter your spouse's eared income (f you or your speuse was a student or was disabled, $20 the Insvuctions for ine 5) ‘© mariod tng separately, see instructions 0 ‘© Al chor, ontrtho amount ram ina 18. 20 Enter the amalest of i6617, 18, er 79 2 21 tor $10,500 ($5,250 mared fing separately and you wore raquited to enter {you spouse's exmed income en Ene 19. you entered an mount on Ene 13, ‘dit tothe $10,500 or 85.280 amount you enter an lng 21. However don't ‘tor more than the maximum amount allowed under your dependent care plan See instructions vn se Fal 22 ts any mount on ne 12 or 18 ftom your solo proprietorship or parmesan? no. entero 7 ves. ener the amount here reson a 22 Subtract foe 22 Fem INO enn hese Let ___ ‘24 Deductiba benefits. Enter te amallect of ne 20,21, or 22. Alco, ince thie aount on the aparoprato nol of your return. See instructions ve 28 25 Exchided benefits. Ifyou checked "No an ns 22, enter the amale of in 20 or 21. ‘Otherwiee, subtract tine 24 rom the sma of ine 29 oF no 21. Hf zor@ or less, enter O ... 2 126 Taxable benefits, Subtract ine 25 tom Ine 23. I'er0 or loss, enter-0~ Ago, Incude this amiount ‘1 For 1090 cr 1040-5, Ie 1 0 Ferm 1040, ne 1. On the dotted ine next to Form 1040 or 104089, line 1:1 Form 1040-NR, line 12, entecDOB* 26 ‘Tociaim tne cit and cependont care crect, ‘completo ines 27 though 31 below. _27 Enter $8,000 ($16,000 if two or more quaiying porsana) 5 Ea 28 Acidtines 24 and 25 2a 29 Subtract tine 28 rom line 27. If zero or los, stop. You cant take the crest. Exception, ifyou pald 2020 expenses in 2021, see tneinstructonsforline Sb. 20 90 Compito ine 2.0n page 1 of his form. Dont inckde in column (2) any benefits shown on Tne 28 above, Then, add the amounts in column (6 ar ent He OH NEP sn vm 20. 84 Entor the smaller fine 28 or 90. Also, enter this amount online 3 on pag 1 otis fxm and complete nes 4 through 17 at arse romes Form 2447 (202) 17 02310418 790347 49464 2021.03031 RHYNHART, REBECCA A 494641.‘SCHEDULE Household Employment Taxes (Foe $040) (For Social Secunty, Medicare, Withneld Income, ans Federal Unemployment (FUTA) Taxa) eeretatintora, > attach to Form 1080, 1940-SA, 1040-NR, 1040-S8, or 1041, (0ME No, 1545.0074 2021 Seances 44 estan > cote wmuarsgeSsetsl rere te tian. ioe ae Sao ene _—!, Tae ee a REBECCA A. REYNEARD & DAVID L. wopuRF —, ‘Calendar year taxpayers having no household employees in 2021 don't have to complete tie form fer 2021. ‘A. Did you pay any one hovschold employee cash wagos of $2300 or more In 2021? (i any hovsslderrayee was your spouse, yout eh under 296 21, you parent, or anyone underage 78, se the Ine A nstuctons bolore you anewor tie question) CX) Yes. Skiptines B and © and goto ine ta. 1 ne. Gotetnes, 1B Cidyousthhold federal income tax during 2021 for any household empioyeo? Yes. Skip tine ¢ and goto tine 7, Ti we. Gototinec. (© Did you nay total cash wages of $1,000 or morein any calendar quarter of 2020 or 2021 to al Roush omployoes? ‘Don't count cash rages paid in 2020 cr 202% to your spcuse, your child unter age 21, or your pave) I No. Stop. Dent ie this sohodte. Part iT Social Security, are, 1a, Total cash wages subject 0 socisl security tax... 2 13,986. 1B Gualitod sick and taily wages for teas taken before Apel 9, 2021, incuded onine 1a » ‘Quali sik eave wages fo: leave taken before Api, 2021 = 2a Sociol secu tox Misty ne Taby 12.96 (0.128) 2a 4,734. 1b Employer shar of cocil eacuty taxon quae eck and fry love wages for leave taton blore ‘Api, 202 lip line 1b by 623 (0.082) - 2b Total oie security tax. Subtract tne 20 tom ne 28 . : [ze LT 3 Totaleash wages subjct to Mediears tax 3 13/386. 4 Medicare tax. Mitipy ne 3 by 2.0% (0.029) wai 4 406. ‘5 Total oath wogescubject to Adstiona Medicare Tex wiolsng 8 Adationsl Medicare Tax withnona, Misty tre S by 0.9% (2.000) ~ bs 7 Federatincoma tax withheld, ny 7 TT. 8a Teta soot cocunty, Macicar, and feral ncoma tae, Aad ines 20,4 6, and? Be 2337. 1b Nanrefendsblo porion of ered for qulled sick and faly leave wages for leave taken beter Apel. 202i &. © Nonrfundable pation a ered for Quaid eck ard family lave wages for leave taken ater March 38,2021 one vn | 86. 1d Total socal ecu, Medina, and federal income tare at nonrefundable ores, Ad ines 66 ‘and e and han subtract that total frm Ene a _ _ _ . ea 2.937. ‘¢Refurdabie portion of cra for quite lok and fil leave wagns for lave taken before Apri, 2021 - se {1 Refunds portion of cre for ql sick and family leave wages for leave taken ser arch 33, 2021 a 29 ah ‘Qualfed heal pan expanees allacable to quale sick eave wages reperod on ke 69 ‘Quai farily eave wages forfeave tken before April, 2021 . ‘Quoted hath plan expenses alocatis toque family eve wages epertd on ine Bl ‘Quatted sick wages for leave taken after March 31,2021 Quetited nea pan expenses alocabie to quae sick leave wages reported one Bk - (Guat tamil leave wages for love taken ater March St, 2021 ‘Guatfod heath plan expensas alocable to qusliies fam leave wages reported online Bm 9 Did you pay total eash wages of $1,000 or more in any esiendsr quarter of 2020 or 2221 t a household erloyees? (ont count cash wages pain 2020 or2021 to your spouse, your child underage 21, cr your parent) To. Stop. inciuce the amount from ine 8d above on Schedule 2 (Form 1040), ins 8. Include the amounts, any, {rom ne 8e on Schedksa 8 (Form 1040, ino 19b, and line 8f on Schedule $ (Ferm 1040) ine 19h, you're not tf Form 1040, sea tha ine 9 instructions agrmtore ear WA” For Privacy Act and Paperwork Reduction Act NoUce, see the netuctions. ‘SchocteH Form 100) 2008 18 02310418 790347 49464 2021.03031 RHXNHART, REBECCA A 49464_1