Professional Documents
Culture Documents
Baher Isack Adem 2022 Tax Return
Baher Isack Adem 2022 Tax Return
Baher Isack Adem 2022 Tax Return
Date: 09/09/2023
Invoice Number: 1899
Client: BAHER ISACK ADEM
468 E WOODLAND AVE Apt. 3
SALT LAKE CITY, UT 84115
Phone: (385)549-5863
09/09/23 10:30 AM
09/09/23 10:30 AM
September 6, 2023
Please find enclosed a copy of your 2022 federal income tax return for your records.
Your federal return was electronically transmitted to the IRS on September 9, 2023;
therefore, do not mail your federal Form 1040 to the IRS.
The amount you owe on your federal return is $3,522. Make your check or money
order payable to ' United States Treasury '. Write ' 2022 Form 1040 ' and your social
security number on your payment.
If you have any questions about your tax return, please contact us. Thank you for
letting us be of service to you.
Sincerely,
Nadine Zegura
09/09/23 10:30 AM
September 6, 2023
Please find enclosed a copy of your 2022 Utah income tax return for your records.
Your Utah return was electronically transmitted to the Utah State Tax Commission on
September 9, 2023; therefore, do not mail your Utah Form TC-40 to the Utah State
Tax Commission.
The amount you owe on your Utah return is $224. Make your check or money order
payable to 'Utah State Tax Commission'. Write your social security number, day
phone number and ' 2022 TC-40 ' on your check or money order.
If you have any questions about your tax return, please contact us. Thank you for
letting us be of service to you.
Sincerely,
Nadine Zegura
09/09/23 10:30 AM
2022
Income Tax Return
Prepared For:
BAHER ISACK ADEM
468 E WOODLAND AVE Apt. 3
SALT LAKE CITY, UT 84115
(385)549-5863
Prepared By:
ELLENKAY INC
3605 S WEST TEMPLE
Salt Lake City , UT 84105
Telephone: (305)306-7479 or (305)927-5640
FAX: (800)705-2059
Email: atlnkincorp@gmail.com
09/09/2023 10:30:42AM
2022 Form 1040-V Department of the Treasury
Internal Revenue Service
STOP
STOP
Before you mail a check, consider your
online payment options
Electronic
IRS Direct Pay Pay by Card Federal Tax
Payment System
Pay with Bank Credit or Debit
account Card option Registration required
Go to Go to Go to EFTPS.gov
to enroll
directpay.irs.gov irs.gov/Payments Registerd users
call 1800-555-3453
Online payments save time, reduce paper, and don't require postage.
If you do mail a check, include the portion below with your payment.
Form 1040-V (2022)
For Paperwork Reduction Act Notice, see your tax return instructions.
UYA
Department of the Treasury–Internal Revenue Service
1040 2022
Form
U.S. Individual Income Tax Return OMB No. 1545-0074 IRS Use Only – Do not write or staple in this space.
Filing Status X Single Married filing jointly Married filing separately (MFS) Head of household (HOH) Qualifying surviving spouse (QSS)
Check only If you checked the MFS box, enter the name of your spouse. If you checked the HOH or QSS box, enter the child’s name if the qualifying person is
one box.
a child but not your dependent:
Your first name and middle initial Last name Your social security number
Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Presidential Election Campaign
468 E WOODLAND AVE 3 Check here if you, or your spouse
City, town, or post office. If you have a foreign address, also complete spaces below. State ZIP code if filing jointly, want $3 to go to this
SALT LAKE CITY UT 84115 fund. Checking a box below will
Foreign country name Foreign province/state/county Foreign postal code not change your tax or refund.
You Spouse
Digital At any time during 2022, did you: (a) receive (as a reward, award, or payment for property or services); or (b) sell,
Assets exchange, gift, or otherwise dispose of a digital asset (or a financial interest in a digital asset)? (See instructions.) Yes X No
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
Age/Blindness You: Were born before January 2, 1958 Are blind Spouse: Was born before January 2, 1958 Is blind
Dependents (see instructions): (2) Social security (3) Relationship (4) Check the box if qualifies for (see instructions):
number to you
If more (1) First name Last name Child tax credit Credit for other dependents
than four
dependents,
see instructions
and check
here
For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Form 1040 (2022)
UYA
Form 1040 (2022) BAHER ISACK ADEM 813-57-5900 Page 2
Tax and 16 Tax (see instructions). Check if any from Form(s): 1 8814 2 4972 3 16 528.
Credits 17 Amount from Schedule 2, line 3 17
18 Add lines 16 and 17 18 528.
19 Child tax credit or credit for other dependents from Schedule 8812 19
20 Amount from Schedule 3, line 8 20
21 Add lines 19 and 20 21 0.
22 Subtract line 21 from line 18. If zero or less, enter -0- 22 528.
23 Other taxes, including self-employment tax, from Schedule 2, line 21 23 2,975.
24 Add lines 22 and 23. This is your total tax 24 3,503.
Payments 25 Federal income tax withheld from:
a Form(s) W-2 25a
b Form(s) 1099 25b
c Other forms (see instructions) 25c
d Add lines 25a through 25c 25d
26 2022 estimated tax payments and amount applied from 2021 return 26
If you have a
qualifying child, 27 Earned income credit (EIC) NO 27
attach Sch. EIC.
28 Additional child tax credit from Schedule 8812 28
29 American opportunity credit from Form 8863, line 8 29
30 Reserved for future use 30
31 Amount from Schedule 3, line 15 31
32 Add lines 27, 28, 29, and 31. These are your total other payments and refundable credits 32 0.
33 Add lines 25d, 26, and 32. These are your total payments 33 0.
Refund 34 If line 33 is more than line 24, subtract line 24 from line 33. This is the amount you overpaid 34 0.
35a Amount of line 34 you want refunded to you. If Form 8888 is attached, check here 35a 0.
Direct deposit?
b Routing number XXXXXX c Type: Checking Savings
See instructions. d Account number XXXXXX
36 Amount of line 34 you want applied to your 2023 estimated tax 36
Amount 37 Subtract line 33 from line 24. This is the amount you owe.
You Owe For details on how to pay, go to www.irs.gov/Payments or see instructions 37 3,522.
38 Estimated tax penalty (see instructions) 38 19.
Third Party Do you want to allow another person to discuss this return with the IRS?
Designee See instructions X Yes. Complete below. No
(Form 1040)
(Form 1040)
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
39 Other costs 39
42 Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4 42 0.
Part IV Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on
line 9 and are not required to file Form 4562 for this business. See the instructions for line 13 to find out
if you must file Form 4562.
43 When did you place your vehicle in service for business purposes? (month/day/year) 06/06/2020
44 Of the total number of miles you drove your vehicle during 2022, enter the number of miles you used your vehicle for:
46 Do you (or your spouse) have another vehicle available for personal use? Yes X No
GPS 400.
covid cleaning 280.
For Paperwork Reduction Act Notice, see your tax return instructions.
09/09/2023 10:30:42AM Schedule SE (Form 1040) 2022
UYA
OMB No. 1545-2294
Form 8995 Qualified Business Income Deduction
Simplified Computation
Attach to your tax return.
2022
Department of the Treasury Attachment
Internal Revenue Service Go to www.irs.gov/Form8995 for instructions and the latest information. Sequence No. 55
Name(s) shown on return Your taxpayer identification number
BAHER ISACK ADEM 813-57-5900
Note. You can claim the qualified business income deduction only if you have qualified business income from a qualified trade or
business, real estate investment trust dividends, publicly traded partnership income, or a domestic production activities deduction
passed through from an agricultural or horticultural cooperative. See instructions.
Use this form if your taxable income, before your qualified business income deduction, is at or below $170,050 ($340,100 if married
filing jointly), and you aren't a patron of an agricultural or horticultural cooperative.
1 (a) Trade, business, or aggregation name (b) Taxpayer (c) Qualified business
identification number income or (loss)
ii
iii
iv
09/09/2023 10:30:42AM
Form 8879 IRS e-file Signature Authorization
OMB No. 1545-0074
(Rev. January 2021)
ERO must obtain and retain completed Form 8879.
Department of the Treasury
Internal Revenue Service Go to www.irs.gov/Form8879 for the latest information.
Part I Tax Return Information —Tax Year Ending December 31, 2022(Enter year you are authorizing.)
Enter whole dollars only on lines 1 through 5.
Note: Form 1040-SS filers use line 4 only. Leave lines 1, 2, 3, and 5 blank.
1 Adjusted gross income 1 19,565.
2 Total tax 2 3,503.
3 Federal income tax withheld from Form(s) W-2 and Form(s) 1099 3
4 Amount you want refunded to you 4
5 Amount you owe 5 3,522.
Part II Taxpayer Declaration and Signature Authorization (Be sure you get and keep a copy of your return)
Under penalties of perjury, I declare that I have examined a copy of the income tax return (original or amended) I am now authorizing, and to the best of
my knowledge and belief, it is true, correct, and complete. I further declare that the amounts in Part I above are the amounts from the income tax
return (original or amended) I am now authorizing. 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 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 the income tax return (original or amended) I am now authorizing and, if applicable, my Electronic Funds Withdrawal Consent.
I will enter my PIN as my signature on the income tax return (original or amended) I am now authorizing. 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.
Date
I will enter my PIN as my signature on the income tax return (original or amended) I am now authorizing. 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.
Date
ERO's EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN. 87473008823
Don't enter all zeros
I certify that the above numeric entry is my PIN, which is my signature for the electronic individual income tax return (original or amended) I am now
authorized to file for tax year indicated above for the taxpayer(s) indicated above. I confirm that I am submitting this return in accordance with the
of the Practitioner PIN method and Pub. 1345, Handbook for Authorized IRS e-file Providers of Individual Income Tax Returns.
Nadine Zegura Date 09/09/2023
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 09/09/2023
instructions. 10:30:42AM Form 8879 (Rev. 01-2021)
UYA
SEPARATE AND RETURN ONLY THE BOTTOM COUPON WITH PAYMENT.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1064
Individual Income Tax TC-547
Return Payment Coupon Rev. 12/11
Primary taxpayer name Social Security no. I
Tax year ending BAHER ISACK ADEM 813-57-5900 I
2022
Secondary taxpayer name Social Security no. T
0
USTC Use Only
Address 0
468 E WOODLAND AVE APT 3 4
City State ZIP code
SALT LAKE CITY UT 84115
Payment amount enclosed $ 224. 00
Make check or money order payable to the Utah State Tax Commission.
Do not send cash. Do not staple check to coupon. Detach check stub.
Utah State Tax Commission 2022
40201 Utah Individual Income Tax Return
All state income tax dollars support education,
TC-40
1064 children and individuals with disabilities.
Amended Return - enter code: (see instructions)
Full-yr Resident?
Your Social Security No. Your first name Your last name Y/N
813575900 BAHER ISACK ADEM Y
Spouse's Soc. Sec. No. Spouse's first name Spouse's last name
N
Address Telephone number
If deceased, complete
468 E WOODLAND AVE APT 3 3855495863
City State ZIP+4 Foreign country (if not U.S.)
page 3, Part 1
SALT LAKE CITY UT 84115
1 Filing Status - enter code 2 Qualifying Dependents 3 Election Campaign Fund
1 = Single a Dependents age 16 and under Does not increase your tax or reduce your refund.
1 2 = Married filing jointly b Other dependents Enter the code for the Yourself Spouse
3 = Married filing separately c Total (add lines a and b) party of your choice. N
4 = Head of household See instructions for
5 = Qualifying widow(er) Dependents must be claimed for the child tax code letters or go to incometax.utah.gov/elect.
If using code 2 or 3, enter spouse's name and SSN above credit on your federal return. See instructions. If no contribution, enter N.
9 Utah taxable income/loss - subtract the sum of lines 7 and 8 from line 6 9 19565.
10 Utah tax - multiply line 9 by 4.85% (.0485) (not less than zero) 10 949.
11 Utah personal exemption (multiply line 2c by $1,802) 11
Electronic filing
12 Federal standard or itemized deductions 12 12950. is quick, easy and
free, and will
13 Add line 11 and line 12 13 12950. speed up your refund.
22 Utah income tax - subtract line 20 from line 10 (not less than zero) 22 224.
1064
09/09/2023 10:30:43AM
Utah Individual Income Tax Return (continued) TC-40 Pg. 2
40202 SSN 813-57-5900 Last name ISACK ADEM 2022
23 Enter tax from TC-40, page 1, line 22 23 224.
24 Apportionable nonrefundable credits from TC-40A, Part 3 (attach TC-40A, page 1) 24
25 Full-year resident, subtract line 24 from line 23 (not less than zero) 25 224.
Non or Part-year resident, complete and enter the UTAH TAX from TC-40B, line 41
26 Nonapportionable nonrefundable credits from TC-40A, Part 4 (attach TC-40A, page 1) 26
32 Total tax, use tax and additions to tax (add lines 27 through 31) 32 224.
33 Utah income tax withheld shown on TC-40W, Part 1 (attach TC-40W, page 1) 33
34 Credit for Utah income taxes prepaid from TC-546 and 2021 refund applied to 2022 34
35 Pass-through entity withholding tax shown on TC-40W, Part 3 (attach TC-40W, page 2) 35
36 Mineral production withholding tax shown on TC-40W, Part 2 (attach TC-40W, page 2) 36
40 TAX DUE - subtract line 39 from line 32 (not less than zero) 40 224.
41 Penalty and interest (see instructions) 41
42 TOTAL DUE - PAY THIS AMOUNT - add line 40 and line 41 42 224.
43 REFUND - subtract line 32 from line 39 (not less than zero) 43
Under penalties of perjury, I declare to the best of my knowledge and belief, this return and accompanying schedules are true, correct and complete.
SIGN Your signature Date Spouse's signature (if filing jointly) Date
HERE 09/09/23
Third Party Name of designee (if any) you authorize to discuss this return Designee's telephone number Designee PIN
Designee NADINE ZEGURA 305-306-7479 11111
Preparer's signature Date Preparer's telephone number Preparer's PTIN
Paid (305)306-7479 P01650998
Preparer's Firm's name ELLENKAY INC Preparer's EIN
Section and address 3605 S WEST TEMPLE 823984112
SALT LAKE CITY UT 84105
Attach TC-40 page 3 if you: are filing for a deceased taxpayer, are filing a fiscal year return, filed IRS form 8886, are making voluntary contributions, want to deposit into a
my529 account, want to apply all/part of your refund to next year’s taxes, want to direct deposit to a foreign account, or no longer qualify for a homeowner’s exemption.
1064
09/09/2023 10:30:43AM