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Tax Return Sharnice Brown
Tax Return Sharnice Brown
Tax Return Sharnice Brown
1545-0074
Part I Tax Return Information ' Tax Year Ending December 31, 2019 (Whole Dollars Only)
1 Adjusted gross income (Form 1040, line 38; Form 1040A, line 22; Form 1040EZ, line 4) . . . . . . . . . . . . . . . . . . . . 1 328,484.
2 Total tax (Form 1040, line 61; Form 1040A, line 35; Form 1040EZ, line 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 77,956.
3 Federal income tax withheld (Form 1040, line 62; Form 1040A, line 36; Form 1040EZ, line 7) . . . . . . . . . . . . . . . 3 82,737.
4 Refund (Form 1040, line 74a; Form 1040A, line 43a; Form 1040EZ, line 11a; Form 1040-SS, Part I, line 13a). . . . . . . . . . . . . . . . . . . . . . . . 4 4,781.
5 Amount you owe (Form 1040, line 76; Form 1040A, line 45; Form 1040EZ, line 12). . . . . . . . . . . . . . . . . . . . . . . . . 5
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 my electronic individual income tax return and accompanying schedules and statements for the tax year ending
December 31, 2019, and to the best of my knowledge and belief, it is true, correct, and complete. I further declare that the amounts in Part I above are the amounts from my electronic
income tax return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send my return to the IRS and to receive from the IRS (a) an
acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I
authorize the U.S. Treasury and its designated Financial Agent to initiate an ACH electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax
preparation software for payment of my federal taxes owed on this return and/or a payment of estimated tax, and the financial institution to debit the entry to this account. This
authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a payment, I must contact the U.S.
Treasury Financial Agent at 1-888-353-4537. Payment cancellation requests must be received no later than 2 business days prior to the payment (settlement) date. I also authorize the
financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the
payment. I further acknowledge that the personal identification number (PIN) below is my signature for my electronic income tax return and, if applicable, my Electronic Funds
Withdrawal Consent.
Taxpayer's PIN: check one box only
X I authorize COMYNS, SMITH, MCCLEARY & DEAVER, LLP to enter or generate my PIN 89665
ERO firm name Enter five numbers, but
do not enter all zeros
as my signature on my tax year 2019 electronically filed income tax return.
I will enter my PIN as my signature on my tax year 2019 electronically filed income tax return. Check this box only if you are entering your
own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.
ERO's EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN. 68012994133
do not enter all zeros
I certify that the above numeric entry is my PIN, which is my signature for the tax year 2019 electronically filed income tax return for the
taxpayer(s) indicated above. I confirm that I am submitting this return in accordance with the requirements of the Practitioner PIN method
and Publication 1345, Handbook for Authorized IRS e-file Providers of Individual Income Tax Returns.
BAA For Paperwork Reduction Act Notice, see your tax return instructions. Form 8879 (2019)
FDIA1701L 10/04/19
' Internal Revenue Service (99)
2019
Department of the Treasury
Form 1040 U.S. Individual Income Tax Return OMB No. 1545-0074 IRS Use Only ' Do not write or staple in this space.
For the year Jan 1 - Dec 31, 2019, or other tax year beginning , 2019, ending , 20 See separate instructions.
Your first name and initial Last name Your social security number
Home address (number and street). If you have a P.O. box, see instructions.
Exemptions 6a X Yourself. If someone can claim you as a dependent, do not check box 6a. . . . . . . . . . . Boxes checked
2
on 6a and 6b. . .
b Spouse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . No. of children
on 6c who:
(2) Dependent's (3) Dependent's (4) if
c Dependents: social security relationship child under ? lived
number to you
age 17
qualifying for
with you. . . . . . 1
child tax cr ? did not
(1) First name Last name (see instrs) live with you
due to divorce
or separation
If more than four (see instrs). . . .
dependents, see Dependents
on 6c not
instructions and entered above. .
check here. . . G Add numbers
on lines
d Total number of exemptions claimed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . above. . . . . . G 3
7 Wages, salaries, tips, etc. Attach Form(s) W-2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 301,435.
Income 8 a Taxable interest. Attach Schedule B if required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8a 47.
b Tax-exempt interest. Do not include on line 8a. . . . . . . . . . . . . . 8b
Attach Form(s) 9 a Ordinary dividends. Attach Schedule B if required. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9a
W-2 here. Also b Qualified dividends. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9b
attach Forms 10 Taxable refunds, credits, or offsets of state and local income taxes . . . . . . . . . . . . . . . . . . . . . 10
W-2G and 1099-R
if tax was withheld. 11 Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
12 Business income or (loss). Attach Schedule C or C-EZ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 29,055.
If you did not 13 Capital gain or (loss). Att Sch D if reqd. If not reqd, ck here . . . . . . . . . . . . . . . . . . . . . . . . G 13
get a W-2,
see instructions. 14 Other gains or (losses). Attach Form 4797. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
15 a IRA distributions. . . . . . . . . . . . 15 a b Taxable amount. . . . . . . . . . . . . 15 b
16 a Pensions and annuities . . . . . 16 a b Taxable amount. . . . . . . . . . . . . 16 b
17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E. 17
18 Farm income or (loss). Attach Schedule F. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
19 Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
20 a Social security benefits . . . . . . . . . . 20 a b Taxable amount. . . . . . . . . . . . . 20 b
21 Other income 21
22 Combine the amounts in the far right column for lines 7 through 21. This is your total income. . . . . . . . . . . . . G 22 330,537.
23 Educator expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Adjusted 24 Certain business expenses of reservists, performing artists, and fee-basis
Gross government officials. Attach Form 2106 or 2106-EZ . . . . . . . . . . . . . . . . . . . . 24
Income 25 Health savings account deduction. Attach Form 8889. . . . . . . . 25
26 Moving expenses. Attach Form 3903 . . . . . . . . . . . . . . . . . . . . . . . 26
27 Deductible part of self-employment tax. Attach Schedule SE. . . . . . . . . . . . . . 27 2,053.
28 Self-employed SEP, SIMPLE, and qualified plans. . . . . . . . . . . 28
29 Self-employed health insurance deduction. . . . . . . . . . . . . . . . . . 29
30 Penalty on early withdrawal of savings . . . . . . . . . . . . . . . . . . . . . 30
31 a Alimony paid b Recipient's SSN . . . . G 31 a
32 IRA deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
33 Student loan interest deduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
34 Tuition and fees. Attach Form 8917 . . . . . . . . . . . . . . . . . . . . . . . . 34
35 Domestic production activities deduction. Attach Form 8903. . . . . . . . . . . . . . 35
36 Add lines 23 through 35. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 2,053.
37 Subtract line 36 from line 22. This is your adjusted gross income. . . . . . . . . . . . . . . . . . . . . G 37 328,484.
BAA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. FDIA0112L 08/05/19 Form 1040 (2019)
Form 1040 (2019) SHARNICE BROWN 615-08-4862 Page 2
Tax and 38 Amount from line 37 (adjusted gross income). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 328,484.
Credits 39 a Check You were born before January 2, 1949, Blind. Total boxes
if: Spouse was born before January 2, 1949, Blind. checked. G 39 a
Standard b If your spouse itemizes on a separate return or you were a dual-status alien, check here . . . . . . . . . G 39 b
Deduction 40 Itemized deductions (from Schedule A) or your standard deduction (see left margin) . . . . . . . . . . . . . . . . . . . . 40 60,050.
for '
? People who
41 Subtract line 40 from line 38. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 268,434.
check any box 42 Exemptions. If line 38 is $150,000 or less, multiply $3,900 by the number on line 6d. Otherwise, see instrs. . . . . . 42 8,892.
on line 39a or 43 Taxable income. Subtract line 42 from line 41.
39b or who can If line 42 is more than line 41, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 259,542.
be claimed as a 44 Tax (see instrs). Check if any from: a Form(s) 8814 c
dependent, see
instructions. b Form 4972 . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 61,962.
? All others: 45 Alternative minimum tax (see instructions). Attach Form 6251. . . . . . . . . . . . . . . . . . . . . . . . . . 45 7,000.
Single or 46 Add lines 44 and 45. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 46 68,962.
Married filing 47 Foreign tax credit. Attach Form 1116 if required. . . . . . . . . . . . . 47
separately, 48 Credit for child and dependent care expenses. Attach Form 2441 . . . . . . . . . . 48
$6,100
49 Education credits from Form 8863, line 19. . . . . . . . . . . . . . . . . . 49
Married filing
jointly or 50 Retirement savings contributions credit. Attach Form 8880. . . 50
Qualifying 51 Child tax credit. Attach Schedule 8812, if required . . . . . . . . . . 51
widow(er),
$12,200 52 Residential energy credits. Attach Form 5695. . . . . . . . . . . . . . . 52
Head of 53 Other crs from Form: a 3800 b 8801 c 53
household, 54 Add lines 47 through 53. These are your total credits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
$8,950
55 Subtract line 54 from line 46. If line 54 is more than line 46, enter -0-. . . . . . . . . . . . . . . . . . G 55 68,962.
Other 56 Self-employment tax. Attach Schedule SE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 4,105.
Taxes 57 Unreported social security and Medicare tax from Form: a 4137 b 8919. . . . . . . . . . . . . . . . . . . . . . . 57
58 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required. . . . . . . . . . . . . . . . . . . 58
59 a Household employment taxes from Schedule H. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 a 4,072.
b First-time homebuyer credit repayment. Attach Form 5405 if required . . . . . . . . . . . . . . . . . . . 59 b
60 Taxes from: a X Form 8959 b X Form 8960 c Instrs; enter code(s) 60 817.
61 Add lines 55-60. This is your total tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 61 77,956.
Payments 62 Federal income tax withheld from Forms W-2 and 1099 . . . . . 62 82,737.
If you have a 63 2019 estimated tax payments and amount applied from 2018 return. . . . . . . . 63
qualifying 64 a Earned income credit (EIC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64 a
child, attach
Schedule EIC. b Nontaxable combat pay election . . . . . G 64 b
65 Additional child tax credit. Attach Schedule 8812. . . . . . . . . . . . 65
66 American opportunity credit from Form 8863, line 8. . . . . . . . . 66
67 Reserved. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
68 Amount paid with request for extension to file . . . . . . . . . . . . . . 68
69 Excess social security and tier 1 RRTA tax withheld. . . . . . . . . 69
70 Credit for federal tax on fuels. Attach Form 4136. . . . . . . . . . . . 70
71 Credits from Form: a 2439 b Reserved c 8885 d 71
72 Add lns 62, 63, 64a, & 65-71. These are your total pmts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 72 82,737.
Refund 73 If line 72 is more than line 61, subtract line 61 from line 72. This is the amount you overpaid . . . . . . . . . . . . . . . 73 4,781.
74 a Amount of line 73 you want refunded to you. If Form 8888 is attached, check here. . G 74 a 4,781.
G b Routing number . . . . . . . . 121000358 G c Type: X Checking Savings
Direct deposit? G d Account number. . . . . . . . 1128706560
See instructions.
75 Amount of line 73 you want applied to your 2014 estimated tax. . . . . . . . G 75
Amount 76 Amount you owe. Subtract line 72 from line 61. For details on how to pay see instructions . . . . . . . . . . . . . . . G 76
You Owe 77 Estimated tax penalty (see instructions). . . . . . . . . . . . . . . . . . . . 77
Third Party Do you want to allow another person to discuss this return with the IRS (see instructions)?. . . . . . . . . . . X Yes. Complete below. No
Designee Designee's
G MARK
Phone Personal identification
name A. TRAMMELL no. G 925-385-2038 number (PIN) G 94133
Sign Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and
belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Here Your signature Date Your occupation Daytime phone number
Joint return?
See instructions. A EXECUTIVE
Spouse's signature. If a joint return, both must sign. Date Spouse's occupation If the IRS sent you an Identity Pro-
Keep a copy
for your records. A INTERNET WEB CONSU
tection PIN, enter
it here (see instrs)
Print/Type preparer's name Preparer's signature Date Check if PTIN
Use Only Firm's address G 3470 MT. DIABLO BLVD. #A110 Firm's EIN G 68-0307221
LAFAYETTE, CA 94549 Phone no. (925) 299-1040
Form 1040 (2019)
FDIA0112L 08/05/19
SCHEDULE A Itemized Deductions OMB No. 1545-0074
(Form 1040)
Department of the Treasury G Information about Schedule A and its separate instructions is at www.irs.gov/schedulea.
2019
Attachment
Internal Revenue Service (99) G Attach to Form 1040. Sequence No. 07
Name(s) shown on Form 1040 Your social security number
BAA For Paperwork Reduction Act Notice, see Form 1040 instructions. FDIA0301L 08/28/2019 Schedule A (Form 1040) 2019
SCHEDULE C Profit or Loss From Business OMB No. 1545-0074
A Principal business or profession, including product or service (see instructions) B Enter code from instructions
G
C Business name. If no separate business name, leave blank. D Employer ID number (EIN), (see instrs)
39 Other costs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
42 Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4 . . . . . . . . . . . . . . . . . . . . . . 42
Part IV Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9 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) G .
44 Of the total number of miles you drove your vehicle during 2019, enter the number of miles you used your vehicle for:
45 Was your vehicle available for personal use during off-duty hours? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No
46 Do you (or your spouse) have another vehicle available for personal use? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No
ACCOUNTING 750.
MISCELLANEOUS 29.
POSTAGE 29.
FDIZ0112L 10/29/19
SCHEDULE SE OMB No. 1545-0074
(Form 1040) Self-Employment Tax
Department of the Treasury
G Information about Schedule SE and its separate instructions is at www.irs.gov/schedulese. 2013
Attachment
Internal Revenue Service (99) G Attach to Form 1040 or Form 1040NR. Sequence No. 17
Name of person with self-employment income (as shown on Form 1040)
Social security number of person
SHARNICE BROWN with self-employment income G 615-08-4862
Before you begin: To determine if you must file Schedule SE, see the instructions.
No Yes
I I I
Are you a minister, member of a religious order, or Yes Yes
Was the total of your wages and tips subject to social
Christian Science practitioner who received IRS approval
not to be taxed on earnings from these sources, but you
G security or railroad retirement (tier 1) tax plus your net G
owe self-employment tax on other earnings? earnings from self-employment more than $113,700?
No No
I I
Are you using one of the optional methods to figure your Yes Did you receive tips subject to social security or Medicare Yes
net earnings (see instructions)? G tax that you did not report to your employer? G
No No
I I
Did you receive church employee income (see instruc- Yes No Did you report any wages on Form 8919, Uncollected Yes
tions) reported on Form W-2 of $108.28 or more?
G H Social Security and Medicare Tax on Wages? G
No
I I
You may use Short Schedule SE below
G You must use Long Schedule SE on page 2
Section A ' Short Schedule SE. Caution. Read above to see if you can use Short Schedule SE.
1 a Net farm profit or (loss) from Schedule F, line 34, and farm partnerships, Schedule K-1 (Form 1065),
box 14, code A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1a
b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve
Program payments included on Schedule F, line 4b, or listed on Schedule K-1 (Form 1065), box 20,
code Z . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1b
2 Net profit or (loss) from Schedule C, line 31; Schedule C-EZ, line 3; Schedule K-1 (Form 1065), box 14, code
A (other than farming); and Schedule K-1 (Form 1065-B), box 9, code J1. Ministers and members of religious
orders, see instructions for types of income to report on this line. See instructions for other income
to report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 29,055.
(Form 1040)
(For Social Security, Medicare, Withheld Income, and Federal Unemployment (FUTA) Taxes)
615-08-4862
Employer identification number
A Did you pay any one household employee cash wages of $1,800 or more in 2019? (If any household employee was your spouse,
your child under age 21, your parent, or anyone under age 18, see the line A instructions before you answer this question.)
B Did you withhold federal income tax during 2019 for any household employee?
C Did you pay total cash wages of $1,000 or more in any calendar quarter of 2018 or 2019 to all household employees? (Do not count
cash wages paid in 2018 or 2019 to your spouse, your child under age 21, or your parent.)
8 Total social security, Medicare, and federal income taxes. Add lines 2, 4, 6, and 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 3,967.
9 Did you pay total cash wages of $1,000 or more in any calendar quarter of 2018 or 2019 to all household employees?
(Do not count cash wages paid in 2018 or 2019 to your spouse, your child under age 21, or your parent.)
No. Stop. Include the amount from line 8 above on Form 1040, line 59a. If you are not required to file Form 1040, see the
line 9 instructions.
BAA For Privacy Act and Paperwork Reduction Act Notice, see the instructions. Schedule H (Form 1040) 2019
FDIA9412L 12/30/19
Schedule H (Form 1040) 2019 SHARNICE BROWN 615-08-4862 Page 2
Part II Federal Unemployment (FUTA) Tax
Yes No
10 Did you pay unemployment contributions to only one state? (If you paid contributions to a credit reduction state, see
instructions and check 'No.'). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 X
11 Did you pay all state unemployment contributions for 2019 by April 15, 2020? Fiscal year filers, see instructions . . . . 11 X
12 Were all wages that are taxable for FUTA tax also taxable for your state's unemployment tax?. . . . . . . . . . . . . . . . . . . . . 12 X
Next: If you checked the 'Yes' box on all the lines above, complete Section A.
If you checked the 'No' box on any of the lines above, skip Section A and complete Section B.
Section A
13 Name of the state where you paid unemployment contributions . . . . . . . G
14 Contributions paid to your state unemployment fund. . . . . . . . . . . . . . . . . . . . . . . . . . . 14
15 Total cash wages subject to FUTA tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
16 FUTA tax. Multiply line 15 by .6% (.006). Enter the result here, skip Section B, and go to line 25. . . . . . . . . . . . 16
Section B
17 Complete all columns below that apply (if you need more space, see instructions):
(a) (b) (c) (d) (e) (f) (g) (h)
Name Taxable wages State experience State Multiply Multiply Subtract column (f) Contributions
of (as defined in rate period experience column (b) column from column (e). If paid to state
state state act) rate by .054 (b) by zero or less, enter unemployment
column -0-. fund
From To (d)
X Yes. Stop. Include the amount from line 26 above on Form 1040, line 59a.
Do not complete Part IV below.
No. You may have to complete Part IV. See instructions for details.
Part IV Address and Signature ' Complete this part only if required. See the line 27 instructions.
Address (number and street) or P.O. box if mail is not delivered to street address Apartment, room, or suite number
Under penalties of perjury, I declare that I have examined this schedule, including accompanying statements, and to the best of my knowledge and belief, it is true, correct, and complete. No
part of any payment made to a state unemployment fund claimed as a credit was, or is to be, deducted from the payments to employees. Declaration of preparer (other than taxpayer) is based
on all information of which preparer has any knowledge.
A A
Employer's signature Date
FDIA9412L 12/30/19
OMB No. 1545-0074
Additional Medicare Tax
Form 8959 G If any line does not apply to you, leave it blank. See separate instructions. 2019
Department of the Treasury G Attach to Form 1040, 1040NR, 1040-PR, or 1040-SS. Attachment
Internal Revenue Service G Information about Form 8959 and its instructions is at www.irs.gov/form8959. Sequence No. 71
Name(s) shown on Form 1040 Your social security number
FDIA6801L 01/20/19
Form 2106-EZ Unreimbursed Employee Business Expenses OMB No. 1545-0074
Caution: You can use the standard mileage rate for 2019 only if: (a) you owned the vehicle and used the standard mileage rate for the
first year you placed the vehicle in service, or (b) you leased the vehicle and used the standard mileage rate for the portion of the lease
period after 1997
1 Complete Part II. Multiply line 8a by 56.5f (.565). Enter the result here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2,260.
2 Parking fees, tolls, and transportation, including train, bus, etc, that did not involve overnight travel or
commuting to and from work . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Travel expense while away from home overnight, including lodging, airplane, car rental, etc. Do not include
meals and entertainment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
6 Total expenses. Add lines 1 through 5. Enter here and on Schedule A (Form 1040), line 21 (or on Schedule
A (Form 1040NR), line 7). (Armed Forces reservists, fee-basis state or local government officials, qualified
performing artists, and individuals with disabilities: See the instructions for special rules on where to enter
this amount.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 2,260.
Part II Information on Your Vehicle. Complete this part only if you are claiming vehicle expense on line 1.
7 When did you place your vehicle in service for business use? (month, day, year). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 1/01/19
8 Of the total number of miles you drove your vehicle during 2019, enter the number of miles you used your vehicle for:
9 Was your vehicle available for personal use during off-duty hours? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes X No
10 Do you (or your spouse) have another vehicle available for personal use? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Yes No
FDIA7501L 07/29/19
OMB No. 1545-0074
Form 8829 Expenses for Business Use of Your Home
G File only with Schedule C (Form 1040). Use a separate Form 8829 for each
home you used for business during the year.
2019
Department of the Treasury Attachment
Internal Revenue Service (99) G Information about Form 8829 and its separate instructions is at www.irs.gov/form8829. 176
Sequence No.
Name(s) of proprietor(s) Your social security number
19 a 3-year property . . . . . . . . . .
b 5-year property . . . . . . . . . .
c 7-year property . . . . . . . . . .
d 10-year property . . . . . . . . .
e 15-year property . . . . . . . . .
f 20-year property . . . . . . . . .
g 25-year property . . . . . . . . . 25 yrs S/L
h Residential rental 27.5 yrs MM S/L
property. . . . . . . . . . . . . . . . . 27.5 yrs MM S/L
i Nonresidential real 39 yrs MM S/L
property. . . . . . . . . . . . . . . . . MM S/L
Section C ' Assets Placed in Service During 2013 Tax Year Using the Alternative Depreciation System
20 a Class life. . . . . . . . . . . . . . . . S/L
b 12-year. . . . . . . . . . . . . . . . . . 12 yrs S/L
c 40-year. . . . . . . . . . . . . . . . . . 40 yrs MM S/L
Part IV Summary (See instructions.)
21 Listed property. Enter amount from line 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter here and on
the appropriate lines of your return. Partnerships and S corporations ' see instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 1,084.
23 For assets shown above and placed in service during the current year, enter
the portion of the basis attributable to section 263A costs. . . . . . . . . . . . . . . . . . . . . . . . 23
BAA For Paperwork Reduction Act Notice, see separate instructions. FDIZ0812L 06/10/19 Form 4562 (2019)
Form 4562 (2019) SHARNICE BROWN 615-08-4862 Page 2
Part V Listed Property (Include automobiles, certain other vehicles, certain computers, and property used for entertainment,
recreation, or amusement.)
Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 24a, 24b,
columns (a) through (c) of Section A, all of Section B, and Section C if applicable.
Section A ' Depreciation and Other Information (Caution: See the instructions for limits for passenger automobiles.)
24 a Do you have evidence to support the business/investment use claimed?. . . . . . . . . . X Yes No 24b If 'Yes,' is the evidence written?. . . . . . X Yes No
(a) (b) (c) (d) (e) (f) (g) (h) (i)
Type of property Business/ Cost or Basis for depreciation Recovery Method/ Depreciation Elected
Date placed
(list vehicles first) in service investment other basis (business/investment period Convention deduction section 179
use use only) cost
percentage
25 Special depreciation allowance for qualified listed property placed in service during the tax year and
used more than 50% in a qualified business use (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
26 Property used more than 50% in a qualified business use:
28 Add amounts in column (h), lines 25 through 27. Enter here and on line 21, page 1 . . . . . . . . . . . . . . . 28 0.
29 Add amounts in column (i), line 26. Enter here and on line 7, page 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 0.
Section B ' Information on Use of Vehicles
Complete this section for vehicles used by a sole proprietor, partner, or other 'more than 5% owner,' or related person. If you provided vehicles
to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles.
42 Amortization of costs that begins during your 2019 tax year (see instructions):
19 a 3-year property . . . . . . . . . .
b 5-year property . . . . . . . . . .
c 7-year property . . . . . . . . . .
d 10-year property . . . . . . . . .
e 15-year property . . . . . . . . .
f 20-year property . . . . . . . . .
g 25-year property . . . . . . . . . 25 yrs S/L
h Residential rental 27.5 yrs MM S/L
property. . . . . . . . . . . . . . . . . 27.5 yrs MM S/L
i Nonresidential real 39 yrs MM S/L
property. . . . . . . . . . . . . . . . . MM S/L
Section C ' Assets Placed in Service During 2019 Tax Year Using the Alternative Depreciation System
20 a Class life. . . . . . . . . . . . . . . . S/L
b 12-year. . . . . . . . . . . . . . . . . . 12 yrs S/L
c 40-year. . . . . . . . . . . . . . . . . . 40 yrs MM S/L
Part IV Summary (See instructions.)
21 Listed property. Enter amount from line 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter here and on
the appropriate lines of your return. Partnerships and S corporations ' see instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 2,654.
23 For assets shown above and placed in service during the current year, enter
the portion of the basis attributable to section 263A costs. . . . . . . . . . . . . . . . . . . . . . . . 23
BAA For Paperwork Reduction Act Notice, see separate instructions. FDIZ0812L 06/10/19 Form 4562 (2019)
Form 4562 (2019) SHARNICE BROWN 615-08-4862 Page 2
Part V Listed Property (Include automobiles, certain other vehicles, certain computers, and property used for entertainment,
recreation, or amusement.)
Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 24a, 24b,
columns (a) through (c) of Section A, all of Section B, and Section C if applicable.
Section A ' Depreciation and Other Information (Caution: See the instructions for limits for passenger automobiles.)
24 a Do you have evidence to support the business/investment use claimed?. . . . . . . . . . Yes No 24b If 'Yes,' is the evidence written?. . . . . . Yes No
(a) (b) (c) (d) (e) (f) (g) (h) (i)
Type of property Business/ Cost or Basis for depreciation Recovery Method/ Depreciation Elected
Date placed
(list vehicles first) in service investment other basis (business/investment period Convention deduction section 179
use use only) cost
percentage
25 Special depreciation allowance for qualified listed property placed in service during the tax year and
used more than 50% in a qualified business use (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
26 Property used more than 50% in a qualified business use:
28 Add amounts in column (h), lines 25 through 27. Enter here and on line 21, page 1 . . . . . . . . . . . . . . . 28
29 Add amounts in column (i), line 26. Enter here and on line 7, page 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Section B ' Information on Use of Vehicles
Complete this section for vehicles used by a sole proprietor, partner, or other 'more than 5% owner,' or related person. If you provided vehicles
to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles.
42 Amortization of costs that begins during your 2013 tax year (see instructions):
LOAN FEES 6/19/19 555. 30 9.
STATEMENT 1
FORM 1040
WAGE SCHEDULE
STATEMENT 3
SCHEDULE A, LINE 10
HOME MORTGAGE INTEREST REPORTED ON FORM 1098
STATEMENT 4
SCHEDULE A, LINE 16
CONTRIBUTIONS BY CASH OR CHECK
MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 48.
TOTAL $ 48.
STATEMENT 5
FORM 8829, LINE 21
OTHER EXPENSES
DIRECT INDIRECT
UTILITIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0. $ 3,526.
PEST CONTROL. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0. 225.
ATT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0. 3,407.
MAID. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0. 1,778.
TRASH. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0. 468.
SURVEILLANCE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0. 423.
COUNTY FEES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0. 115.
TOTAL $ 0. $ 9,942.
2019 FEDERAL STATEMENTS PAGE 2
SHARNICE BROWN 615-06-4862
STATEMENT 6
FORM 8829, LINE 41
DEPRECIATION ALLOWABLE
BUILDING
1. COST/BASIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 724,314.
2. BUSINESS PERCENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14.29%
3. DEPRECIATION BASIS (LINE 1 MULTIPLIED BY LINE 2). . . . . . . . . . . . . . . . . . . . . . . . . . . . 103,504.
4. DEPRECIATION RATE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.564%
5. DEPRECIATION OF BUILDING (LINE 3 MULTIPLIED BY LINE 4). . . . . . . . . . . . . . . . . . . 2,654.
PRIOR
CUR SPECIAL 179/ PRIOR SALVAG
DATE DATE COST/ BUS. 179 DEPR. BONUS/ DEC. BAL /BASIS DEPR. PRIOR CURRENT
NO. DESCRIPTION ACQUIRED SOLD BASIS PCT. BONUS ALLOW. SP. DEPR. DEPR. REDUCT BASIS DEPR. METHOD LIFE RATE DEPR.
AMORTIZATION
____________
BUILDINGS
_________
PRIOR
CUR SPECIAL 179/ PRIOR SALVAG
DATE DATE COST/ BUS. 179 DEPR. BONUS/ DEC. BAL /BASIS DEPR. PRIOR CURRENT
NO. DESCRIPTION ACQUIRED SOLD BASIS PCT. BONUS ALLOW. SP. DEPR. DEPR. REDUCT BASIS DEPR. METHOD LIFE RATE DEPR.
DATE DATE AMT AMT PRIOR AMT AMT AMT AMT REG. OWN POST-86 REAL PROP LEAS PER 59 (E)(2)
NO. DESCRIPTION ACQUIRED SOLD BASIS DEPR. METHOD LIFE RATE DEPR. DEPR. PCT. DEPR ADJ. PREF. PROP PREF AMORT.
TOTAL DEPRECIATION 0 0 0 0 0 0 0
BUILDINGS
_________
X I authorize COMYNS, SMITH, MCCLEARY & DEAVER, LLP to enter my PIN 89665
ERO firm name Do not enter all zeros
I will enter my PIN as my signature on my 2019 e-filed California individual income tax return. Check this box only if you are entering
your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.
X I authorize COMYNS, SMITH, MCCLEARY & DEAVER, LLP to enter my PIN 91900
ERO firm name Do not enter all zeros
I will enter my PIN as my signature on my 2019 e-filed California individual income tax return. Check this box only if you are entering
your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.
Spouse's/RDP's
signature A Date A
ERO's EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN. 68012994133
Do not enter all zeros
I certify that the above numeric entry is my PIN, which is my signature for the 2019 California individual income tax return for the taxpayer(s) indicated
above. I confirm that I am submitting this return in accordance with the requirements of the Practitioner PIN method and FTB Pub. 1345,
2019 e-file Handbook for Authorized e-file Providers.
For Privacy Notice, get FTB 1131 ENG/SP. CAIA8501L 11/23/19 FTB 8879 C2 2019
For Privacy Notice, get FTB 1131 ENG/SP.
California Resident FORM
01 2 45 0 404 0 APE 0
06 0 46 0 405 0 FS 0
09 00 0 47 0 406 0 3800 0
10 01 326 48 22185 407 0 3803 0
11 538 61 0 408 0 SCHG1 0
12 296297 62 0 410 0 5870A 0
13 328484 63 0 412 0 5805 5805F 0
14 0 64 22185 413 0 DESIGNEE 1
16 800 71 27360 419 0 TPIDP 01321971
17 329284 72 0 420 0 FN 680307221
18 32536 73 0 421 0 CCF 0
19 296748 74 0 422 0 3805P 0
31 22723 75 27360 423 0 NQDC 0
32 538 91 5175 424 0 3540 0
33 22185 92 0 425 0 3805Z 0
34 0 93 5175 426 0 3807 0
35 22185 94 0 110 0 3808 0
40 0 95 0 111 0 3809 0
41 0 400 0 112 0 3549A 0
42 0 401 0 113 0 IRC197 0
43 0 402 0 115 5175 IRC1341 0
44 0 403 0 116 5175
117 0
DDR1 121000358
1128706560
1
3 Married/RDP filing separately. Enter spouse's/RDP's SSN or ITIN above and full name here. . . . .
If your California filing status is different from your federal filing status, check the box here . . . . . . . . . . . . . . . . . . . @
6 If someone can claim you (or your spouse/RDP) as a dependent, check the box here. See instructions. . . . . . . . . . . . @ 6
Exemptions G For line 7, line 8, line 9, and line 10: Multiply the amount you enter in the box by the pre-printed dollar amount for that line.
Whole dollars only
7 Personal: If you checked box 1, 3, or 4 above, enter 1 in the box. If you checked box 2 or 5, enter 2, in
the box. If you checked the box on line 6, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 2 x $106 = $ 212.
8 Blind: If you (or your spouse/RDP) are visually impaired, enter 1; if both are visually impaired, enter 2 . 8 x $106 = $
9 Senior: If you (or your spouse/RDP) are 65 or older, enter 1; if both are 65 or older, enter 2. . . . . . . . @ 9 x $106 = >$
10 Dependents: Do not include yourself or your spouse/RDP.
First name Last name Dependent's relationship to you
> > >
> > >
> > >
Total dependent exemptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 10 1 x $326 = > $ 326.
11 Exemption amount: Add line 7 through line 10. Transfer this amount to line 32. . . . . . . . . . . . . . . . . . . . . . . . . . > 11 $ 538.
Taxable Income 12 State wages from your Form(s) W-2, box 16. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 12 296,297.
13 Enter federal adjusted gross income from Form 1040, line 37; Form 1040A, line 21; Form 1040EZ, line 4 . . . . . . . . > 13 328,484.
14 California adjustments ' subtractions. Enter the amount from Schedule CA (540), line 37, column B . . . . . . . . . . @ 14
15 Subtract line 14 from line 13. If less than zero, enter the result in parentheses. See instructions. . . . . . . . . . . . . . . . . 15 328,484.
16 California adjustments ' additions. Enter the amount from Schedule CA (540), line 37, column C. . . . . . . . . . . . . @ 16 800.
17 California adjusted gross income. Combine line 15 and line 16. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 17 329,284.
18 Enter the Your California itemized deductions from Schedule CA (540), line 44; OR
larger of: Your California standard deduction shown below for your filing status:
@Single or Married/RDP filing separately. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,906
@Married/RDP filing jointly, Head of household, or Qualifying widow(er). . . . . . . . . $7,812
If the box on line 6 is checked, STOP. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 18 32,536.
19 Subtract line 18 from line 17. This is your taxable income. If less than zero, enter -0-. . . . . . . . . . . . . . . . . . . . . > 19 296,748.
Tax 31 Tax. Check the box if from: Tax Table X Tax Rate Schedule
@ FTB 3800 @ FTB 3803 . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 31 22,723.
32 Exemption credits. Enter the amount from line 11. If your federal AGI is more than $172,615,
see instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . > 32 538.
33 Subtract line 32 from line 31. If less than zero, enter -0-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . > 33 22,185.
34 Tax. See instructions. Check the box if from: @ Schedule G-1 @ FTB 5870A. . . . . . . . . . . . . . @ 34
Special Credits 40 Nonrefundable Child and Dependent Care Expenses Credit. See instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 40
45 To claim more than two credits, see instructions. Attach Schedule P (540). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 45
47 Add line 40 and line 42 through line 46. These are your total credits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . > 47
48 Subtract line 47 from line 35. If less than zero, enter -0-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . > 48 22,185.
64 Add line 48, line 61, line 62, and line 63. This is your total tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 64 22,185.
75 Add line 71, line 72, line 73, and line 74. These are your total payments.
See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . > 75 27,360.
Overpaid Tax/ 91 Overpaid tax. If line 75 is more than line 64, subtract line 64 from line 75 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . > 91 5,175.
Tax Due
92 Amount of line 91 you want applied to your 2020 estimated tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 92
93 Overpaid tax available this year. Subtract line 92 from line 91. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 93 5,175.
94 Tax due. If line 75 is less than line 64, subtract line 75 from line 64 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . > 94
Use Tax 95 Use Tax. This is not a total line. See instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 95
Code Amount
Contributions
California Seniors Special Fund. See instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 400
State Children's Trust Fund for the Prevention of Child Abuse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 404
110 Add code 400 through code 426. This is your total contribution. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 110
Amount 111 AMOUNT YOU OWE. Add line 94, line 95, and line 110. See instructions. Do not send cash.
You Owe Mail to: FRANCHISE TAX BOARD
PO BOX 942867
SACRAMENTO CA 94267-0009 @ 111
Pay online ' Go to ftb.ca.gov for more information.
Interest and
112 Interest, late return penalties, and late payment penalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
Penalties
113 Underpayment of estimated tax. Check the box: @ FTB 5805 attached @ FTB 5805F attached. . . . . . @ 113
114 Total amount due. See instructions. Enclose, but do not staple, any payment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114
Refund and 115 REFUND OR NO AMOUNT DUE. Subtract line 95 and line 110 from line 93. See instructions.
Direct Deposit
Mail to: FRANCHISE TAX BOARD
PO BOX 942840
SACRAMENTO CA 94240-0009 @ 115 5,175.
Fill in the information to authorize direct deposit of your refund into one or two accounts. Do not attach a voided check or a deposit slip. See instructions.
Have you verified the routing and account numbers? Use whole dollars only.
All or the following amount of my refund (line 115) is authorized for direct deposit into the account shown below:
@Type
@Routing number X Checking @Account number @ 116 Direct deposit amount
121000358 Savings
1128706560 5,175.
The remaining amount of my refund (line 115) is authorized for direct deposit into the account shown below:
@Type
@Routing number Checking @Account number @ 117 Direct deposit amount
Savings
IMPORTANT: See the instructions to find out if you should attach a copy of your complete federal tax return.
Under penalties of perjury, I declare that I have examined this tax return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct, and complete.
Your signature Date Spouse's/RDP's signature (if a joint tax return, both must sign)
Sign Your email address (optional). Enter only one email address. Daytime phone number (optional)
Here
It is unlawful
to forge a Paid preparer's signature (declaration of preparer is based on all information of which preparer has any knowledge) Date
spouse's/
RDP's
signature. MARK A. TRAMMELL
Firm's name (or yours, if self-employed) @PTIN
Joint tax
return? (See
instructions)
COMYNS, SMITH, MCCLEARY & DEAVER, LLP P01321971
Firm's address @FEIN
3470 MT. DIABLO BLVD. #A110 68-0307221
LAFAYETTE, CA 94549
Do you want to allow another person to discuss this tax return with us? See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ X Yes No
For Privacy Notice, get FTB 1131 ENG/SP. 059 7731134 Schedule CA (540) 2019 Side 1
SHARNICE BROWN 615-08-4862
44 Enter the larger of the amount on line 43 or your standard deduction listed below
Single or married/RDP filing separately . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,906
Married/RDP filing jointly, head of household, or qualifying widow(er). $7,812
Transfer the amount on line 44 to Form 540, line 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . > 44 32,536.
PRIOR
CUR SPECIAL 179/ PRIOR SALVAG
DATE DATE COST/ BUS. 179 DEPR. BONUS/ DEC. BAL /BASIS DEPR. PRIOR CURRENT
NO. DESCRIPTION ACQUIRED SOLD BASIS PCT. BONUS ALLOW. SP. DEPR. DEPR. REDUCT BASIS DEPR. METHOD LIFE RATE DEPR.
AMORTIZATION
____________
BUILDINGS
_________
PRIOR
CUR SPECIAL 179/ PRIOR SALVAG
DATE DATE COST/ BUS. 179 DEPR. BONUS/ DEC. BAL /BASIS DEPR. PRIOR CURRENT
NO. DESCRIPTION ACQUIRED SOLD BASIS PCT. BONUS ALLOW. SP. DEPR. DEPR. REDUCT BASIS DEPR. METHOD LIFE RATE DEPR.
DATE DATE AMT AMT PRIOR AMT AMT AMT AMT REG. OWN POST-86 REAL PROP LEAS PER 59 (E)(2)
NO. DESCRIPTION ACQUIRED SOLD BASIS DEPR. METHOD LIFE RATE DEPR. DEPR. PCT. DEPR ADJ. PREF. PROP PREF AMORT.
TOTAL DEPRECIATION 0 0 0 0 0 0 0
BUILDINGS
_________