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["IRS Logo"]
["This Product Contains Sensitive Taxpayer Data"]
[]
["Tax Return Transcript"]
[]
["Request Date:","2024-11-20"]
["Response Date:","2024-11-20"]
["Tracking Number:",106965644818]
[]
["SSN Provided:","XXX-XX-0638"]
["Tax Period Ending:","Dec. 31, 2023"]
[]
["The following items reflect the amount as shown on the return (PR), and the amount as adjusted (PC), if applicable. They do not show subsequent activity on the account."]
[]
["SSN:","XXX-XX-0638"]
["SPOUSE SSN:","XXX-XX-0405"]
["NAME(S) SHOWN ON RETURN:","EFRA COTT & BEAT FLOR"]
[]
["ADDRESS:","500 RA"]
[]
["FILING STATUS:","Married Filing Joint"]
["FORM NUMBER:",1040]
["CYCLE POSTED:",20241705]
["RECEIVED DATE:","Apr.15, 2024"]
["REMITTANCE:",0]
["EXEMPTION NUMBER:",2]
["DEPENDENT 1 NAME CTRL:"]
["DEPENDENT 1 SSN:"]
["DEPENDENT 2 NAME CTRL:"]
["DEPENDENT 2 SSN:"]
["DEPENDENT 3 NAME CTRL:"]
["DEPENDENT 3 SSN:"]
["DEPENDENT 4 NAME CTRL:"]
["DEPENDENT 4 SSN:"]
["PTIN:","XXX-XX-4286"]
["PREPARER EIN:","XX-XXX1331"]
[]
[]
["Income"]
["TOTAL WAGES:",7553]
["FORM W-2 WAGES:",7553]
["TAXABLE INTEREST INCOME: SCH B:",0]
["TAX-EXEMPT INTEREST:",0]
["ORDINARY DIVIDEND INCOME: SCH B:",0]
["QUALIFIED DIVIDENDS:",0]
["REFUNDS OF STATE/LOCAL TAXES:",0]
["ALIMONY RECEIVED:",0]
["BUSINESS INCOME OR LOSS (Schedule C):",14900]
["BUSINESS INCOME OR LOSS: SCH C PER COMPUTER:",14900]
["CAPITAL GAIN OR LOSS: (Schedule D):",0]
["CAPITAL GAINS OR LOSS: SCH D PER COMPUTER:",0]
["OTHER GAINS OR LOSSES (Form 4797):",0]
["TOTAL IRA DISTRIBUTIONS:",0]
["TAXABLE IRA DISTRIBUTIONS:",0]
["TOTAL PENSIONS AND ANNUITIES:",0]
["TAXABLE PENSION/ANNUITY AMOUNT:",0]
["ADDITIONAL INCOME:",15512]
["ADDITIONAL INCOME PER COMPUTER:",15512]
["REFUNDABLE CREDITS PER COMPUTER:",137]
["REFUNDABLE EDUCATION CREDIT PER COMPUTER:",0]
["QUALIFIED BUSINESS INCOME DEDUCTION:",0]
["RENT/ROYALTY/PARTNERSHIP/ESTATE (Schedule E):",612]
["RENT/ROYALTY/PARTNERSHIP/ESTATE (Schedule E) PER COMPUTER:",612]
["RENT/ROYALTY INCOME/LOSS PER COMPUTER:",612]
["ESTATE/TRUST INCOME/LOSS PER COMPUTER:",0]
["PARTNERSHIP/S-CORP INCOME/LOSS PER COMPUTER:",0]
["FARM INCOME OR LOSS (Schedule F):",0]
["FARM INCOME OR LOSS (Schedule F) PER COMPUTER:",0]
["UNEMPLOYMENT COMPENSATION:",0]
["TOTAL SOCIAL SECURITY BENEFITS:",21559]
["TAXABLE SOCIAL SECURITY BENEFITS:",396]
["TAXABLE SOCIAL SECURITY BENEFITS PER COMPUTER:",395]
["OTHER INCOME:",0]
["SCHEDULE EIC SE INCOME PER COMPUTER:",13847]
["SCHEDULE EIC EARNED INCOME PER COMPUTER:",21400]
["SCH EIC DISQUALIFIED INC COMPUTER:",612]
["EXCESS ADV CHILD TAX CREDIT PER COMPUTER:",0]
["PRIMARY ECONOMIC IMPACT PAYMENT 2:",0]
["SECONDARY ECONOMIC IMPACT PAYMENT 2:",0]
["PRIMARY ADVANCED CTC PAYMENTS:",0]
["SECONDARY ADVANCED CTC PAYMENTS:",0]
["ADDITIONAL CTC EARNED INCOME:",0]
["EIC PRIOR YEAR EARNED INCOME:",0]
["QUALIFIED BUSINESS INCOME DEDUCTION:",0]
["F8995 QUALIFIED BUSINESS INCOME DEDUCTION COMPUTER:",0]
["PRIMARY ECONOMIC IMPACT PAYMENT:",0]
["SECONDARY ECONOMIC IMPACT PAYMENT:",0]
["SCHOLARSHIP FELLOWSHIP GRANT:",0]
["TOTAL INCOME:",23461]
["TOTAL INCOME PER COMPUTER:",23461]
[]
["Adjustments to Income"]
["EDUCATOR EXPENSES:",0]
["EDUCATOR EXPENSES PER COMPUTER:",0]
["RESERVIST AND OTHER BUSINESS EXPENSE:",0]
["HEALTH SAVINGS ACCT DEDUCTION:",0]
["HEALTH SAVINGS ACCT DEDUCTION PER COMPTR:",0]
["MOVING EXPENSES: F3903:",0]
["SELF EMPLOYMENT TAX DEDUCTION:",1053]
["SELF EMPLOYMENT TAX DEDUCTION PER COMPUTER:",1053]
["SELF EMPLOYMENT TAX DEDUCTION VERIFIED:",0]
["KEOGH/SEP CONTRIBUTION DEDUCTION:",0]
["SELF-EMP HEALTH INS DEDUCTION:",0]
["EARLY WITHDRAWAL OF SAVINGS PENALTY:",0]
["ALIMONY PAID SSN:"]
["ALIMONY PAID:",0]
["SCHOLARSHIP FELLOWSHIP EXCLUDED:",0]
["IRA DEDUCTION:",0]
["IRA DEDUCTION PER COMPUTER:",0]
["STUDENT LOAN INTEREST DEDUCTION:",0]
["STUDENT LOAN INTEREST DEDUCTION PER COMPUTER:",0]
["STUDENT LOAN INTEREST DEDUCTION VERIFIED:",0]
["TOTAL OTHER PAYMENT REFUNDABLE CREDIT PER COMPUTER:",0]
["TOTAL OTHER PAYMENT REFUND VERIFIED:",0]
["OTHER ADJUSTMENTS:",0]
["ARCHER MSA DEDUCTION:",0]
["ARCHER MSA DEDUCTION PER COMPUTER:",0]
["TOTAL ADJUSTMENTS:",1053]
["TOTAL ADJUSTMENTS PER COMPUTER:",1053]
["ADJUSTED GROSS INCOME:",22408]
["ADJUSTED GROSS INCOME PER COMPUTER:",22408]
[]
["Tax and Credits"]
["65-OR-OVER:","YES"]
["BLIND:","NO"]
["SPOUSE 65-OR-OVER:","NO"]
["SPOUSE BLIND:","NO"]
["STANDARD DEDUCTION PER COMPUTER:",27700]
["ADDITIONAL STANDARD DEDUCTION PER COMPUTER:",1500]
["TAX TABLE INCOME PER COMPUTER:",0]
["EXEMPTION AMOUNT PER COMPUTER:",0]
["TAXABLE INCOME:",0]
["TAXABLE INCOME PER COMPUTER:",0]
["TOTAL POSITIVE INCOME PER COMPUTER:",23460]
["TENTATIVE TAX:",0]
["TENTATIVE TAX PER COMPUTER:",0]
["FORM 8814 ADDITIONAL TAX AMOUNT:",0]
["TAX ON INCOME LESS SOC SEC INCOME PER COMPUTER:",3147]
["FORM 6251 ALTERNATIVE MINIMUM TAX:",0]
["FORM 6251 ALTERNATIVE MINIMUM TAX PER COMPUTER:",0]
["FOREIGN TAX CREDIT:",0]
["FOREIGN TAX CREDIT PER COMPUTER:",0]
["FOREIGN INCOME EXCLUSION PER COMPUTER:",0]
["FOREIGN INCOME EXCLUSION TAX PER COMPUTER:",0]
["EXCESS ADVANCE PREMIUM TAX CREDIT REPAYMENT AMOUNT:",1090]
["EXCESS ADVANCE PREMIUM TAX CREDIT REPAYMENT VERIFIED AMOUNT:",0]
["CHILD & DEPENDENT CARE CREDIT:",0]
["CHILD & DEPENDENT CARE CREDIT PER COMPUTER:",0]
["CREDIT FOR ELDERLY AND DISABLED:",0]
["CREDIT FOR ELDERLY AND DISABLED PER COMPUTER:",0]
["EDUCATION CREDIT:",0]
["EDUCATION CREDIT PER COMPUTER:",0]
["GROSS EDUCATION CREDIT PER COMPUTER:",0]
["RETIREMENT SAVINGS CNTRB CREDIT:",0]
["RETIREMENT SAVINGS CNTRB CREDIT PER COMPUTER:",0]
["PRIM RET SAV CNTRB: F8880 LN6A:",0]
["SEC RET SAV CNTRB: F8880 LN6B:",0]
["TOTAL RETIREMENT SAVINGS CONTRIBUTION: F8880 CMPTR:",0]
["RESIDENTIAL CLEAN ENERGY CREDIT:",0]
["RESIDENTIAL CLEAN ENERGY CREDIT PER COMPUTER:",0]
["CHILD AND OTHER DEPENDENT CREDIT:",0]
["CHILD AND OTHER DEPENDENT CREDIT PER COMPUTER:",0]
["ADOPTION CREDIT: F8839:",0]
["ADOPTION CREDIT PER COMPUTER:",0]
["FORM 8396 MORTGAGE CERTIFICATE CREDIT:",0]
["FORM 8396 MORTGAGE CERTIFICATE CREDIT PER COMPUTER:",0]
["TOTAL OTHER NON REFUNDABLE CREDIT:",0]
["FORM 3800 GENERAL BUSINESS CREDITS:",0]
["FORM 3800 GENERAL BUSINESS CREDITS PER COMPUTER:",0]
["PRIOR YR MIN TAX CREDIT: F8801:",0]
["PRIOR YR MIN TAX CREDIT: F8801 PER COMPUTER:",0]
["EARLIER YEAR INCOME REPAYMENT CREDIT:",0]
["CLEAN VEHICLE CREDIT:",0]
["CLEAN VEHICLE CREDIT PER COMPUTER:",0]
["F8910 ALTERNATIVE MOTOR VEHICLE CREDIT AMOUNT:",0]
["F8910 ALTERNATIVE MOTOR VEHICLE CREDIT PER COMPUTER:",0]
["SICK FAMILY LEAVE CREDIT:",0]
["NON ITEMIZED CHARITABLE CONTRIBUTION DEDUCTION:",0]
["NON ITEMIZED CHARITABLE CONTRIBUTION PER COMPUTER:",0]
["REFUNDABLE CHILD CARE CREDIT:",0]
["SICK FAMILY LEAVE CREDIT AFTER 3-31-21:",0]
["REFUNDABLE CHILD CARE CREDIT VERIFIED:",0]
["RECOVERY REBATE CREDIT:",0]
["RECOVERY REBATE CREDIT PER COMPUTER:",0]
["RECOVERY REBATE CREDIT VERIFIED:",0]
["OTHER CREDITS:",0]
["TOTAL CREDITS:",0]
["TOTAL CREDITS PER COMPUTER:",0]
["INCOME TAX AFTER CREDITS PER COMPUTER:",1090]
["ADVANCED MANUFACTURING CREDIT PER COMPUTER:",0]
["ADVANCED MANUFACTURING INVEST CREDIT PER COMPUTER:",0]
["CLEAN HYDROGEN PROD CREDIT PER COMPUTER:",0]
["CARBON OXIDE SEQUESTRATION CREDIT PER COMPUTER:",0]
["ENERGY EFFICIENT HOME CREDIT PER COMPUTER:",0]
["ENERGY EFFICIENT HOME CREDIT:",0]
["PRE OWNED CLEAN VEHICLE CREDIT PER COMPUTER:",0]
["PRE OWNED CLEAN VEHICLE CREDIT:",0]
["PRE OWNED CLEAN VEHICLE VERIFIED:",0]
["NEW CLEAN VEHICLE BUS CREDIT PER COMPUTER:",0]
["NEW CLEAN VEHICLE BUS VERIFIED:",0]
["COMMERCIAL CLEAN VEHICLE CREDIT PER COMPUTER:",0]
["COMMERCIAL CLEAN VEHICLE VERIFIED:",0]
["CLEAN VEHICLE CREDIT VERIFIED:",0]
[]
["Other Taxes"]
["SE TAX:",2105]
["SE TAX PER COMPUTER:",2105]
["SOCIAL SECURITY AND MEDICARE TAX ON UNREPORTED TIPS:",0]
["SOCIAL SECURITY AND MEDICARE TAX ON UNREPORTED TIPS PER COMPUTER:",0]
["TAX ON QUALIFIED PLANS F5329 (PR):",0]
["TAX ON QUALIFIED PLANS F5329 PER COMPUTER:",0]
["IRAF TAX PER COMPUTER:",0]
["TP TAX FIGURES (REDUCED BY IRAF) PER COMPUTER:",3195]
["IMF TOTAL TAX (REDUCED BY IRAF) PER COMPUTER:",3195]
["TOTAL OTHER TAXES PER COMPUTER:",2105]
["UNPAID FICA ON REPORTED TIPS:",0]
["F8959 ADDITIONAL MEDICARE TAX:",0]
["F8960 NET INVESTMENT INCOME TAX:",0]
["INTEREST ON DEFERRED TAX:",0]
["TOTAL OTHER TAXES:",2105]
["RECAPTURE TAX: F8611:",0]
["HOUSEHOLD EMPLOYMENT TAXES:",0]
["HOUSEHOLD EMPLOYMENT TAXES PER COMPUTER:",0]
["INTEREST DUE ON INSTALLMENT:",0]
["SCH 8812 ADDITIONAL TAX COMPUTER:",0]
["REFUNDABLE CHILD CARE COMPUTER:",0]
["HEALTH COVERAGE RECAPTURE: F8885:",0]
["EXCESS SOCIAL SECURITY TAX WITHHELD VERIFIED:",0]
["EXCESS SOCIAL SECURITY TAX WITHHELD PER COMPUTER:",0]
["TOTAL ADDITIONAL TAXES:",0]
["TOTAL ASSESSMENT PER COMPUTER:",3195]
["TOTAL TAX LIABILITY TP FIGURES:",3195]
["TOTAL TAX LIABILITY TP FIGURES PER COMPUTER:",3195]
[]
["Payments"]
["FEDERAL INCOME TAX WITHHELD:",0]
["SCH 8812 ADDITIONAL TAX:",0]
["ESTIMATED TAX PAYMENTS:",0]
["OTHER PAYMENT CREDIT:",0]
["REFUNDABLE EDUCATION CREDIT:",0]
["REFUNDABLE EDUCATION CREDIT PER COMPUTER:",0]
["REFUNDABLE EDUCATION CREDIT VERIFIED:",0]
["REFUNDABLE CREDITS:",137]
["EARNED INCOME CREDIT:",137]
["EARNED INCOME CREDIT PER COMPUTER:",137]
["NONTAXABALE COMBAT PAY:",0]
["SCHEDULE 8812 NONTAXABLE COMBAT PAY:",0]
["EXCESS SOCIAL SECURITY & RRTA TAX WITHHELD:",0]
["SCHEDULE 8812 TOT SS/MEDICARE WITHHELD:",0]
["SCHEDULE 8812 ADDITIONAL CHILD TAX CREDIT:",0]
["SCHEDULE 8812 ADDITIONAL CHILD TAX CREDIT PER COMPUTER:",0]
["SCHEDULE 8812 ADDITIONAL CHILD TAX CREDIT VERIFIED:",0]
["AMOUNT PAID WITH FORM 4868:",0]
["FORM 2439 REGULATED INVESTMENT COMPANY CREDIT:",0]
["FORM 4136 CREDIT FOR FEDERAL TAX ON FUELS:",0]
["FORM 4136 CREDIT FOR FEDERAL TAX ON FUELS PER COMPUTER:",0]
["HEALTH COVERAGE TX CR: F8885:",0]
["SEC 965 TAX INSTALLMENT:",0]
["SEC 965 TAX LIABILITY:",0]
["PREMIUM TAX CREDIT AMOUNT:",0]
["PREMIUM TAX CREDIT VERIFIED AMOUNT:",0]
["PRIMARY NAP FIRST TIME HOME BUYER INSTALLMENT AMT:",0]
["SECONDARY NAP FIRST TIME HOME BUYER INSTALLMENT AMT:",0]
["FIRST TIME HOMEBUYER CREDIT REPAYMENT AMOUNT:",0]
["FORM 5405 TOTAL HOMEBUYERS CREDIT REPAYMENT PER COMPUTER:",0]
["SMALL EMPLOYER HEALTH INSURANCE PER COMPUTER:",0]
["SMALL EMPLOYER HEALTH INSURANCE PER COMPUTER (2):",0]
["TOTAL OTHER PAYMENTS REFUNDABLE:",0]
["TOTAL PAYMENTS:",137]
["TOTAL PAYMENTS PER COMPUTER:",137]
[]
["Refund or Amount Owed"]
["AMOUNT YOU OWE:",3199]
["ESTIMATED TAX CREDIT APPLIED TO NEXT YEAR:",0]
["ESTIMATED TAX PENALTY:",141]
["TAX ON INCOME LESS STATE REFUND PER COMPUTER:",0]
["BAL DUE/OVER PYMT USING TP FIG PER COMPUTER:",3199]
["BAL DUE/OVER PYMT USING COMPUTER FIGURES:",3199]
["FORM 8888 TOTAL REFUND PER COMPUTER:",0]
[]
["Third Party Designee"]
["THIRD PARTY DESIGNEE ID NUMBER:","X1130"]
["AUTHORIZATION INDICATOR:",1]
["THIRD PARTY DESIGNEE NAME:","NILD RUI"]
[]
["Schedule C--Profit or Loss From Business (Occurrence #: 1)"]
["SOCIAL SECURITY NUMBER:","XXX-XX-0638"]
["EMPLOYER ID NUMBER:"]
["BUSINESS NAME:"]
["DESCRIPTION OF BUSINESS/PROFESSION:"]
["NAICS CODE:",485300]
["ACCT MTHD:","Cash"]
["FIRST TIME SCHEDULE C FILED:","N"]
["STATUTORY EMPLOYEE IND:","N"]
[]
["INCOME"]
["GROSS RECEIPTS OR SALES:",88928]
["RETURNS AND ALLOWANCES:",0]
["NET GROSS RECEIPTS:",88928]
["COST OF GOODS SOLD:",0]
["SCHEDULE C FORM 1099 REQUIRED:","NO"]
["SCHEDULE C FORM 1099 FILED:","NONE"]
["OTHER INCOME:",0]
[]
["EXPENSES"]
["CAR AND TRUCK EXPENSES:",41023]
["DEPRECIATION:",0]
["INSURANCE (OTHER THAN HEALTH):",0]
["MORTGAGE INTEREST:",0]
["LEGAL AND PROFESSIONAL SERVICES:",200]
["REPAIRS AND MAINTENANCE:",0]
["TRAVEL:",0]
["MEALS AND ENTERTAINMENT:",923]
["WAGES:",0]
["OTHER EXPENSES:",31609]
["TOTAL EXPENSES:",76278]
["EXP FOR BUSINESS USE OF HOME:",0]
["SCH C NET PROFIT OR LOSS PER COMPUTER:",12650]
["AT RISK CD:"]
["OFFICE EXPENSE AMOUNT:",0]
["UTILITIES EXPENSE AMOUNT:",0]
["ENERGY EFFICIENT BUILDING DEDUCTION:",0]
[]
["COST OF GOODS SOLD"]
["INVENTORY AT BEGINNING OF YEAR:",0]
["INVENTORY AT END OF YEAR:",0]
[]
["Schedule C--Profit or Loss From Business (Occurrence #: 2)"]
["SOCIAL SECURITY NUMBER:","XXX-XX-0638"]
["EMPLOYER ID NUMBER:"]
["BUSINESS NAME:","ENGA GLOB IN"]
["DESCRIPTION OF BUSINESS/PROFESSION:"]
["NAICS CODE:",454390]
["ACCT MTHD:","Cash"]
["FIRST TIME SCHEDULE C FILED:","N"]
["STATUTORY EMPLOYEE IND:","N"]
[]
["INCOME"]
["GROSS RECEIPTS OR SALES:",4200]
["RETURNS AND ALLOWANCES:",0]
["NET GROSS RECEIPTS:",4200]
["COST OF GOODS SOLD:",0]
["SCHEDULE C FORM 1099 REQUIRED:","NO"]
["SCHEDULE C FORM 1099 FILED:","NONE"]
["OTHER INCOME:",0]
[]
["EXPENSES"]
["CAR AND TRUCK EXPENSES:",0]
["DEPRECIATION:",0]
["INSURANCE (OTHER THAN HEALTH):",0]
["MORTGAGE INTEREST:",0]
["LEGAL AND PROFESSIONAL SERVICES:",0]
["REPAIRS AND MAINTENANCE:",0]
["TRAVEL:",0]
["MEALS AND ENTERTAINMENT:",0]
["WAGES:",0]
["OTHER EXPENSES:",1950]
["TOTAL EXPENSES:",1950]
["EXP FOR BUSINESS USE OF HOME:",0]
["SCH C NET PROFIT OR LOSS PER COMPUTER:",2250]
["AT RISK CD:"]
["OFFICE EXPENSE AMOUNT:",0]
["UTILITIES EXPENSE AMOUNT:",0]
["ENERGY EFFICIENT BUILDING DEDUCTION:",0]
[]
["COST OF GOODS SOLD"]
["INVENTORY AT BEGINNING OF YEAR:",0]
["INVENTORY AT END OF YEAR:",0]
[]
["Schedule E--Supplemental Income and Loss"]
[]
["INCOME OR LOSS FROM RENTAL REAL ESTATE AND ROYALTIES"]
["SCHEDULE E FORM 1099 REQUIRED:","No box checked"]
["SCHEDULE E FORM 1099 FILED:","Neither box checked"]
["TOTAL RENTS RECEIVED:",0]
["TOTAL ROYALTIES RECEIVED:",612]
["TOTAL MORTGAGE INTEREST ALL PROPERTIES:",0]
["TOTAL DEPRECIATION OR DEPLETION FOR ALL PROPERTIES:",0]
["TOTAL EXPENSES FOR ALL PROPERTIES:",0]
["TOTAL RENTAL REAL ESTATE AND ROYALTY INCOME OR LOSS:",0]
["RENT & ROYALTY INCOME:",612]
["RENT & ROYALTY LOSSES:",0]
["REPAIRS EXPENSE COLUMN A:",0]
["REPAIRS EXPENSE COLUMN B:",0]
["REPAIRS EXPENSE COLUMN C:",0]
[]
["INCOME OR LOSS FROM PARTNERSHIPS AND S CORPS"]
["PRTSHP/CORP PASSIVE INCOME:",0]
["PRTSHP/CORP NONPASSIVE INCOME:",0]
["PRTSHP/CORP PASSIVE LOSS:",0]
["PRTSHP/CORP NONPASSIVE LOSS:",0]
["PARTNERSHIP INCOME:",0]
["PARTNERSHIP LOSS:",0]
[]
["INCOME OR LOSS FROM ESTATES AND TRUSTS"]
["ESTATE/TRUST PASSIVE INCOME:",0]
["ESTATE/TRUST PASSIVE LOSS:",0]
["ESTATE AND TRUST INCOME:",0]
["ESTATE AND TRUST LOSS:",0]
["PASSIVE LOSS NOT REPORTED ON F8582:","N"]
["SCH K1 ES PAYMENT INDICATOR:","N"]
[]
["INCOME OR LOSS FROM REAL ESTATE MORTGAGE INVESTMENT CONDUITS"]
["REAL ESTATE MORTGAGE INCOME/LOSS:",0]
[]
["SUMMARY"]
["NET FARM RENT INCOME/LOSS:",0]
["GROSS FARMING & FISHING INCOME:",0]
[]
["Schedule SE--Self-Employment Tax"]
["SSN OF SELF-EMPLOYED TAXPAYER:","XXX-XX-0638"]
["NET FARM PROFIT/LOSS: SCH F:",0]
["CONSERVATION RESERVE PROGRAM PAYMENTS:",0]
["NET NONFARM PROFIT/LOSS:",14900]
["TOTAL SE INCOME:",14900]
["SE QUARTERS COVERED:",4]
["TOTAL SE TAX PER COMPUTER:",2105.2800000000002]
["SE INCOME COMPUTER VERIFIED:",0]
["SE INCOME PER COMPUTER:",13760]
["TOTAL NET EARNINGS PER COMPUTER:",13760]
[]
["LONG FORM ONLY"]
["TENTATIVE CHURCH EARNINGS:",0]
["TOTAL SOC SEC & RR WAGES:",0]
["SE SS TAX COMPUTER:",1706.24]
["SE MEDICARE INCOME PER COMPUTER:",13760]
["SE MEDICARE TAX PER COMPUTER:",399.04]
["SE FARM OPTION METHOD USED:",0]
["SE OPTIONAL METHOD INCOME:",0]
[]
["Form 8863 - Education Credits (Hope and Lifetime Learning Credits)"]
[]
["PART III - ALLOWABLE EDUCATION CREDITS"]
["GROSS EDUCATION CR PER COMPUTER:",0]
["TOTAL EDUCATION CREDIT AMOUNT:",0]
["TOTAL EDUCATION CREDIT AMOUNT PER COMPUTER:",0]
[]
["Form 8867 Paid Preparer's Earned Income Credit Checklist"]
["INCORRECT INFORMATION AOTC:"]
["F8867 CERTIFICATION:","Yes box checked"]
["EIC CLAIMED:","Yes box checked"]
["CTC ACTC CLAIMED:","Neither box checked"]
["AOTC CLAIMED:","Neither box checked"]
["HEAD OF HOUSEHOLD FILING STATUS CLAIMED:","Neither box checked"]
[]
["Form 8962"]
["Married Filing Separately Premium Tax Credit Exception Checkbox Indicator:",0]
["FEDERAL POVERTY LEVEL CHECKBOX:","C"]
["DEPENDENTS' MODIFIED AGI:",0]
["MONTHLY CONTRIBUTION FOR HEALTH CARE:",126]
["ANNUAL PREMIUM:",10961]
["ANNUAL PREMIUM SLCSP:",10305]
["ANNUAL ADVANCE PAYMENT OF PTC:",9879]
["JANUARY MONTHLY PREMIUM:",0]
["JANUARY MONTHLY PREMIUM SLCSP:",0]
["JANUARY MONTHLY ADVANCE PTC:",0]
["FEBRUARY MONTHLY PREMIUM:",0]
["FEBRUARY MONTHLY PREMIUM SLCSP:",0]
["FEBRUARY MONTHLY ADVANCE PTC:",0]
["MARCH MONTHLY PREMIUM:",0]
["MARCH MONTHLY PREMIUM SLCSP:",0]
["MARCH MONTHLY ADVANCE PTC:",0]
["APRIL MONTHLY PREMIUM:",0]
["APRIL MONTHLY PREMIUM SLCSP:",0]
["APRIL MONTHLY ADVANCE PTC:",0]
["MAY MONTHLY PREMIUM:",0]
["MAY MONTHLY PREMIUM SLCSP:",0]
["MAY MONTHLY ADVANCE PTC:",0]
["JUNE MONTHLY PREMIUM:",0]
["JUNE MONTHLY PREMIUM SLCSP:",0]
["JUNE MONTHLY ADVANCE PTC:",0]
["JULY MONTHLY PREMIUM:",0]
["JULY MONTHLY PREMIUM SLCSP:",0]
["JULY MONTHLY ADVANCE PTC:",0]
["AUGUST MONTHLY PREMIUM:",0]
["AUGUST MONTHLY PREMIUM SLCSP:",0]
["AUGUST MONTHLY ADVANCE PTC:",0]
["SEPTEMBER MONTHLY PREMIUM:",0]
["SEPTEMBER MONTHLY PREMIUM SLCSP:",0]
["SEPTEMBER MONTHLY ADVANCE PTC:",0]
["OCTOBER MONTHLY PREMIUM:",0]
["OCTOBER MONTHLY PREMIUM SLCSP:",0]
["OCTOBER MONTHLY ADVANCE PTC:",0]
["NOVEMBER MONTHLY PREMIUM:",0]
["NOVEMBER MONTHLY PREMIUM SLCSP:",0]
["NOVEMBER MONTHLY ADVANCE PTC:",0]
["DECEMBER MONTHLY PREMIUM:",0]
["DECEMBER MONTHLY PREMIUM SLCSP:",0]
["DECEMBER MONTHLY ADVANCE PTC:",0]
["TOTAL PREMIUM TAX CREDIT:",8789]
["NET PREMIUM TAX CREDIT:",9879]
["This Product Contains Sensitive Taxpayer Data"]