OMB No Your first name and initial Last name Your social security number. Paige Turner

Transcription

1 F or m Internal Revenue Service 14 U.S. Individual Income Tax Return 21 Name, ddress, and SSN (See separate instructions.) Presidential Election ampaign Filing Status heck only one box. Exemptions If more than four dependents, see instructions and check here Income ttach Form(s) W-2 here. lso attach Forms W-2G and 199-R if tax was withheld. If you did not get a W-2, see page 2. Enclose, but do not attach, any payment. lso, please use Form 14-V. djusted Gross Income KI P R I N T L E R L Y For the year Jan. 1 Dec. 31, 21, or other tax year beginning, 21, ending, 2 OM Your first name and initial Last name Your social security number If a joint return, spouse's first name and initial Last name Spouse's social security number Home address (number and street). If you have a P.O. box, see instructions. ity, town or post office, state, and ZIP code. If you have a foreign address, see instructions. 6a b c Single Married filing jointly (even if only one had income) Married filing separately. Enter spouse's SSN above and full name here. (2) Dependent's social security number Head of household (with qualifying person). (See instr.) If the qualifying person is a child but not your dependent, enter this child's name here. (4) heck if child under age 17 qualifying for child tax credit (see page 1) 7 Wages, salaries, tips, etc. ttach Form(s) W a Taxable interest. ttach Schedule if required b Tax-exempt interest. Do not include on line 8a b 9a Ordinary dividends. ttach Schedule if required b Qualified dividends b 13 apital gain or (loss). ttach Schedule D if required. If not required, check here Other gains or (losses). ttach Form a IR distributions a b Taxable amount... 16a Pensions and annuities a b Taxable amount Rental real estate, royalties, partnerships, S corporations, trusts, etc. ttach Schedule E Farm income or (loss). ttach Schedule F Unemployment compensation a Social security benefits 2a b Taxable amount 21 Other income. List type and amount 22 ombine the amounts in the far right column for lines 7 through 21. This is your total income 23 Educator expenses Penalty on early withdrawal of savings a limony paid b Recipient's SSN 32 IR deduction Qualifying widow(er) with dependent child oxes checked Yourself. If someone can claim you as a dependent, do not check box 6a on 6a and 6b Dependents: (1) First name Last name 24 ertain business expenses of reservists, performing artists, and fee-basis government officials. ttach Form 216 or 216-EZ Health savings account deduction. ttach Form Moving expenses. ttach Form One-half of self-employment tax. ttach Schedule SE Self-employed SEP, SIMPLE, and qualified plans Self-employed health insurance deduction pt. no. Spouse dd lines 23 through 31a and 32 through Subtract line 36 from line 22. This is your adjusted gross income (3) Dependent's relationship to you d Total number of exemptions claimed Student loan interest deduction Tuition and fees. ttach Form a For Disclosure, Privacy ct, and Paperwork Reduction ct tice, see separate instructions. IRS Use Only Do not write or staple in this space. Paige Turner Essex Street angor ME 441 Make sure the SSN(s) above and on line 6c are correct. heck here if you, or your spouse if filing jointly, want $3 to go to this fund You Spouse 1 Taxable refunds, credits, or offsets of state and local income taxes limony received usiness income or (loss). ttach Schedule or -EZ Domestic production activities deduction. ttach Form (99) hecking a box below will not change your tax or refund 3. of children on 6c who: lived with you did not live with you due to divorce or separation (see instructions) Dependents on 6c not entered above dd numbers on lines above 7 8a 9a b 16b b ,97 1, ,933-1,43 1,12 Punitive damages from 1, 81, ,8,643 7,632 Form 14 (21)

2 Form 14 (21) Tax and redits Other Taxes Payments If you have a qualifying child, attach Schedule EI. Refund Direct deposit? See instructions. mount You Owe Third Party Designee Sign Here Joint return? See page 12. Keep a copy for your records. Paid Preparer Use Only KI 38 mount from line 37 (adjusted gross income) a heck You were born before January 2, 1946, lind. Total boxes if: Spouse was born before January 2, 1946, lind. checked 39a b If your spouse itemizes on a separate return, or you were a dual-status alien, check here 39b 4 Itemized deductions (from Schedule ) or your standard deduction (see instructions) Subtract line 4 from line Exemptions. Multiply $3,6 by the number on line 6d Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter Tax (see instructions). heck if any tax is from: a Form(s) 8814 b Form dd lines 44 and Foreign tax credit. ttach Form 1116 if required redit for child and dependent care expenses. ttach Form Education credits from Form 8863, line Retirement savings contributions credit. ttach Form hild tax credit (see instructions) Residential energy credits. ttach Form b c 3 Other credits from Form: a dd lines 47 through 3. These are your total credits Subtract line 4 from line 46. If line 4 is more than line 46, enter Self-employment tax. ttach Schedule SE Unreported social security and Medicare tax from Form: 8 dditional tax on IRs, other qualified retirement plans, etc. ttach Form 329 if required Paige Turner lternative minimum tax (see instructions). ttach Form dd lines through 9. This is your total tax Federal income tax withheld from Forms W-2 and estimated tax payments and amount applied from 29 return Making work pay credit. ttach Schedule M a Earned income credit (EI) a 6 dditional child tax credit. ttach Form mount paid with request for extension to file redits from Form: b 8839 d ccount number 7 mount of line 73 you want applied to your 211 estimated tax 7 76 mount you owe. Subtract line 72 from line 6. For details on how to pay, see instructions Your signature Spouse's signature. If a joint return, both must sign. Print/Type preparer's name Firm's name Firm's address Date Date d dd lines 61, 62, 63, 64a, and 6 through 71. These are your total payments If line 72 is more than line 6, subtract line 6 from line 72. This is the amount you overpaid... 74a mount of line 73 you want refunded to you. If Form 8888 is attached, check here.... b a Form(s) W-2, box 9 b Schedule H b ntaxable combat pay election b 66 merican opportunity credit from Form 8863, line First-time homebuyer credit from Form 4, line Excess social security and tier 1 RRT tax withheld Routing number a Estimated tax penalty (see instructions) a 4137 b redit for federal tax on fuels. ttach Form Your occupation 77 Spouse's occupation Date c Type: hecking Savings Do you want to allow another person to discuss this return with the IRS (see instructions)? Designee's Phone Personal indentification name no. number (PIN) 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. Preparer's signature c 881 c Form 4, line heck if self-employed Firm's EIN Phone no. 7, a 76. omplete below Daytime phone number Nuclear Engineer -- PTIN 6 Page 2 7,632 19,26 6,367 3,6 2,717 9,333 9,333 9,333 1,686 11,19 8,317 2,741 Form 14 (21)

3 SHEDULE (Form 14) Internal Revenue Service Name(s) shown on Form 14 Medical and Dental Expenses Taxes You Paid Interest You Paid te. Your mortgage interest deduction may be limited (see instructions). Gifts to harity ttach to Form 14. Itemized Deductions See Instructions for Schedule (Form 14). aution. Do not include expenses reimbursed or paid by others. 1 Medical and dental expenses (see instructions) ,74 2 Enter amount from Form 14, line ,632 3 Multiply line 2 by 7.% (.7) ,672 4 Subtract line 3 from line 1. If line 3 is more than line 1, enter State and local (check only one box): a. Income taxes, or, b. General sales taxes 6 Real estate taxes (see instructions) , 7 New motor vehicle taxes from line 11 of the worksheet on next page (for certain vehicles purchased in 29). Skip this line if you checked box b Other taxes. List type and amount Personal property tax dd lines through Home mortgage interest and points reported to you on Form ,3 11 Home mortgage interest not reported to you on Form 198. If paid to the person from whom you bought the home, see instructions and show that person's name, identifying no., and address Points not reported to you on Form 198. See instructions for special rules Mortgage insurance premiums (see instructions) Investment interest. ttach Form 492 if required. (See instructions) 14 1 dd lines 1 through Gifts by cash or check. If you made any gift of $2 or more, see instructions Other than by cash or check. If any gift of $2 or more, see instructions. You must attach Form 8283 if over $ arryover from prior year Job Expenses 21 Unreimbursed employee expenses job travel, union dues, job education, etc. ttach Form 216 or 216-EZ if required. and ertain (See instructions.) Form 216 _ Miscellaneous Deductions 22 Tax preparation fees Other expenses investment, safe deposit box, etc. List type and amount Other Miscellaneous Deductions (99) dd lines 21 through Enter amount from Form 14, line , Multiply line 2 by 2% (.2) ,13 27 Subtract line 26 from line 24. If line 26 is more than line 24, enter Other from list in the instructions. List type and amount _ OM ttachment Sequence. 7 Your social security number Paige Turner ,6 If you made a gift and got a benefit for it, 18 see instructions. 19 dd lines 16 through asualty and Theft Losses 2 asualty or theft loss(es). ttach Form (See instructions.) Total 29 dd the amounts in the far right column for lines 4 through 28. lso, enter this amount on Form 14, line ,26 Itemized 3 If you elect to itemize deductions even though they are less than your standard Deductions deduction, check here KI For Paperwork Reduction ct tice, see Form 14 instructions. Schedule (Form 14) ,8 9,3 2,42

4 SHEDULE (Form 14 or 14) Internal Revenue Service Name(s) shown on return Part I Interest (99) Interest and Ordinary Dividends ttach to Form 14 or 14. See Instructions. OM ttachment Sequence. 8 Your social security number Paige Turner List name of payer. If any interest is from a seller-financed mortgage and the buyer used the property as a personal residence, see instructions and list this interest first. lso, show that buyer's social security number and address mount roker 1,2 (See instructions for Form 14, or Form 14, line 8a.) te: If you received a Form 199-INT, Form 199-OID, or substitute statement from a brokerage firm, list the firm's name as the payer and enter the total interest shown on that form. Part II 2 dd the amounts on line Excludable interest on series EE and I U.S. savings bonds issued after ttach Form Subtract line 3 from line 2. Enter the result here and on Form 14, or Form 14, line 8a ,2 te: If line 4 is over $1,, you must complete Part III. mount List name of payer General Dynamics ,2 Ordinary Dividends (See the instructions for Form 14, or Form 14, line 9a.) te: If you received a Form 199-DIV or substitute statement from a brokerage firm, list the firm's name as the payer and enter the ordinary dividends shown on that form. Part III Foreign ccounts and Trusts (See instructions.) 6 dd the amounts on line. Enter the total here and on Form 14, or Form 14, line 9a te. If line 6 is over $1,, you must complete Part III. You must complete this part if you (a) had over $1, of taxable interest or ordinary dividends; or (b) had a foreign account; or (c) received a distribution from, or were a grantor of, or a transferor to, a foreign trust. 7a t any time during 21, did you have an interest in or a signature or other authority over a financial account in a foreign country, such as a bank account, securities account, or other financial account? See instructions for exceptions and filing requirements for Form TD F b If "," enter the name of the foreign country 8 During 21, did you receive a distribution from, or were you the grantor of, or transferor to, a foreign trust? If "," you may have to file Form 32. See instructions KI For Paperwork Reduction ct tice, see your tax return instructions. Schedule (Form 14 or 14)

5 SHEDULE (Form 14) Internal Revenue Service Name of proprietor F ccounting method: OM (Sole Proprietorship) Partnerships, joint ventures, etc., generally must file Form 16 or ttachment ttach to Form 14, 14NR, or 141. See Instructions for Schedule (Form 14). Sequence. 9 Social security number (SSN) Principal business or profession, including product or service (see instructions) usiness name. If no separate business name, leave blank. E usiness address (including suite or room no.) ity, town or post office, state, and ZIP code angor ME 441 H If you started or acquired this business during 21, check here Income 7 21,2 Expenses. Enter expenses for business use of your home only on line 3. 2,2 9 1 ommissions and fees a 16b 17 b Deductible meals and entertainment (see instructions)... Enter code from pages -9, 1, & 11 G Did you "materially participate" in the operation of this business during 21? If "," see instructions for limit on losses... Part I 1 Gross receipts or sales. aution. See instructions and check the box if: 7 Gross income. dd lines and KI Profit or Loss From usiness Gross profit. Subtract line 4 from line Part II 8 dvertising ar and truck expenses (see instructions) Depreciation and section 179 expense deduction (not included in Part III) (see instructions) Employee benefit programs (other than on line 19) Insurance (other than health). 16 Interest: (99) Paige Turner Realtor 3121 For Paperwork Reduction ct tice, see your tax return instructions. 26 Wages (less employment credits).. 27 Other expenses (from line 48 on page 2) Total expenses before expenses for business use of home. dd lines 8 through D Employer ID number (EIN), if any Turner Real Estate River Rd 2 Returns and allowances Subtract line 2 from line ost of goods sold (from line 42 on page 2) ontract labor (see instructions). 12 Depletion a Mortgage (paid to banks, etc.). b Other Legal and professional services Tentative profit or (loss). Subtract line 28 from line Expenses for business use of your home. ttach Form Net profit or (loss). Subtract line 3 from line 29. (1) ash (2) ccrual (3) Other (specify) This income was reported to you on Form W-2 and the Statutory employee box on that form was checked, or You are a member of a qualified joint venture reporting only rental real estate income not subject to self-employment tax. lso, see instructions for limit on losses. 6 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) Pension and profit-sharing plans.. 2 Rent or lease (see instructions): a Vehicles, machinery, & equipment.. b Other business property Repairs and maintenance Supplies (not included in Part III).. 23 Taxes and licenses Travel, meals, and entertainment: 32 If you have a loss, check the box that describes your investment in this activity (see instructions). _ 18 Office expense a Travel Utilities If a profit, enter on both Form 14, line 12, and Schedule SE, line 2, or on Form 14NR, line 13 (if you checked the box on line 1, see instructions). Estates and trusts, enter on Form 141, line 3. If a loss, you must go to line If you checked 32a, enter the loss on both Form 14, line 12, and Schedule SE, line 2, or on Form 14NR, line 13 (if you checked the box on line 1, see the line 31 instructions). Estates and trusts, enter on Form 141, line 3. If you checked 32b, you must attach Form Your loss may be limited a 2b a 24b a 32b 21,2 21,2 21,2 6, ,317 11,933 11,933 ll investment is at risk. Some investment is not at risk. Schedule (Form 14) 21

6 Schedule (Form 14) 21 Paige Turner Page 2 Part III ost of Goods Sold (see instructions) 33 Method(s) used to value closing inventory: a ost 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 "," attach explanation Inventory at beginning of year. If different from last year's closing inventory, attach explanation Purchases less cost of items withdrawn for personal use ost of labor. Do not include any amounts paid to yourself Materials and supplies Other costs dd lines 3 through Inventory at end of year ost of goods sold. Subtract line 41 from line 4. Enter the result here and on page 1, line Part IV Information on Your Vehicle. omplete this part only if you are claiming car or truck expenses on line 9 and are not required to file Form 462 for this business. See the instructions for line 13 to find out if you must file Form /1/29 43 When did you place your vehicle in service for business purposes? (month, day, year) Of the total number of miles you drove your vehicle during 21, enter the number of miles you used your vehicle for: a usiness 6, 2 8,8 b ommuting (see instructions) _ c Other 4 Was your vehicle available for personal use during off-duty hours? Do you (or your spouse) have another vehicle available for personal use? a Do you have evidence to support your deduction? b If "," is the evidence written? Part V Other Expenses. List below business expenses not included on lines 8 26 or line Total other expenses. Enter here and on page 1, line KI Schedule (Form 14) 21

7 SHEDULE D (Form 14) Internal Revenue Service (99) Name(s) shown on return apital Gains and Losses OM ttach to Form 14 or Form 14NR. See instructions for Schedule D (Form 14). ttachment Use Schedule D-1 to list additional transactions for lines 1 and 8. Sequence. 12 Your social security number Paige Turner Part I Short-Term apital Gains and Losses ssets Held One Year or Less 1 assill orp (a) Description of property (Example: 1 sh. YZ o.) (b) Date acquired (Mo., day, yr.) (c) Date sold (Mo. day, yr.) (d) Sales price (see page D-7 of the instructions) (e) ost or other basis (see page D-7 of the instructions) (f) Gain or (loss) Subtract (e) from (d) 2/19/1 1/2/1 8,7 9,76-1,68 2 Enter your short-term totals, if any, from Schedule D-1, line Total short-term sales price amounts. dd lines 1 and 2 in column (d) ,7 4 Short-term gain from Form 622 and short-term gain or (loss) from Forms 4684, 6781, and Net short-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K Short-term capital loss carryover. Enter the amount, if any, from line 1 of your apital Loss arryover Worksheet of page D-7 of the instructions Net short-term capital gain or (loss). ombine lines 1 through 6 in column (f) Part II Long-Term apital Gains and Losses ssets Held More Than One Year ( ) -1,68 (a) Description of property (Example: 1 sh. YZ o.) 8 Nebraska bonds (b) Date acquired (Mo., day, yr.) (c) Date sold (Mo. day, yr.) (d) Sales price (see page D-7 of the instructions) (e) ost or other basis (see page D-7 of the instructions) (f) Gain or (loss) Subtract (e) from (d) 1/22/ 3/14/1 2,14 1, Enter your long-term totals, if any, from Schedule D-1, line Total long-term sales price amounts. dd lines 8 and 1 2,14 9 in column (d) Gain from Form 4797, Part I; long-term gain from Forms 2439 and 622; and long-term gain or (loss) from Forms 4684, 6781, and Net long-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K apital gain distributions. See page D-2 of the instructions Long-term capital loss carryover. Enter the amount, if any, from line 1 of your apital Loss arryover Worksheet on page D-7 of the instructions ( ) 1 Net long-term capital gain or (loss). ombine lines 8 through 14 in column (f). Then go to Part III on page KI For Paperwork Reduction ct tice, see your tax return instructions. Schedule D (Form 14)

8 Paige Turner Schedule D (Form 14) 21 Page 2 Part III Summary 16 ombine lines 7 and 1 and enter the result ,43 If line 16 is a gain, enter the amount from line 16 on Form 14, line 13, or Form 14NR, line 14. Then go to line 17 below. If line 16 is a loss, skip lines 17 through 2 below. Then go to line 21. lso be sure to complete line 22. If line 16 is zero, skip lines 17 through 21 below and enter -- on Form 14, line 13, or Form 14NR, line 14. Then go to line re lines 1 and 16 both gains?. Go to line 18.. Skip lines 18 through 21, and go to line Enter the amount, if any, from line 7 of the 28% Rate Gain Worksheet on page D-8 of the instructions Enter the amount, if any, from line 18 of the Unrecaptured Section 12 Gain Worksheet on page D-9 of the instructions 19 2 re lines 18 and 19 both zero or blank?. omplete Form 14 through line 43, or Form 14NR through line 41. Then complete the Qualified Dividends and apital Gain Tax Worksheet in the Instructions for Form 14, line 44 (or in the Instructions for Form 14NR, line 42). Do not complete lines 21 and 22 below.. omplete Form 14 through line 43, or Form 14NR through line 41. Then complete the Schedule D Tax Worksheet on page D-1 of the instructions. Do not complete lines 21 and 22 below. 21 If line 16 is a loss, enter here and on Form 14, line 13, or Form 14NR, line 14, the smaller of: The loss on line 16 or ($3,), or if married filing separately, ($1,) ( 1,43 ) te. When figuring which amount is smaller, treat both amounts as positive numbers. 22 Do you have qualified dividends on Form 14, line 9b, or Form 14NR, line 1b?. omplete Form 14 through line 43, or Form 14NR through line 41. Then complete the Qualified Dividends and apital Gain Tax Worksheet in the Instructions for Form 14, line 44 (or in the Instructions for Form 14NR, line 42).. omplete the rest of Form 14 or Form 14NR. KI Schedule D (Form 14) 21

9 SHEDULE E (Form 14) Internal Revenue Service Name(s) shown on return (99) Supplemental Income and Loss ttach to Form 14, 14NR, or Form 141. See Instructions for Schedule E (Form 14). OM ttachment Sequence. 13 Your social security number Paige Turner Part I Income or Loss From Rental Real Estate and Royalties te. If you are in the business of renting personal property, use Schedule or -EZ (see page E-3). If you are an individual, report farm rental income or loss from Form 483 on page 2, line 4. 1 List the type and location of each rental real estate property: 2 For each rental real estate property Rental House 1.% listed on line 1, did you or your family 3 Harvest Street Orono ME 4473 use it during the tax year for personal purposes for more than the greater of: 14 days or 1% of the total days rented at fair rental value? (See page E-3.) Income: Properties Totals (dd columns,, and.) 3 Rents received ,4 3 2,4 4 Royalties received Expenses: dvertising uto and travel (see page E-4). 6 7 leaning and maintenance ommissions Insurance Legal and other professional fees Management fees Mortgage interest paid to banks, etc. (see page E-) Other interest Repairs Supplies Taxes Utilities Other (list) dd lines through Depreciation expense or depletion (see page E-) Total expenses. dd lines 19 and Income or (loss) from rental real estate or royalty properties. Subtract line 21 from line 3 (rents) or line 4 (royalties). If the result is a (loss), see page E- to find out if you must file Form Deductible rental real estate loss. aution. Your rental real estate loss on line 22 may be limited. See page E- to find out if you must file Form 882. Real estate professionals must complete line 43 on page (From rental real estate, royalties, partnerships, S corporations, estates, trusts, REMIs, etc.) 2,2 19 2,2 1,8 2 1,8 3,28 ( 88 ) -88 ( ) ( ) 24 Income. dd positive amounts shown on line 22. Do not include any losses Losses. dd royalty losses from line 22 and rental real estate losses from line 23. Enter total losses here. 26 Total rental real estate and royalty income or (loss). ombine lines 24 and 2. Enter the result here. If Parts II, III, IV, and line 4 on page 2 do not apply to you, also enter this amount on Form 14, line 17, or Form 14NR, line 18. Otherwise, include this amount in the total on line 41 on page ( 88 ) -88 KI For Paperwork Reduction ct tice, see your tax return instructions. Schedule E (Form 14) 21

10 Schedule E (Form 14) 21 ttachment Sequence. 13 Page 2 Name(s) shown on return. Do not enter name and social security number if shown on page 1. Your social security number Paige Turner aution. The IRS compares amounts reported on your tax return with amounts shown on Schedule(s) K-1. Part II Income or Loss From Partnerships and S orporations te. If you report a loss from an at-risk activity for which any amount is not at risk, you must check the box in column (e) on line 28 and attach Form See page E re you reporting any loss not allowed in a prior year due to the at-risk or basis limitations, a prior year unallowed loss from a passive activity (if that loss was not reported on Form 882), or unreimbursed partnership expenses? If you answered, see page E-7 before completing this section. 28 D (c) heck if foreign partnership (d) Employer identification number npassive Income and Loss 3 dd columns (g) and (j) of line 29a dd columns (f), (h), and (i) of line 29b Total partnership and S corporation income or (loss). ombine lines 3 and 31. Enter the result here and include in the total on line 41 below Part III Income or Loss From Estates and Trusts 33 npassive Income and Loss (e) Deduction or loss from Schedule K-1 (j) npassive income from Schedule K-1 (b) Employer identification number (f) Other income from Schedule K-1 34a Totals b Totals 3 dd columns (d) and (f) of line 34a dd columns (c) and (e) of line 34b ( ) 37 Total estate and trust income or (loss). ombine lines 3 and 36. Enter the result here and include in the total on line 41 below Part IV Income or Loss From Real Estate Mortgage Investment onduits (REMIs) Residual Holder 38 (c) Passive deduction or loss allowed (attach Form 882 if required) (a) Name (a) Name Passive Income and Loss (f) Passive loss allowed (attach Form 882 if required) D 29a Totals b Totals (g) Passive income from Schedule K-1 (a) Name Passive Income and Loss (b) Employer identification number (d) Passive income from Schedule K-1 (b) Enter P for partnership; S for S corporation Grubstake S , (h) npassive loss from Schedule K-1 (c) Excess inclusion from Schedules Q, line 2c (see page E-8) (i) Section 179 expense deduction from Form 462 (d) Taxable income (net loss) from Schedules Q, line 1b 32 (e) heck if any amount is not at risk 2, 3 2, 31 ( ) 2, (e) Income from Schedules Q, line 3b 39 ombine columns (d) and (e) only. Enter the result here and include in the total on line 41 below. 39 Part V Summary 4 Net farm rental income or (loss) from Form 483. lso, complete line 42 below Total income or (loss). ombine lines 26, 32, 37, 39, and 4. Enter the result here and on Form 14, line 17, or Form 14NR, line ,12 42 Reconciliation of farming and fishing income. Enter your gross farming and fishing income reported on Form 483, line 7; Schedule K-1 (Form 16), box 14, code ; Schedule K-1 (Form 112S), box 17, code U; and Schedule K-1 (Form 141), line 14, code F (see page E-8) Reconciliation for real estate professionals. If you were a real estate professional (see page E-2), enter the net income or (loss) you reported anywhere on Form 14 or Form 14NR from all rental real estate activities in which you materially participated under the passive activity loss rules.. 43 KI Schedule E (Form 14) 21

11 SHEDULE SE (Form 14) Internal Revenue Service (99) ttach to Form 14 or Form 14NR. Name of person with self-employment income (as shown on Form 14) Self-Employment Tax See Instructions for Schedule SE (Form 14). Social security number of person with self-employment income efore you begin: To determine if you must file Schedule SE, see the instructions on page SE-1. May I Use Short Schedule SE or Must I Use Long Schedule SE? Did you receive wages or tips in 21? OM ttachment Sequence. 17 Paige Turner te. Use this flowchart only if you must file Schedule SE. If unsure, see Who Must File Schedule SE, on page SE-1. re you a minister, member of a religious order, or hristian Science practitioner who received IRS approval not to be taxed on earnings from these sources, but you owe self-employment tax on other earnings? Was the total of your wages and tips subject to social security or railroad retirement (tier 1) tax plus your net earnings from self-employment more than $16,8? re you using one of the optional methods to figure your net earnings (see page SE-)? Did you receive tips subject to social security or Medicare tax that you did not report to your employer? Did you receive church employee income (see page SE-1) reported on Form W-2 of $18.28 or more? Did you report any wages on Form 8919, Uncollected Social Security and Medicare Tax on Wages? You may use Short Schedule SE below You must use Long Schedule SE on page 2 Section Short Schedule SE. aution. Read above to see if you can use Short Schedule SE. 1a Net farm profit or (loss) from Schedule F, line 36, and farm partnerships, Schedule K-1 (Form 16), box 14, code b If you received social security retirement or disability benefits, enter the amount of onservation Reserve Program payments included on Schedule F, line 6b, or listed on Schedule K-1 (Form 16), box 2, code Y.. 1b ( ) 2 Net profit or (loss) from Schedule, line 31; Schedule -EZ, line 3; and Schedule K-1 (Form 16), box 14, code (other than farming); and Schedule K-1 (Form 16-), box 9, code J1. Ministers and members of religious orders, see page SE-1 for types of income to report on this line. See page SE-3 for other income to report ombine lines 1a, 1b, and 2. Subtract from that total the amount on Form 14, line 29, or Form 14NR, line 29, and enter the result (see page SE-3) a ,933 11,933 4 Multiply line 3 by 92.3% (.923). If less than $4, you do not owe self-employment tax; do not file this schedule unless you have an amount on line 1b Self-employment tax. If the amount on line 4 is: $16,8 or less, multiply line 4 by 1.3% (.13). Enter the result here and on Form 14, line 6, or Form 14NR, line 4. 6 Deduction for one-half of self-employment tax. Multiply line by % (.). Enter the result here and on Form 14, line 27, or Form 14NR, line KI te. If line 4 is less than $4 due to onservation Reserve Program payments on line 1b, see page SE-3. More than $16,8, multiply line 4 by 2.9% (.29). Then, add $13,243.2 to the result. Enter the total here and on Form 14, line 6, or Form 14NR, line For Paperwork Reduction ct tice, see your tax return instructions ,2 1,686 Schedule SE (Form 14) 21

12 Form 216 Internal Revenue Service Your name (99) Employee usiness Expenses OM See separate instructions. ttach to Form 14 or Form 14NR. Occupation in which you incurred expenses 21 ttachment Sequence. Social security number Paige Turner Nuclear Engineer Part I Employee usiness Expenses and Reimbursements Step 1 Enter Your Expenses olumn Other Than Meals and Entertainment olumn Meals and Entertainment 1 Vehicle expense from line 22 or line 29. (Rural mail carriers: See instructions.) Parking fees, tolls, and transportation, including train, bus, etc., that did not involve overnight travel or commuting to and from work... 3 Travel expense while away from home overnight, including lodging, airplane, car rental, etc. Do not include meals and entertainment.. 4 usiness expenses not included on lines 1 through 3. Do not include meals and entertainment Meals and entertainment expenses (see instructions) Total expenses. In olumn, add lines 1 through 4 and enter the result. In olumn, enter the amount from line te: If you were not reimbursed for any expenses in Step 1, skip line 7 and enter the amount from line 6 on line 8. Step 2 Enter Reimbursements Received From Your Employer for Expenses Listed in Step 1 7 Enter reimbursements received from your employer that were not reported to you in box 1 of Form W-2. Include any reimbursements reported under code "L" in box 12 of your Form W-2 (see instructions) Step 3 Figure Expenses To Deduct on Schedule (Form 14 or Form 14NR) 8 Subtract line 7 from line 6. If zero or less, enter --. However, if line 7 is greater than line 6 in olumn, report the excess as income on Form 14, line 7 (or on Form 14NR, line 8) te: If both columns of line 8 are zero, you cannot deduct employee business expenses. Stop here and attach Form 216 to your return. 9 In olumn, enter the amount from line 8. In olumn, multiply line 8 by % (.). (Employees subject to Department of Transportation (DOT) hours of service limits: Multiply meal expenses incurred while away from home on business by 8% (.8) instead of %. For details, see instructions.) dd the amounts on line 9 of both columns and enter the total here. lso, enter the total on Schedule (Form 14), line 21 (or on Schedule (Form 14NR), line 9). (rmed Forces reservists, qualified performing artists, fee-basis state or local government officials, and individuals with disabilities: See the instructions for special rules on where to enter the total.) KI For Paperwork Reduction ct tice, see your tax return instructions Form 216 (21)

13 Form OM Depreciation and mortization 462 (Including Information on Listed Property) 21 Internal Revenue Service (99) Name(s) shown on return See separate instructions. ttach to your tax return. usiness or activity to which this form relates Part I Election To Expense ertain Property Under Section 179 te: If you have any listed property, complete Part V before you complete Part I. 1 Maximum amount. (see instructions) Total cost of section 179 property placed in service (see instructions) Threshold cost of section 179 property before reduction in limitation (see instructions) Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter --. If married filing separately, see instructions (a) Description of property (b) ost (business use only) (c) Elected cost ttachment Sequence. 67 Identifying number Paige Turner Rental Royalty , 2,,, 7 Listed property. Enter the amount from line Total elected cost of section 179 property. dd amounts in column (c), lines 6 and Tentative deduction. Enter the smaller of line or line arryover of disallowed deduction from line 13 of your 29 Form usiness income limitation. Enter the smaller of business income (not less than zero) or line (see instructions). 11, 12 Section 179 expense deduction. dd lines 9 and 1, but do not enter more than line arryover of disallowed deduction to 211. dd lines 9 and 1, less line te: Do not use Part II or Part III below for listed property. Instead, use Part V. Part II Special Depreciation llowance and Other Depreciation (Do not include listed property.) (See instructions.) 14 Special depreciation allowance for qualified property (other than listed property) placed in service during the tax year (see instructions) Property subject to section 168(f)(1) election Other depreciation (including RS) Part III MRS Depreciation (Do not include listed property.) (See instructions.) Section 17 MRS deductions for assets placed in service in tax years beginning before If you are electing to group any assets placed in service during the tax year into one or more general asset accounts, check here Section ssets Placed in Service During 21 Tax Year Using the General Depreciation System (a) lassification of property 19a 3-year property b -year property c 7-year property d 1-year property e 1-year property f 2-year property g 2-year property h Residential rental property i nresidential real property (b) Month and year placed in service (c) asis for depreciation (business/investment use only see instructions) (d) Recovery period (e) onvention (f) Method (g) Depreciation deduction 2 yrs. S/L 8/1/21 79,2 27. yrs. MM S/L 1,8 27. yrs. MM S/L 39 yrs. MM S/L MM S/L Section ssets Placed in Service During 21 Tax Year Using the lternative Depreciation System 2a lass life S/L b 12-year 12 yrs. S/L c 4-year 4 yrs. MM S/L Part IV Summary (See instructions.) 21 Listed property. Enter amount from line Total. dd amounts from line 12, lines 14 through 17, line 19 and 2 in column (g), and line 21. Enter here and on the appropriate lines of your return. Partnerships and S corporations see instructions. 22 1,8 23 For assets shown above and placed in service during the current year, enter the portion of the basis attributable to section 263 costs KI For Paperwork Reduction ct tice, see separate instructions. Form 462 (21)

14 Form 8283 (Rev ) Name(s) shown on your income tax return Identifying number Page 2 Section. Part I Donated Property over $, (Except ertain Publicly Traded Securities) List in this section only items (or groups of similar items) for which you claimed a deduction of more than $, per item or group (except contributions of certain publicly traded securities reported in Section ). n appraisal is generally required for property listed in Section (see instructions). Information on Donated Property To be completed by the taxpayer and/or the appraiser. 4 heck the box that describes the type of property donated: D D Part II rt* (contribution of $2, or more) rt* (contribution of less than $2,) (a) Description of donated property (if you need more space, attach a separate statement) (d) Date acquired by donor (mo., yr.) (e) How acquired by donor (f) Donor's cost or adjusted basis Qualified onservation ontribution Other Real Estate Intellectual Property (b) If tangible property was donated, give a brief summary of the overall physical condition of the property at the time of the gift (h) mount claimed as a deduction Equipment Securities *rt includes paintings, sculptures, watercolors, prints, drawings, ceramics, antiques, decorative arts, textiles, carpets, silver, rare manuscripts, historical memorabilia, and other similar objects. te: In certain cases, you must attach a qualified appraisal of the property. See instructions. Other See instructions (c) ppraised fair market value (i) verage trading price of securities Taxpayer (Donor) Statement List each item included in Part I above that the appraisal identifies as having a value of $ or less. See instructions. I declare that the following item(s) included in Part I above has to the best of my knowledge and belief an appraised value of not more than $ (per item). Enter identifying letter from Part I and describe the specific item. See instructions. Signature of taxpayer (donor) Part III Declaration of ppraiser I declare that I am not the donor, the donee, a party to the transaction in which the donor acquired the property, employed by, or related to any of the foregoing persons, or married to any person who is related to any of the foregoing persons. nd, if regularly used by the donor, donee, or party to the transaction, I performed the majority of my appraisals during my tax year for other persons. lso, I declare that I hold myself out to the public as an appraiser or perform appraisals on a regular basis; and that because of my qualifications as described in the appraisal, I am qualified to make appraisals of the type of property being valued. I certify that the appraisal fees were not based on a percentage of the appraised property value. Furthermore, I understand that a false or fraudulent overstatement of the property value as described in the qualified appraisal or this Form 8283 may subject me to the penalty under section 671(a) (aiding and abetting the understatement of tax liability). In addition, I understand that a substantial or gross valuation misstatement resulting from the appraisal of the value of the property that I know, or reasonably should know, would be used in connection with a return or claim for refund, may subject me to the penalty under section 669. I affirm that I have not been barred from presenting evidence or testimony by the Office of Professional Responsibility. Sign Here ollectibles** ** ollectibles include coins, stamps, books, gems, jewelry, sports memorabilia, dolls, etc., but not art as defined above. Signature usiness address (including room or suite no.) (g) For bargain sales, enter amount received Title Date Date Identifying number ity or town, state, and ZIP code Part IV Donee cknowledgment To be completed by the charitable organization. This charitable organization acknowledges that it is a qualified organization under section 17(c) and that it received the donated property as described in Section, Part I, above on the following date Furthermore, this organization affirms that in the event it sells, exchanges, or otherwise disposes of the property described in Section, Part I (or any portion thereof) within 3 years after the date of receipt, it will file Form 8282, Donee Information Return, with the IRS and give the donor a copy of that form. This acknowledgment does not represent agreement with the claimed fair market value. Does the organization intend to use the property for an unrelated use? Name of charitable organization (donee) Employer identification number ddress (number, street, and room or suite no.) ity or town, state, and ZIP code uthorized signature Title Date KI Form 8283 (Rev )

15 OM Form 4684 See separate instructions. 21 ttach to your tax return. ttachment Internal Revenue Service Use a separate Form 4684 for each casualty or theft. Sequence. 26 Name(s) shown on tax return Identifying number Paige Turner SETION Personal Use Property (Use this section to report casualties and thefts of property not used in a trade or business or for income-producing purposes.) 1 Description of properties (show type, location, and date acquired for each property). Use a separate line for each property lost or damaged from the same casualty or theft. 2 ost or other basis of each property Insurance or other reimbursement (whether or not you filed a claim) (see instructions) Gain from casualty or theft. If line 3 is more than line 2, enter the difference here and skip lines through 9 for that column. See instructions if line 3 includes insurance or other reimbursement you did not claim, or you received payment for your loss in a later tax year Fair market value after casualty or theft Subtract line 3 from line 8. If zero or less, enter asualty or theft loss. dd the amounts on line 9 in columns through D Subtract line 11 from line dd the amounts on line 12 of all Forms dd the amounts on line 4 of all Forms If line 14 is more than line 13, enter the difference here and on Schedule D. Do not complete the rest of this section (see instructions) If line 14 is less than line 13, enter -- here and go to line If line 14 is less than line 13, enter the difference Does the amount on line 12 include a loss from a disaster declared a federal disaster in tax years beginning after 27 that occurred before 21?. Enter the amount from line 3 of the Worksheet for Line 17, in the instructions. If you are filing Schedule (Form 14), go to line 18. Otherwise, enter this amount on Schedule L (Form 14 or 14). Do not complete the rest of Section. Form 14NR filers, see instructions.. Enter -- and go to line KI Property Property Property Property D te: If line 2 is more than line 3, skip line 4. Fair market value before casualty or theft asualties and Thefts rooch Home 6/12/3 ash Home 7 Subtract line 6 from line Enter the smaller of line 2 or line If line 14 is equal to line 13, enter -- here. Do not complete the rest of this section For Paperwork Reduction ct tice, see page of the instructions. Properties D 6, 3 11 Enter the smaller of line 1 or $ aution: Use only one Form 4684 for lines 13 through , 3 7, 3 6, 3, 2 18 Subtract line 17 from line Enter 1% of your adjusted gross income from Form 14, line 38, or Form 14NR, line 36. Estates and trusts, see instructions Subtract line 19 from line 18. If zero or less, enter dd lines 17 and 2. lso enter the result on Schedule (Form 14), line 2, or Form 14NR, Schedule, line 8. Estates and trusts, enter the result on the "Other deductions" line of your tax return ,7 1,6,6,6,6 7,63 Form 4684 (21)