1040 U.S. Individual Income Tax Return 2017

Transcription

1 /09/ :27 PM Form Department of the Treasury Internal Revenue Service (99) 1040 U.S. Individual Income Tax Return 2017 OMB No IRS Use Only Do not write or staple in this space. For the year Jan. 1 Dec. 31, 2017, or other tax year beginning, 2017, ending, 20 See separate instructions. Your first name and initial If a joint return, spouse's first name and initial Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Make sure the SSN(s) above P.O. BOX 1830 and on line 6c are correct. City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Presidential Election Campaign Check here if you, or your spouse HOBBS NM if filing jointly, want $3 to go to this fund. Checking a box below will Foreign country name Foreign province/state/county Foreign postal code not change your tax or refund. You Spouse Head of household (with qualifying person). (See instructions.) If 1 Single 4 the qualifying person is a child but not your dependent, enter this Married filing jointly (even if only one had income) child's name here. Filing Status Check only one box. Exemptions If more than four dependents, see instructions and check here Last name Last name 2 3 Married filing separately. Enter spouse's SSN above 5 and full name here. Qualifying widow(er) (see instructions) 6a Yourself. If someone can claim you as a dependent, do not check box 6a Boxes checked. on 6a and 6b b X Spouse No. of children (4) c Dependents: if on 6c who: child under (2) Dependent's (3) Dependent's age 17 qual. lived with you for child social security number relationship to you tax credit did not live with (1) First name Last name (see instr.) you due to divorce or separation (see instructions) d Total number of exemptions claimed.. 7 Wages, salaries, tips, etc. Attach Form(s) W Income 8a Taxable interest. Attach Schedule B if required.. 8a Attach Form(s) b Taxexempt interest. Do not include on line 8a b 234,935 W2 here. Also 9a Ordinary dividends. Attach Schedule B if required 9a attach Forms b Qualified dividends 9b W2G and , R if tax 10 Taxable refunds, credits, or offsets of state and local income taxes was withheld. 11 Alimony received If you did not 12 Business income or (loss). Attach Schedule C or CEZ get a W2, 13 Capital gain or (loss). Attach Schedule D if required. If not required, check here see instructions. 14 Other gains or (losses). Attach Form a IRA distributions 15a b Taxable amount 15b 16a Pensions and annuities a b Taxable amount 16b 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E Farm income or (loss). Attach Schedule F Unemployment compensation a Social security benefits a b Taxable amount 20b 21 Other income. List type and amount Combine the amounts in the far right column for lines 7 through 21. This is your total income 22 Adjusted 23 Educator expenses Certain business expenses of reservists, performing artists, and Gross feebasis government officials. Attach Form 2106 or 2106EZ.. 24 Income 25 Health savings account deduction. Attach Form Moving expenses. Attach Form Deductible part of selfemployment tax. Attach Schedule SE , Selfemployed SEP, SIMPLE, and qualified plans Selfemployed health insurance deduction Penalty on early withdrawal of savings a Alimony paid b Recipient's SSN 31a 32 IRA deduction Student loan interest deduction Tuition and fees. Attach Form Domestic production activities deduction. Attach Form Add lines 23 through Subtract line 36 from line 22. This is your adjusted gross income For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. DAA STEVAN E CYNTHIA A X X PEARCE PEARCE Your social security number Spouse's social security number } Dependents on 6c not entered above Add numbers on lines above ,322 13, ,789 3, ,281 25,968 25, ,595 54,523 46,345 See Statement 1 17, ,132 1, ,114 Form 1040 (2017)

2 /09/ :27 PM Form 1040 (2017) Page 2 Tax and Credits Standard Deduction for People who check any box on line 39a or 39b or who can be claimed as a dependent, see instructions. All others: Single or Married filing separately, $6,350 Married filing jointly or Qualifying widow(er), $12,700 Head of household, $9,350 Other Taxes Payments If you have a qualifying child, attach Schedule EIC. Refund Direct deposit? See instructions. Amount You Owe Third Party Designee Sign Here Paid Preparer Use Only 38 Amount from line 37 (adjusted gross income) a Check X You were born before January 2, 1953, Blind. Total boxes if: { X Spouse was born before January 2, 1953, Blind. } checked 39a 2 b If your spouse itemizes on a separate return or you were a dualstatus alien, check here 39b 40 Itemized deductions (from Schedule A) or your standard deduction (see left margin) Subtract line 40 from line Exemptions. If line 38 is $156,900 or less, multiply $4,050 by the number on line 6d. Otherwise, see instructions Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter Tax (see instr.). Check if any from:a Form(s) 8814 b Form 4972 c Alternative minimum tax (see instructions). Attach Form Excess advance premium tax credit repayment. Attach Form Add lines 44, 45, and Foreign tax credit. Attach Form 1116 if required Credit for child and dependent care expenses. Attach Form Education credits from Form 8863, line Retirement savings contributions credit. Attach Form Child tax credit. Attach Schedule 8812, if required Residential energy credits. Attach Form Other credits from Form: a 3800 b 8801 c Add lines 48 through 54. These are your total credits Subtract line 55 from line 47. If line 55 is more than line 47, enter Selfemployment tax. Attach Schedule SE Unreported social security and Medicare tax from Form: a 4137 b Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required a Household employment taxes from Schedule H.. 60a b Firsttime homebuyer credit repayment. Attach Form 5405 if required... 60b 61 Health care: individual responsibility (see instructions) Fullyear coverage X Taxes from: a Form 8959 b Form 8960 c Instructions; enter code(s) Add lines 56 through 62. This is your total tax Federal income tax withheld from Forms W2 and , estimated tax payments and amount applied from 2016 return ,000 66a Earned income credit (EIC). 66a b Nontaxable combat pay election. 66b 67 Additional child tax credit. Attach Schedule American opportunity credit from Form 8863, line Net premium tax credit. Attach Form Amount paid with request for extension to file Excess social security and tier 1 RRTA tax withheld Credit for federal tax on fuels. Attach Form Credits from Form: a 2439 b Reserved c 8885 d Add lines 64, 65, 66a, and 67 through 73. These are your total payments If line 74 is more than line 63, subtract line 63 from line 74. This is the amount you overpaid a Amount of line 75 you want refunded to you. If Form 8888 is attached, check here... 76a b Routing number c Type: Checking Savings d Account number 77 Amount of line 75 you want applied to your 2018 estimated tax 77 96, Amount you owe. Subtract line 74 from line 63. For details on how to pay, see instructions Estimated tax penalty (see instructions).. 79 Do you want to allow another person to discuss this return with the IRS (see instructions)? X Yes. Complete below. Designee's Personal identification number (PIN) name Phone no. 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 accurately list all amounts and sources of income I received during the tax year. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Your signature Your occupation Joint return? See instr. Keep a copy Spouse's signature. If a joint return, both must sign. Spouse's occupation for your records. STEVAN E & CYNTHIA A PEARCE Print/Type preparer's name Go to for instructions and the latest information. DAA Preparer's signature Check if PTIN selfemployed Firm's EIN 431, , , ,134 26,885 5,076 James W Francis 10/09/18 P Firm's name Firm's address Phone no. No Daytime phone number 31, ,076 2,035 33, ,900 96, James W Francis REPRESENTATIVE MANAGER If the IRS sent you an Identity Protection PIN, enter it here (see instr.) JOHNSON, MILLER & CO., CPA's PC PO Box 220 Hobbs NM Form 1040 (2017)

3 /09/ :28 PM 2017 PIT1 NEW MEXICO PERSONAL INCOME TAX RETURN For the year January 1 December 31, 2017 or fiscal year beginning F.1 ending F.2 If amending use Form 2017 PITX a 3b City 5. 6a EXEMPTIONS. Number of Qualified Exemptions. If you are a dependent of another taxpayer, enter 00. EXTENSION OF TIME TO FILE. If you have a federal or state extension, 6b mark the box and enter the extension date. 8. DEPENDENTS. As listed on your federal return. 9. FEDERAL ADJUSTED GROSS INCOME. (from federal Form 1040, line 38; Form 1040A, line or Form 1040EZ, line 4) 10. If you itemized your federal deduction amount, enter the amount of state and local tax deduction claimed on federal Form 1040, Schedule A, line 5. See the worksheet in the instructions Total Additions to federal adjusted gross income (PITADJ, line 5). Attach PITADJ Federal standard or itemized deduction amount (from federal Form 1040, line 40; Form 1040A, line 24; or Form 1040EZ, line 5) a. If you itemized, mark the box a X 13. Federal exemption amount (from federal Form 1040, line 42; Form 1040A, line 26; or if you.. filed Form 1040EZ, leave blank) Print your name (first, middle, last) Age 65 Residency SOCIAL SECURITY NUMBER Blind or over status Taxpayer's date of birth 1a STEVAN E PEARCE 1b 1c 1dX 1e R 1f 08/24/1947 Print your spouse's name (first, middle, last). If married filing separately, include spouse. Spouse's date of birth 2a CYNTHIA A PEARCE 2b 2c 2dX 2e R 2f 07/28/1949 If the address is new or changed, mark this box. Mailing Address (Number and street) 3c If foreign address, enter country 3d P.O. BOX 1830 State Postal/ZIP Code HOBBS NM Foreign province and/or state X 10/15/2018 If a deceased taxpayer's refund must be made payable to a person other than the taxpayer or spouse named on this return, enter below the name and social security number of that person. You must also attach Form RPD (You must report the first 5 dependents in this table and additional dependents on Schedule PITS.) Column 1 Column 2 Column 3 First name Last name Dependent's SSN of birth (MM/DD/CCYY) New Mexico low and middleincome tax exemption. See PIT1 instructions Total Deductions and Exemptions from federal income (PITADJ, line 22). Attach PITADJ.. Medical care expense deduction. See PIT1 instructions... You must complete both lines 16 and 16a or the deduction will be denied. 4. 4a 4b If taxpayer or spouse Taxpayer's date of death died before this 4c return is filed, enter date of death. Spouse's date of death 4d 7. FILING STATUS. Mark only one box. (1) Single (2) Married filing jointly (3) Married filing separately (Enter spouse's name and social security number in 2a and 2b.) (4) Head of household (Enter name of person qualifying you as head of household if that person is not counted as a qualified exemption on your federal return.) 16a. Unreimbursed and uncompensated medical care expenses a 17. NEW MEXICO TAXABLE INCOME. Add lines 9, 10 and 11, then subtract lines 12, 13, 14, 15 and = ,417 Cannot be less than zero. 18. New Mexico tax on amount on line 17 or from PITB, line ,533 18a. From Rate Table = R. From PITB, line 14 = B a B 19. Additional amount for tax on lumpsum distributions. See PIT1 instructions Credit for taxes paid to another state. You must have been a New Mexico resident during all or part of the year. Include a copy of other state's return. See PIT1 instructions Businessrelated income tax credits applied, from Schedule PITCR, line A. Attach PITCR NET NEW MEXICO INCOME TAX. Add lines 18 and 19, then subtract lines 20 and 21. Cannot be less than zero..... = 22 5,533 Electronic filers: If you file your New Mexico Personal Income Tax return online and also pay tax due online, your due date is April 30, All others must file by April 17, See PIT1 instructions for details. Continue on the next page. Name SSN X (4a) 18, Residency status: For taxpayer and spouse (1e and 2e), enter: R if RESIDENT N if NONRESIDENT F if FIRSTYEAR RES. P if PARTYEAR RES. (5) Qualifying widow(er) with dependent child ,114 25, , , ,896 1,821

4 /09/ :28 PM 2017 PIT1 (page 2) NEW MEXICO PERSONAL INCOME TAX RETURN 1 YOUR SOCIAL SECURITY NUMBER Do not submit a photocopy of this form to the Department. Submit only original forms and keep a copy for your records. If submitting this return by mail, send to: New Mexico Taxation and Revenue Department P. O. Box Santa Fe, New Mexico The amount on line 22 from page Total claimed on rebate and credit schedule (PITRC, line 25). Attach PITRC Working families tax credit. (You must complete both lines 25 and 25a or the deduction will be denied.) a. The amount of federal earned income credit (EIC) reported on your 2017 federal income tax return a 26. Refundable businessrelated income tax credits from Schedule PITCR, line B. Attach PITCR New Mexico income tax withheld. Attach annual statements of income and withholding New Mexico income tax withheld from oil and gas proceeds. Attach 1099Misc or RPD New Mexico income tax withheld from a passthrough entity. Attach 1099Misc or RPD estimated income tax payments. See PIT1 instructions Other Payments TOTAL PAYMENTS AND CREDITS. Add lines 24 through = TAX DUE. If line 23 is greater than line 32, enter the difference here. 33 5,533 5,062 15,288 20, Penalty on underpayment of estimated tax. If you want penalty computed for you, leave blank Special method allowed for calculation of underpayment of estimated tax penalty. If you owe penalty on underpayment of estimated tax and you qualify, enter 1, 2, 3, 4, or 5 in the box. Attach RPD Penalty. See PIT1 instructions. If you want penalty computed for you, leave blank Interest. See PIT1 instructions. If you want interest computed for you, leave blank TAX, PENALTY, AND INTEREST DUE. Add lines 33, 34, 36, and 37 = OVERPAYMENT. If line 23 is less than line 32, enter the difference here Refund voluntary contributions (PITD, line 17). Attach PITD , Amount from line 39 you want applied to your 2018 Estimated Tax , AMOUNT TO BE REFUNDED TO YOU. Line 39 minus lines 40 and !! REFUND EXPRESS!! HAVE IT DIRECTLY DEPOSITED! SEE INSTRUCTIONS AND COMPLETE ALL REQUIRED: You must answer this question. QUESTIONS IN THIS BLOCK. Type: WILL THIS REFUND GO TO OR THROUGH AN ACCOUNT RE.3 Choose one. LOCATED OUTSIDE THE UNITED STATES? If yes, you may RE.1 Routing number: Checking Mark X by not use this refund delivery option. See instructions. your choice. RE.2 Account number: Savings RE.4 YES NO I declare I have examined this return, including accompanying schedules and state Paid preparer's use only: ments, and to the best of my knowledge and belief it is true, correct, and complete. Your signature REQUIRED: DRIVER'S LICENSE, STATE ID No. or "NONE" Spouse's signature State Expiration NM 08/16/2025 REQUIRED: SPOUSE'S DRIVER'S LICENSE, STATE ID No. or "NONE" State Expiration NM 08/28/2021 (If filing jointly, BOTH must sign even if only one had income.) Taxpayer's phone number Taxpayer's address Signature of preparer P.1 Firm's name (or yours, if selfemployed) P.2 NM CRS identification number P.3 Preparer's PTIN P P.4 FEIN P.5 Preparer's phone number Mark this box if Form RPD41338 is on file for this taxpayer. See PIT1 instructions. P.6 = 10/09/18 JOHNSON, MILLER & CO., CPA'S P

5 ,./,.0ÿ2,3/043567ÿ ÿ8ÿ9 K;KIOÿ XÿŸQZZYQvxR \]^_ 3c\cde_ 3c\c^i2jeckjlc_mfZY f<gh<=,0,nÿ,46[.9,4 jojpqÿ9rs^_ jojpqÿu^\k_ jojpqÿ2\c^_ YZQv ZSwQxwYZQy 3/z72507ÿ._ÿ.33793ÿ.2ÿ{57.672{ÿ,/4[7.ee^c 4 p^k}\od^ÿ~ÿ.ee^c,pl~]^ÿ9rs^ e,pl~]^ 9 ƒÿ ˆˆˆ X a:g b m ÿtji>ÿu<h@fkbÿjpp@eibÿ :CJ=;<FÿaPCŠJhÿ:@=H@=JBK@Iÿ TtŒ :@IO=<FFK@IJ;ÿ <U<=J;ÿ:=<UKBÿ IK@Iÿ TtŒ QZZWZZQÿŽÿ YSZWZZZ IB<=<FB QWZZQÿŽÿ QSWZZZ IB<=<FB QÿŽÿ YZZ X a:g b m ÿtji>ÿtpp@eibfÿ X@Eh;<ÿ JO;<ÿb<B=@;<Egÿ:@`ÿ Œ m@i< m@i< YZQÿŽÿ QWZZZ X a:g b m ÿab@p>wÿm@ÿfb@p>ÿf@;uwÿ:@ghji ÿkiÿtji>=ehbp ÿ N :t m ÿn<jwÿmfwÿ aÿ X a:g b m ÿ šekhg<ibÿg<ibj;ÿ <U=JWÿNN:WÿQZZ ÿ IB<=<FBÿ œ f ÿ a Œ QZZWZZQÿŽÿ YSZWZZZ IB<=<FBWÿG<IB QÿŽÿ YZZ N :t m ÿn<jwÿmfwÿ aÿ ž=<<wÿn XWÿQZZ ÿ IB<=<FBÿ NŒ QÿŽÿ QWZZZm@I< QSWZZQÿŽÿ SZWZZZXKLKU<IUF QWZZQÿŽÿ YWSZZ X a:g b m ÿ šekhg<ibÿg<ibj;wÿt@@>ÿaj;<fÿ X a:g b m ÿ E=B;<hJP>ÿN@BWÿ ÿ@=ÿ:wÿmfÿ IL<FBg<IBÿNJIUÿ Œ N<Jÿ:@EIB ÿtjipfcj=<fÿ baœ QZZWZZQÿŽÿ YSZWZZZm@I< X a:g b m ÿab@p>ÿ N<Jÿ:@EIB ÿabjb<ÿtji>ÿ TtŒ SZWZZQÿŽÿ QZZWZZZ IB<=<FB ab QWZZZWZZQÿŽ SWZZZWZZZ QÿŽÿ YZZ X a:g b m ÿf@i< ÿfj=><bÿtpp@eibÿ !"#$25542%3&'()$* 21&

6 ÿ8ÿ9,,. =BCÿD EFGHHHI JZOfLSZghÿJV`MÿgiMÿjkÿ lmkoesnlszghÿmopbaqvtuÿrÿnwsavwutÿevtùcÿ JKLMÿJJOMÿPQQRÿSTUVWVXUÿYZJ[ nc`btxÿfcÿfqvwbùtÿnbavcbtvmÿjnÿyzl[ kn]pÿ^ÿ]pmqqqest`cut \L]PMQQQMQQPÿ^ ]_MQQQMQQQ O`abÙcÿd`bTXM STUVWVXUMÿeVTU ]Pÿ^ÿ]vQQ ]PQQMQQPÿ^ÿ]PMQQQMQQQ lmkoesnlszghÿest`cutÿstusqvÿ JZOfLSZghÿJV`MÿgiMÿjkÿ lmkoesnlszghÿlbxbwvtwxmÿstuvwvxumÿo`abùcÿd`btxmÿrÿmopbaqvtuÿevtùcÿ LWbTbUtÿSTwpXUWbVXMÿSTuMÿPQQRÿSTUVWVXUÿYZJ[ \L]_MQQQMQQPÿ^ ]v_mqqqmqqq O`abÙcÿd`bTXM lbxbwvtwxmÿstuvwvxum evtu ]PQQMQQPÿ^ÿ]PMQQQMQQQ lmkoesnlszghÿz`t{ÿfuusptuÿ jkffÿkvwvẁcÿk`xbtyxÿz`t{ÿyzf[ jkffÿkmn SefÿKlSOÿSTXÿYS}[ \L]PMQQPÿ^ÿ]P_MQQQSTUVWVXU kn]pqqmqqpÿ^ÿ]v_qmqqqgstv ]Pÿ^ÿ]vQQ lmkoesnlszghÿsefÿ lmkoesnlszghÿkbqacvÿsefÿ jkffÿkbqacvÿsefÿklsoÿstxÿys}[ ~VcXÿK`WysÿrÿOsqa`Ttÿ~KO ÿykl[ kn]_qmqqpÿ^ÿ]pqqmqqqgstv ÿkswÿu VÿusqacVUVÿcbXUÿsƒÿ`XXVUÿUtaVÿ` WVxb`UbsTXMÿacV`XVÿxbXbUÿ UaXh ƒw spxv ysx WVƒVWVTuV `XXVU^UtaV^uswVX `Xa kn]p_mqqpÿ^ÿ]_qmqqqlbxbwvtwx ]vqpÿ^ÿ]pmqqq ˆ Š Œ ŠÿŽ ÿ= ˆ=:/ gstvÿwbxucsxvw ˆ Š Œ Šÿˆ ÿš Š ÿ: ˆ/ Š JV`ÿOspTUtÿkÙUVÿz`T{ JV`ÿOspTUtÿz`TuX `WVXÿSTu 862; kaspxvÿlbwvuuswÿkvvx =>? ]vmqqq QQ ]PvM QQ QQ <861. ˆ Š Œ Šÿ ÿ :Ž: :=:Š gstvÿwbxucsxvw ˆ Š Œ ŠÿŠ ÿ / :=:/ k `WV scwvw nwvxbwvtu 8,. 81 m VwẀMÿJJO LWbTbUtÿSTwpXUWbVXMÿSTu 4<ÿ89ÿ/ ivq VW dwvvmÿjll !"#$25542%3&'()$* 41&

7 ÿ8ÿ9,./.,0 1234ÿ,6ÿ78920.:2/.,0 ;<=><? FG?<HIJ?KL?<MGN<OI XYZ[\]^[ÿ_`ÿabc[[d[1eX fjo<ÿngmhvjm<ng PI<QROÿSÿETOIUGRÿL<R?H<ÿEUR?GIR>V<ÿAJWONRIGJO XYZ[\]^[ÿb`ÿbh_eX fjo<ÿngmhvjm<ng XYZ[\]^[ÿZ`ÿecai[^ÿajd[1eXÿa1\ÿc[hdk]cX[d[1eX fjo<ÿngmhvjm<ng XYZ[\]^[ÿh`ÿajd[1eXÿda\[ÿe7ÿYZachejÿh1ÿ^h[]ÿ7_ÿZ717cacha fjo<ÿngmhvjm<ng [ly^]xh71xÿ7_ÿx7]x[mÿ\[[1\[1emÿ7cÿec]xeÿh1_7cdaeh71 h7nÿfgnÿtjwÿow?hurm<ÿrotÿmur?<mÿiuriÿp<?<ÿrvjhri<nÿrmÿrÿor?iÿjqÿroÿrogigrvÿlw>vghÿsq<?gotu TJWÿ< HVWN<Nÿq?J=ÿIUGMÿ?<oJ?IÿN<IRGVMÿJqÿMWHUÿRÿI?WMIÿ><O<qGIGOtÿTJWCÿTJW?ÿMoJWM<CÿJ?ÿN<o<ON<OIÿHUGVNu e8w/nÿf<irgvmÿ?<tr?ngotÿxywrvgqg<nÿzvgonÿb?wmimxÿroo?jq<nÿ>tÿiu<ÿej==gi<<ÿjoÿ{iughmÿronÿh<?irgoÿjiu<?ÿx< H<oI<NÿI?WMIMxÿO<<NÿOJIÿ><ÿNGMHVJM<Ngÿ}RQ< [~43/.,0nÿ}RQ<ÿTJWÿ< HVWN<Nÿq?J=ÿIUGMÿ?<oJ?IÿROTÿJIU<?ÿRMM<IMCÿxWO<R?O<NxÿGOHJ=<CÿI?ROMRHIGJOMCÿJ?ÿVGR>GVGIG<MÿJqÿRÿMoJWM<ÿJ?ÿN<o<ON<OIÿHUGVNÿ><HRWM< IU<Tÿ=<<IÿRVÿIU?<<ÿI<MIMÿqJ?ÿ< <=oigjou Y7dd[1eX ÿv<mÿÿfj Y[ceh_hYaeh71ÿa1\ÿXhb1ae]c[ RONÿ><VG<qg \.9./2 ƒÿx.904 `ÿ}jogÿpi<qroÿl<r?h<ÿcÿ K ˆK Š ÿrÿe{ BrAvÿIURIÿIU<ÿMIRI<=<OIMÿrÿURQ<ÿ=RN<ÿJOÿIU<ÿRIRHU<NÿAGOROHGRVÿFGMHVJMW?<ÿ <oj?iÿr?<ÿi?w<cÿhj=ov<i<cÿronÿhj??<hiÿijÿiu<ÿ><miÿjqÿ=tÿ OJpV<Nt< !"#$25542%3&'()$* &1&