Form

8879

IRS e-file Signature Authorization

j Do not send to the IRS. This is not a tax return. j Keep this form for your records. See instructions. k l 9619632012053b090069

OMB No. 1545-0074

Department of the Treasury Internal Revenue Service

2011
Social security number

Declaration Control Number (DCN) Taxpayer's name

FERNANDO VAZQUEZ
Spouse's name

567-93-5467
Spouse's social security number

MARIA SOLIS
Part I
1 2 3 4 5

607-09-8099
(Whole Dollars Only) 1 2 3 4 5

Tax Return Information-Tax Year Ending December 31, 2011

Adjusted gross income (Form 1040, line 38; Form 1040A, line 22; Form 1040EZ, line 4) ........................ Total tax (Form 1040, line 61; Form 1040A, line 35; Form 1040EZ, line 10) .................................... Federal income tax withheld (Form 1040, line 62; Form 1040A, line 36; Form 1040EZ, line 7) .................... Refund (Form 1040, line 74a; Form 1040A, line 43a; Form 1040EZ, line 11; Form 1040-SS, Part I, line 12a) .. Amount you owe (Form 1040, line 76; Form 1040A, line 45; Form 1040EZ, line 12) ............................

31,540. 336. 6,889.

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, 2011, 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 acknowledgment 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. I further understand that this authorization may apply to future Federal tax payments that I direct to be debited through the Electronic Federal Tax Payment System (EFTPS). In order for me to initiate future payments, I request that the IRS send me a personal identification number (PIN) to access EFTPS. 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 a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 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

12345 to enter or generate my PIN ERO firm name Enter five numbers, but as my signature on my tax year 2011 electronically filed income tax return. do not enter all zeros I will enter my PIN as my signature on my tax year 2011 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. Your signature j Date j 02/22/2012
I authorize Spouse's PIN: check one box only

QUALITY TAX SERVICES

12345 to enter or generate my PIN ERO firm name Enter five numbers, but as my signature on my tax year 2011 electronically filed income tax return. do not enter all zeros I will enter my PIN as my signature on my tax year 2011 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. Spouse's signature j Date j 02/22/2012
I authorize

QUALITY TAX SERVICES

Practitioner PIN Method Returns Only-continue below

Part III Certification and Authentication-Practitioner PIN Method Only

ERO's EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN.

96196311111
do not enter all zeros

I certify that the above numeric entry is my PIN, which is my signature for the tax year 2011 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. ERO's signature j SANTIAGO TORRES Date j

02/22/2012

ERO Must Retain This Form - See Instructions Do Not Submit This Form to the IRS Unless Requested To Do So
For Paperwork Reduction Act Notice, see your tax return instructions. BCA
US8879$1

Form

8879 (2011)

Form

1040

Department of the Treasury - Internal Revenue Service

(99)

U.S. Individual Income Tax Return

Last name Last name

2011
,2011, ending

OMB No. 1545-0074

,20

IRS Use Only-Do not write or staple in this space.

For the year Jan. 1-Dec. 31, 2011, or other tax year beginning

Your first name and initial

See separate instructions. Your social security number

FERNANDO VAZQUEZ
If a joint return, spouse's first name and initial

567-93-5467
Spouse's social security no. Apt. no.

MARIA SOLIS
Home address (number and street). If you have a P.O. box, see instructions.

835 BOLLERO PL
City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).

607-09-8099 sure the SSN(s) above k Make and on line 6c are correct.

CORONA CA 92882Foreign country name 1 2 3 Foreign province/county Foreign postal code

You Spouse Single 4 Head of household (with qualifying person). (See instructions.) X Married filing jointly (even if only one had income) Filing Status If the qualifying person is a child but not your dependent, enter Married filing separately. Enter spouse's SSN above this child's name here.j Check only one box. and full name here. j 5 Qualifying widow(er) with dependent child X Yourself. If someone can claim you as a dependent, do not check box 6a ................ Boxes checked on Exemptions 6a X Spouse .................................................................................. j6a and 6b 2 b /if child under No. of children (3) Dependent's (4) V If more than c Dependents: (2) Dependent's under age 17 quali- on 6c who: relationship to fying for child tax 3 four depen- (1) First name Last name social security no. you lived with you credit (see instr.) did not live with FERNANDO VAZQUEZ 622-84-0145SON X dents, see you due to divorce or separation ANGEL VAZQUEZ 612-11-0449SON X 0 instr. and (see instr.) Dependents on 6c JULIET VAZQUEZ 614-45-4128DAUGHTER X 0 check not entered above here j Add numbers 5 d Total number of exemptions claimed ............................................................................ on lines abovej Income 7 Wages, salaries, tips, etc. Attach Form(s) W-2 24,296. 7 8a Taxable interest. Attach Schedule B if required .......................................... 8a Attach Form(s) W-2 here. b Tax-exempt interest. Do not include on line 8a .......... 8b Also attach Forms 9a Ordinary dividends. Attach Schedule B if required ........................................ 9a W-2G and b Qualified dividends ...................................... 9b 1099-R if tax was withheld. 10 Taxable refunds, credits, or offsets of state and local income taxes ........................ 10 11 Alimony received .......................................................................... 11 12 Business income or (loss). Attach Schedule C or C-EZ .................................... 12 13 Capital gain or (loss). Attach Schedule D if required. If not required, check here j 13 If you did not get a W-2, 14 Other gains or (losses). Attach Form 4797 ................................................ 14 see instructions. 15a IRA distributions .......... 15a b Taxable amount .......... 15b 16a Pensions and annuities .... 16a b Taxable amount .......... 16b 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E .... 17 18 Farm income or (loss). Attach Schedule F ................................................ 18 Enclose, but do 7,244. 19 Unemployment compensation ............................................................ 19 not attach, any 20a Social security benefits .. 20a b Taxable amount .......... 20b payment. Also, please use 21 Other income. List type and amount (see instr.) 21 Form 1040-V. 31,540. 22 Combine the amounts in the far right column for lines 7 through 21.This is your total income j 22 23 Educator expenses ........................................ 23 Adjusted 24 Certain business expenses of reservists, performing artists, Gross and fee-basis gov. 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 28 Self-employed SEP, SIMPLE, and qualified plans ........ 28 29 Self-employed health insurance deduction ................ 29 30 Penalty on early withdrawal of savings .................... 30 31a Alimony paid b Recipient's SSN j 31a 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 31,540. 37 Subtract line 36 from line 22. This is your adjusted gross income .................... j 37 BCA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. US1040$1 Form 1040 (2011)

Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund.

Presidential Election Campaign

. .

Form 1040 (2011)

FERNANDO VAZQUEZ & MARIA SOLIS

j

567-93-5467
38

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, $5,800 Married filing jointly or Qualifying widow(er), $11,600 Head of household, $8,500

38 Amount from line 37 (adjusted gross income) .............................................. 39a Check You were born before Jan. 2, 1947, Blind. j Total boxes if: Spouse was born before Jan. 2, 1947, Blind. checked j 39a j 39b b If your spouse itemizes on a separate return or you were a dual-status alien, check here 40 Itemized deductions (from Schedule A) or your standard deduction (see left margin) ...... 41 Subtract line 40 from line 38 .............................................................. 42 Exemptions. Multiply $3,700 by the number on line 6d .................................... 43 Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- ...... 44 Tax (see instructions). Check if any tax is from: a Form(s) 8814 b Form 4972 c 962 election . 45 Alternative minimum tax (see instructions). Attach Form 6251 ............................ 46 Add lines 44 and 45 ................................................................... j 47 Foreign tax credit. Attach Form 1116 if required ............ 47 48 Credit for child and dependent care expenses. Attach Form 2441 ...... 48 49 Education credits from Form 8863, line 23 .................. 49 50 Retirement savings contributions credit. Attach Form 8880 .. 50 144. 51 Child tax credit (see instructions) .......................... 51 52 Residential energy credits. Attach Form 5695 52 53 Other credits from Form: a 3800 b 8801 c 53 54 Add lines 47 through 53. These are your total credits ...................................... 55 Subtract line 54 from line 46. If line 54 is more than line 46, enter -0- .................. j

31,540.

40 41 42 43 44 45 46

11,600. 19,940. 18,500. 1,440. 144. 144.

Other Taxes

56 Self-employment tax. Attach Schedule SE ................................................ 57 Unreported social security and Medicare tax from Form: a 4137 b 8919 .... 58 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required .. 59a Household employment taxes from Schedule H ............................................ b First-time homebuyer credit repayment. Attach Form 5405 if required ...................... 60 Other taxes. Enter code(s) from instructions 61 Add lines 55 through 60. This is your total tax ........................................ j 336. FORM 62 Federal income tax withheld from Forms W-2 and 1099 .... 62 Payments 63 2011 estimated tax payments and amount applied from 2010 return .... 63 If you have a 3,697. 64a Earned income credit (EIC) .............................. 64a qualifying child, combat b Nontaxable ........ 64b attach Schedule pay election EIC. 2,856. 65 Additional child tax credit. Attach Form 8812................ 65 66 American opportunity credit from Form 8863, line 14 ........ ...... 66 67 First-time homebuyer credit from Form 5405, line 10 ........ 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 8839 c 8801 d 8885 71 72 Add lines 62, 63, 64a, and 65 through 71. These are your total payments .............. j 72 73 If line 72 is more than line 61, subtract line 61 from line 72. This is the amount you overpaid 73 Refund 74a Amount of line 73 you want refunded to you. If Form 8888 is attached, check here j 74a Routing Savings j b number j c Type: Checking Account Direct deposit? j d number See instructions 75 Amount of line 73 you want applied to your 2012 estimated tax j 75 76 Amount you owe. Subtract line 72 from line 61. For details on how to pay, see inst. .... j 76 Amount You Owe 77 Estimated tax penalty (see instructions) .................... 77 Yes. Complete below. Third Party Do you want to allow another person to discuss this return with the IRS (see instructions)?

54 55 56 57 58 59a 59b 60 61

144.

1099

6,889. 6,889. 6,889.

No

Designee Sign Here

Joint return? See instr. Keep a copy for your records.

Designee's Personal identification Phone number (PIN) name 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 complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Your signature

Date Date

Your occupation

Daytime phone number

k l

LANDSCAPER
Spouse's signature.If a joint return, both must sign. Spouse's occupation

951-642-0621
If the IRS sent you an Identity Protection PIN, enter it here (see inst.) Check

HOMEMAKER
Print/Type preparer's name Preparer's signature Date

if

PTIN

Paid Preparer's Use Only

SANTIAGO TORRES SANTIAGO TORRES Firm's name j QUALITY TAX SERVICES Firm's address j 622 E 83RD ST LOS ANGELES CA 90001US1040$2

02/22/2012

self-employed

P01376510

Firm's EIN j Phone no.

323-378-9569
Form

BCA

1040 (2011)

098 TAXABLE YEAR

DO NOT MAIL THIS FORM TO THE FTB

2011
Your name

California e-file Signature Authorization for Individuals

00961963800222
Your SSN or ITIN

FORM

8879

FERNANDO VAZQUEZ
Spouse's/RDP's name

567-93-5467
Spouse's/RDP's SSN or ITIN

MARIA SOLIS
Part I

607-09-8099

Tax Return Information (whole dollars only) 1 California Adjusted Gross Income (Form 540, line 17, Form 540 2EZ, line 16, Long Form 540NR, line 32; 24,296. or Short Form 540NR, line 32) .......................................................................................... 1 2 Amount You Owe (Form 540, line 111; Form 540 2EZ, line 27; Long Form 540NR, line 121; or Short Form 540NR, line 121) 2 3 Refund or No Amount Due (Form 540, line 115; Form 540 2EZ, line 28; Long Form 540NR, line 125; or Short Form 540NR, line 125) ........................................................................................ 3 Part II Taxpayer Declaration and Signature Authorization (Be sure you obtain and keep a copy of your return.) Under penalties of perjury, I declare that I have examined a copy of my individual income tax return and accompanying schedules and statements for the tax year ending December 31, 2011, and to the best of my knowledge and belief, it is true, correct, and complete. I further declare that the information I provided to my Electronic Return Originator (ERO), Transmitter, or Intermediate Service Provider (including my name, address, and social security number or individual tax identification number) and the amounts shown in Part I above agree with the information and amounts shown on the corresponding lines of my electronic income tax return. If applicable, I authorize an electronic funds withdrawal of the amount on line 2 and/or the estimated tax payments as shown on my return and on form FTB 8455, California e-file Payment Record, or a comparable form. If applicable, I declare that direct deposit refund amount on line 3 agrees with the direct deposit authorization stated on my return. If I have filed a joint return, this is an irrevocable appointment of the other spouse/RDP as an agent to authorize an electronic funds withdrawal or direct deposit. I authorize my ERO, Transmitter, or Intermediate Service Provider to transmit my complete return to the Franchise Tax Board (FTB). If the processing of my return or refund is delayed, I authorize the FTB to disclose to my ERO, Intermediate Service Provider, and/or Transmitter the reason(s) for the delay or the date when the refund was sent. If I am filing a balance due return, I understand that if the FTB does not receive full and timely payment of my tax liability, I remain liable for the tax liability and all applicable interest and penalties. I acknowledge that I have read and consent to Electronic Funds Withdrawal Consent included on the copy of my electronic income tax return. I have selected a personal identification number (PIN) as my signature for my electronic income tax return and, if applicable, my Electronic Funds Withdrawal Consent. Taxpayer's PIN: check one box only

I authorize

QUALITY TAX SERVICES

ERO firm name as my signature on my 2011 e-filed California individual income tax return.

to enter my PIN 12345 Do not enter all zeros

I will enter my PIN as my signature on my 2011 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. Your signature

Date

j 02/22/2012

Spouse's/RDP's PIN: check one box only

I authorize

QUALITY TAX SERVICES

ERO firm name as my signature on my 2011 e-filed California individual income tax return.

to enter my PIN 12345 Do not enter all zeros

I will enter my PIN as my signature on my 2011 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 j Date

j 02/22/2012

Part III

Practitioner PIN Method Returns Only - continue below Certification and Authentication - Practitioner PIN Method Only

ERO's EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN.

96196311111

Do not enter all zeros I certify that the above numeric entry is my PIN, which is my signature for the 2011 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, 20101 e-file Handbook for Authorized e-file Providers. ERO's signaturej Date

j 02/22/2012

For Privacy Notice, get form FTB 1131.

CA8879$1

FTB 8879 C2 2011

For Privacy Notice, get form FTB 1131.

California Resident Income Tax Return 2011

APE 567-93-5467 FERNANDO MARIA VAZQ ** 607-09-8099 VAZQUEZ SOLIS CA 72 73 74 91 92 93 94 95 400 401 402 403 404 405 406 407 92882 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 408 410 412 413 414 415 416 417 418 419 110 111 112 113 115 116 117 11

FORM

540

C1 Side 1 P AC A R RP

ATTACH FED RETURN

835 BOLLERO PL CORONA 01 06 09 10 12 14 16 17 18 31 34 40 41 42 43 44 45 46 61 62 63 64 71 2 0 0 3 24240 7244 0 24296 7538 190 0 0 0 0 0 0 0 0 0 0 0 0 0

05-03-1975 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

08-15-1975 APE 0 FS 0 3800 0 3803 0 SCHG1 0 5870A 0 5805 5805F 0 DESIGNEE 0 TPIDP 01376510 FN

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete.

Sign Here
It is unlawful to forge a spouse's/RDP's signature.

Your signature (if a joint return, both must sign) Daytime phone number (optional) 951-642-0621 Date Your email address (optional). Enter only one.

Spouse's/RDP's signature

Joint tax return? (see instructions)

| Paid preparer's PTIN P01376510 Firm's name (or yours, if self-employed) Firm's address LOS ANGELES 90001| FEIN QUALITY TAX SERVICES 622 E 83RD ST Do you want to allow another person to discuss this return with us (see instructions)? ...................... | Yes X No
Paid preparer's signature (declaration of preparer is based on all information of which preparer has any knowledge)

SANTIAGO TORRES

Print Third Party Designee's Name

CA540$$1

Telephone Number

098

3101116

Your name: FERNANDO 1 2 3 4 5 6 7 Exemptions

SSN VAZQUEZ & MAYour 567-93-5467 or ITIN:

8 9 10 Dependents: Enter name and relationship. Do not include yourself or your spouse/RDP. FERNANDO VAZ ANGEL VAZQUE Total dependent exemptions .............. | 10 3 X $315 = $ $ 11 Exemption amount: Add line 7 through line 10. Transfer this amount to line 32 ................. 11 24,240 12 State wages from your Form(s) W-2, box 16 ......................................| 12 13 13 Enter federal adjusted gross income from Form 1040, line 37; Form 1040A, line 21; Form 1040EZ, line ......... 4 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 16 California adjustments - additions. Enter the amount from Schedule CA (540), line 37, column C................| 16 17 California adjusted gross income. Combine line 15 and line 16.................................................| 17 18 Enter the larger of your CA standard deduction OR your CA itemized deductions .............................| 18 19 Subtract line 18 from line 17. This is your taxable income. If less than zero, enter -0- .......................... 19 31 Tax. Check box if from: X Tax Table Tax Rate Sch. FTB 3800 FTB 3803 ................| 31 32 Exemption credits. Enter the amount from line 11. If your federal AGI is more than $166,565 (see instructions) .. 32 33 33 Subtract line 32 from line 31. If less than zero, enter -0- ...................................................... ...... 34 Tax. (see instructions) Check box if from: Schedule G-1 Form FTB 5870A ..........................| 34 35 35 Add line 33 and line 34 ....................................................................................

Single Married/RDP filing jointly. (see instructions). Married/RDP filing separately. Enter spouse's/RDP's SSN or ITIN above and full name here Head of household (with qualifying person). (see instructions) Qualifying widow(er) with dependent child. Enter year spouse/RDP died. If your California filing status is different from your federal filing status, check the box here ..........................| If someone can claim you (or your spouse/RDP) as a dependent, check the box here (see instructions) ..............| 6 Personal: If you checked 1, 3, or 4 above, enter 1 in the box. If you checked 2 or 5, enter 2 in the box. Whole dollars only 2 X $102 = $ 204 If you checked the box on line 6, see instructions .............................................. 7 Blind: If you (or your spouse/RDP) are visually impaired, enter 1; if both are visually impaired, enter 2 8 X $102 = $ Senior: If you (or your spouse/RDP) are 65 or older, enter 1; if both are 65 or older, enter 2 ...... | 9 X $102 = $

Filing Status

945 1,149 31,540 7,244 24,296 24,296 7,538 16,758 190 1,149 0

Taxable Income

o o

Tax

Other Taxes

40 41 42 43 44 45 46 47 49 61 62 63 64 71 72 73 74 75 91 92 93 94 95

Use Overpaid Tax Tax/Tax Due

Nonrefundable Child and Dependent Care Expenses Credit, Code 232 (See instructions). Attach form FTB 3506| New jobs credit, amount generated (see instructions)................................| 41 New jobs credit, amount claimed (see instructions) ..........................................................| Credit Code amount ..........................j Credit Code amount ..........................j To claim more than two credits (see instructions) ..............................................................| Nonrefundable renter's credit (see instructions) ..............................................................| Add line 40 and line 42 through line 46. These are your total ...................................................... credits Subtract line 47 from line 35. If less than zero, enter -0- ...................................................... Alternative minimum tax. Attach Schedule P (540) ............................................................| Mental Health Services Tax (see instructions) ................................................................| Other taxes and credit recapture (see instructions) ............................................................| Add line 49, line 61, line 62, and line 63. This is your total tax .................................................. | California income tax withheld (see instructions) ..............................................................| 2011 CA estimated tax and other payments (see instructions) .................................................| Real estate and other withholding (see instructions) ..........................................................| Excess SDI (or VPDI) withheld (see instructions) ..............................................................| Add line 71, line 72, line 73, and line 74. These are your total payments (see instructions)...................... Overpaid tax. If line 75 is more than line 64, subtract line 64 from line 75 .................................... Amount of line 91 you want applied to 2011 estimated tax .................................................. | Overpaid tax available this year. Subtract line 92 from line 91 .............................................. | Tax due. If line 75 is less than line 64, subtract line 75 from line 64............................................... Use Tax. This is not a total line (see instructions) ..................................| 95 00

40 42 43 44 45 46 47 49 61 62 63 64 71 72 73 74 75 91 92 93 94

Payments

Special Credits

Side 2 Form 540 C1 2011

098

3102116

CA540$$2

Your name: FERNANDO

VAZQUEZ & MARIA S

Your SSN or ITIN: 567-93-5467 Code 400 401 402 403 404 405 406 407 408 410 412 413 414 415 416 417 418 419 110 Amount

California Seniors Special Fund (see instructions) .............................................................| Alzheimer's Disease/Related Disorders Fund..................................................................| California Fund for Senior Citizens ............................................................................| Rare and Endangered Species Preservation Program .........................................................| State Children's Trust Fund for the Prevention of Child Abuse..................................................| California Breast Cancer Research Fund......................................................................| California Firefighters' Memorial Fund ........................................................................| Emergency Food for Families Fund .........................................................................| California Peace Officer Memorial Foundation Fund ...........................................................| California Sea Otter Fund ....................................................................................| Municipal Shelter Spay-Neuter Fund ........................................................................| California Cancer Research Fund ..............................................................................| ALS/Lou Gehrig's Disease Research Fund ....................................................................| Arts Council Fund ............................................................................................| California Police Activities League (CALPAL) Fund ............................................................| California Veterans Homes Fund..............................................................................| Safely Surrendered Baby Fund ..............................................................................| Child victims of Human Trafficking Funds ....................................................................| 110 Add code 400 through code 419. These are your total contribution
......................................

00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00

Contributions

Amount You Owe

111

AMOUNT YOU OWE. Add line 94, line 95, and line 110 (see instructions). Do Not Send Cash. Mail to: FRANCHISE TAX BOARD, PO BOX 942867, SACRAMENTO CA 94267-0009..| 111 Pay online - Go to ftb.ca.gov and search for web pay. Interest, late return penalties, and late payment penalties .................................................112 Underpayment of estimated tax. Check box: FTB 5805 attached FTB 5805F attached.......|113 Total amount due (see instructions). Enclose, but do not staple, any payment..............................114

Interest and Penalties

112 113 114

115 Refund and Direct Deposit

REFUND OR NO AMOUNT DUE. Subtract line 95 and line 110 from line 93 (see instructions). Mail to: FRANCHISE TAX BOARD, PO BOX 942840, SACRAMENTO CA 94240-0009 ...........| 115

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 instr.) 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: Checking Savings |Routing number |Type |Account number | 116 Direct deposit amount The remaining amount of my refund (line 115) is authorized for direct deposit into the account shown below: Checking Savings |Routing number |Type |Account number | 117 Direct deposit amount

CA540$$3

098

3103116

Form 540 C1 2011 Side 3

QUALITY TAX SERVICES 622 E 83RD ST LOS ANGELES CA 90001 323-378-9569 February 22, 2012 FERNANDO VAZQUEZ & MARIA SOLIS 835 BOLLERO PL CORONA, CA 92882Dear FERNANDO & MARIA, Enclosed are your 2011 Federal and state income tax returns. Your Federal income tax refund is $6,889.00. Your Federal tax return has been filed electronically. Your refund will be mailed to you by the Internal Revenue Service. Please keep a copy of the return with your records. Your 2011 CA state tax return was filed electronically. There is no refund or tax due. Please keep the enclosed copy for your records. If you have any questions, please call us. We appreciate the opportunity to serve you. Sincerely, SANTIAGO TORRES

Form

8879

IRS e-file Signature Authorization

j Do not send to the IRS. This is not a tax return. j Keep this form for your records. See instructions. k l 9619632012053b090069

OMB No. 1545-0074

Department of the Treasury Internal Revenue Service

2011
Social security number

Declaration Control Number (DCN) Taxpayer's name

FERNANDO VAZQUEZ
Spouse's name

567-93-5467
Spouse's social security number

MARIA SOLIS
Part I
1 2 3 4 5

607-09-8099
(Whole Dollars Only) 1 2 3 4 5

Tax Return Information-Tax Year Ending December 31, 2011

Adjusted gross income (Form 1040, line 38; Form 1040A, line 22; Form 1040EZ, line 4) ........................ Total tax (Form 1040, line 61; Form 1040A, line 35; Form 1040EZ, line 10) .................................... Federal income tax withheld (Form 1040, line 62; Form 1040A, line 36; Form 1040EZ, line 7) .................... Refund (Form 1040, line 74a; Form 1040A, line 43a; Form 1040EZ, line 11; Form 1040-SS, Part I, line 12a) .. Amount you owe (Form 1040, line 76; Form 1040A, line 45; Form 1040EZ, line 12) ............................

31,540. 336. 6,889.

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, 2011, 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 acknowledgment 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. I further understand that this authorization may apply to future Federal tax payments that I direct to be debited through the Electronic Federal Tax Payment System (EFTPS). In order for me to initiate future payments, I request that the IRS send me a personal identification number (PIN) to access EFTPS. 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 a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 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

12345 to enter or generate my PIN ERO firm name Enter five numbers, but as my signature on my tax year 2011 electronically filed income tax return. do not enter all zeros I will enter my PIN as my signature on my tax year 2011 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. Your signature j Date j 02/22/2012
I authorize Spouse's PIN: check one box only

QUALITY TAX SERVICES

12345 to enter or generate my PIN ERO firm name Enter five numbers, but as my signature on my tax year 2011 electronically filed income tax return. do not enter all zeros I will enter my PIN as my signature on my tax year 2011 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. Spouse's signature j Date j 02/22/2012
I authorize

QUALITY TAX SERVICES

Practitioner PIN Method Returns Only-continue below

Part III Certification and Authentication-Practitioner PIN Method Only

ERO's EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN.

96196311111
do not enter all zeros

I certify that the above numeric entry is my PIN, which is my signature for the tax year 2011 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. ERO's signature j SANTIAGO TORRES Date j

02/22/2012

ERO Must Retain This Form - See Instructions Do Not Submit This Form to the IRS Unless Requested To Do So
For Paperwork Reduction Act Notice, see your tax return instructions. BCA
US8879$1

Form

8879 (2011)

Form

1040

Department of the Treasury - Internal Revenue Service

(99)

U.S. Individual Income Tax Return

Last name Last name

2011
,2011, ending

OMB No. 1545-0074

,20

IRS Use Only-Do not write or staple in this space.

For the year Jan. 1-Dec. 31, 2011, or other tax year beginning

Your first name and initial

See separate instructions. Your social security number

FERNANDO VAZQUEZ
If a joint return, spouse's first name and initial

567-93-5467
Spouse's social security no. Apt. no.

MARIA SOLIS
Home address (number and street). If you have a P.O. box, see instructions.

835 BOLLERO PL
City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).

607-09-8099 sure the SSN(s) above k Make and on line 6c are correct.

CORONA CA 92882Foreign country name 1 2 3 Foreign province/county Foreign postal code

You Spouse Single 4 Head of household (with qualifying person). (See instructions.) X Married filing jointly (even if only one had income) Filing Status If the qualifying person is a child but not your dependent, enter Married filing separately. Enter spouse's SSN above this child's name here.j Check only one box. and full name here. j 5 Qualifying widow(er) with dependent child X Yourself. If someone can claim you as a dependent, do not check box 6a ................ Boxes checked on Exemptions 6a X Spouse .................................................................................. j6a and 6b 2 b /if child under No. of children (3) Dependent's (4) V If more than c Dependents: (2) Dependent's under age 17 quali- on 6c who: relationship to fying for child tax 3 four depen- (1) First name Last name social security no. you lived with you credit (see instr.) did not live with FERNANDO VAZQUEZ 622-84-0145SON X dents, see you due to divorce or separation ANGEL VAZQUEZ 612-11-0449SON X 0 instr. and (see instr.) Dependents on 6c JULIET VAZQUEZ 614-45-4128DAUGHTER X 0 check not entered above here j Add numbers 5 d Total number of exemptions claimed ............................................................................ on lines abovej Income 7 Wages, salaries, tips, etc. Attach Form(s) W-2 24,296. 7 8a Taxable interest. Attach Schedule B if required .......................................... 8a Attach Form(s) W-2 here. b Tax-exempt interest. Do not include on line 8a .......... 8b Also attach Forms 9a Ordinary dividends. Attach Schedule B if required ........................................ 9a W-2G and b Qualified dividends ...................................... 9b 1099-R if tax was withheld. 10 Taxable refunds, credits, or offsets of state and local income taxes ........................ 10 11 Alimony received .......................................................................... 11 12 Business income or (loss). Attach Schedule C or C-EZ .................................... 12 13 Capital gain or (loss). Attach Schedule D if required. If not required, check here j 13 If you did not get a W-2, 14 Other gains or (losses). Attach Form 4797 ................................................ 14 see instructions. 15a IRA distributions .......... 15a b Taxable amount .......... 15b 16a Pensions and annuities .... 16a b Taxable amount .......... 16b 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E .... 17 18 Farm income or (loss). Attach Schedule F ................................................ 18 Enclose, but do 7,244. 19 Unemployment compensation ............................................................ 19 not attach, any 20a Social security benefits .. 20a b Taxable amount .......... 20b payment. Also, please use 21 Other income. List type and amount (see instr.) 21 Form 1040-V. 31,540. 22 Combine the amounts in the far right column for lines 7 through 21.This is your total income j 22 23 Educator expenses ........................................ 23 Adjusted 24 Certain business expenses of reservists, performing artists, Gross and fee-basis gov. 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 28 Self-employed SEP, SIMPLE, and qualified plans ........ 28 29 Self-employed health insurance deduction ................ 29 30 Penalty on early withdrawal of savings .................... 30 31a Alimony paid b Recipient's SSN j 31a 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 31,540. 37 Subtract line 36 from line 22. This is your adjusted gross income .................... j 37 BCA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. US1040$1 Form 1040 (2011)

Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund.

Presidential Election Campaign

. .

Form 1040 (2011)

FERNANDO VAZQUEZ & MARIA SOLIS

j

567-93-5467
38

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, $5,800 Married filing jointly or Qualifying widow(er), $11,600 Head of household, $8,500

38 Amount from line 37 (adjusted gross income) .............................................. 39a Check You were born before Jan. 2, 1947, Blind. j Total boxes if: Spouse was born before Jan. 2, 1947, Blind. checked j 39a j 39b b If your spouse itemizes on a separate return or you were a dual-status alien, check here 40 Itemized deductions (from Schedule A) or your standard deduction (see left margin) ...... 41 Subtract line 40 from line 38 .............................................................. 42 Exemptions. Multiply $3,700 by the number on line 6d .................................... 43 Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- ...... 44 Tax (see instructions). Check if any tax is from: a Form(s) 8814 b Form 4972 c 962 election . 45 Alternative minimum tax (see instructions). Attach Form 6251 ............................ 46 Add lines 44 and 45 ................................................................... j 47 Foreign tax credit. Attach Form 1116 if required ............ 47 48 Credit for child and dependent care expenses. Attach Form 2441 ...... 48 49 Education credits from Form 8863, line 23 .................. 49 50 Retirement savings contributions credit. Attach Form 8880 .. 50 144. 51 Child tax credit (see instructions) .......................... 51 52 Residential energy credits. Attach Form 5695 52 53 Other credits from Form: a 3800 b 8801 c 53 54 Add lines 47 through 53. These are your total credits ...................................... 55 Subtract line 54 from line 46. If line 54 is more than line 46, enter -0- .................. j

31,540.

40 41 42 43 44 45 46

11,600. 19,940. 18,500. 1,440. 144. 144.

Other Taxes

56 Self-employment tax. Attach Schedule SE ................................................ 57 Unreported social security and Medicare tax from Form: a 4137 b 8919 .... 58 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required .. 59a Household employment taxes from Schedule H ............................................ b First-time homebuyer credit repayment. Attach Form 5405 if required ...................... 60 Other taxes. Enter code(s) from instructions 61 Add lines 55 through 60. This is your total tax ........................................ j 336. FORM 62 Federal income tax withheld from Forms W-2 and 1099 .... 62 Payments 63 2011 estimated tax payments and amount applied from 2010 return .... 63 If you have a 3,697. 64a Earned income credit (EIC) .............................. 64a qualifying child, combat b Nontaxable ........ 64b attach Schedule pay election EIC. 2,856. 65 Additional child tax credit. Attach Form 8812................ 65 66 American opportunity credit from Form 8863, line 14 ........ ...... 66 67 First-time homebuyer credit from Form 5405, line 10 ........ 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 8839 c 8801 d 8885 71 72 Add lines 62, 63, 64a, and 65 through 71. These are your total payments .............. j 72 73 If line 72 is more than line 61, subtract line 61 from line 72. This is the amount you overpaid 73 Refund 74a Amount of line 73 you want refunded to you. If Form 8888 is attached, check here j 74a Routing Savings j b number j c Type: Checking Account Direct deposit? j d number See instructions 75 Amount of line 73 you want applied to your 2012 estimated tax j 75 76 Amount you owe. Subtract line 72 from line 61. For details on how to pay, see inst. .... j 76 Amount You Owe 77 Estimated tax penalty (see instructions) .................... 77 Yes. Complete below. Third Party Do you want to allow another person to discuss this return with the IRS (see instructions)?

54 55 56 57 58 59a 59b 60 61

144.

1099

6,889. 6,889. 6,889.

No

Designee Sign Here

Joint return? See instr. Keep a copy for your records.

Designee's Personal identification Phone number (PIN) name 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 complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Your signature

Date Date

Your occupation

Daytime phone number

k l

LANDSCAPER
Spouse's signature.If a joint return, both must sign. Spouse's occupation

951-642-0621
If the IRS sent you an Identity Protection PIN, enter it here (see inst.) Check

HOMEMAKER
Print/Type preparer's name Preparer's signature Date

if

PTIN

Paid Preparer's Use Only

SANTIAGO TORRES SANTIAGO TORRES Firm's name j QUALITY TAX SERVICES Firm's address j 622 E 83RD ST LOS ANGELES CA 90001US1040$2

02/22/2012

self-employed

P01376510

Firm's EIN j Phone no.

323-378-9569
Form

BCA

1040 (2011)

(Form 1040A or 1040)

Qualifying Child Information

........

1040 EIC

Department of the Treasury Internal Revenue Service (99)

Complete and attach to Form 1040A or 1040 only if you have a qualifying child.

Name(s) shown on return

FERNANDO VAZQUEZ & MARIA SOLIS 567-93-5467 Before you begin: | See the instructions for Form 1040A, lines 38a and 38b, or Form 1040, lines 64a and 64b, to make sure that
|
(a) you can take the EIC, and (b) you have a qualifying child. Be sure the child's name on line 1 and social security number (SSN) on line 2 agree with the child's social security card. Otherwise, at the time we process your return, we may reduce or disallow your EIC. If the name or SSN on the child's social security card is not correct, call the Social Security Administration at 1-800-772-1213.

!
CAUTION

| |

If you take the EIC even though you are not eligible, you may not be allowed to take the credit for up to 10 years. See instructions for details. It will take us longer to process your return and issue your refund if you do not fill in all lines that apply for each qualifying child.

Qualifying Child Information

1 Child's name If you have more than three qualifying children, you only have to list three to get the maximum credit. Child's SSN The child must have an SSN as defined in the instructions for Form 1040A, lines 38a and 38b, or Form 1040, lines 64a and 64b, unless the child was born and died in 2011. If your child was born and died in 2011 and did not have an SSN, enter "Died" on this line and attach a copy of the childs birth certificate, death certificate, or hospital medical records. Child's year of birth First name

Child 1
Last name First name

Child 2
Last name First name

FERNANDO VAZQUEZ

ANGEL VAZQUEZ

622-84-0145 1995 Year

If born after 1992 and the child was younger than you (or your spouse, if filing jointly), skip lines 4a and 4b; go to line 5.

612-11-0449 1998 Year

If born after 1992 and the child was younger than you (or your spouse, if filing jointly), skip lines 4a and 4b; go to line 5.

4 a Was the child under age 24 at the end of 2011, a student, and younger than you (or your spouse, if filing jointly)? b Was the child permanently and totally disabled during any part of 2011?

Yes. Go to line 5. Yes.

No. Go to line 4b. No.

Yes. Go to line 5. Yes.

Go to line 4b. No.

The child is not a Go to line 5. qualifying child. 5 Child's relationship to you (for example, son, daughter, grandchild, SON niece, nephew, foster child, etc.) 6 Number of months child lived with you in the United States during 2011 | If the child lived with you for more than half of 2011 but less than 7 months, enter "7." | If the child was born or died in 2011 12 months and your home was the child's home for the entire time he or she was alive Do not enter more than 12 during 2011, enter "12". months. For Paperwork Reduction Act Notice, see your tax return instructions.

The child is not a Go to line 5. qualifying child.

SON

12

months

Do not enter more than 12 Do not enter more than 12 months. months. Schedule EIC (Form 1040A or 1040) 2011

BCA

USEIC$$1

SCHEDULE EIC

Earned Income Credit

OMB No. 1545-0074

1040A

2011
Attachment Sequence No. 43 Your social security number

Child 3
Last name

JULIET VAZQUEZ

614-45-4128 2004 Year

If born after 1992 and the child was younger than you (or your spouse, if filing jointly), skip lines 4a and 4b; go to line 5.

No.

Yes. Go to line 5. Yes.

No. Go to line 4b. No.

The child is not a Go to line 5. qualifying child.

DAUGHTER

12

months

US Schedule EIC
Name:

Earned Income Credit Worksheet

SSN:

2011
567-93-5467 24,296.

FERNANDO VAZQUEZ & MARIA SOLIS

Figure Your Credit Amount from Form 1040 or 1040A, line 7, 1040EZ, line.................................................................... 1 Enter the amount included in line 1 that was received a by penal institution inmates for their work.................................................................................. b as a pension or annuity from a nonqualified deferred compensation plan or a nongovernmental section 457 plan. This amount should be shown in box 11 of Form W2 and should be included in line 1 above ................................ 2 Taxable scholarship or fellowship grant not reported on Form(s) W2........................................................ 3 Line 1 minus line 1a, line 1b, and line 2.................................................................................... 4a If you were self-employed or reported income and expenses on Schedules C or CEZ as a statutory employee, see instructions. If a member of the clergy, check...................................................................... Nontaxable combat pay included? Taxpayer Spouse Both No Nontaxable combat pay .................................. 24296. 5 Earned income .......................................... 5223. 6 Credit from EIC table on line 5 income .................... 31540. 7 Adjusted gross income .................................. 8 Credit from EIC table on line 7 income, if line 7 greater than | $7,599 ($12,699 if married filing jointly) and no qualifying children | $16,699 ($21,799 if married filing jointly) 3697. and 1 or more qualifying children...................... 9 Earned inc. credit. If line 7 is less than $7,600 ($12,700, $16,700, $21,800), line 6. 3697. Otherwise the smaller of line 6 or line 8 .................. 1
c 2011 CCH Small Firm Services. All rights reserved. O

24,296.

24,296.

3,697.
USWEIC$2

Form

8812

Department of the Treasury Internal Revenue Service (99)

Complete and attach to Form 1040, Form 1040A, or Form 1040NR.

Name(s) shown on return

FERNANDO VAZQUEZ & MARIA SOLIS

Part I
1

All Filers
Enter the amount from line 6 of your Child Tax Credit Worksheet (see the Instructions for Form 1040, line 51). Enter the amount from line 6 of your Child Tax Credit Worksheet (see the Instructions for Form 1040A, line 33). Enter the amount from line 6 of your Child Tax Credit Worksheet (see the Instructions for Form 1040NR, line 48).

1040 filers: 1040A filers: 1040NR filers:

If you used Pub. 972, enter the amount from line 8 of the Child Tax Credit Worksheet in the publication. 2 Enter the amount from Form 1040, line 51, Form 1040A, line 33, or Form 1040NR, line 48...................... 2 3 Subtract line 2 from line 1. If zero, stop; you cannot take this credit ............................................ 3 24,296. 4 a Earned income (see instructions) ................................................ 4a b Nontaxable combat pay (see instructions) ........... 4b 5 Is the amount on line 4a more than $3,000? No. Leave line 5 blank and enter -0- on line 6. X Yes. Subtract $3,000 from the amount on line 4a. Enter the result .......... 5 21,296. 6 Multiply the amount on line 5 by 15% (.15) and enter the result ................................................ 6 Next. Do you have three or more qualifying children? No. If line 6 is zero, stop; you cannot take this credit. Otherwise, skip Part II and enter the smaller of line 3 or line 6 on line 13. X Yes. If line 6 is equal to or more than line 3, skip Part II and enter the amount from line 3 on line 13. Otherwise, go to line 7.

Part II

Certain Filers Who Have Three or More Qualifying Children

7 Withheld social security and Medicare taxes from Form(s) W-2, boxes 4 and 6. If married filing jointly, include your spouse's amounts with yours. If you worked for a railroad, see the instructions ................................................ 7 8 1040 filers: Enter the total of the amounts from Form 1040, lines 27 and 57, plus any taxes that you identified using code "UT" and entered on line 60. j 8 1040A filers: Enter -0-. 1040NR filers: Enter the total of the amounts from Form 1040NR, lines 27 and 55, plus any taxes that you identified using code "UT" and entered on line 59. 9 Add lines 7 and 8 ................................................................ 9 10 1040 filers: Enter the total of the amounts from Form 1040, lines 64a and 69. 1040A filers: Enter the total of the amount from Form 1040A, line 38a, plus any excess social security and tier 1 RRTA taxes j 10 withheld that you entered to the left of line 41 (see the instructions). 1040NR filers: Enter the amount from Form 1040NR, line 65. 11 Subtract line 10 from line 9. If zero or less, enter -0........................................................ 11 12 Enter the larger of line 6 or line 11............................................................................ 12 Next, enter the smaller of line 3 or line 12 on line 13.

Part III

Additional Child Tax Credit

....................................................................

13 This is your additional child tax credit

For Paperwork Reduction Act Notice, see your tax return instructions.

BCA

US8812$1

1040 1040A . . . . . . 1040NR

. . . . . .

Additional Child Tax Credit

1040 1040A . . . . . . 1040NR 8812

. . . . . .

OMB No. 1545-0074

2011
Attachment Sequence No.

47

Your social security number

567-93-5467

3,000.

144. 2,856.

3,194.

13

2,856.

Enter this amount on Form 1040, line 65, Form 1040A, line 39, or Form 1040NR, line 63. Form

8812 (2011)

Form

8867

Paid Preparer's Earned Income Credit Checklist

j j
For more information about Form 8867, see www.irs.gov/form8867 To be completed by preparer and filed with Form 1040, 1040A, or 1040EZ.

OMB No. 1545-1629

Department of the Treasury Internal Revenue Service Taxpayer name(s) shown on return

2011
Attachment Sequence No.

177

Taxpayer's social security number

FERNANDO VAZQUEZ & MARIA SOLIS

For the definitions of the following terms, see Pub. 596. | Investment Income

567-93-5467
Qualifying Child

Earned Income

Full-time Student

Part I
1 2

All Taxpayers

Enter preparer's name and PTIN as shown on return Is the taxpayer's filing status married filing separately?

j SANTIAGO TORRES P01376510

..........................................................

Yes

No

j
3

If you checked "Yes" on line 2, stop; the taxpayer cannot take the EIC. Otherwise, continue.

Does the taxpayer (and the taxpayer's spouse if filing jointly) have a social security number (SSN) that allows him or her to work or is valid for EIC purposes? See the instructions before answering ................

Yes

No

j
4

If you checked "No" on line 3, stop; the taxpayer cannot take the EIC. Otherwise, continue.

Is the taxpayer filing Form 2555 or Form 2555-EZ (relating to the exclusion of foreign earned income)? ......................................................................................................

Yes

No

If you checked "Yes" on line 4, stop; the taxpayer cannot take the EIC. Otherwise, continue.

5a Was the taxpayer a nonresident alien for any part of 2011? ......................................................

Yes

No

If you checked "Yes" on line 5a, go to line 5b. Otherwise, skip line 5b and go to line 6.
..............................................................

b Is the taxpayer's filing status married filing jointly?

Yes

No

j
6

If you checked "Yes" on line 5a and "No" on line 5b, stop; the taxpayer cannot take the EIC. Otherwise, continue. Is the taxpayer's investment income more than $3,150? See Rule 6 in Pub. 596 before answering
..............

Yes

No

j
7

If you checked "Yes" on line 6, stop; the taxpayer cannot take the EIC. Otherwise, continue.

Could the taxpayer, or the taxpayer's spouse if filing jointly, be a qualifying child of another person for 2011? If the taxpayer's filing status is married filing jointly, check "No." Otherwise, see Rule 10 (Rule 13 if the taxpayer does not have a qualifying child) in Pub. 596 before answering ..........................

Yes

No

If you checked "Yes" on line 7, stop; the taxpayer cannot take the EIC. Otherwise, go to Part II or Part III, whichever applies. For Paperwork Reduction Act Notice, see instructions. BCA

Form 8867 (2011)

US8867$1

Form 8867 (2011)

FERNANDO VAZQUEZ & MARIA SOLIS

Child 1

567-93-5467
Child 2

Page 2

Part II

Taxpayers With a Child

Child 3

Caution. If there is more than one child, complete lines 8 through 14 for one child before going to the next column. 8 Child's name 9 Is the child the taxpayer's son, daughter, stepchild, foster child, brother, sister, stepbrother, stepsister, or a descendant of any of them? 10 Is either of the following true? | The child is unmarried, or | The child is married, can be claimed as the taxpayer's dependent, and is not filing a joint return (or is filing it only as a claim for refund). 11 Did the child live with the taxpayer in the United States for over half of the year? See the instructions before answering 12 Was the child (at the end of 2011) | Under age 19 and younger than the taxpayer (or the taxpayer's spouse, if the taxpayer files jointly), | Under age 24, a full-time student, and younger than the taxpayer (or the taxpayer's spouse, if the taxpayer files jointly), or | Any age and permanently and totally disabled? j If you checked ``Yes" on lines 9, 10, 11, and 12, the child is the taxpayer's qualifying child; go to line 13a. If you checked ``No" on line 9, 10, 11, or 12, the child is not the taxpayer's qualifying child; see the instructions for line 12. 13a Could any other person check ``Yes" on lines 9, 10, 11, and 12 for the child? j If you checked ``No" on line 13a, go to line 14. Otherwise, go to line 13b. b Enter the child's relationship to the other person(s) c Under the tiebreaker rules, is the child treated as the taxpayer's qualifying child? See the instructions before answering j If you checked "Yes" on line 13c, go to line 14. If you checked "No," the taxpayer cannot take the EIC based on this child and cannot take the EIC for taxpayers who do not have a qualifying child. If there is more than one child, see the Note at the bottom of this page. If you checked "Don't know," explain to the taxpayer that, under the tiebreaker rules, the taxpayer's EIC and other tax benefits may be disallowed. Then, if the taxpayer wants to take the EIC based on this child, complete lines 14 and 15. If not, and there are no other qualifying children, the taxpayer cannot take the EIC, including the EIC for taxpayers without a qualifying child; do not complete Part III. If there is more than one child, see the Note at the bottom of this page. 14 Does the qualifying child have an SSN that allows him or her to work or is valid for EIC purposes? See the instructions before answering

FERNANDO VAZQUEZ X
Yes No

ANGEL VAZQUEZ X
Yes No

JULIET VAZQUEZ X
Yes No

X X

Yes Yes

No No

X X

Yes Yes

No No

X X

Yes Yes

No No

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Yes No Don't know

Yes No Don't know

Yes No Don't know

Yes

No

Yes

No

Yes

No

If you checked ``No" on line 14, the taxpayer cannot take the EIC based on this child and cannot take the EIC for taxpayers who do not have a qualifying child. If there is more than one child, see the Note at the bottom of this page. If you checked ``Yes" on line 14, continue. 15 Are the taxpayer's earned income and adjusted gross income each less than the limit that applies to the taxpayer for 2011? See Pub. 596 for the limit j If you checked ``No" on line 15, stop; the taxpayer cannot take the EIC. If you checked ``Yes" on line 15, the taxpayer can take the EIC. Complete Schedule EIC and attach it to the taxpayer's return. If there are two or three qualifying children with valid SSNs, list them on Schedule EIC in the same order as they are listed here. If the taxpayer's EIC was reduced or disallowed for a year after 1996, see Pub. 596 to see if Form 8862 must be filed. Go to line 20. Note. If you checked "No" on line 13c or 14 but there is more than one child, complete lines 8 through 14 for the other child(ren) (but for no more than three qualifying children). Also do this if you checked "Don't know" on line 13c and the taxpayer is not taking the EIC based on this child. BCA US8867$2

Yes

No

Form 8867 (2011)

Form 8867 (2011)

FERNANDO VAZQUEZ & MARIA SOLIS

567-93-5467

Page 3

Part III
16

Taxpayers Without a Qualifying Child

Was the taxpayer's main home, and the main home of the taxpayer's spouse if filing jointly, in the United States for more than half the year? (Military personnel on extended active duty outside the United States are considered to be living in the United States during that duty period. See Pub. 596.) ..............................................

Yes

No

j
17

If you checked "No" on line 16, stop; the taxpayer cannot take the EIC. Otherwise, continue.

Was the taxpayer, or the taxpayer's spouse if filing jointly, at least age 25 but under age 65 at the end of 2011? ..................................................................................................

Yes

No

j
18

If you checked "No" on line 17, stop; the taxpayer cannot take the EIC. Otherwise, continue.

Is the taxpayer, or the taxpayer's spouse if filing jointly, eligible to be claimed as a dependent on anyone else's federal income tax return for 2011? If the taxpayer's filing status is married filing jointly, check "No." ............................................................................................

Yes

No

j
19

If you checked "Yes" on line 18, stop; the taxpayer cannot take the EIC. Otherwise, continue.

Are the taxpayer's earned income and adjusted gross income each less than the limit that applies to the taxpayer for 2011? See Pub. 596 for the limit....................................................................

Yes

No

If you checked "No" on line 19, stop; the taxpayer cannot take the EIC. If you checked "Yes" on line 19, the taxpayer can take the EIC. If the taxpayer's EIC was reduced or disallowed for a year after 1996, see Pub. 596 to find out if Form 8862 must be filed. Go to line 20.

Part IV
20

Due Diligence Requirements

Did you complete Form 8867 based on current information provided by the taxpayer or reasonably obtained by you? .............................................................................................. Did you complete the EIC worksheet found in the Form 1040, 1040A, or 1040EZ instructions (or your own worksheet that provides the same information as the 1040, 1040A, or 1040EZ worksheet)? ........................ Did you comply with the knowledge requirements? (To comply with the knowledge requirements, you must not know or have reason to know that any information used to determine the taxpayer's eligibility for, and the amount of, the EIC is incorrect. You may not ignore the implications of information furnished to or known by you, and you must make reasonable inquiries if the information furnished appears to be incorrect, inconsistent, or incomplete. At the time you make these inquiries, you must document in your files the inquiries you made and the responses you received.).................................................................................................. Did you keep the following records? | Form 8867, | The EIC worksheet(s) or your own worksheet(s), | A record of how, when, and from whom the information used to prepare the form and worksheet(s) was obtained, and | Copies of any documents provided by the taxpayer and on which you relied to complete the form and the worksheet ..................................................................................................

X X

Yes

No

21

Yes

No

22

Yes

No

23

Yes

No

j j
BCA

If you checked "Yes" on lines 20, 21, 22, and 23, submit Form 8867 in the manner required, and keep the records described on line 23 for 3 years (see instructions), you have complied with all the due diligence requirements. If you checked "No" on line 20, 21, 22, or 23, you have not complied with all the due diligence requirements and may have to pay a $500 penalty for each failure to comply. Form 8867 (2011)

FROM TAXPAYER AT TIME OF INTERVIEW FROM TAXPAYER

US8867$3

For Privacy Notice, get form FTB 1131.

California Resident Income Tax Return 2011

APE 567-93-5467 FERNANDO MARIA VAZQ ** 607-09-8099 VAZQUEZ SOLIS CA 72 73 74 91 92 93 94 95 400 401 402 403 404 405 406 407 92882 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 408 410 412 413 414 415 416 417 418 419 110 111 112 113 115 116 117 11

FORM

540

C1 Side 1 P AC A R RP

ATTACH FED RETURN

835 BOLLERO PL CORONA 01 06 09 10 12 14 16 17 18 31 34 40 41 42 43 44 45 46 61 62 63 64 71 2 0 0 3 24240 7244 0 24296 7538 190 0 0 0 0 0 0 0 0 0 0 0 0 0

05-03-1975 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

08-15-1975 APE 0 FS 0 3800 0 3803 0 SCHG1 0 5870A 0 5805 5805F 0 DESIGNEE 0 TPIDP 01376510 FN

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete.

Sign Here
It is unlawful to forge a spouse's/RDP's signature.

Your signature (if a joint return, both must sign) Daytime phone number (optional) 951-642-0621 Date Your email address (optional). Enter only one.

Spouse's/RDP's signature

Joint tax return? (see instructions)

| Paid preparer's PTIN P01376510 Firm's name (or yours, if self-employed) Firm's address LOS ANGELES 90001| FEIN QUALITY TAX SERVICES 622 E 83RD ST Do you want to allow another person to discuss this return with us (see instructions)? ...................... | Yes X No
Paid preparer's signature (declaration of preparer is based on all information of which preparer has any knowledge)

SANTIAGO TORRES

Print Third Party Designee's Name

CA540$$1

Telephone Number

098

3101116

Your name: FERNANDO 1 2 3 4 5 6 7 Exemptions

SSN VAZQUEZ & MAYour 567-93-5467 or ITIN:

8 9 10 Dependents: Enter name and relationship. Do not include yourself or your spouse/RDP. FERNANDO VAZ ANGEL VAZQUE Total dependent exemptions .............. | 10 3 X $315 = $ $ 11 Exemption amount: Add line 7 through line 10. Transfer this amount to line 32 ................. 11 24,240 12 State wages from your Form(s) W-2, box 16 ......................................| 12 13 13 Enter federal adjusted gross income from Form 1040, line 37; Form 1040A, line 21; Form 1040EZ, line ......... 4 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 16 California adjustments - additions. Enter the amount from Schedule CA (540), line 37, column C................| 16 17 California adjusted gross income. Combine line 15 and line 16.................................................| 17 18 Enter the larger of your CA standard deduction OR your CA itemized deductions .............................| 18 19 Subtract line 18 from line 17. This is your taxable income. If less than zero, enter -0- .......................... 19 31 Tax. Check box if from: X Tax Table Tax Rate Sch. FTB 3800 FTB 3803 ................| 31 32 Exemption credits. Enter the amount from line 11. If your federal AGI is more than $166,565 (see instructions) .. 32 33 33 Subtract line 32 from line 31. If less than zero, enter -0- ...................................................... ...... 34 Tax. (see instructions) Check box if from: Schedule G-1 Form FTB 5870A ..........................| 34 35 35 Add line 33 and line 34 ....................................................................................

Single Married/RDP filing jointly. (see instructions). Married/RDP filing separately. Enter spouse's/RDP's SSN or ITIN above and full name here Head of household (with qualifying person). (see instructions) Qualifying widow(er) with dependent child. Enter year spouse/RDP died. If your California filing status is different from your federal filing status, check the box here ..........................| If someone can claim you (or your spouse/RDP) as a dependent, check the box here (see instructions) ..............| 6 Personal: If you checked 1, 3, or 4 above, enter 1 in the box. If you checked 2 or 5, enter 2 in the box. Whole dollars only 2 X $102 = $ 204 If you checked the box on line 6, see instructions .............................................. 7 Blind: If you (or your spouse/RDP) are visually impaired, enter 1; if both are visually impaired, enter 2 8 X $102 = $ Senior: If you (or your spouse/RDP) are 65 or older, enter 1; if both are 65 or older, enter 2 ...... | 9 X $102 = $

Filing Status

945 1,149 31,540 7,244 24,296 24,296 7,538 16,758 190 1,149 0

Taxable Income

o o

Tax

Other Taxes

40 41 42 43 44 45 46 47 49 61 62 63 64 71 72 73 74 75 91 92 93 94 95

Use Overpaid Tax Tax/Tax Due

Nonrefundable Child and Dependent Care Expenses Credit, Code 232 (See instructions). Attach form FTB 3506| New jobs credit, amount generated (see instructions)................................| 41 New jobs credit, amount claimed (see instructions) ..........................................................| Credit Code amount ..........................j Credit Code amount ..........................j To claim more than two credits (see instructions) ..............................................................| Nonrefundable renter's credit (see instructions) ..............................................................| Add line 40 and line 42 through line 46. These are your total ...................................................... credits Subtract line 47 from line 35. If less than zero, enter -0- ...................................................... Alternative minimum tax. Attach Schedule P (540) ............................................................| Mental Health Services Tax (see instructions) ................................................................| Other taxes and credit recapture (see instructions) ............................................................| Add line 49, line 61, line 62, and line 63. This is your total tax .................................................. | California income tax withheld (see instructions) ..............................................................| 2011 CA estimated tax and other payments (see instructions) .................................................| Real estate and other withholding (see instructions) ..........................................................| Excess SDI (or VPDI) withheld (see instructions) ..............................................................| Add line 71, line 72, line 73, and line 74. These are your total payments (see instructions)...................... Overpaid tax. If line 75 is more than line 64, subtract line 64 from line 75 .................................... Amount of line 91 you want applied to 2011 estimated tax .................................................. | Overpaid tax available this year. Subtract line 92 from line 91 .............................................. | Tax due. If line 75 is less than line 64, subtract line 75 from line 64............................................... Use Tax. This is not a total line (see instructions) ..................................| 95 00

40 42 43 44 45 46 47 49 61 62 63 64 71 72 73 74 75 91 92 93 94

Payments

Special Credits

Side 2 Form 540 C1 2011

098

3102116

CA540$$2

Your name: FERNANDO

VAZQUEZ & MARIA S

Your SSN or ITIN: 567-93-5467 Code 400 401 402 403 404 405 406 407 408 410 412 413 414 415 416 417 418 419 110 Amount

California Seniors Special Fund (see instructions) .............................................................| Alzheimer's Disease/Related Disorders Fund..................................................................| California Fund for Senior Citizens ............................................................................| Rare and Endangered Species Preservation Program .........................................................| State Children's Trust Fund for the Prevention of Child Abuse..................................................| California Breast Cancer Research Fund......................................................................| California Firefighters' Memorial Fund ........................................................................| Emergency Food for Families Fund .........................................................................| California Peace Officer Memorial Foundation Fund ...........................................................| California Sea Otter Fund ....................................................................................| Municipal Shelter Spay-Neuter Fund ........................................................................| California Cancer Research Fund ..............................................................................| ALS/Lou Gehrig's Disease Research Fund ....................................................................| Arts Council Fund ............................................................................................| California Police Activities League (CALPAL) Fund ............................................................| California Veterans Homes Fund..............................................................................| Safely Surrendered Baby Fund ..............................................................................| Child victims of Human Trafficking Funds ....................................................................| 110 Add code 400 through code 419. These are your total contribution
......................................

00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00

Contributions

Amount You Owe

111

AMOUNT YOU OWE. Add line 94, line 95, and line 110 (see instructions). Do Not Send Cash. Mail to: FRANCHISE TAX BOARD, PO BOX 942867, SACRAMENTO CA 94267-0009..| 111 Pay online - Go to ftb.ca.gov and search for web pay. Interest, late return penalties, and late payment penalties .................................................112 Underpayment of estimated tax. Check box: FTB 5805 attached FTB 5805F attached.......|113 Total amount due (see instructions). Enclose, but do not staple, any payment..............................114

Interest and Penalties

112 113 114

115 Refund and Direct Deposit

REFUND OR NO AMOUNT DUE. Subtract line 95 and line 110 from line 93 (see instructions). Mail to: FRANCHISE TAX BOARD, PO BOX 942840, SACRAMENTO CA 94240-0009 ...........| 115

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 instr.) 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: Checking Savings |Routing number |Type |Account number | 116 Direct deposit amount The remaining amount of my refund (line 115) is authorized for direct deposit into the account shown below: Checking Savings |Routing number |Type |Account number | 117 Direct deposit amount

CA540$$3

098

3103116

Form 540 C1 2011 Side 3

098 TAXABLE YEAR

DO NOT MAIL THIS FORM TO THE FTB

2011
Your name

California e-file Signature Authorization for Individuals

00961963800222
Your SSN or ITIN

FORM

8879

FERNANDO VAZQUEZ
Spouse's/RDP's name

567-93-5467
Spouse's/RDP's SSN or ITIN

MARIA SOLIS
Part I

607-09-8099

Tax Return Information (whole dollars only) 1 California Adjusted Gross Income (Form 540, line 17, Form 540 2EZ, line 16, Long Form 540NR, line 32; 24,296. or Short Form 540NR, line 32) .......................................................................................... 1 2 Amount You Owe (Form 540, line 111; Form 540 2EZ, line 27; Long Form 540NR, line 121; or Short Form 540NR, line 121) 2 3 Refund or No Amount Due (Form 540, line 115; Form 540 2EZ, line 28; Long Form 540NR, line 125; or Short Form 540NR, line 125) ........................................................................................ 3 Part II Taxpayer Declaration and Signature Authorization (Be sure you obtain and keep a copy of your return.) Under penalties of perjury, I declare that I have examined a copy of my individual income tax return and accompanying schedules and statements for the tax year ending December 31, 2011, and to the best of my knowledge and belief, it is true, correct, and complete. I further declare that the information I provided to my Electronic Return Originator (ERO), Transmitter, or Intermediate Service Provider (including my name, address, and social security number or individual tax identification number) and the amounts shown in Part I above agree with the information and amounts shown on the corresponding lines of my electronic income tax return. If applicable, I authorize an electronic funds withdrawal of the amount on line 2 and/or the estimated tax payments as shown on my return and on form FTB 8455, California e-file Payment Record, or a comparable form. If applicable, I declare that direct deposit refund amount on line 3 agrees with the direct deposit authorization stated on my return. If I have filed a joint return, this is an irrevocable appointment of the other spouse/RDP as an agent to authorize an electronic funds withdrawal or direct deposit. I authorize my ERO, Transmitter, or Intermediate Service Provider to transmit my complete return to the Franchise Tax Board (FTB). If the processing of my return or refund is delayed, I authorize the FTB to disclose to my ERO, Intermediate Service Provider, and/or Transmitter the reason(s) for the delay or the date when the refund was sent. If I am filing a balance due return, I understand that if the FTB does not receive full and timely payment of my tax liability, I remain liable for the tax liability and all applicable interest and penalties. I acknowledge that I have read and consent to Electronic Funds Withdrawal Consent included on the copy of my electronic income tax return. I have selected a personal identification number (PIN) as my signature for my electronic income tax return and, if applicable, my Electronic Funds Withdrawal Consent. Taxpayer's PIN: check one box only

I authorize

QUALITY TAX SERVICES

ERO firm name as my signature on my 2011 e-filed California individual income tax return.

to enter my PIN 12345 Do not enter all zeros

I will enter my PIN as my signature on my 2011 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. Your signature

Date

j 02/22/2012

Spouse's/RDP's PIN: check one box only

I authorize

QUALITY TAX SERVICES

ERO firm name as my signature on my 2011 e-filed California individual income tax return.

to enter my PIN 12345 Do not enter all zeros

I will enter my PIN as my signature on my 2011 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 j Date

j 02/22/2012

Part III

Practitioner PIN Method Returns Only - continue below Certification and Authentication - Practitioner PIN Method Only

ERO's EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN.

96196311111

Do not enter all zeros I certify that the above numeric entry is my PIN, which is my signature for the 2011 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, 20101 e-file Handbook for Authorized e-file Providers. ERO's signaturej Date

j 02/22/2012

For Privacy Notice, get form FTB 1131.

CA8879$1

FTB 8879 C2 2011