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Form
1040
2013
(99)
For the year Jan. 1Dec. 31, 2013, or other tax year beginning
, 2013, ending
, 20
Last name
Magdalena
Schmitz
294
Apt. no.
Home address (number and street). If you have a P.O. box, see instructions.
Exemptions
6a
b
Income
Attach Form(s)
W-2 here. Also
attach Forms
W-2G and
1099-R if tax
was withheld.
Adjusted
Gross
Income
(2) Dependents
social security number
Last name
Alyssa Schmitz
Tyler Schmitz
Connor Schmitz
d
Single
Married filing jointly (even if only one had income)
2
3
824
824
824
(3) Dependents
relationship to you
84 8456
34 9584
56 2984
Foreign province/state/county
2845
Filing Status
83
Last name
Boxes checked
on 6a and 6b
No. of children
on 6c who:
lived with you
1
3
Daughter
Son
Son
Dependents on 6c
not entered above
.
8b
. .
8a
9a
10
11
Qualified dividends . . . . . . . . . . .
9b
Taxable refunds, credits, or offsets of state and local income taxes
Alimony received . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
.
.
.
.
10
11
325 00
12
13
14
12
13
14
4,820 00
15a
16a
17
IRA distributions .
15a
b Taxable amount
. . .
Pensions and annuities 16a
b Taxable amount
. . .
Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E
15b
16b
17
18
19
20a
18
19
20b
21
22
23
Educator expenses
24
25
24
25
26
27
28
26
27
28
29
30
31a
.
.
.
.
.
.
.
.
32
33
34
29
30
31a
.
.
.
.
.
.
.
.
.
.
.
.
32
33
34
35
36
37
8a
b
9a
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Add numbers on
lines above
50,885 00
3,510 00
3,800 00
. . . . . .
. . . . . .
b Taxable amount
.
.
.
.
.
.
.
.
.
21
22
59,540 00
23
3,200 00
340 52
4,000 00
.
.
For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions.
.
.
.
.
.
.
.
.
36
37
7,540 52
51,999 48
Form 1040 (2013)
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,
$6,100
Married filing
jointly or
Qualifying
widow(er),
$12,200
Head of
household,
$8,950
Other
Taxes
38
39a
Check
if:
If you have a
qualifying
child, attach
Schedule EIC.
Sign
Here
Paid
Preparer
Use Only
Blind.
Blind.
42
43
Exemptions. If line 38 is $150,000 or less, multiply $3,900 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 -0- . .
Form 4972 c
Tax (see instructions). Check if any from: a
Form(s) 8814 b
44
45
46
.
.
.
.
.
.
.
.
.
.
.
.
47
48
49
50
51
52
53
54
55
56
57
58
59a
b
Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required
Household employment taxes from Schedule H
Credit for child and dependent care expenses. Attach Form 2441
600 00
49
50
51
2,000 00
. . . .
a
4137
.
.
.
.
.
.
.
b
.
.
.
.
.
.
. .
8919
.
.
.
.
64a
b
.
.
.
.
.
.
.
.
.
40
41
42
13,620
38,379
15,600
22,779
2,524
43
44
45
46
00
48
00
48
42
2,524 42
2,600 00
0
681 04
55
56
57
58
59a
59b
60
61
681 04
1,100 00
62
63
64a
65
66
67
68
. . . .
69
Credit for federal tax on fuels. Attach Form 4136 . . . .
70
Credits from Form: a
2439 b
Reserved c
8885 d
71
Add lines 62, 63, 64a, and 65 through 71. These are your total payments .
Excess social security and tier 1 RRTA tax withheld
73
If line 72 is more than line 61, subtract line 61 from line 72. This is the amount you overpaid
74a
b
d
Amount of line 73 you want refunded to you. If Form 8888 is attached, check here .
c Type:
Routing number
Checking
Savings
Account number
Amount of line 73 you want applied to your 2014 estimated tax 75
Amount you owe. Subtract line 72 from line 61. For details on how to pay, see instructions
75
76
51,999 48
54
62
63
65
66
.
.
.
.
47
48
38
Total boxes
checked 39a
39b
77
77
Estimated tax penalty (see instructions) . . . . . . .
Do you want to allow another person to discuss this return with the IRS (see instructions)?
Designees
name
Phone
no.
72
73
1,100 00
418 96
418 96
74a
76
No
Personal identification
number (PIN)
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief,
they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Your signature
Date
Your occupation
Date
Spouses occupation
.
.
Third Party
Designee
Itemized deductions (from Schedule A) or your standard deduction (see left margin)
Subtract line 40 from line 38
. . . . . . . . . . . . . . . . .
Direct deposit?
See
instructions.
Amount
You Owe
40
41
67
68
69
70
71
72
Refund
If your spouse itemizes on a separate return or you were a dual-status alien, check here
60
61
Payments
Preparers signature
Date
Sarah Kuldip
Firms name
Firms address
Firm's EIN
Phone no.
xx-xxxxxxx
456-838-2937