1040 PRAT TRS OO aa er etapa Be Ta oh eh Biase Se aeoieancion aaa aT aT er ‘THOMAS W. aE Tapia, paar Raa RTT [ae came FRANCES D. LF anil : CH em Reoee foreign county mane ccnp ate | meee Sen 5 ___ \OEvou_(I spouse is | LJ Sina 4 [J Head of household (with qualifying person), i the qualtying Filing Status > 3) arising ply (ve tot one as coms) secon ac bt el our dependent elects cs cocker 9 CI Mas ting spre. ner pase Habe rarer. Sate sed ie a. 5 Cetin sa a Sean LET Yona. snmeane Gaya a eRe, nol RO ox ee Exemptions ', (spouse ae © Dependents: er sass i inervarf im ox isswinyes trmteare tee = seisyaen foci oe - gangs ines e are Sects snags 6 Total numberof exriptans ie. Bao 2 Tncome 7 Wag, s,s, Atcha) We rama. Teme ners. tae Seed tected [55 533. cen eng) 2 TRAMGIWER Da ation Be AEN). orsinarybiencs. seh Scheel 10,409. Sksehforne” hai chiens : SSF 6 W2Seed 10 Tabet, ce eas ca andslioome wes... STARE. ‘o 2,738. {Sees 51 Alon aed eater ot 12 _Busesinome oss}. Ata Sober e2 ie T8735 wa 18 Capi gin ar (es), Ach Schedule Dit eget ei chek ere eT Ge 000. ste 34 organs (asst Ach Fm 4797 : mn Sencmtion. 158 RAGESbONS [iss Tabi amount 18 25,268. tet Persone andanniss Ee ‘Toable anon! * fia] 253; 053 17 arte esa, oats, paras, ScopUTONS, Coss ee tech Sete E i 35,007. 18 Farm mene (ss). tach Sebel E 8 18 Unemployment compersaton a o es Secbiseeurybanets [202 8 Tati ant 7, 21, Ofer incone,Lstypeandsmoust SEB STATEMENT 1 Ei COPEL ES 22_Commin ne smouns nwt ight cts Hoes Though 2, Ts yor ana 2 : Eva apeert 25 = Adjusted 24. SEINE MENS Seer [ae Gross 25 Hath savings tou debcionhtschFom 889, PBB Income 28 Mov xpnses. tach Form 303, aaa = 27 Deduct patotse-employent ts Atach Schde SE fa Tuer] | 2a Seerpyed SEP, SVPLE ae WaNTedDNS non [A 29 Seapioyed pinto LOCO noone [2 20 Patayon ety ihcravatof segs, one. LM 44 ASmonypaidbRelpents SSX Pe : ai 22 RAdetiton i Seaeaese a 22 Staertin et econ oe Be & 2 Ton apd feos. Atah Fo 8917 wn De 25 Done paceten aves een Aceon 893 a WOT) 38 Adsines 23. 00gh 35 pe] 21,310. eh 37_Suniae ne 36 omine 2, This you adie goss acome » Ta [1180 869. HA For Disclosure, Privacy Act, and Paperwork Reduoton Act Notice, se separate instructions Fo WAGnaunoss THOINS v,_¢ HOMERS D. OLE Posen i Tax and G8 Ancona tae? (ws gossincone) SUELO IAS Gredits _sss.cck { [X] vorweretoratete iay2, 50,” (esd | atooas Ec] LC spousewatarndaere anny, 150, CJ eat J emcted asa] 1 [_ + vo wotsetaies ona epi eurnor youve esos ae, Chacko 3h terized gesctons (om Shedd 8) rj sand eedeton see keiagh) 347,707. Sebati 4 a 38 é aaa von [ae 835, T62~ Exemptions 815253, $50 ye barn Orv, 5 Tere ee Stat on 42m nes moe anne en, B35, 102: Tox crecaoytom aL} femge) oa aL} fomaare of] [276180 [cove iste te. them 6251 pase fscessadatoe pont crete. Mach Pombo Aden 45,306 48 : Fernie Ac orm 1 ected he rch aed depend cre gest Ac ar 36 tuations om Fr 869 19 felts sags aes cet, Nich Fm d880 Chis ech Ane Scherer Rest nce, tern SS ners emer: ala oC Jems 2 ‘Adtns 48 trough 54. These are your lates 16,677. ‘Subact toe 88 tom Hn 47. tne 85 arothan fe 47 ete-0- LUE ‘Sai-arploynent ae ABCA Sehedob SE - - . 2,167. Other ‘Unreported soci socurty and Medicare tax from Fem: a) ats7 b&—Jaar9 Taxes ‘Aral ax on RRs oer ied relreent ans ae. Nach Frm 6829 egeed 0a Hostal enloyt ps kom Studie 1 Fist ne temebier et eayent Ath Far AOS tequtod 1 Heathcaecinahitutesporsiity (te wstctens) uy coverage CKD 2 Tous ton: CX] fam 860 8CX1 Ferm 6960 ¢(Iinstzenwrendes) STATEMENT 12 Tet Ta, T5T, 48_Aens Shah 62. TsleyourealaX ee ae ae 275,821. Payments 4 feel neonate wits tom Forms W2 a 1088 ~ [eet 308,562. BTATEMENT 11 5 2044 etna x pyaar anaes app om 209 ra e134, 2585] [EERE Cats ene income cee) aie 2 te be 1 Hota condstay etn een : Addiost cid corde cn Sheds C812 7 Le ‘anrian oppotniy eestromFoum6e6,bue8 8 Harem taxeredic Ach ecm 62 @ Avoid egos retina 7 30,000. xces soci seculy and i 1 ARATA we wibhe) © | | 7 ret for federal tax on iets, Atach Form 4198 7 rets tom Form a{ 2459 bE Aaciont LTigyrudl 8 E _Ad oes 64, 65, 0, and 67 trough 7. These ae yout total paymdais 373,220. Refund ‘Wine 74s more han lin 6, subract fn 6 rom fae 74. This thearnoun yuo overpaid 97,399 Reka tidewater wontons a Se Des Clann Llane OS ‘tvoten, 17 _ Amount of ine 75you want applled to your 2045 estimated tax Amount peers nn fon 6 rt evo po, nc ws in