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This Product Contains Sensitive Taxpayer DataRequest Date: Street Address -25-2024Response Date: Street Address -25-2024Tracking Number: PHONE NUMBER AVAILABLETax Return TranscriptSSN Provided: XXX-XX-Street Address
Tax Period Ending: Dec. 31, 2023The following items reflect the amount as shown on the return (PR), andthe amount as adjusted (PC), if applicable. They do not show subsequentactivity on the account.SSN: XXX-XX-1505SPOUSE SSN:NAME(S) SHOWN ON RETURN: DARB PIER LOUIADDRESS: 711 SWFILING STATUS: Head of HouseholdFORM NUMBER: 1040CYCLE POSTED: 20241705RECEIVED DATE: Apr.15, 2024REMITTANCE: $0.00EXEMPTION NUMBER: 2DEPENDENT 1 NAME CTRL: DUMEDEPENDENT 1 SSN: XXX-XX-8295DEPENDENT 2 NAME CTRL:DEPENDENT 2 SSN:DEPENDENT 3 NAME CTRL:DEPENDENT 3 SSN:DEPENDENT 4 NAME CTRL:DEPENDENT 4 SSN:PTIN: XXX-XX-4942PREPARER EIN: XX-XXX0627IncomeTOTAL WAGES 84,885.00FORM W-2 WAGES 84,885.00TAXABLE INTEREST INCOME: SCH B 0.00TAX-EXEMPT INTEREST 0.00ORDINARY DIVIDEND INCOME: SCH B 0.00QUALIFIED DIVIDENDS 0.00REFUNDS OF STATE/LOCAL TAXES 0.00ALIMONY RECEIVED 0.00BUSINESS INCOME OR LOSS (Schedule C) 30,068.00BUSINESS INCOME OR LOSS: SCH C PER COMPUTER 30,068.00CAPITAL GAIN OR LOSS: (Schedule D) 0.00CAPITAL GAINS OR LOSS: SCH D PER COMPUTER 0.00OTHER GAINS OR LOSSES (Form 4797) 0.00TOTAL IRA DISTRIBUTIONS 0.00TAXABLE IRA DISTRIBUTIONS 0.00TOTAL PENSIONS AND ANNUITIES 0.00TAXABLE PENSION/ANNUITY AMOUNT 0.00ADDITIONAL INCOME 30,068.00ADDITIONAL INCOME PER COMPUTER 30,068.00REFUNDABLE CREDITS PER COMPUTER 2,025.00REFUNDABLE EDUCATION CREDIT PER COMPUTER 0.00QUALIFIED BUSINESS INCOME DEDUCTION 0.00RENT/ROYALTY/PARTNERSHIP/ESTATE (Schedule E) 0.00RENT/ROYALTY/PARTNERSHIP/ESTATE (Schedule E) PER COMPUTER 0.00RENT/ROYALTY INCOME/LOSS PER COMPUTER 0.00ESTATE/TRUST INCOME/LOSS PER COMPUTER 0.00PARTNERSHIP/S-CORP INCOME/LOSS PER COMPUTER 0.00FARM INCOME OR LOSS (Schedule F) 0.00FARM INCOME OR LOSS (Schedule F) PER COMPUTER 0.00UNEMPLOYMENT COMPENSATION 0.00TOTAL SOCIAL SECURITY BENEFITS 0.00TAXABLE SOCIAL SECURITY BENEFITS 0.00TAXABLE SOCIAL SECURITY BENEFITS PER COMPUTER 0.00OTHER INCOME 0.00SCHEDULE EIC SE INCOME PER COMPUTER 0.00SCHEDULE EIC EARNED INCOME PER COMPUTER 0.00SCH EIC DISQUALIFIED INC COMPUTER 0.00EXCESS ADV CHILD TAX CREDIT PER COMPUTER 0.00PRIMARY ECONOMIC IMPACT PAYMENT 2 0SECONDARY ECONOMIC IMPACT PAYMENT 2 0PRIMARY ADVANCED CTC PAYMENTS 0.00SECONDARY ADVANCED CTC PAYMENTS 0.00ADDITIONAL CTC EARNED INCOME 0.00EIC PRIOR YEAR EARNED INCOME 0.00QUALIFIED BUSINESS INCOME DEDUCTION 0.00F8995 QUALIFIED BUSINESS INCOME DEDUCTION COMPUTER 0.00PRIMARY ECONOMIC IMPACT PAYMENT 0.00SECONDARY ECONOMIC IMPACT PAYMENT 0.00SCHOLARSHIP FELLOWSHIP GRANT 0.00TOTAL INCOME 54,817.00TOTAL INCOME PER COMPUTER 54,817.00Adjustments to IncomeEDUCATOR EXPENSES 0.00EDUCATOR EXPENSES PER COMPUTER 0.00RESERVIST AND OTHER BUSINESS EXPENSE 0.00HEALTH SAVINGS ACCT DEDUCTION 0.00HEALTH SAVINGS ACCT DEDUCTION PER COMPTR 0.00MOVING EXPENSES: F3903 0.00SELF EMPLOYMENT TAX DEDUCTION 0.00SELF EMPLOYMENT TAX DEDUCTION PER COMPUTER 0.00SELF EMPLOYMENT TAX DEDUCTION VERIFIED 0.00KEOGH/SEP CONTRIBUTION DEDUCTION 0.00SELF-EMP HEALTH INS DEDUCTION 0.00EARLY WITHDRAWAL OF SAVINGS PENALTY 0.00ALIMONY PAID SSNALIMONY PAID 0.00SCHOLARSHIP FELLOWSHIP EXCLUDED 0.00IRA DEDUCTION 0.00IRA DEDUCTION PER COMPUTER 0.00STUDENT LOAN INTEREST DEDUCTION 0.00STUDENT LOAN INTEREST DEDUCTION PER COMPUTER 0.00STUDENT LOAN INTEREST DEDUCTION VERIFIED 0.00TOTAL OTHER PAYMENT REFUNDABLE CREDIT PER COMPUTER 0.00TOTAL OTHER PAYMENT REFUND VERIFIED 0.00OTHER ADJUSTMENTS 0.00ARCHER MSA DEDUCTION 0.00ARCHER MSA DEDUCTION PER COMPUTER 0.00TOTAL ADJUSTMENTS 0.00TOTAL ADJUSTMENTS PER COMPUTER 0.00ADJUSTED GROSS INCOME 54,817.00ADJUSTED GROSS INCOME PER COMPUTER 54,817.00Tax and Credits65-OR-OVER NOBLIND NOSPOUSE 65-OR-OVER NOSPOUSE BLIND NOSTANDARD DEDUCTION PER COMPUTER 20,800.00ADDITIONAL STANDARD DEDUCTION PER COMPUTER 0.00TAX TABLE INCOME PER COMPUTER 34,017.00EXEMPTION AMOUNT PER COMPUTER 0.00TAXABLE INCOME 34,017.00TAXABLE INCOME PER COMPUTER 34,017.00TOTAL POSITIVE INCOME PER COMPUTER 84,885.00TENTATIVE TAX 3,769.00TENTATIVE TAX PER COMPUTER 3,769.00FORM 8814 ADDITIONAL TAX AMOUNT 0.00TAX ON INCOME LESS SOC SEC INCOME PER COMPUTER 0.00FORM 6251 ALTERNATIVE MINIMUM TAX 0.00FORM 6251 ALTERNATIVE MINIMUM TAX PER COMPUTER 0.00FOREIGN TAX CREDIT 0.00FOREIGN TAX CREDIT PER COMPUTER 0.00FOREIGN INCOME EXCLUSION PER COMPUTER 0.00FOREIGN INCOME EXCLUSION TAX PER COMPUTER 0.00EXCESS ADVANCE PREMIUM TAX CREDIT REPAYMENT AMOUNT 0.00EXCESS ADVANCE PREMIUM TAX CREDIT REPAYMENT VERIFIED AMOUNT 0.00CHILD & DEPENDENT CARE CREDIT 0.00CHILD & DEPENDENT CARE CREDIT PER COMPUTER 0.00CREDIT FOR ELDERLY AND DISABLED 0.00CREDIT FOR ELDERLY AND DISABLED PER COMPUTER 0.00EDUCATION CREDIT 1,500.00EDUCATION CREDIT PER COMPUTER 1,500.00GROSS EDUCATION CREDIT PER COMPUTER 1,500.00RETIREMENT SAVINGS CNTRB CREDIT 0.00RETIREMENT SAVINGS CNTRB CREDIT PER COMPUTER 0.00PRIM RET SAV CNTRB: F8880 LN6A 0.00SEC RET SAV CNTRB: F8880 LN6B 0.00TOTAL RETIREMENT SAVINGS CONTRIBUTION: F8880 CMPTR 0.00RESIDENTIAL CLEAN ENERGY CREDIT 0.00RESIDENTIAL CLEAN ENERGY CREDIT PER COMPUTER 0.00CHILD AND OTHER DEPENDENT CREDIT 2,000.00CHILD AND OTHER DEPENDENT CREDIT PER COMPUTER 2,000.00ADOPTION CREDIT: F8839 0.00ADOPTION CREDIT PER COMPUTER 0.00FORM 8396 MORTGAGE CERTIFICATE CREDIT 0.00FORM 8396 MORTGAGE CERTIFICATE CREDIT PER COMPUTER 0.00TOTAL OTHER NON REFUNDABLE CREDIT 0.00FORM 3800 GENERAL BUSINESS CREDITS 0.00FORM 3800 GENERAL BUSINESS CREDITS PER COMPUTER 0.00PRIOR YR MIN TAX CREDIT: F8801 0.00PRIOR YR MIN TAX CREDIT: F8801 PER COMPUTER 0.00EARLIER YEAR INCOME REPAYMENT CREDIT 0.00CLEAN VEHICLE CREDIT 0.00CLEAN VEHICLE CREDIT PER COMPUTER 0.00F8910 ALTERNATIVE MOTOR VEHICLE CREDIT AMOUNT 0.00F8910 ALTERNATIVE MOTOR VEHICLE CREDIT PER COMPUTER 0.00SICK FAMILY LEAVE CREDIT 0.00NON ITEMIZED CHARITABLE CONTRIBUTION DEDUCTION 0.00NON ITEMIZED CHARITABLE CONTRIBUTION PER COMPUTER 0.00REFUNDABLE CHILD CARE CREDIT 0.00SICK FAMILY LEAVE CREDIT AFTER 3-31-21 0.00REFUNDABLE CHILD CARE CREDIT VERIFIED 0.00RECOVERY REBATE CREDIT 0.00RECOVERY REBATE CREDIT PER COMPUTER 0.00RECOVERY REBATE CREDIT VERIFIED 0.00OTHER CREDITS 0.00TOTAL CREDITS 3,500.00TOTAL CREDITS PER COMPUTER 3,500.00INCOME TAX AFTER CREDITS PER COMPUTER 269.00ADVANCED MANUFACTURING CREDIT PER COMPUTER 0.00ADVANCED MANUFACTURING INVEST CREDIT PER COMPUTER 0.00CLEAN HYDROGEN PROD CREDIT PER COMPUTER 0.00CARBON OXIDE SEQUESTRATION CREDIT PER COMPUTER 0.00ENERGY EFFICIENT HOME CREDIT PER COMPUTER 0.00ENERGY EFFICIENT HOME CREDIT 0.00PRE OWNED CLEAN VEHICLE CREDIT PER COMPUTER 0.00PRE OWNED CLEAN VEHICLE CREDIT 0.00PRE OWNED CLEAN VEHICLE VERIFIED 0.00NEW CLEAN VEHICLE BUS CREDIT PER COMPUTER 0.00NEW CLEAN VEHICLE BUS VERIFIED 0.00COMMERCIAL CLEAN VEHICLE CREDIT PER COMPUTER 0.00COMMERCIAL CLEAN VEHICLE VERIFIED 0.00CLEAN VEHICLE CREDIT VERIFIED 0.00Other TaxesSE TAX 0.00SE TAX PER COMPUTER 0.00SOCIAL SECURITY AND MEDICARE TAX ON UNREPORTED TIPS 0.00SOCIAL SECURITY AND MEDICARE TAX ON UNREPORTED TIPS PER COMPUTER 0.00TAX ON QUALIFIED PLANS F5329 (PR) 0.00TAX ON QUALIFIED PLANS F5329 PER COMPUTER 0.00IRAF TAX PER COMPUTER 0.00TP TAX FIGURES (REDUCED BY IRAF) PER COMPUTER 269.00IMF TOTAL TAX (REDUCED BY IRAF) PER COMPUTER 269.00TOTAL OTHER TAXES PER COMPUTER 0.00UNPAID FICA ON REPORTED TIPS 0.00F8959 ADDITIONAL MEDICARE TAX 0.00F8960 NET INVESTMENT INCOME TAX 0.00INTEREST ON DEFERRED TAX 0.00TOTAL OTHER TAXES 0.00RECAPTURE TAX: F8611 0.00HOUSEHOLD EMPLOYMENT TAXES 0.00HOUSEHOLD EMPLOYMENT TAXES PER COMPUTER 0.00INTEREST DUE ON INSTALLMENT 0.00SCH 8812 ADDITIONAL TAX COMPUTER 0.00REFUNDABLE CHILD CARE COMPUTER 0.00HEALTH COVERAGE RECAPTURE: F8885 0.00EXCESS SOCIAL SECURITY TAX WITHHELD VERIFIED 0.00EXCESS SOCIAL SECURITY TAX WITHHELD PER COMPUTER 0.00TOTAL ADDITIONAL TAXES 0.00TOTAL ASSESSMENT PER COMPUTER 269.00TOTAL TAX LIABILITY TP FIGURES 269.00TOTAL TAX LIABILITY TP FIGURES PER COMPUTER 269.00PaymentsFEDERAL INCOME TAX WITHHELD 4,317.00SCH 8812 ADDITIONAL TAX 0.00ESTIMATED TAX PAYMENTS 0.00OTHER PAYMENT CREDIT 0.00REFUNDABLE EDUCATION CREDIT 1,000.00REFUNDABLE EDUCATION CREDIT PER COMPUTER 1,000.00REFUNDABLE EDUCATION CREDIT VERIFIED 0.00REFUNDABLE CREDITS 2,025.00EARNED INCOME CREDIT 0.00EARNED INCOME CREDIT PER COMPUTER 0.00NONTAXABALE COMBAT PAY 0.00SCHEDULE 8812 NONTAXABLE COMBAT PAY 0.00EXCESS SOCIAL SECURITY & RRTA TAX WITHHELD 0.00SCHEDULE 8812 TOT SS/MEDICARE WITHHELD 0.00SCHEDULE 8812 ADDITIONAL CHILD TAX CREDIT 0.00SCHEDULE 8812 ADDITIONAL CHILD TAX CREDIT PER COMPUTER 0.00SCHEDULE 8812 ADDITIONAL CHILD TAX CREDIT VERIFIED 0.00AMOUNT PAID WITH FORM 4868 0.00FORM 2439 REGULATED INVESTMENT COMPANY CREDIT 0.00FORM 4136 CREDIT FOR FEDERAL TAX ON FUELS 1,025.00FORM 4136 CREDIT FOR FEDERAL TAX ON FUELS PER COMPUTER 1,025.00HEALTH COVERAGE TX CR: F8885 0.00SEC 965 TAX INSTALLMENT 0.00SEC 965 TAX LIABILITY 0.00PREMIUM TAX CREDIT AMOUNT 0.00PREMIUM TAX CREDIT VERIFIED AMOUNT 0.00PRIMARY NAP FIRST TIME HOME BUYER INSTALLMENT AMT 0.00SECONDARY NAP FIRST TIME HOME BUYER INSTALLMENT AMT 0.00FIRST TIME HOMEBUYER CREDIT REPAYMENT AMOUNT 0.00FORM 5405 TOTAL HOMEBUYERS CREDIT REPAYMENT PER COMPUTER 0.00SMALL EMPLOYER HEALTH INSURANCE PER COMPUTER 0.00SMALL EMPLOYER HEALTH INSURANCE PER COMPUTER (2) 0.00TOTAL OTHER PAYMENTS REFUNDABLE 0.00TOTAL PAYMENTS 6,342.00TOTAL PAYMENTS PER COMPUTER 6,342.00Refund or Amount OwedREFUND AMOUNT 6,073.00ESTIMATED TAX CREDIT APPLIED TO NEXT YEAR 0.00ESTIMATED TAX PENALTY 0.00TAX ON INCOME LESS STATE REFUND PER COMPUTER 0.00BAL DUE/OVER PYMT USING TP FIG PER COMPUTER 6,073.00BAL DUE/OVER PYMT USING COMPUTER FIGURES 6,073.00FORM 8888 TOTAL REFUND PER COMPUTER 0.00Third Party DesigneeTHIRD PARTY DESIGNEE ID NUMBERAUTHORIZATION INDICATOR 0THIRD PARTY DESIGNEE NAMESchedule C--Profit or Loss From BusinessSOCIAL SECURITY NUMBER XXX-XX-1505EMPLOYER ID NUMBERBUSINESS NAMEDESCRIPTION OF BUSINESS/PROFESSIONNAICS CODE 000000ACCT MTHD CashFIRST TIME SCHEDULE C FILED NSTATUTORY EMPLOYEE IND NINCOMEGROSS RECEIPTS OR SALES 10,225.00RETURNS AND ALLOWANCES 0.00NET GROSS RECEIPTS 10,225.00COST OF GOODS SOLD 0.00SCHEDULE C FORM 1099 REQUIRED NOSCHEDULE C FORM 1099 FILED NONEOTHER INCOME 0.00EXPENSESCAR AND TRUCK EXPENSES 0.00DEPRECIATION 0.00INSURANCE (OTHER THAN HEALTH) 4,560.00MORTGAGE INTEREST 0.00LEGAL AND PROFESSIONAL SERVICES 0.00REPAIRS AND MAINTENANCE 5,867.00TRAVEL 2,004.00MEALS AND ENTERTAINMENT 0.00WAGES 0.00OTHER EXPENSES 8,022.00TOTAL EXPENSES 40,293.00EXP FOR BUSINESS USE OF HOME 0.00SCH C NET PROFIT OR LOSS PER COMPUTER 30,068.00AT RISK CD All investment at riskOFFICE EXPENSE AMOUNT 0.00UTILITIES EXPENSE AMOUNT 0.00ENERGY EFFICIENT BUILDING DEDUCTION 0.00COST OF GOODS SOLDINVENTORY AT BEGINNING OF YEAR 0.00INVENTORY AT END OF YEAR 0.00Form 4136--Credit for Federal Tax Paid on FuelsNONTAXABLE USE OF GASOLINE - LINE 1A-C 1,025.00Form 8863 - Education Credits (Hope and Lifetime Learning Credits)Part I - EDUCATION CREDITSSTUDENT 1 NAME CNTRL PIERSTUDENT 1 SSN XXX-XX-1505STUDENT 2 NAME CNTRLSTUDENT 2 SSNSTUDENT 3 NAME CNTRLSTUDENT 3 SSNTENTATIVE CREDIT AMOUNT 2,500.00PART II - LIFETIME LEARNING CREDITSTOTL LIFETIM LRNING CR QLFD EXP 0.00EDUCATIONAL INSTITUTION FEDERAL ID NUMBER STUDENT 1 XXXXX1829SECOND EDUCATIONAL INSTITUTION FEDERAL ID NUMBER, STUDENT 1 000000000EDUCATIONAL INSTITUTION FEDERAL ID NUMBER STUDENT 2 000000000SECOND EDUCATIONAL INSTITUTION FEDERAL ID NUMBER STUDENT 2 000000000EDUCATIONAL INSTITUTION FEDERAL ID NUMBER STUDENT 3 000000000SECOND EDUCATIONAL INSTITUTION FEDERAL ID NUMBER STUDENT 3 000000000PRIOR YEAR HOPE SCHOLARSHIP OR AOT CREDIT CLAIMED STUDENT 1 NOACADEMIC ELIGIBILITY, STUDENT 1 YESPOST-SECONDARY COMPLETE STUDENT 1 NOFELONY CONVICTION STUDENT 1 NOPRIOR YEAR HOPE SCHOLARSHIP OR AOT CREDIT CLAIMED STUDENT 2 NONEACADEMIC ELIGIBILITY STUDENT 2 NONEPOST-SECONDARY COMPLETE STUDENT 2 NONEFELONY CONVICTION STUDENT 2 NONEPRIOR YEAR HOPE SCHOLARSHIP OR AOT CREDIT CLAIMED STUDENT 3 NONEACADEMIC ELIGIBILITY STUDENT 3 NONEPOST-SECONDARY COMPLETE STUDENT 3 NONEFELONY CONVICTION STUDENT 3 NONEVERIFIED NUMBER OF EDUCATION CREDIT ELIGIBLE STUDENTSTOTL LIFETIM LRNING CR QLFD EXP PER COMPUTER 0.00PART III - ALLOWABLE EDUCATION CREDITSGROSS EDUCATION CR PER COMPUTER 1,500.00TOTAL EDUCATION CREDIT AMOUNT 1,500.00TOTAL EDUCATION CREDIT AMOUNT PER COMPUTER 1,500.00Form 8867 Paid Preparer's Earned Income Credit ChecklistINCORRECT INFORMATION AOTCF8867 CERTIFICATION Yes box checkedEIC CLAIMED Neither box checkedCTC ACTC CLAIMED Yes box checkedAOTC CLAIMED Yes box checkedHEAD OF HOUSEHOLD FILING STATUS CLAIMED Yes box checkedForm 8995-A,8995 Qualified Business Income DeductionQUALIFED BUSINESS INCOME COMPONENT 0.00REIT AND PTP COMPONENT 0.00F8995 NET CAPITAL GAINS 0.00F8995 DOMESTIC PRODUCTION DEDUCTION 0.00QUALIFED BUSINESS NET LOSS CARRYFORWARD 0.00QUALIFIED REIT DIV AND PTP LOSS CARRYFORWARD 0.00TOTAL QUALIFIED BUSINESS LOSS CARRYFORWARD 30,068.00TOTAL REIT DIV LOSS CARRYFORWARD 0.00TOTAL QUALIFIED BUSINESS INCOME OR LOSS 30,068.00QUALIFIED REIT DIV AND PTP INCOME OR LOSS 0.00This Product Contains Sensitive Taxpayer Data