Name: Felicia Walton CHAPTER 12 COMPREHENSIVE TAX RETURN ASSIGNMENT Using the data for RUSSELL and JANIE ARMSTRONG, in the separate data file, prepare the FEDERAL and UTAH tax returns using any method you choose. Using the completed returns, answer the following questions: 1. How much in taxable interest is reported on the 1040? 414 2. How much in ordinary dividends is reported on the 1040? 952_ 3. Is Schedule B required to be attached to the 1040? Yes_or_No NO 4. What is the income (loss) reported on the 1040, line 12? _ 36322, 5. Whats the capital gain (loss) reported on the 1040, line 13? 9840, 6. What is the income (loss) reported on the 1040, line 17? 116693 7. What is the total for AGI adjustments reported on the 1040, line 36? 18634__ 8. How much is reported as itemized deductions on the 1040, line 40?__ 31882. 9. How much is reported as taxable income on the 1040, line 43? 97826___ 110. What is the taxpayer's federal income tax on the 1040, line 44? 15999 11. Is the taxpayer subject to the AMT? (Yes or No) Yes or No NO. 12. How much can the taxpayer claim in eredits on the 1040, line 55? 42, 13. How much do the Armstrong's owe in Self-Employment taxes? 15668, 14, Is the taxpayer subject to the Health Care Individual Responsibility payment? Yes or No NO 15. What amount is reported as total payments on Form 1040, line 74? 36575__ 16. What is the Utah taxable income reported on Form TC-40, line 9? 145587 17, How much is the Utah taxpayer tax credit reported on the TC-40, line 20? 765__ ‘on the TC-49, line 39? 18. How much is reported as withholdings/credi SUBMISSION INSTRUCTIONS: 1. Using this page as a coversheet, please scan/print this page and the completed tax return to a single PDF file and upload the return through Canvas for grading on or before the due date noted in Canvas. Late returns will be subject to the late penalty and will only be accepted through Reading Day, April 28th. 2. This assignment serves as the ePortfolio signature assignment for this course. Please upload the return, along with a brief reflection, to your ePortfolio and provide your ePortfolio li the comment section of the assignment in Canvas.£1040 U'S.naiviauat income Tax Retum [201 6 our sce |sduy-aoatnieonntnee Fare yer in Oa 1, 016 aa eb eae 2 See separate stocions ‘Yor ws Tae Yor soda our nambar Russel larmstrong oo dodso7e 1 [SAAR RATE WATS S TTT Tarn peu fol soy maar Janie larmstrong 554983946 a TRE 4 Valeur Bd above 1244 Katy Ra ronine bo a caeet ane GRE ST ZF EI YaT NWT WH TO, TS SRT BRET, Katy, UT 88792 roel Becton Canpsin en wo olsen cer Ferign coo FS FG RTT, RT| ha ent vee Clap Filing Status? LJ Shrae 4 Cl Weed otnousahad (with aualying peor (See nections) 2) Mare ng fit (even it only one ha ino) tne ustirg peron sacha Bunt ou depends check only one 3] Mare fing separately. Enter spouse's SSN above chs arate. ox are! name here. 5] unig wesw wh caper Exemptions Yosaa fone Cx do it aka Bose aE © Dependents: 2 Denies Towecnt | Wf Taiiedeae i = on'sowna. facta Shved th yow (0 Feevame tatrane setcrtyrunoe | eitentpi wu | MEE a {adnate way i Armstrong PE vERRSSISC ieee more than four Martha Armste 245 6766 5 4 [Daughter echelons pendent, ee Aeesstong. ao7s zr Crpencons once inetuctons and Parente aks cneck nee») sssnumorgon [7s Taal naar orempton canad ae ine owe income 7 Wages, sla tb, sa. Aaah Forms) W2 Tt Taxableirtoresl tach Schedule Bi required an aa Taxexempt terest. Do natincide ontinga | |b 23 fateh Fort Ordinary dividends. Attach ScheduleBifrequred | | Bw 95a wea ued dividends _ » ro W.26 and Tavable refunds, red, or fees of tate and acal income x68 10 a 1000-F i tax Akrony ceived rn was wine, Business income or oss). Attach Schedule Co EZ || : 12 eam Capital gain oss. tach Schedule Oirequod. net reuied, check hero C3 3880 you dé not Othe ain or (osses) tach Fo 4787 : 14 getaW2, ie iRAdenbuions (160 8 taaiieanone |. ie 462 Pensions and series [68 b Tasaie amount “6b 47 Rental real estat, royaes, parnerps,Scomporaion, rusts, te. Atach Schedula 47 ioe 18 Farmincome or os). tach Schedule F 78 49 Unemployment compensation wees 78 20a, Socal security bentts [20 b Tasabie aront 20b 21 Other ncome. List type ad amount 21 22 _Combinotha aroun thar ght coi fr 22 Tats 23 Educator expenses - ~ [a8 Adjusted 24 Caran tusnaa egunsis of uses, pong aso Gross ‘eeu goverment otal AtaohFom 2105 8 2108-22 | 24 Income 25 Health savings account deduction. attach Form 8889. | 25. 25 Moving expenses. Aaon Form 3909 26 27 Daducil par ote employment tox Atach Scaaue SE. [27 Ta 28 Seenployed SEP, SIMPLE, ard qualed pins... | 28 29 Selterpoyed heath insurance deduction 20 7 30 Penalty on ear withcraal of savings 20 31a Almonypald. b Reciien's SSN Bia 32 RAdeducton . 2 139° Shudont loan interest deduction 3 [34 Tuton and ss, tac Form 8917 24 35. Domestoprodutansctvtes deduction, tach Fom 03 LS 98 Addines 29tWOVDRIS 36 e634 [37 _Subiract ine 36 rom lng 22. This youradhsted gross income 2» [ar 745904 For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate Instructions, cat No, 1308 Fam 1040 G5sonia vot Maa daecareel a toed ooo] Drones aa) asian a it | Cy spouse vas bom before Jawary?. 152, Bina. J enacted > 300 |_| » fps opus pasa Smetin Sethe aE a Cincnmarentaneneronncwatemen fe] ma S SSpam in hlecenuinpsnureene! ncnboe [o[ $ Sm aamanmerenmiense staan & Weinman Geenwone Cleans fart —— am & Teeuwen tetawen aantmelt ee ba gra’ | ann ciaemenimaroree os Ee fra. |b sootoceton - eae sAtobars | Xa Frain tach Fon 18 eae 7% a Cian daeaes nce arena Fa coceentecremens 3 2 GiasrEstetaee Te Seer an S & Semiamencs tee een <0” Le i farina ctmeemeyr onan P z ee — 58 Unreported social security and Medicare tax trom Form: a[] 4137 b [] 8919 EI B tikmcehecaciommacca amtensatinean ” [Es &. faonerapennnsenan = 3 anane et ren et a ot taane nape ons far onc = & Toticn"eaaa Geman” t drones tarecwo ieee eevee pat 2 Stanatinmnnocameassnm fa yeahs seq Eamedincome cregt IO) ss a hisvatiech [Nontaxable combat payetecton 666 | Sa.) Soaioneeettions — ps @ Mccecasyecstnstomina.owe = ES S tomwannteceee > > ES & fmcrmienmamearamets ©2222 De = Srconcaun nrc z B comer atieoeteetstees «Es te hmontakeituneinanscinie ston satwaercscniien TO Fi accom? tempor Sintec sane Irstucters. 77 _ Amount of ine 75 you wart applied to your 2017 estmated tax | 77 [20902] ‘Amount 78 Amount you owe, Subtract line 74 from line 63, For details on howto pay, ses nstuctions P| 78 You Owe 79 Estimated tax penalty (see instructions)... _.|7| | Fae ee ea sian ws bE TTT Taloeeee ee Ee Beara Co me i tmz 2 see Oo Sign Secs eas aaa Ra pS a OTT Li Yur sgnatire ate ‘Your occupation Daytenn phone rumber ce REE ou recone rere (sce rat} paid Panga anaes ane] Ppa sae Dae ek Ou) PN Preparer jeer oneicyed| eee “ea a a :tomo, Itemized Deductions Soa copeimenclteeanry | information shout Schade Andis sparse ineructions tat wnneirgovecheduos, | 201 eerie a Attach fo Form 1040 See Tana ao Foor OF Tours Sc nr Russell and Jane Armstrong ecas-sera Caution: Donot include expenses romburaed o paid by oer. Medical 1 edical and dental expenses (ee instructions) ls 62s} and 2 Enter amount om Form 1040, Ine 38. [2 1g Dental 3. Mutipy ine 2 by 10% (30, But # ether yous Your spouse was Expenses bom before January 2, 1952, mutiny tne 2by 7.5% (0.075) inetead [3 suse 4. Subtract ne tom ine 1.11 tne 3's more than ine 1, enter-0- 14 d Taxes You 6 Stete and local (check only one box: Paid 2 Brean orf cee. |S s16q b (General sales taxes: 6 Realestata taxes see nstvctions) oo |B asm 7 Personal property taxes Piliiiife 8 Otertaxes List ype and amount 8 9 adinas SIGE aoe ans 18 ean interest 10” ome morgage ees and parts topoted to you on Form 1088 [10 Ta You Paid 11 Home morgage intrest not reported to you on Form 1088, pad tothe poson fom vnom you bought the home, se Insuctons Note and how tat person's are, ening no, and access Mer morgage verea nn . cacctonmay Selma soo 42. Ronis nol ropaied Yo you on Fears 1088. Soa Wnsraclons for introns) ‘special rules. 2 48 Mortgage insurance premiums (se instuctons) |. |g 44 Investment intrest. Atach Fom 4952 requted, (See instwcsons) [ta 45. Acd ines 10 trough 14 . 5 120% Gifteto 16 Gits by cach or check, you made any gt of $250 or more Charity seeinetructions hs ssa ityoumadea 17 Other than by cash oF check. It any git of $250 or more, see gitandgota instructions, You must attach Form 8289 f ove $500 | 4204 beenett fort, 48 Carryover from prior year i Seelnsructons. 49 acd ines 16 through 18, 19) mal ‘Casualty and Theft Lowses 20 casvaly o thet losses). tach Form 4684, See intuctions) zo Job Eipenses 21 Urreimbursed employee expenses—jb travel, union dues, andra" joo education, ee, Atach Form 2100 or 2106-E2 I required. Miscellaneous (See instructions) a Deductions 22 Tax preparation ees a 23 other expensesInvestment, safe deposit box, ee. Lt ype and amount ® = ~ fo 24 Aaa ines Bi TTTTTo ped 25. Enter amount om Form 7040, ine 38) [as 26 ‘Muttply ine 25 by 2¥6 (0.02)... 25 21 Subtract ine 26 from ine 24, tine 26 i mre than line 24, enter -0- Ea d oer 28. Other=tror tin nsructons. ist ype and amount Miscetaneous Deductions a 28 Total 29 eForn 100, nn 0, over SERED? Itemized © No. Your deduction is not limited. Add the amounts in the far right column Deductions for ines 4 through 28. Ale, erter this amount on Form 1040, ne 40 2 sre D Yes. Your deduction may be limited. See the Itemized Deductions Worksheet in the instructions to igure the amount o enter. 280 you elect o temize deductions eventhough they are less than your standard deduction, check here a as as ee “ > 0 Fe Paparwaik Reduction At Note, see Form 1040 svactona corer Seheae A Form 100 2016SCHEDULE C (Form 1040) Profit or oes Lh la >> Information about Schedule C and its separate instructions is at wivw.rs.gov/schedulec. 2016 Daprten o nerany seven Fraraiennuesorice Gs] Peattach to Form 1040, 1040NR, or 1041; partnerships generally must fle Form 1065. ‘Sequengeo.09, ame proprio Soci ear umber (5) Janie Aemstrong 1554.98.96 Banca business a po Artist Jon, Raluing product or aenics ase etructions) 3 reread Fn racine ei riaiiis is jo ‘© Business namo. ro soparate busness rare, fave DN Ramsey, LTD (E-Business addross pncucing sue or oomino) ® 1234 Katy Ra iy, town or post office, sate and ZIP code _Kaiy UT #792 Ease rer EW, feo) Piettiitity & Accounting method: (1) [e]Cash (2) [JAccrual (3) [] Other (specity) > © 04d you "materly paral inthe operation of this business cing 2016 WN,” sean ivan asa EVES“ TWS™ Httyou stated or eequred ths business ding 2016, check here 1 Did you make ary payments 2036 that would equi you fe Form(s] 1099? (se intucone 5 -vos" dd your wil you roqredForms 10897. ‘Income “| Gros receipts or sae, Ses inecions fore and check he box ts ncaa waa reported To you an Form W2 and the “Statuory employee" box on that orm was checked ro [4 2200 2 etuns and alowances . : not at 2 3 Subtactine2tromine 1. pill pill : 3 TH 44 Costf goods std rom Ine 42) a : Lt ‘ 5 Gross profit. Subtrect ine rom ine 3 3 sa © otherincam,inng deal ard sate gasolne oul x credo refund ie nstuctons) 6 7. crossinoome, Add nes Sand 6. Lis Sg Expenses, Enfor expenses for business use of yourhome ony on the SO. Advertsing . TSO] [16 Office expense aes nsuaora) [78 a © ar and ruck evpenses 48 Penson and proft-shaing plane. [18 iestrcton) ° asi] | 20. Rentorleae see instuctions) 10° Commissions andes. [0 ‘8 Voices, machinery and equipment | 208 14 cComactsbreensuctons) [44 Other business properly 20 12. Depleton 2 21° Repars end maitenance zi 413 Depreciation aed sctn 79 22 Sipoes (rt ncudedin Pon). | 22 a fxpense eton "ot sxpese Seuten 22 Totes and Kooses 2 | ranting. eS Lag asa] | 26 Travel mest, and nteratment: 14 Employes bene programs Trae! [ata (oterthan ovine 9). | 14 Deduct meat ana 18 surance (other anes) [15 cntetarment (eee ntuctons) | 240 iad 16 rest: 25° Utes 2 ‘8 Motgeee tata banks te) [160 26 Wages Joos employment cect). [26 boomer se [eb 21a Ofer expenses (romtne se). [Ta 17 _Logalndpesdonseevees_ [47 EG) bb Reservedtorfitureuse | [27D 28 Total expenses botoreexpeees for busines ue Of home Ad nes B Brough 27a > [a Ta 29 Teniatveprott ors). Subvactine2Biromine7. se ee : De Ta 30 Expenses for buneae use of your home, Oo nok report these expenses etewhere, tach For 8829 Unless ung the spied method (ee neuctons ‘Simplified method tere ony ere te otal square footage of your home: and (he pat of your hae used for bushes: ~Usethe Smaiied Method Worksheet nthe nstton to fgure the ancunt to er one 90 w zou 31 Netproft or oss). Subact ne 20 rm he 29 * tarot enter on both Form 1040, ne 12 Frm YHONR, ine 19) anon Schedule SE, re 2. (you checked heb on ne, se hatcong, Etats and Wu etaron Form 104%, ne 3. a saan + iatoss, you must goto fre 32. 32 ttyouhave a os, check the box that desertbes your investment inthis activity (ee Intrutons + Ifyou checked 32, ena the joss on both Form 1040, tine 12, or Frm 1O40NR, line 13) and ‘on Schedule SE, ine 2 you crackad th box on Ine 1, 98 the ine $1 instructions) Estates and ‘rust, enter on Form 108, tine 3. + you checked 32, you must tach Form 6198. Yout loss may be mit. For Paperwork Reduction Act Notice, soe the separate instruction Grn Ts 328 C1 Allinvestmont isa isk, 32» [J Some investments ot etree ‘Seale Com 1080) 2046ante. Capital Gains and Losses > Attach to Form 1040 or Form 1040NR. (ME No 1545:0074 2016 Depstnet fe Tesy | P Information about Schedule D and ts separate instructions ie at www.is.gov/scheduled. | father! basa Roverue Sees > Use Form 8949 to lst our transactions for ines 1b, 2,3, 8, 8, and 10. ‘Segond Wo. 12 Taree sown on tar ary Rab Russell and Janle Armstrong 664.98.5678 Short-Term Capital Gains and Losses—Assets Held One Year or Less ‘See instructions for how to figure the amounts to enter on the @ anor lines below. @ @ aatrots Protons con toga orion rom This form may be easler to complete Ifyou round off cents to | aissmics) | teroturbaany | anna gona, Put whole dotars ‘ne eourmn 41a Totals forall short-lerm transactions reported on Formn +1098-B for which basis was reported to the IRS and for Which you have no adjustments (sae instructions However, if you choose to report all these transactions ‘on Form 8949, eave ths Ine blank and go to line 1 x 4350] 4570 ‘tb Tota fo ll transactions reported on Form(s) 8949 with| Box A checked 2 Totals for al ransactions reported on Formis) 6949 with Box B checked Totals or ll vansactions reported on Forms) 6949 with Box C checked 4. Short-term gain from Form 6252 and short-term gain or oss) from Forms 4684, 6781, and 8824 5 Net shor-irm gan or (oss) om parinerships, § corporations, estates, and trusts frm ‘Schedule(s) K-1 : {6 Short-term capital loss carryover, Enter the amount an Worksheet in the instructions 7. Not short-term capital gain or loss). Combine lines 1a through 6 in column (h) you have any long- term capital gains or losses, goto Part Il below. Otherwise, goto Part Ion the back - Long-Term Capital Gains and Losses—Assets Held More Than One Year from line 8 of your Capital Loss Carryover 2000 2310 See instructions for how to figure the amounts to enter on the @ ines below. @ Oo astra lines bek Proweds oe logan orlees rom ‘This form may be easier to complete Ifyou round off cents to | asseno |feraterbaas) [rome sot whole dotars To coher Pitan lant ne encour (a st m0 aril |camore oat nt ‘sim ‘82 Totals for all long-term transactions reported on Form 1099-8 for which basis was reported to the IRS and for which you have no adjustments (see instructions. However, if you choose to report all these transactions ‘on Form 8949, eave this Ine blank and go to line 8 160 10152] 1535 ‘8b Totals fo all transactions reported on Form(s) 8949 with Box D checked ‘Totas for all transactions reported on Formis) 8849 with Box E checked 10 Total at warcactonerapred on Ferme 6849 wh [Box F checked. 1 Gain from Form 4787, Par I long-term gain frm Forms 2499 and 6252; and Tong-erm galn or oss) from Forms 4684, 6781, and 8824 tea 12. Net long-term gain or loss) from partnerships, S corporations, estates, and trusts from Schedule(s)K-t 18. Capital gain distributions. See the instructions 44 Long-term capital loss caryover Enter the amount, f any, tom fre 13 of your Capital Loss Carryover Worksheet inthe instructions 15. Net long-term capital gain or (loss). Combine lines 8a through 14 in column (t). Then go to Part ll on the back 4 2 2 14 | 15 2470 Fort perwork Rediction Act Notice, ese your tax retum instructions. Ga Ros “Schedule D (Form 1040) 2016‘Schedule 0 Farm 10402016, Page 2 Summary 18 Combine lines 7 and 1S andentertheresut ee 16 40 + If line 16 is @ gain, enter the amount from line 16 on Form 1040, ine 18, or Form 1040NR, ine 14, Then go to ine 17 below. + Iie 16 is a loss, skip lines 17 through 20 below. Then go to ine 21. Also be sure to complete line 22. +I line 16 is zero, skip nes 17 through 21 below and enter -« ADAONR, line 14, Then go to line 22 fon Form 1040, line 19, oF Form 17 Arelines 15 and 16 both gains? 1 Yes. Go to line 18. No. Skip lines 18 through 21, and go to line 22, 18 Enter the amount, if any, from ine 7 of the 28% Rate Gain Worksheet in the instructions... | 18 419 Enter the amount, if any, from line 18 of the Unrecaptured Section 1250 Gain Worksheet in the Instructions. -- enarnrs we mL 20. Aelines 18 and 19 both zero or blank? Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions {for Form 1040, tine 44 (or Inthe instructions for Form 1O40NR, line 42), Don't complete lines 21 and 22 below. CINo. Complete the Schedule D Tax Worksheet in the instructions. Don't complete lines 21 and 22 below. . 21 Mfling 16 isa loss, enter here and on Form 1040, line 13, or Form 1040NR, line 14, the smaller of: “The joss on line 16 or 21 | ) + ($3,000), or if married filing separately, ($1,500) Note: When figuring which amount is smaller, reat both amounts as positive numbers. 22 Do you have qualified dividends on Form 1040, tne 8b, o” Form 1040NA, line 1067 1 Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions, for Form 1040, line 44 (or in the instructions for Form tO40NR, line 42). Ci No, Complete the rest of Form 1040 or Form 1040NR., ‘Schedule Form 1040) 2036‘SCHEDULE E ‘Supplemental Income and Loss (vB No 16450074 CForm 1080) | promrantven oat oats parma Scorortons eras, bots REMC, te) | ZG atch te Form 14,0408, Fo 141 2016 Depart Hasan rarer Sane) ete Narat@ sown on rt Russell and Janie Armstrong Tec nab 64-90-5678 [GED _trcome or Loss From Rontal Real Estate and Royalties Water you an tra busnoss ot ering parcoral propery ue ‘Schedule C or C-E2 ( instructions). Kyou are an india, part farm rental income or les from Form 4895 on page 2, ne 0. ‘A Did you make any payments in 2016 that would require you to fle Form(s) 10997 (see instructions) Tne B If "Yes,” dd you oF will you file required Forms 1099? Gres CINo “Ta__[ Physical aderess of each property (stret, city, stale, ZIP code) ‘A [9672 Tuip Way. Kay. UT 84792 5 Gg 1b | Type ofProperiy | 2 For each rental real esate propary fisted FaieRental_) PorsonalUse | ayy {rom ist below) above, report the number a fa ental and Days Days Se me) petal an ya Chek the GiV poe = Sry you maet he equtemert to fie ae [A 366 o 5 a qualled jont venture: See insuctions.- | o c ¢ oO Type of Property: 1 Single Famiy Residence 3 Vacetion/Short-Term Rental 5 Land 7 Selt-Rental 2 Mutifamiy Residence 4 Gommercial 6 Royalties _6 Other (describe) income: I PrOpERIGS! = c ‘3_Fents received 3 a 4 Rioyalies received 4 350 Expenses: ~ 5 Advertising 8 6 Auto and travel(Gee instructions)» 2.) Te 7 Gleaning and maintenance : T 7a3e 8 Commissions, sete. [Be 9 Insurance 2 i 10. Legal and other professional fees 0 Tam 11 Management ees... 1 12. Mortgage intrest paid to banks, etc. (ee instructions) [12 800 43 Other intrest. 73 14 Repairs. 74 was 18 Suppies 8 16 Taxes 2. fel 3800) 17 Usities 7 - 18 Depreciation expense or depletion | 2. [a Tia 49. Other (ist) P- Gardening, Bank Service Cha 19 2135 zi 20 Total expenses. Add tines § through 15 Tao EH Ta 21 Subtract ine 20 trom line 8 (rents) andor 4 (royalties). result isa (loss, $08 instructions to find out f you must file Form 6198 2 2a] 8225 22 Deductible rental realestate loss after limitation, ary, on Form 8582 see instructions). a2} aan] q ) 23 Total o al amounts repocted online 3 forall rental properties 2a 3009) 'b Total of all amounts reported on line 4 fr all royalty properties 236 3500) © Total of all amounts reported on ne 12 fo ll properties 23e. 3800) Total of all amounts reported on line 18 forall properties 2a 2737 Total of all amounts reported on line 20 forall properties... 230 36692] 24 income. Add positive amounts shown on ne 21. Do not inclide any losses ey 225 25 Losses. Ads ryaty losses from ne 21 and rental real estate losses from ine 22. ter total losses here [25 [ a 26 Total rental real estate and royalty income or (oss). Combine lines 24 and 25. Enter the resuit here. Pars I lV, and ine 40.0n page 2 do not apply to you, also enter this amount on Form 1040, ine 17, or Form 1040NR, ine 18. Otherwise, include this amount in the total online 41 on page 2 26 50 For sperwork Reduction Act Notice, see the separate instructions. ‘Schedule E (arm f040) 2016‘Schou (Fem 1040) 2016 Ansctnant Sauce No. 13. Page 2 eo BRO RG DSRS STE BE TOE REY PDH THOTT, Yoo aT RY AIT Caution: The IRS compares amounts reported on your tax return with amounts shown on Schedule(s) K-1. TEEGMID income or Loss From Partnerships and S Corporations Note: you report aloss For anaiskacbiy To wich any ours nto isk you must check he box n cok (lon he 28 and attach Form 6198, Se nstuctons, 2 Are you reporting any oss not alowed in a prior year due tothe atisk, excess farm loss, or basis limitations a prior year Unallowed loss from a passive activity (that loss was not reported on Form 8582}, or unrlmbursed partnership expenses? Hf you answered “Yes,” see instructions before completing this secton, Yes No 28 (0) Nar Becsee | Cocca | Gewizatn Saree 7A [Russell Armarong p o SrA o 5 o o c o 5 > o Oo Passive income and Loss Wonpassive income and Loss 1 Pasa oer stones (@) Passe neome Fy Nowe ess | A Section 79.eane | @) Nagase naan (sat Form 82 reco) om Sched ct MTom Schedule? | detictonromtorm ssa | "hom Sched a Food] Tae 5 c [ D 29a Totals Taras b Totals L LI 30 Add columns (and oftne 28a... Toe Ea 31685 81 Add columns (th, and (of ine 298 at Fr 82 Total partnership and S corporation income or (loss). Combine lines 30 and 31. Enter the result here and include in the total online 4 below 32 swoses [EMMI] _Income or Loss From Estates and Trusts 3 (0 Name detest x 5 Passive come and Loss Wonpassive Income and Loss {a Fase ddan or oa (a Pua neon (eDedeten or ss {Ome neon em (seco orm 82 tro Neches ‘fm Schedule et Scheaun Kt x 5 ‘ata Totals b Totals 7 I 35 Add columns (@) and (of tine 34a ~ Des 3% 38 Ad columns (c) and () of ine 84 36-[0 i 37 Total estate and trust income or loss). Combine lines 35 and 86. Enter the result here and include in the totaon na 41 below... co 37 Income or Loss From Real Estate Mortgage Investment Conduits (REMICs) —Residual Holder rplyercenicaton | PzcEIson tom Tg tebiencare nt icone tom 38 (9 Narn aaa Schedules Give Ze” [Ie Schedaios Gime | Sebi, 30 i — 39 Combine columns (a) and (e) only, Enter the resulthere and induce in the total on ine 41 below | 38 ‘Summary ‘40 Net farm rental income or (oss) rom Form 4835, Aso, complete ine 42 below - 2 “41 Totatnse fas. Combis a 25, 22,5, 58 nth at hard on Fo 4,7 Fm Sune 18> [at Tea 42, Reconellition of farming and fishing income. Enter your gross farming and fishing income reperted on Foc 4835, ne 7; Schedule K-t (Form 1068}, box 14, code B; Schedule Kt Form 11206), box 17, code Vand Schedule K- Farm 1041), box 14, code F(seeinstuctions) ... | 42] I 43 Reconciliation for rea estate professionals, t you were areal estate professional (se instructions, enter the net income or (oss) you reported Bryunare on Form 1040 or Form 1O40NR fom a rental esl estat actos in which youatoialy participated under the passive acviylss wes . . [ 43] I ‘Sched Form 080) 2096SCHEDULE SE suerte Self-Employment Tax 36 ores > iomation bot Scheie Sanat separteinsctonsieatwaneiegorecaaies, | 2016 Pricer Attach to Frm 1040 or Farm 104%. Soh, 17 Fal pena Sa ange Rom TST Ga TDHF TBUNA | Soca Saou) Toa HPO Russell Armstrong watn setremploymentincomeD | __ 64-98-5678 Before you begin: To determine it you must fle Schedule SE, see the instructions. May I Use Short Schedule SE or Must I Use Long Schedule SE? Note. Use ths flowchart only if you must fle Schedule SE. f unsure, see Who Must File Schedule SE inthe instructions. i you receive wages or pein 20167 No vee ¥ + 7 you minty mariber of a ezioos ore, or Orson Seance practons vb ecsved FS approval ot ob ako nearing rom hes toucea, but you ovo sa-rpoyrent ‘SEecepoyment moe an 11 Was the ttl of your wages ae pe aujet to soit scanty |ygg ‘ristonsvtrrment for) tax pu eur rat earn tam [YF _ pp fie Yee you using ne of tha optional matreds t9 toe your me fy in eeinstucton)? 1 you ects subject o soc sour or Nadeara tax Yoo ‘hatyou lt ep to your employe? Ne fe a ee i you reese church employes icone feo naiuctana) [es ‘epotes on Form Wo $108.28 mare? Tf 1a yu repo any wager on Fors B18, Uneoleted Soaal [Yes Senay anaes akon Wages? ‘You may ute Sort Schedie SE below ‘You mist ore Long Schedule SF on pape 2 ction A—Short Schedule SE. Caution. Read above to s0e if you can use Short Schedule SE. ‘at farm po Tos) om SchedileF Ine Hand am partnerships Sched Ko Form 1065), box 14, code A. yeu received social scary retrment or esi bones, ertr tho amount of Conservation Reserve Program payments included on Schedule F, ne 4b, or stad on Schedule K-1 (Frm 1065), box 20, code Z 2 Net profit or (oss) from Schedule C, line 31; Schedule C-EZ, line 3; Schedule K-1 (Form 1065), box 14, code A (other than farming; and Schedule K-1”(Form’ 1065-B), box 9, code Jt Ministers and members of relgious orders, see instructions for types of income to report on this line, See instructions for other income to report 3 Combing nes 1a, 1b, and 2 ‘4 Multiply tne 8 by 82.35% (0.9295) If lass than $400, you don't owe sel-employment tax, don't fle this schedule unless you have an amount on line 1b. .e . > Note. i ine 4 i loss than $400 due to Conservation Reserve Program payments on line 1b, s0¢ instructions. 5 Self-employment tax. the amount on fine 4 is: + $118,500 or less, multiply ine 4 by 15.3% (0.159). Enter the result here and on Form 1040, fine '57, or Form 1040NR, line 55 ‘= More than $118,500, multiply line 4 by 2.9% (0,029). Then, add $14,694 tothe resut. Enter the total here and on Form 1040, line 57, or Form 1040NR, line 55. 6 Deduction for one-half of self-employment tax. Multiply Ine 5 by 60% (0.50). Enter the result here and on Form. | 41040, line 27, or Form 1040NR, line 27 6 73 ta sos af ) 2 3 788 4 02409 5 15668 For Paperwork Reduetion Act Notice, eee your tax return nalructons. (Gat No aR ‘Sehedule SE Form 1080) 2046Fon 8283 Noncash Charitable Contributions (OMB No. 1545-0008 (Pe Oram’ 2014 (> Attach to your tax return if you olaimod a total deduction Depwtnen eth rary ‘of over $500 fr all contributed property. ee tnaraifewrus vce” | Information about Form 8263 and its separate instructions is at wwv.is.goviformazss. | _Serwsce"t. amet show on our ener TESS BT Russell and Janie Armstrong 664.98:5678 Note. Figure the amount of your contribution deduction bafore comploting tvs Term. See your ax return netuctions. ‘Section A. Donated Property of $5,000 or Less and Publicly Traded Securities—List in this section only items (or groups of similar items) for which you claimed a deduction of $5,000 or less. Also list publicly traded Securities even if the deduction is more than $5,000 (see instructions). Tnformation on Donated Property —if you need more space, allach a statement, T (ef donates pr "a a voice (ace mnatuctions, "E] Description of donated property 1 (Nan ard acest coated oper same enon. | ga aldncn ete joa mal wd See marten Riis isatecceiee” (nlite resets ont teconory abt "a Baath Bapist Church 1 A Iso shares Hoxagon ne Stock LITT TTTTTTT O 8 COCO errr c ial > O COO e t TTTTITITT ITT tri tit Note. ifthe amount you claimed as @ deduction for an item is $500 or less, you do not have to complete columns (@), (, and (G). (a ascraw [i Sse seaires | Howsenares | a) Ooerscon |) Fermaiatvale | _@ Menedunsocurin Corwen’ |Opcerartir |” ayeore PGES | Maca) ‘ene “A [_aremare | —aaea009 — purchased 109 el — bey rated seceuy 3 c D E Partial Interests and Restricted Use Properly—Complete lines 2a through 2e if you gave less than an entire interest in a property listed in Part |, Complete lines Sa through 3c if conditions were placed on a contribution listed in Part |; also attach the required statement (see instructions). a Enter the letter trom Part that identifies the property for which you gave less than an entire interest If Part Il apples to more than one propery, altach a separate statement. b Total amount claimed as @ deduction for the property listed in Part (1) For this tax year > 4800 (2) Foranypriortaxyears BS ‘© Name and address of each organization to which any such contribution was made in a prior year (complete only if different ‘rom the donee organization above) Name of chara erganzatn oes) a ea RT SFO For tangible propery, enter the place where the property is located ar Kept > ‘e Name of any person, other than the donee organization, having actual possession of the property > 3a. Is tee areticton, ether temporary or permaret, onthe done’ ght to us or capone ofthe donated property? bid you give to anyone (other than the donee organization cr another enganizaton partipating wth the donee ‘organization in cooperative fundraising) the right to the income from the donated property orto the possession of the propor, inudng that vote donated seers, fo aoqe the propery by purchase rather oto designate the person having such income, possession, orright to acquire? .. -- ’ Is there a restriction limiting the donated propertyfora particularuse? vs v For Paperwork Reduction Act Notice, see separate instructions. ‘at Re €2286) Team 8288 fe. 12-2018rom 8829, Expenses for Business Use of Your Home >> File only with Schedule C (Form 1040). Use a soparate Form 8829 fr each Rome you used for businese during the year. Oapaeent lh Tras 2016 SESTELLLLL S| ttmation aout Form 889 ands ceperte nsructons at ners govtomssze. | SET Sh 476 rae Sa Jani Arman ‘ssaonsas FENN Part of Your Wome Used or Business Miron csedTeouaiy and orehshely Tor bustiese-eGUy Tor daycare or Tor SOaGe invoniory or product samples (eo einctons) ss ee es 2 2 Tota area othome 2 3200 3 Dido ne 1 by ne 2 Enter ho result 2 percentage 3 7% For deycere facies not used exclsively for business, goto fine 4, Al others, o to ine 7. 4 Multpy days used for daycere rng yar by Rous used par day | 4 i 5 Toulhous tbe ous ng eye G2E dao 2thows xe ater) |B a6 8 Dido no oy ine 5 Ener herosul asa decal amount» [8] > 7 Bunneos percentage. For daeare felts not used exchiely fr usruse NUH 166 By tn 9 rer the reout as aperoriagg).Allothers enter he amount om ne rly 2% Figure Your Alowable Deduction Era anor Tom Scho Che 2, po ah Goad Wan Ta as oe VOT Fae, mins any ens om ever busess not are fom be mares olyouhare eectsmcis) | 8 sexed Sauter comme (ond) eo nese 9 Cauaty bases (oe instnctons. a 10 Daductblo morgage ntaest ee instuctong) [70 Ta 1 eal estate tres oe nstucos) it FH 42 Addins 8.10-and its : ie 253 18 Mutipy tne 12, coun b)byine 7. |S | B a6 14 Add tne 12, colar (ane 18 1“ see 45 iba ine erate 2 ores, ner ai 18 Excess morgage ners soe hevuctong) [TE 17 rewance. eee ar a 18 ent : Ee 418. Ropais and maintonance 5 7 2 vltiies be a 2 Otherexponces [ose invctons). |) | [at 2 fainws To trough 21 i a 28. Multiply io 22, column fe) by ine 7 be 7 24. Caryover of por yer operating expenses (eo irsvucions) 2 25. Ad tne 22, chur (a) te 28, on Ine 24 23 =n 28. Alowablo operating expenes, Ete he emalr of i 15 one 25 38 7 27 Limit on exces casualty loses and copreciaion, Subtactane 26 fom ne 1S 7 saa 28 Exceas casualty sees (ee nsuctions) eee 29. Dopravton of yourhome fom ine 1 blow 2 50. Carryover of por year excess casual losses and deprecation Gee hretvetons) een 20 34 Add toes 28 vough 30. ~st | 32. Alowabio excess casualty losses and dapeciation, Ear the smaller ofine27 or nest | | [8 4 33. Adeline 14,28, ane 32. = = 24. Casually os prin ary fom ines 14 and 3, Gary amount to oem 484 (60 ineruction) [34 35. Aowable expenses for business use of Your home Subvact ine rm ine 89. Enter he Srdon Schedule no 30 your home was used frre than no bushes, se Instone © | 95 2034 Dapreciation of Your Home Enter the smaller of your home's adjusted basis or its fair market value (see instructions) 36 T 7 Value of land included on line 36. ‘37 | 3B. Basis of buling, Surat bn 3 trom ine 96 3 26 Busnes bai of bldg. Mth Ine 38 by Ine 7. 39 I 4© Dopreciation percentage ue inseucors) 2 % ‘Depreciation atowable (eeinstueton), Muti 39 by ne 4 Erte here andorra 29 above [a I [GLE Carryover of Unalowed Expenses to 2017 M2 Opatangaxtorans Suita! tno 28 Fo te 2. Hoss hah 25, olor [2 [ 43_ Excess cas loses and cepedaon Subtract no 32 rom ino 1 ess than Zr enter-0-_ [a I For Paperwork Rodution Act tc, sx your tax return eros. ona Tan BEBEDepreciation and Amortization on M562 (heluingiomaton on Usted Preps) ee Attach to your tax return. [nenihneue Sexes {g@i| information about Form 4562 and its separate instructions is at www.irs.gov/tormasé2, 2016 Sega. 179 amet) shows an em Busiass or actly i which Torn Yous Russell and Janie Armstrong (ramsey, LTO entivng mer 54.98.2946 Election To Expense Certain Property Under Section 179 Note: If you have any listed property, complete Part V before you complete Part |. Maximum amount (See instructions) Total cost of section 179 property placed in service (se instructions) Tareshols cost of section 179 property before reduction in imitation (eee instructions)» Feeduction in imitation, Subtract line 3 trom line 2, If zero or less, enter ~ Dollar limitation for tax year. Subtract fine 4 from line 1. If zero or less, enter -0-. H married fling separately, see instructions Ta) Dessipion al pone Coa ae on oT ie Fetedeast 7 Usted property. Erierthe amountirom ine2. Lz 8 Total elected cost of section 178 propery. Add amounts in column (), ines 6 and 7 9 Tentative deduction. Enter the smaller of line § or line 8. 40. Canyover of disallowed deduction from line 13 of your 2015 Form 4562 10 414. Business income Imitation. Enter the smal of Business income (nat ess than zero) or ne 6 (see instructions) 1 12. Section 178 expense deduction. Add lines 9 and 10, but don't enter more than line 11 1 43_Canyoverof csalowed deduction to 2017. Add ines 9 and 10, les ine 12. [13] Note: Don se Par lor Pat Il below or sted property. stead, usa Part V. Special Depreciation Allowance and Other Deprociation (Don't include Taled property) (See hstuctions) 14 Special depreciation allowance for quaitied property (other than listed property) placed in service during the tax year (eee instructions) 4 970 18. Property subject to section 168i) election 5 18 Other depreciation (nctuding ACRS) 16 MACRS Depreciation (Don include isied property) (See insiuctions) Section A 47 MAGRS deductions Tor assets paced in sence in Tax years beginning before 2076 48 If you are electing to group any assets placed in service during the tax year into one or more general asset accounts, check here. > O Seolion 8—Assola Placed in Sorvico During 2076 Tax Year Using the Gonoral Daprociation System META PEF BST TO (eCassiicaton of propery | paced | usresinesimant use | 8 Faterery Yaris | “oayesee nc (6) Conerion Motos (@) Deprecistion Seton Wa S.jeer property b_5:year property_| 70, ayes |_haityeor 20008 ee ‘© 7-year property 10-year property fe 15-year property 1 20-year property 'g 25-year property 25 ro. sh hh Residential rental 275 yrs SIL property EST om T Nonresident real 33 yrs. property SIL ‘Seaton C— Assets Placed in Service During 2076 Tax Ye ternative Depreciatior 3 System 20a Ciass ite SIL 12-year Ta Si ei aos | ar LE Summary Goomencions) ’21 Listed property. Enter amount from line 28 z 7 - a 22 Total. Add amounts from line 12, ines 14 through 17, Ines 19 and 20 in column (g), and line 21. Enter here and on the appropriate lines of your retum. Partnerships and S corporations —see instructions 22 33 23. For assets shown above and placed in service during the current year, enter the partion of the basis atrbutable to section 263A costs 23 For Paperwork Reduction Act Notice, No. 1806 ee separate instructions Form AS62005Form 4509 018) foe 2 Listed Properly (nchide automobiles, certain other vehicles, certain acral, certain computers, and property Used for entertainment, recreation, or amusement, Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 24a, 24, columns (a) through (0) of Section A, all of Section B, and Section if applicable ‘Section A—Depreciation and Other Information (Caution: See the instructions for Its Tor passenger aulomobies) ‘24a Do youhave idence to supper the bushessfevestent use lared? 2] Vos[_]No | 24b I*¥es.is the evidence writen? [o] Ves] Ne $ a ee een @ a 0 "bas propa Nt [Oae iced concr ters framcstcnrr| Beira | amas | Oxon | eae sn 0 ectrgtiren| "Seog | comerton on aa 25 Special deprecation allowance for qualifed Tsied propery placed in sence during the tax year and used more than 50% in qualified business use (see instructions) . | 25 726 Property used more than 50% in a qualffed business use: EI Ei c 27 Property used 50% or les in a qualified business use! ZoIOHionde Accer| nnov1| 3854 i od Br = ei 28 Add amounts in columa fy, nes 25 trough 27, Enterhere and on tne 27, page t . [2B 28_Add amounts in column (), ne 26.Enterhere and online7.page1. 28 ‘Section B— Information on Use of Vahick Complete tis section fr vehicles used by soe propio, parna, or other "mare than 836 owner,” or lated person you provded vices to your employees, frst answer the questions in Section C to se if you moot an exception to completing tis section for those vehicles. @. o @ @. © © 30 Totalbusiness investment miles diven dung | veses | velte2 | vetoes | veniee | vtdes | vee the year don'tinclude commuting mies). | 4650 31. Total commuting ies driven during the year ° 8 Total cher “personal roneommutng |g 39 Total mies criven during the year. Add | lines 30 through 32 % Was the vile aval for personal | Yas [ Wo_| Var [ Wo Vax [Wo | Vow [ Wo | Vor [ We: | Yor [Wo tse during of-duty hours? . v 95 Was the vehicle used primarily by a more ‘than 5% ovmner or related person? {36_Is another vehicle avalible for personal use? v ‘Section C—Questions for Employers Who Provide Vehicles for Use by Their Employees ‘Answer these questions to determine if you meat an exception to completing Section B for vehicles used by employees vho aren't ‘more than 5% owners or related persons (see instructions} v 37 Do you mani «witen poy sateen he rons a personal use o veces, ang comming, By [V@R |W your employees? . 38 Do you malntan a witten poly statement that prohibits personal use of vehicles, except commuting, by your employees? See the instructions for vebiclas used by corporate officers, cectors, or 1% oF more owners 38 Do you treat all use of vehicles by employees as personal use? 440 Do you provide more than five vehicles to your employees, obtain information trom your eweteyes ‘about the se ofthe vehicles, and retain th information received? a 41 D0 you meet the requirements concering qualified automobile demonstration use? (See instructions) Note: If your answer to 27, 38, 39, 40, or 1 is “Yes,” don't completo Section B forthe covered vehicles. EEA Amortization @ 2 Cte arian 2 @ Arvrizaton ° Oaserpton of ost ae morta amount ccosesveton | “Benader” | Amorastonor ma year pocettge ‘42 Arvortization of costs that begins during your 2016 tax year (Gee instructions) ‘3 Amortization of costs that began before your 2016 tax year a 44 Total. Add amounts in column (), See the instructions for where to report a4 Fo ABBE PTH4562 Depreciation and Amortization fom (Including Information on Listed Property) asanmante Tae) Attach to your tax return, 2016 See EY ga] hformation about Form 4562 andite vperate instructions at mire gorltomasea. |S 170 Co Soares oon ea Ts aa ar Russeland Janie Armstong eas Series ‘en oe sere [ZIM Election To Expense Certain Property Under Section 178 Note: Ifyou have any fsteo property, complete Part V before you complete Pt L 7 Maximum amount ae instructions) i 550006 2 Total cost of section 179 property placed n service eeeinstructons) |. | 2 71000 3. Threshold cost of section 179 property before reduction in imitation (se instructions) 3 7000 4 Reduction in mation, Subtract ine 8 rom ine 2 zero oss, enter @ 3 5 Dollar imitation for tax year. Subtract Ine 4 from ine 1. I zero or les, enter Ox W maiad ig separately, see instructions 5 500000 3 a Doin aT aa eee aaa 769 7” Listed propery. Enter the amount rom Inez ~ LE 8 Total elected cost of section 179 propery. Add ours in column (hres 6 and z 21c00 4 Tentative deduction. Enter the smal of ne Sor ine 8 ° i000 410 Carryover of ialowed deduction from ne 19 of your 2015 Form 4562 | 70 41. Business income intaon,Enterthe saber of busines Income (nt less than zr) erie 360 nstuctons) AF Ta 42 Section 179 expense deduction, Addins 9 and 10, but don't ontr more than ino 11 72 i000 13. Carryover of disallowed deduction to 2017. Add lines 9 and 10, ess ine 12 [43 [ ‘Dont use Part or Par Il below for sted propery. Instead, vse Part V. ‘Special Depreciation Allowance and Other Depreciation (Dont include Tsied propery) (See istuctions) ‘14 Special depreciation allowance for qualified property (other than listed propery) placed in service during the tax year soe ntuctons) “ 15 Property subject o section 16a) election 15 1s. Ove cepreciton neidng ACF) 6 'MAGRS Depreciation (Don't include sted properly) (Seo Instructions) Section A 7” NIAGRS deductions for assets placed in sevice n tax years begining before 2076 7 18 you are electing to group any assets placed in service dng te tax year into one or more general acootaccourts, check hers > Section B= Assets Placed in Service During 2076 Tax Year Using the General Depreciation Systom wanton [ae] cea [AE] va coven | eres | Onwcncren “1Ba_S.year propery b_S.year property ‘e_?-year property ‘4 70-year property e 15-year property 1 20-year property 9.25-year property em fr Residential rental Wi Sr property ww] 3 T Nonresident al Y Wr Si propery MM 5 ‘Section C— Assets Placed in Service During 2016 Tax Vear Using the ARemative Depreciation Sytem 20a Class life Si — 12-year Tay i ¢ A0ea 20y3—_| a [ead Sursmary Gee ratnctonsy '21. Listed property. Enter amount from line 28 a 22 Total, Add amounts from ine 12, ines 14 through 17, tines 19 and 20 in columo (gl, and line 21. Enter here and on the aproprate lines of your retum, Partnerships and S corporations —see instructions 2 23 For assets shown above and placed in service during the curent year, enter the Portion ofthe basis attributable to section 263A costs... ies For Paperwork Reduction Act Notice, see separate Instructions, ‘GaN. 12088 Fo ABBZ AOSEE an SCO 2016 60. Utah Individual Income Tax Return Tc-40 —_—_—_ ae nea ETT “hveinam-erte went omni 664985678 Russell Armstrong conte | ~ Spouse's Soe, Sec, No, ‘Spouse's first name ‘Spouse's lastname page 3, | iy Slate Foreign country (i not U.S.) anter code +2 Exemptions - enter number ‘3 Election Campaign Fund - enter code. oe Ce ae aneny a pen 5 sas enna on T4404 ae vs 4 sera ema tan TC4OA Pooh 7408 on a 11 Exemption amount - multiply fine 28 by $3,038 {if ine 4 over $155,650, see instr.) + 11 12152 00 117 Enter: $13,867 (if single or martied fing separately); $20,801 (ifhead “7 27734 99Utah Individual Income Tax Return (continued) To-40 Paz 40602 ssn 664985678 Lastname Armstrong 2016 23. Enter tax tom TC-40, page 1, fre 22 2 6514.09 24 Apportonable nonrefundable cod rom TC-40A, Part 3 (attach TC-40A, page 1) +2 0 25 Fullyear resident, subvact line 24 from ine 23 (not less then 22r0) +25 6514.0 Non o Partyear resident, enter the tx rom T-408.ne 38 26. Nonappodionatle nonrefundable credit from TC-40A, Part (attach TC-408, page 1) 28 % 2 Subirac ine 26 trom line 25 (nt less than aro} a 6514 a9 28 Voluntary contouions from T-40, page 3, Part 4 (atach TC-40, page 3) 1 a0 28 AMENDED RETURN ONLY - previous refund +2 0 30, Recaptue ofowincome housing eet +9 0 31 Uh use tax 3 0 22 Tota tax, use tax and adelitions to tax (add nes 27 through 31) 2 6514.00 ‘38. Uiah income tx withheld shown on TC-40W, Pat 4 (attach TC-40W, page 4) +33 » ‘34. Creditor Utah income taxes prepa trom TC-546 and 2015 retund applied to 2016 +o 0 ‘35. Pass-through enitywithholiing tax shown on TC-40W, Par 8 attach TC-40W, page 2) +35 0 36. Mineral production withholding tax shown on TC-40W, Part 2 (attach TC-40W, page 2) +38 0 {7 AMENDED RETURN ONLY - previous payments +37 0 ‘38. Refundable erdis rom TC-40A, Part (tach TC-40A page 2) +3 » 39, Total withholding and refundable credits - dé res 23 through 38 29 0 40. TAX DUE - subtract ne 39 from tne 32 (not es than 260) +40 __» 41 Penalty and interest (se instructions) a 6514.0 42, TOTAL DUE - PAY THIS AMOUNT - ad ine 40 and na 41 14 6514.0 43, REFUND - svbiract ine 32 from ne 39 (not ess than zero) 23 _# {44 Valuntary subtractions fom refund (not greater than ine 43) ry 0 Entor to total trom page 3, Part 5 45. DIRECT DEPOSIT YOUR REMAINING REFUND - provide account infomation (see irstuctions fr ferelgn accounts) cheng + Routing number + Account number ‘Account ype: + : a a SIGN. Your sana ate {spouses sara ting iy) ate Ts Pay are of designee (any) you marzo dco eer [Destress ishane aber [Designee PA estan fs ropa? senate Date ‘Prepares tlphone numer Preparers PN Pat . ‘Secion nd acest _ “sas TCO pope 3 yu: we ing ora aacaosed lnpayer oe ga Tac year lan, ed IRS arm BBE ae making varia coneibune, wale depose ‘UESP account wants spl spar yor rend one yas tve, wart to senda ret depos a ersgn account or lange ual fr ahomeomrs emp,