a BEN BLACK - 2012 FED & NYS RETURN (PDF) - RJOSL1N-1.pdf - Adobe Acrobat

a BEN BLACK - 2012 FED & NYS RETURN (PDF) - RJOSL1N-1.pdf - Adobe Acrobat File Edit View Window Help t), Create • n ro x Z38 2 I .Cli c--)P55 EnDroo- Customize • t at 2 / 52 IR 100% 11HHOD IZI D Bookmarks 44 I. roan 1040 (2012) BENJAMIN E. BLACK FP Ely IA 17lb Tax and 38 Amount from line 37 (adjusted gross income) 38 Credits 39a Check I C Yob were born before January 2, 1948, Blind. Total boxes Cl' - Form 1040 U.S. Individual Income Tax Return ri Form 1040 - U.S. Individual Income Tax Return lja Federal Schedule A - Itemized Deductions Cl' Federal Schedule B - Interest and Ordinary Dividends 0' Federal Schedule D - Capital Gains and Losses U Federal Schedule D - Capital Gains and Losses U Form 8949 Short-Term B U Form 8949 Long-Term B - Federal Schedule E Supplemental Income and Loss, Page 2 U Income from Passthrough Statement - Detailed Income from Passthrough - Statement Detailed 0 9 Form 1116 - Foreign Tax Credit 09 Form 1116 - Foreign Tax Credit 09 Form 1116 - Foreign Tax Credit LP Form 1116 - Foreign Tax Credit lja Form 6251- Alternative Minimum Tax 17 Form 6251 - Alternative Minimum Tax 17 Form 1116 AMT - Foreign Tax Credit (Alternative Minimum Tax) 17 Form 1116 AMT - Foreign Tax Credit (Alternative Minimum Tax) 17 Form 1116 AMT - Foreign Tax Credit (Alternative Minimum Tax) 17 Form 1116 AMT - Foreign Tax Credit (Alternative Minimum Tax) • =macro it C Sposse was born before January 2, 1948, Blind. JI' Necked ... Ilo• 39a I Deduction far - • People who b If your spouse itemizes on a separate return or you were a dual-status alien, check here Ilo• 391 I I box on% 40 Itemized deduction (from Schedule A) or your standard deduction (see left margin) 40 no or 39b Of who can be 41 Subtract line 40 from line 38 41 °Jaime° 3s 3 dependent. 42 Exemption. Multiply $3,800 by the number on line 6d 42 43 Taxable intone. Subtract line 42 from line 41. If line 42 is more than line 41 enter -0- 43 44 Tax. Check if any from: a 0 Form(s) 8814 b 0 Form 4972 el—I 962 election 44 45 Alternative minimum tax. Attach Form 6251 45 • Allle otccers: sing 46 Add lines 44 and 45 lb. 46 Welt' 5ing 47 Foreign tax credit Attach Form 1116 if required 47 2 3 . seprately. 55.950 48 Credit for child and dependent care expenses. Attach Form 2441 48 143T" fin g 49 Education credits from Form 8863, line 19 49 jointly cr qualifying 50 Retirement savings contributions credit Attach Form 8880 50 wiclower). S11.90(0 51 Child tax credit Attach Schedule 8812, if required 51 Heal of 52 Residential energy credits. Attach Form 5695 52 ousehold. P3.700 53 Other credits from Form' a 0 3800 b 0 8801 c 0 53 54 Add lines 47 through 53. These are your total credits 54 55 Subtract line 54 from line 46. If line 54 is m y than lino AR ontor -n- lb. 55 Other 56 Serf-employment tax. Attach Schedule SE . pIuS: 2011 O/P 56 Taxes 57 Unreported social security and Medicare ta.) $22.740 8 19 57 58 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if req fired 58 59a Household employment taxes from Schedule H 59a b First-time homebuyer credit repayment Attach Form 5405 if required 59b 60 Other taxes. Enter code(s) from instructions 60 61 Add lines 55 through 60. This is your total tax 00 61 Payments 62 Federal income tax withheld from Forms W-2 and 1099 62 6 , 56 7 . 63 2012 estimated tax payments and amount applied from 2011 return 63 52,000. i_ a you have 64a Earned income aedit (EIG) aqual ifying 64a atta cShchadeCkile IRS notice refund 641 I EIC. 6 h Sc le 8812 65 6 of S23.110 due to m Form 88 line 8 66 6 20 1 1 O/P not 67 6i picked-up in 2012. tension to file 68 2 5 , 0 0 0 . 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 02439 I ORnerno 08801 d 0888 71 72 Add lines 62, 63, 64a, and 65 through 71. These are your total payments 110 72 Refund 73 If line 72 is more than line 61, subtract line 61 from line 72. This is the amount you ov aid 73 74a Amount of line 73 you want refunded to you. If Form 8888 is attached, check here IP. C 74a ... iFtex Neal clepopt?il. b el I I IP' 4 Type 0 Diecteg C Smogs lie 0 nweeint I innucticos. A6-0-9 75 Amount of line 73 you want applied to you 2013 estimated tax 10. 75 . Amount 76 knout you owe. Subtract line 72 from line 61. For details on how to pay, see instructions 1 Illio 76 You Owe 77 Estimated tax penalty (see instructions) 1 77 1 954. Third Party Do you want to allow another person to discuss this return with the IRS (see instructions) 9 Yes. Complete below. Ilo Designee gell"nlo• ntee 00,. nPeesoer naloMirficato o pi Akin unaer penalties of perpry. I clean mat i nave examined mis return ana accompanying scneau les and statements. ana to me best of my knowledge ana belie,. trey ae true. Tools Sign Comment EFTA01196000