Version A, Cycle 3 Form 8880 Department of the Treasury <strong>Internal</strong> <strong>Rev</strong>enue <strong>Service</strong> Credit for Qualified Retirement Savings Contributions ▶ Attach to Form <strong>10</strong>40, Form <strong>10</strong>40A, or Form <strong>10</strong>40NR. ▶ Information about Form 8880 and its instructions is at www.irs.gov/form8880. OMB No. 1545-0074 <strong>2012</strong> Attachment Sequence No. 54 Name(s) shown on return Your social security number Sara Phlox 400-00-<strong>10</strong>39 ▲! CAUTION You cannot take this credit if either of the following applies. • The amount on Form <strong>10</strong>40, line 38; Form <strong>10</strong>40A, line 22; or Form <strong>10</strong>40NR, line 37 is more than $28,750 ($43,125 if head of household; $57,500 if married filing jointly). • The person(s) who made the qualified contribution or elective deferral (a) was born after January 1, 1995, (b) is claimed as a dependent on someone else’s <strong>2012</strong> tax return, or (c) was a student (see instructions). (a) You (b) Your spouse 1 Traditional and Roth IRA contributions for <strong>2012</strong>. Do not include rollover contributions . . . . . . . . . . . . . . . . . . . . 1 2 Elective deferrals to a 401(k) or other qualified employer plan, voluntary employee contributions, and 501(c)(18)(D) plan contributions for <strong>2012</strong> (see instructions) . . . . . . . . . . . . . . . . . . 2 3 Add lines 1 and 2 . . . . . . . . . . . . . . . . . . 3 4 Certain distributions received after 2009 and before the due date (including extensions) of your <strong>2012</strong> tax return (see instructions). If married filing jointly, include both spouses’ amounts in both columns. See instructions for an exception . . . . . . . . . . . . . 4 For Testing Purposes 5 Subtract line 4 from line 3. If zero or less, enter -0- . . . . . . . 5 7 Add the amounts on line 6. If zero, stop; you cannot take this credit . . . . . . . . . . 7 8 9 Enter the amount from Form <strong>10</strong>40, line 38*; Form Only <strong>10</strong>40A, line 22; or Form <strong>10</strong>40NR, line 37 . . . . . . . . . . . . . . . . . 8 Enter the applicable decimal amount shown below: If line 8 is— DRAFT AS OF 6 In each column, enter the smaller of line 5 or $2,000 . . . . . . 6 And your filing status is— Over— But not over— Married Head of filing jointly household Enter on line 9— Single, Married filing separately, or Qualifying widow(er) --- $17,250 .5 .5 .5 $17,250 $18,750 .5 .5 .2 $18,750 $25,875 .5 .5 .1 $25,875 $28,125 .5 .2 .1 July 30, <strong>2012</strong> $28,125 $28,750 .5 .1 .1 $28,750 $34,500 .5 .1 .0 $34,500 $37,500 .2 .1 .0 $37,500 $43,125 .1 .1 .0 $43,125 $57,500 .1 .0 .0 $57,500 --- .0 .0 .0 Note: If line 9 is zero, stop; you cannot take this credit. <strong>10</strong> Multiply line 7 by line 9 . . . . . . . . . . . . . . . . . . . . . . . . . <strong>10</strong> 11 Enter the amount from Form <strong>10</strong>40, line 46; Form <strong>10</strong>40A, line 28; or Form <strong>10</strong>40NR, line 44 . . . . . . . . . . . . . . . . . 11 12 <strong>10</strong>40 filers: <strong>10</strong>40A filers: Enter the total of your credits from lines 47 through 49, } and Schedule R, line 22. Enter the total of your credits from lines 29 through 31. <strong>10</strong>40NR filers: Enter the total of your credits from lines 45 and 46. 12 13 Subtract line 12 from line 11. If zero, stop; you cannot take this credit . . . . . . . . . . 13 14 Credit for qualified retirement savings contributions. Enter the smaller of line <strong>10</strong> or line 13 here and on Form <strong>10</strong>40, line 50; Form <strong>10</strong>40A, line 32; or Form <strong>10</strong>40NR, line 47 . . . . . . . 14 9 X . *See Pub. 590 for the amount to enter if you are filing Form 2555, 2555-EZ, or 4563 or you are excluding income from Puerto Rico. For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 33394D Form 8880 (<strong>2012</strong>) 128 1200 0 0
ATS/PATS Test Scenario <strong>10</strong> Taxpayer: Vance & Jane Ambrosia SSN: 400-00-<strong>10</strong>40 Test Scenario <strong>10</strong> includes the following forms: • Form <strong>10</strong>40EZ • Form W-2 (primary & secondary) Primary and Secondary Date Of Birth 11/22/1978 Additional Instructions: Primary received $2,898.00 in Unemployment Compensation with $290.00 Federal withholding 129
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Procedures Test Package for the for
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INTRODUCTION…………………
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INTRODUCTION This Publication will
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Test Process Are there Differences
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WHO MUST TEST? The Submission Proce
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SOFTWARE DEVELOPER ACCEPTANCE PROCE
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The IRS will only accept these SSNs
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Form 1040 Department of the Treasur
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Employer identification number (EIN
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SCHEDULE B (Form 1040A or 1040) Dep
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Form Department of the Treasury—I
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Employer identification number (EIN
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Form 2441 (2012) Part III Dependent
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SCHEDULE 8812 (Form 1040A or 1040)
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Form 8863 Department of the Treasur
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Version A, Cycle 3 Form 8880 Depart
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Employer identification number (EIN
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Enclose, but do not attach, any pay
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Tax Year 2012 Assurance Testing Sys
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Forms and schedules that may be fil
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WHAT IS TESTED? The test package fo
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PRACTIONER PIN Taxpayers using an E
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SOCIAL SECURITY RANGE FOR STATE RET
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Employer identification number (EIN
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Form 1040 Department of the Treasur
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Form 2555 Department of the Treasur
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Form 2555 (2012) Page 3 Part V All
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Employer identification number (EIN
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Version A, Cycle 5 Form 1040 For (2
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Form 8938 (November 2012) Departmen
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ATS Test Scenario 3 Taxpayer: Sam a
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Employer identification number (EIN
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Version A, Cycle 5 Form 1040 For (2
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SCHEDULE C (Form 1040) Profit or Lo
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SCHEDULE EIC (Form 1040A or 1040) D
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Form 8862 (Rev. December 2012) Depa
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Form 8867 Department of the Treasur
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Version A, Cycle 1 Form 8867 (2012)
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Form 8888 Department of the Treasur
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Form 1040 Department of the Treasur
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