Publication 1436 (Rev. 10-2012) - Internal Revenue Service

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ATS/PATS Test Scenario 10 Taxpayer: Vance & Jane Ambrosia SSN: 400-00-1040 Test Scenario 10 includes the following forms: • Form 1040EZ • 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 28
Employer identification number (EIN) c Employer’s name, address, and ZIP code BIBLO CREEK INC 776 SEQUOIA ST MILO, ME 04463 d Control number a Employee’s social security number OMB No. 1545-0008 Safe, accurate, FAST! Use DRAFT AS OF e Employee’s first name and initial Last name Suff. VANCE AMBROSIA 511 SEQUOIA ST MILO, ME 04463 March 21, 2011 f Employee’s address and ZIP code Version A, Cycle 2 Visit the IRS website at www.irs.gov/efile 1 Wages, tips, other compensation 2 Federal income tax withheld 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 7 Social security tips 8 Allocated tips 9 10 Dependent care benefits 11 Nonqualified plans 12a See instructions for box 12 C o d e 13 12b C o d e 12c C o d e 12d C o Statutory employee Retirement plan Third-party sick pay 14 Other 15 State Employer’s state ID number 16 State wages, tips, etc. 17 State income tax 18 Local wages, tips, etc. 19 Local income tax 20 Locality name ME 400-00-1040 69-0000022 69-0000033 7417.00 211.00 Wage and Tax Form W-2 Copy B—To Be Filed With Employee’s FEDERAL Tax Return. This information is being furnished to the Internal Revenue Service. Statement 2012 29 7417.00 7417.00 d e 433.00 460.00 7417.00 108.00 Department of the Treasury—Internal Revenue Service
Page 1 and 2: Procedures Test Package for the for
Page 3 and 4: INTRODUCTION…………………
Page 5 and 6: INTRODUCTION This Publication will
Page 7 and 8: Test Process Are there Differences
Page 9 and 10: WHO MUST TEST? The Submission Proce
Page 11 and 12: SOFTWARE DEVELOPER ACCEPTANCE PROCE
Page 13 and 14: The IRS will only accept these SSNs
Page 15 and 16: Form 1040 Department of the Treasur
Page 17 and 18: Employer identification number (EIN
Page 19 and 20: SCHEDULE B (Form 1040A or 1040) Dep
Page 21 and 22: Form Department of the Treasury—I
Page 25 and 26: Form 2441 (2012) Part III Dependent
Page 27 and 28: SCHEDULE 8812 (Form 1040A or 1040)
Page 31: Version A, Cycle 3 Form 8880 Depart
Page 35 and 36: Enclose, but do not attach, any pay
Page 37 and 38: Tax Year 2012 Assurance Testing Sys
Page 39 and 40: Forms and schedules that may be fil
Page 41 and 42: WHAT IS TESTED? The test package fo
Page 43 and 44: PRACTIONER PIN Taxpayers using an E
Page 45 and 46: SOCIAL SECURITY RANGE FOR STATE RET
Page 53 and 54: Form 2555 (2012) Page 3 Part V All
Page 57 and 58: Version A, Cycle 5 Form 1040 For (2
Page 59 and 60: Form 8938 (November 2012) Departmen
Page 61 and 62: ATS Test Scenario 3 Taxpayer: Sam a
Page 65 and 66: Version A, Cycle 5 Form 1040 For (2
Page 67 and 68: SCHEDULE C (Form 1040) Profit or Lo
Page 69 and 70: SCHEDULE EIC (Form 1040A or 1040) D
Page 71 and 72: Form 8862 (Rev. December 2012) Depa
Page 75 and 76: Version A, Cycle 1 Form 8867 (2012)
Page 81 and 82: CORRECTED (if checked) PAYER’S na
Page 83 and 84:
Version A, Cycle 2 Schedule E (Form
Page 85 and 86:
SCHEDULE J (Form 1040) Department o
Page 87 and 88:
DRAFT AS OF 9 Chemicals. . . . . .
Page 89 and 90:
ATS Test Scenario 05 Taxpayer: Zeus
Page 91 and 92:
Version A, Cycle 5 Form 1040 For (2
Page 93 and 94:
CORRECTED (if checked) PAYER’S na
Page 95 and 96:
Version A, Cycle 2 SCHEDULE A (Form
Page 97 and 98:
Part III Complete this DRAFT part t
Page 99 and 100:
Form 6198 At-Risk Limitations OMB N
Page 101 and 102:
DRAFT AS OF 5 Meals and entertainme
Page 103 and 104:
Form 1040 Department of the Treasur
Page 105 and 106:
Employer identification number (EIN
Page 107 and 108:
Form 1040 Department of the Treasur
Page 109 and 110:
Page 111 and 112:
CORRECTED (if checked) PAYER’S na
Page 113 and 114:
Page 115 and 116:
ATS/PATS Test Scenario 8 Taxpayer:
Page 117 and 118:
Version A, Cycle 5 Form 1040 For (2
Page 119 and 120:
Page 121 and 122:
Page 123 and 124:
Version A, Cycle 5 Form 1040A (2012
Page 125 and 126:
Form 2441 Child and Dependent Care
Page 127 and 128:
SCHEDULE EIC (Form 1040A or 1040) D
Page 129 and 130:
Version B, Cycle 6 Schedule 8812 (F
Page 131 and 132:
Form 8863 (2012) Page 2 Name(s) sho
Page 133 and 134:
Page 135 and 136:
Page 137 and 138:
ATS Test Scenario 11 Taxpayer: Edga
Page 139 and 140:
Section A—Farm Income—Cash Meth
Page 141 and 142:
DRAFT AS OF b Multiply line 5a by 9
Page 143 and 144:
ATS Test Scenario 12 Taxpayer: Susa
Page 145 and 146:
ATS Test Scenario 13 Taxpayer: Apri
Page 147 and 148:
Form 9465 ATS Test Scenario 14 Taxp
Page 149 and 150:
ATS Test Scenario 15 Taxpayer: Lind
Page 151 and 152:
Test Scenario 16 Taxpayer: Joann Bi
Page 153:
Form 56 (Rev. 12-2011) Page 2 Part
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Publication 1436 (Rev. 10-2012) - Internal Revenue Service

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