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

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Employer identification number (EIN) c Employer’s name, address, and ZIP code 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. 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 MILO MANUFACTURING 222 SEQUOIA ST MILO ME 04463 JANE AMBROSIA 511 SEQUOIA ST MILO ME 04463 400-00-1060 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. 69-0000023 2551.00 69-0000044 2551.00 51.00 Statement 2012 30 2551.00 2551.00 37.00 d e 158.00 Department of the Treasury—Internal Revenue Service 0
Enclose, but do not attach, any payment. DRAFT You Spouse AS OF If no one can claim you (or your spouse if a joint return), enter $9,750 if single; This is your taxable income. ▶ 6 April 13, 2012 Version A, Cycle 1 Form 1040EZ Department of the Treasury—Internal Revenue Service Income Tax Return for Single and Joint Filers With No Dependents (99) 2012 OMB No. 1545-0074 Your first name and initial Last name Your social security number VANCE AMBROSIA 4 0 0 0 0 1 0 4 0 If a joint return, spouse’s first name and initial Last name Spouse’s social security number JANE AMBROSIA 4 0 0 0 0 1 0 6 0 Home address (number and street). If you have a P.O. box, see instructions. 511 SEQUOIA ST Apt. no. ▲ Make sure the SSN(s) above are correct. City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Presidential Election Campaign MILO ME 04463 Check here if you, or your spouse if filing Foreign country name jointly, want $3 to go to this fund. Checking Foreign province/county Foreign postal code a box below will not change your tax or refund. You Spouse Income Attach 1 Wages, salaries, and tips. This should be shown in box 1 of your Form(s) W-2. Attach your Form(s) W-2. 1 Form(s) W-2 here. 2 Taxable interest. If the total is over $1,500, you cannot use Form 1040EZ. 2 0 Payments, Credits, and Tax Refund Have it directly deposited! See instructions and fill in 11b, 11c, and 11d or Form 8888. Amount You Owe Third Party Designee Sign Here Joint return? See instructions. Keep a copy for your records. Paid Preparer Use Only ▲ 3 Unemployment compensation and Alaska Permanent Fund dividends (see instructions). 3 4 Add lines 1, 2, and 3. This is your adjusted gross income. 4 5 If someone can claim you (or your spouse if a joint return) as a dependent, check the applicable box(es) below and enter the amount from the worksheet on back. $19,500 if married filing jointly. See back for explanation. 5 6 Subtract line 5 from line 4. If line 5 is larger than line 4, enter -0-. 7 Federal income tax withheld from Form(s) W-2 and 1099. 7 8a Earned income credit (EIC) (see instructions). 8a b Nontaxable combat pay election. 8b 9 Add lines 7 and 8a. These are your total payments and credits. ▶ 9 10 Tax. Use the amount on line 6 above to find your tax in the tax table in the instructions. Then, enter the tax from the table on this line. 10 11a If line 9 is larger than line 10, subtract line 10 from line 9. This is your refund. If Form 8888 is attached, check here ▶ 11a ▶ b Routing number ▶ c Type: Checking Savings ▶ d Account number 12 If line 10 is larger than line 9, subtract line 9 from line 10. This is the amount you owe. For details on how to pay, see instructions. ▶ 12 Do you want to allow another person to discuss this return with the IRS (see instructions)? Yes. Complete below. No Designee’s name ▶ Phone no. ▶ Personal identification number (PIN) ▶ Under penalties of perjury, I declare that I have examined this return and, to the best of my knowledge and belief, it is true, correct, and accurately lists all amounts and sources of income I received during the tax year. Declaration of preparer (other than the taxpayer) is based on all information of which the preparer has any knowledge. Your signature Date Your occupation Daytime phone number Spouse’s signature. If a joint return, both must sign. Date Spouse’s occupation If the IRS sent you an Identity Protection PIN, enter it here (see inst.) Print/Type preparer’s name Preparer’s signature Date Check if self-employed Firm’s name ▶ Firm's EIN ▶ Firm’s address ▶ Phone no. For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see instructions. Cat. No. 11329W Form 1040EZ (2012) 31 PTIN
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 and 32: Version A, Cycle 3 Form 8880 Depart
Page 33: Employer identification number (EIN
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
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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
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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
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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
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Page 135 and 136:
Page 137 and 138:
ATS Test Scenario 11 Taxpayer: Edga
Page 139 and 140:
Section A—Farm Income—Cash Meth
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DRAFT AS OF b Multiply line 5a by 9
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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
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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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