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

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DRAFT AS OF e City or town, province or state, and country (including postal code) Asset Category March Tax item 15, 2012 Version A, Cycle 1 Form 8938 (11-2012) Page 2 Part II Other Foreign Assets (continued) 6 If you answered “Yes” to line 5, complete all that apply. (1) Foreign currency in which asset is denominated (2) Foreign currency exchange rate used to convert to U.S. dollars (3) Source of exchange rate used if not from U.S. Treasury Financial Management Service 7 If asset reported in Part II, line 1, is stock of a foreign entity or an interest in a foreign entity, report the following information. a Name of foreign entity b Type of foreign entity (1) Partnership (2) Corporation (3) Trust (4) Estate c Check if foreign entity is a PFIC d Mailing address of foreign entity. Number, street, and room or suite no. e City or town, province or state, and country (including postal code) 8 If asset reported in Part II, line 1, is not stock of a foreign entity or an interest in a foreign entity, report the following information for the asset. Note. If this asset has more than one issuer or counterparty, attach a continuation sheet with the same information for each additional issuer or counterparty (see instructions). a Name of issuer or counterparty Check if information is for Issuer Counterparty b Type of issuer or counterparty (1) Individual (2) Partnership (3) Corporation (4) Trust (5) Estate c Check if issuer or counterparty is a U.S. person Foreign person d Mailing address of issuer or counterparty. Number, street, and room or suite no. Part III Summary of Tax Items Attributable to Specified Foreign Financial Assets (see instructions) Amount reported on form or schedule I. Foreign Deposit and a Interest $ Custodial Accounts b Dividends $ Where reported Form and line Schedule and line c Royalties $ d Other income $ e Gains (losses) $ f Deductions $ g Credits $ II. Other Foreign Assets a Interest $ b Dividends $ c Royalties $ d Other income $ e Gains (losses) $ f Deductions $ g Credits $ Part IV Excepted Specified Foreign Financial Assets (see instructions) If you reported specified foreign financial assets on the following forms, check the appropriate box(es). Indicate number of forms filed. You do not need to include these assets on Form 8938 for the tax year. 3520 Number of forms 3520-A Number of forms 5471 Number of forms 8621 Number of forms 8865 Number of forms 8891 Number of forms 56 Form 8938 (11-2012)
ATS Test Scenario 3 Taxpayer: Sam and Gloria Gardenia SSN: 400-00-1034 Test Scenario 3 includes the following forms: • Form W-2 (2) • Form 1040 • Schedule B • Schedule C • Schedule EIC • Form 8815 • Form 8862 • Form 8867 • Form 8888 Primary Date of Birth = August 7, 1968 Secondary Date of Birth = May 9, 1974 1 st Dependent Date of Birth = November 11, 1999 2 nd Dependent Date of Birth = September 24, 1992 3 rd Dependent Date of Birth = June 28, 1990 Form 8862 line 6a Assume two addresses 602 Cashew St Bristol, TN 37620 145 Cashew St Bristol, TN 37620 Schedule C Part IV line 44a Assume all mileage occurred before July 1, 2012. 57
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Procedures Test Package for the for
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INTRODUCTION…………………
Page 5 and 6:
INTRODUCTION This Publication will
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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 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: Form 8938 (November 2012) Departmen
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 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
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CORRECTED (if checked) PAYER’S na
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Version A, Cycle 2 SCHEDULE A (Form
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ATS/PATS Test Scenario 8 Taxpayer:
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Version A, Cycle 5 Form 1040 For (2
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Version A, Cycle 2 SCHEDULE A (Form
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Version A, Cycle 5 Form 1040A (2012
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Form 2441 Child and Dependent Care
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SCHEDULE EIC (Form 1040A or 1040) D
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Version B, Cycle 6 Schedule 8812 (F
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Form 8863 (2012) Page 2 Name(s) sho
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Employer identification number (EIN
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ATS Test Scenario 11 Taxpayer: Edga
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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
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ATS Test Scenario 13 Taxpayer: Apri
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Form 9465 ATS Test Scenario 14 Taxp
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ATS Test Scenario 15 Taxpayer: Lind
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Test Scenario 16 Taxpayer: Joann Bi
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Form 56 (Rev. 12-2011) Page 2 Part
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Publication 1436 (Rev. 10-2012) - Internal Revenue Service

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