Income Tax Internal Revenue
Resume:
Form
**** *.*. ********** ****** Tax Return ****
Department of the Treasury—Internal Revenue Service OMB No. 1545-0074 IRS Use Only—Do not write or staple in this space. Filing Status
Check only
one box.
Single Married filing jointly Married filing separately (MFS) Head of household (HOH) Qualifying surviving spouse (QSS)
If you checked the MFS box, enter the name of your spouse. If you checked the HOH or QSS box, enter the child’s name if the qualifying person is a child but not your dependent:
Your first name and middle initial Last name Your social security number If joint return, spouse’s first name and middle initial Last name Spouse’s social security number Home address (number and street). If you have a P.O. box, see instructions. Apt. no. City, town, or post office. If you have a foreign address, also complete spaces below. State ZIP code Foreign country name Foreign province/state/county Foreign postal code Presidential Election Campaign
Check here if you, or your
spouse if filing jointly, want $3
to go to this fund. Checking a
box below will not change
your tax or refund.
You Spouse
Digital
Assets
At any time during 2022, did you: (a) receive (as a reward, award, or payment for property or services); or (b) sell, exchange, gift, or otherwise dispose of a digital asset (or a financial interest in a digital asset)? (See instructions.) Yes No Standard
Deduction
Someone can claim: You as a dependent Your spouse as a dependent Spouse itemizes on a separate return or you were a dual-status alien Age/Blindness You: Were born before January 2, 1958 Are blind Spouse: Was born before January 2, 1958 Is blind Dependents (see instructions):
If more
than four
dependents,
see instructions
and check
here . .
(2) Social security
number
(3) Relationship
to you
(4) Check the box if qualifies for (see instructions):
(1) First name Last name Child tax credit Credit for other dependents Income
Attach Form(s)
W-2 here. Also
attach Forms
W-2G and
1099-R if tax
was withheld.
If you did not
get a Form
W-2, see
instructions.
1 a Total amount from Form(s) W-2, box 1 (see instructions) 1a b Household employee wages not reported on Form(s) W-2 1b c Tip income not reported on line 1a (see instructions) 1c d Medicaid waiver payments not reported on Form(s) W-2 (see instructions) 1d e Taxable dependent care benefits from Form 2441, line 26 1e f Employer-provided adoption benefits from Form 8839, line 29 1f g Wages from Form 8919, line 6 1g h Other earned income (see instructions) 1h i Nontaxable combat pay election (see instructions) 1i z Add lines 1a through 1h 1z Attach Sch. B
if required.
2a Tax-exempt interest . . . 2a b Taxable interest 2b 3a Qualified dividends . . . 3a b Ordinary dividends 3b 4a IRA distributions 4a b Taxable amount 4b 5a Pensions and annuities . . 5a b Taxable amount 5b 6a Social security benefits . . 6a b Taxable amount 6b c If you elect to use the lump-sum election method, check here (see instructions) 7 Capital gain or (loss). Attach Schedule D if required. If not required, check here 7 8 Other income from Schedule 1, line 10 8 9 Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income 9 10 Adjustments to income from Schedule 1, line 26 10 11 Subtract line 10 from line 9. This is your adjusted gross income 11 Standard
Deduction for—
• Single or
Married filing
separately,
$12,950
• Married filing
jointly or
Qualifying
surviving spouse,
$25,900
• Head of
household,
$19,400
• If you checked
any box under
Standard
Deduction,
see instructions.
12 Standard deduction or itemized deductions (from Schedule A) 12 13 Qualified business income deduction from Form 8995 or Form 8995-A 13 14 Add lines 12 and 13 14 15 Subtract line 14 from line 11. If zero or less, enter -0-. This is your taxable income 15 For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Form 1040 (2022) 12,950.
12,950.
32,626.
Mueller ***-**-****
7007 N. 112th PLZ Lot 541
Omaha NE 68142
45,576.
0.
45,576.
45,576.
45,576.
0.
John L
Form 1040 (2022) Page 2
Tax and
Credits
16 Tax (see instructions). Check if any from Form(s): 1-881*-*-**** 3 .. 16 17 Amount from Schedule 2, line 3 17 18 Add lines 16 and 17 18 19 Child tax credit or credit for other dependents from Schedule 8812 19 20 Amount from Schedule 3, line 8 20 21 Add lines 19 and 20 21 22 Subtract line 21 from line 18. If zero or less, enter -0- 22 23 Other taxes, including self-employment tax, from Schedule 2, line 21 23 24 Add lines 22 and 23. This is your total tax 24 Payments 25 Federal income tax withheld from:
a Form(s) W-2 25a
b Form(s) 1099 25b
c Other forms (see instructions) 25c d Add lines 25a through 25c 25d 26 2022 estimated tax payments and amount applied from 2021 return 26 If you have a
qualifying child,
attach Sch. EIC.
27 Earned income credit (EIC) 27
28 Additional child tax credit from Schedule 8812 28 29 American opportunity credit from Form 8863, line 8 29 30 Reserved for future use 30
31 Amount from Schedule 3, line 15 31 32 Add lines 27, 28, 29, and 31. These are your total other payments and refundable credits .. 32 33 Add lines 25d, 26, and 32. These are your total payments 33 Refund 34 If line 33 is more than line 24, subtract line 24 from line 33. This is the amount you overpaid .. 34 35a Amount of line 34 you want refunded to you. If Form 8888 is attached, check here 35a Direct deposit?
See instructions.
b Routing number c Type: Checking Savings
d Account number
36 Amount of line 34 you want applied to your 2023 estimated tax ... 36 Amount
You Owe
37 Subtract line 33 from line 24. This is the amount you owe. For details on how to pay, go to www.irs.gov/Payments or see instructions 37 38 Estimated tax penalty (see instructions) 38 Third Party
Designee
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)
Sign
Here
Joint return?
See instructions.
Keep a copy for
your records.
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Your signature Date Your occupation If the IRS sent you an Identity Protection PIN, enter it here
(see inst.)
Spouse’s signature. If a joint return, both must sign. Date Spouse’s occupation If the IRS sent your spouse an Identity Protection PIN, enter it here
(see inst.)
Phone no. Email address
Paid
Preparer
Use Only
Preparer’s name Preparer’s signature Date PTIN Check if: Self-employed
Firm’s name Phone no.
Firm’s address Firm’s EIN
Go to www.irs.gov/Form1040 for instructions and the latest information. Form 1040 (2022) 3,710.
3,710.
1 2 1 1 0 0 7 8 2
0 6 7 7 2 2 8 6 8
Self-Prepared
No
3,710.
0.
3,710.
warehouse
5,270.
5,270.
5,270.
1,560.
1,560.
BAA REV 03/02/23 Intuit.cg.cfp.sp
Your Social Security Number Spouse’s Social Security Number High School District Code Federal Filing Status:
(1) Single
(2) Married, filing jointly
1
(3) Married, filing separately – Spouse’s SSN:
and Full Name
3 Type of Return:
(1) Resident
(1) Farmer/Rancher (2) Active Military (1) Deceased Taxpayer(s)
(first name & date of death):
(4) Head of Household
(5) Widow(er) with dependent children
2a Check if YOU were: (1) 65 or older (2) Blind
SPOUSE was: (3) 65 or older (4) Blind
2b
8-417-2022
Check here if someone (such as your parent) can claim you or your spouse as a dependent: (1) You (2) Spouse
(2) Partial-year resident from /, 2022 to /, 2022 (attach Schedule III)
(3) Nonresident (attach Schedule III)
Complete Reverse Side
Nebraska Individual Income Tax Return
for the taxable year January 1, 2022 through December 31, 2022 or other taxable year:
, 2022 through,
FORM 1040N
2022
Please Do Not Write In This Space
Please Type or Print
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6 Nebraska standard deduction (if you checked any boxes on line 2a or 2b above, see instructions; otherwise, enter $7,350 if single; $14,700 if married, filing jointly or qualified widow[er]; $7,350 if married, filing separately; or $10,750 if head of household) . 6 7 Total itemized deductions (line 17, Federal Schedule A – see instructions) 7 8 State and local income taxes (line 5a, Schedule A, Federal Form 1040 or 1040-SR) 8 9 Nebraska itemized deductions (line 7 minus line 8) 9 10 Nebraska standard deduction or the Nebraska itemized deductions, whichever is greater
(the larger of line 6 or line 9) 10 11 Nebraska income before adjustments (line 5 minus line 10) 11 12 Adjustments increasing federal AGI (line 9, from attached Nebraska Schedule I) . 12 13 Adjustments decreasing federal AGI (line 33, from attached Nebraska Schedule I) 13 14 Nebraska Taxable Income (enter line 11 plus line 12 minus line 13). If less than -0-, enter -0-. Residents complete lines 15 and 16. Partial-year residents and nonresidents complete Nebr. Sch. III before continuing . 14 15 Nebraska income tax (Partial-year residents and nonresidents enter the result from line 9, Nebraska Schedule III. Paper filers may use the Nebraska Tax Table. All others must use Tax Calculation Schedule.) 15 16 Nebraska other tax calculation:
a Federal Tax on Lump-Sum Distributions (Federal Form 4972) 16 a $ b Federal tax on early distributions (lesser of Federal Form 5329 or line 8, Sch. 2, Federal Form 1040 or 1040-SR) 16 b $ c Total (add lines 16a and 16b) 16 c $ Residents multiply line 16c by 29.6% (x .296) and enter the result on line 16. Partial-year residents and nonresidents enter the result from line 10, Nebraska Schedule III 16 17 Total Nebraska tax before Nebraska personal exemption credit (add lines 15 and 16). Do not pay the amount on this line. Pay the amount from line 43 17 Dependents, if more than three, see instructions
First Name Last Name
Dependent's
Social Security Number
4 Nebraska personal exemptions. (Enter 1 in each line of 4a or 4b that applies): a Yourself. If someone can claim you as a dependent, leave blank. 4 a b Spouse. Married filing jointly returns, if someone can claim your spouse as a dependent leave blank 4 b c
Total number of
dependents listed 4 c
Total Nebraska personal exemptions – add lines 4a, 4b, and 4c 4 5 Federal adjusted gross income (AGI) (line 11, Federal Form 1040 or 1040-SR) Do not leave blank 5 5
%VSJOH EJE ZPV SFDFJWF TFMM FYDIBOHF HJGU PS PUIFSXJTF EJTQPTF PG B EJHJUBM BTTFU PS B GJOBODJBM JOUFSFTU JO B EJHJUBM BTTFU Yes No Your First Name and Initial Last Name
If a Joint Return, Spouse’s First Name and Initial Last Name Current Mailing Address (Number and Street or PO Box) City State Zip Code
45,576.
0.
0.
38,226.
38,226.
1
1
X
John L Mueller
7007 N. 112th PLZ Lot 541
Omaha NE 68142
5 0 7 0 8 8 6 8 3
X
7,350.
7,350.
0.
1,662.
1,662.
X
2 8 2 8 0 0 1
CG REV 02/18/23 Intuit.cg.cfp.sp
sign
here
Keep a copy of
this return for
your records.
Your Signature Date Email Address
Spouse’s Signature (if filing jointly, both must sign) Daytime Phone Preparer’s Signature Date Preparer’s PTIN
Print Firm’s Name (or yours if self-employed), Address and Zip Code EIN Daytime Phone A copy of the federal return and schedules must be attached to this return. Mail returns to: Nebraska Department of Revenue, Lincoln, NE 68509-8912. Use PO Box 98912 to request a refund, otherwise use PO Box 98934. E-file your return. NebFile offers FREE e-filing of your state return. 00
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paid
preparer’s
use only
Under penalties of perjury, I declare that, as taxpayer or preparer, I have examined this return and to the best of my knowledge and belief, it is true, correct, and complete. 48a Routing Number 48b Type of Account 1 = Checking 2 = Savings 48c Account Number
48d Check this box if this refund will go to a bank account outside the United States. 00
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18 Nebr. personal exemption credit for residents only ($146 times the number on line 4) 18 19 Credit for tax paid to another state, line 6, Nebraska Schedule II
(attach Nebraska Schedule II and a copy of the other state's return) 19 20 Credit for the elderly or disabled (attach copy of Federal Schedule R) 20 21 Community Development Assistance Act credit (attach Form CDN) 21 22 Form 3800N nonrefundable credit (attach Form 3800N) 22 23 Nebraska child/dependent care nonrefundable credit, only if line 5 is more than $29,000 (attach a copy of Federal Form 2441 and see instructions) 23 24 Credit for financial institution tax (attach Form NFC) 24 25 Employer’s credit for expenses incurred for TANF (ADC) recipients (see instr.) . . . . . . . . . . . . 25 26 Designated extremely blighted area tax credit (attach Form 1040N-EB) 26 27 Total nonrefundable credits (add lines 18 through 26) . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 28 Nebraska tax after nonrefundable credits. Subtract line 27 from line 17 (if line 27 is more than line 17, enter -0-). If the result is greater than your federal tax liability, see instructions. If entering federal tax, check box and attach a copy of the federal return . . . . . . . . . 28 29 Total Nebraska income tax withheld (attach 2022 Forms, see instructions) a W-2 $ b K-1N $ c W-2G, 1099-R,1099-MISC, 1099-NEC or others $ 29 30 2022 estimated income tax payments (include any 2021 overpayment credited to 2022 and any payments submitted with an extension request) 30 31 Form 3800N refundable credit (attach Form 3800N) 31 32 Nebraska child/dependent care refundable credit, if line 5 is $29,000 or less
(attach a copy of Form 2441N) 32 33 Beginning Farmer credit from Form 1099 BFC (NDA NextGen) 33 34 Nebraska earned income credit. Enter number of qualifying children 97 Federal credit 98 $ .00 x .10 (10%) (attach pages 1-2 of federal return) 34 35 Credit for school district property taxes (attach Form PTC) 35 36 Credit for community college property taxes (attach Form PTC) 36 37 Credit for qualified Volunteer Emergency Responders (see instructions) 37 38 Stillborn child tax credit (attach Birth Resulting in Stillbirth Certificate and see instructions). . . 38 39 Total refundable credits (add lines 29 through 38) 39 40 Penalty for underpayment of estimated tax (see instructions). If you calculated a Form 2210N penalty of -0- or greater, or used the annualized income method, attach Form 2210N, and check this box 96 40 41 Total tax and penalty. Add lines 28 and 40 41 42 Use tax due on taxable purchases where applicable sales tax was not collected. (see instructions) Enter purchases subject to state tax 91 $ State tax 92 $ (purchases x 5.5%); Enter purchases subject to local tax 93 $ Local tax 94 $ (purchases x local rate of %) 95 Local code__ __ __ (see local rate schedule);
Add state and local taxes and enter on line 42. If no use tax is due, enter -0- on line 42 42 43 Total amount due. If line 39 is less than total of lines 41 and 42, subtract line 39 from total of lines 41 and 42 Pay this amount in full. For electronic or credit card payment check here and see instructions 43 44 Overpayment. If line 39 is more than the total of lines 41 and 42, subtract the total of lines 41 and 42 from line 39. 44 45 Amount of line 44 you want applied to your 2023 estimated tax 45 46 Wildlife Conservation Fund donation of $1 or more 46 47 Amount of line 44 you want refunded to you (line 44 minus lines 45 and 46) Your refund will generally be issued by July 15, if your paper return is filed by April 15 (see instructions) 47 Self Prepared
0.
146.
146.
1,516.
1,516.
494.
2,010.
0. 2,010.
2,010.
494.
ad4y45@r.postjobfree.com
1 2 1 1 0 0 7 8 2 1
0 6 7 7 2 2 8 6 8
CG REV 02/18/23 Intuit.cg.cfp.sp
Contact this candidate