Resume

Income Tax Credit

Location:

Greenville, SC

Salary:

$25

Posted:

February 13, 2024

Contact this candidate

Resume:

MARIESEL HERNANDEZ GALVAN

** ********* **

GREENVILLE, SC 29605

**** ****** *** ******

LAWRENCEVILLE MARILIN

*** * **** ** **** 101

LAWRENCEVILLE GA 30046

Office: 470-***-****

INVOICE

Description Amount

Total Invoice

Amount Paid

Balance Due

1ST CHOICE TAX

6200 BUFORD HIGHWAY SUITE D

NORCROSS GA 30071

877-***-****

MARIESEL HERNANDEZ GALVAN

38 CAMBRIDGE DR

GREENVILLE SC 29605

656-***-****

Preparer No.: 995

Client No. : XXX-XX-3710

Invoice Date: 02/21/2023

PREPARATION OF 2022 FEDERAL/STATE FORMS & WORKSHEETS: FORM 1040

FORM 1040 SCHEDULE 1 (ADDITIONAL INCOME AND ADJUSTMENTS) FORM 1040 SCHEDULE 2 (ADDITIONAL TAXES)

SCHEDULE C (BUSINESS PROF (2)

SCHEDULE EIC (EARNED INCOME CREDIT)

SCHEDULE SE (SELF-EMPLOYMENT TAX)

FORM W-2 (WAGES AND TAX) (2)

FORM 1099-NEC (NONEMPLOYEE COMPENSATION)

FORM 8879 (E-FILE SIGNATURE AUTHORIZATION)

FORM 8812 (ADD. CHILD TAX

FORM 8867 (DUE DILIGENCE CHECKLIST)

FORM 8962 (PREMIUM TAX CREDIT)

SC STATE RESIDENT RETURN

$0.00

TAX YEAR: 2022 PROCESS DATE: 02/21/2023

OFFICE : Lawrenceville

CLIENT : ***-**-**** MARIESEL HERNANDEZ GALVAN BIRTH DATE : 08/12/1970 Age:52 ADDRESS : 38 CAMBRIDGE DR PREPARER : 995

: GREENVILLE SC 29605

Home : 656-***-**** PREPARER FEE :

Work : ELECTRONIC :

Cell : TOTAL FEES :

STATUS : HEAD OF HOUSEHOLD

FED TYPE: Direct Deposit

ST TYPE : Direct Deposit EFFECTIVE RATE: 0.00%

E-MAIL : ad3lm1@r.postjobfree.com

DEPENDENT NAME BIRTH DATE AGE SSN RELATIONSHIP MONTHS SAVANNAH N LOPEZ 01/22/2005 17 ***-**-**** DAUGHTER 12 LISTING OF FORMS FOR THIS RETURN FORM 1040

SCHEDULE 1 (ADDITIONAL INCOME AND ADJUSTMENTS TO INCOME) SCHEDULE 2 (ADDITIONAL TAXES)

FORM W-2

FORM 1099-NEC (NONEMPLOYEE COMPENSATION)

SCHEDULE C (BUSINESS INCOME)

SCHEDULE EIC (EARNED INCOME CREDIT)

SCHEDULE SE (SELF EMPLOYMENT TAX)

CHILD TAX CREDIT WORKSHEET

FORM 8812 (ADDITIONAL CHILD TAX CREDIT)

FORM 8867 (DUE DILIGENCE CHECKLIST)

FORM 8879 (E-FILE SIGNATURE AUTHORIZATION)

FORM 8962 (PREMIUM TAX CREDIT)

SC STATE RESIDENT RETURN

* __QUICK SUMMARY * SUMMARY FILING STATUS

TOTAL INCOME

TOTAL ADJUSTMENTS

ADJUSTED GROSS INCOME

DEDUCTIONS

EXEMPTIONS

TAXABLE INCOME

TAX

CREDITS

OTHER TAXES

PAYMENTS

REFUND

AMOUNT DUE

EARNED INCOME CREDIT

FEDERAL

10659

507

10152

19400

650

500

1013

3460

2297

3460

SC RESIDENT

13678

CLIENT : MARIESEL HERNANDEZ GALVAN ***-**-****

PREPARER : 995 DATE : 02/21/2023

* __QUICK SUMMARY * DIRECT DEPOSIT INFORMATION RTN: 061000104 ACCOUNT: 100********** AMOUNT: $2,297.00

* __W-__2 INCOME FORMS SUMMARY * T/__S __EMPLOYER WAGES FED WITH FICA MED TAX STATE WITH ST 1. T ENLIGHTENED HOME CA 310*-*-***-**-** SC

2. T LEAPHART & COMPANY 390 0 24 6 9 SC

TOTALS 349*-*-***-**-**

* __1099- MISC/ 1099- NEC INCOME FORMS SUMMARY * OTHER FEDERAL NONEMPLOYEE

[_T/__S] PAYER RENTS ROYALTIES INCOME WITH COMPENSATION 1. T LYFT INC 0 0 0 0 1156

TOTALS 0 0 0 0 1156

a Employee’s social security number

OMB No. 1545-0008

b Employer identification number (EIN)

c Employer’s name, address, and ZIP code

d Control number

e Employee’s first name and initial Last name Suff. f Employee’s address and ZIP code

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

12b

12c

12d

13 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 Form W-2 Wage and Tax Statement 2022 Department of the Treasury—Internal Revenue Service a Employee’s social security number

OMB No. 1545-0008

b Employer identification number (EIN)

c Employer’s name, address, and ZIP code

d Control number

e Employee’s first name and initial Last name Suff. f Employee’s address and ZIP code

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

12b

12c

12d

13 Statutory

employee

Retirement

plan

Third-party

sick pay

14 Other

84-4428152

ENLIGHTENED HOME CARE LLC

309 SE MAIN ST STE204

SIMPSONVILLE SC 29681

MARIESEL HERNANDEZ GALVAN

38 CAMBRIDGE DR

GREENVILLE SC 29605

3103

3103 192

3103 45

SC 102******-****-**

***-**-****

85-1450548

LEAPHART & COMPANY LLC

1802 EVELYN ST

GILBERT SC 29054

MARIESEL HERNANDEZ GALVAN

38 CAMBRIDGE DR

GREENVILLE SC 29605

390

390 24

390 6

SC 100******-*** 9

Form 1099-NEC

(Rev. January 2022)

Nonemployee

Compensation

Copy B

For Recipient

Department of the Treasury - Internal Revenue Service This is important tax

information and is being

furnished to the IRS. If you are

required to file a return, a

negligence penalty or other

sanction may be imposed on

you if this income is taxable

and the IRS determines that it

has not been reported.

OMB No. 1545-0116

For calendar year

CORRECTED (if checked)

PAYER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.

PAYER’S TIN RECIPIENT’S TIN

RECIPIENT’S name

Street address (including apt. no.)

City or town, state or province, country, and ZIP or foreign postal code Account number (see instructions)

1 Nonemployee compensation

2 Payer made direct sales totaling $5,000 or more of consumer products to recipient for resale

4 Federal income tax withheld

5 State tax withheld

6 State/Payer’s state no. 7 State income

Form 1099-NEC (Rev. 1-2022) (keep for your records) www.irs.gov/Form1099NEC QNA

LYFT INC

185 BERRY ST SUITE 500

SAN FRANCISCO CA 94107

20-8809830 ***-**-****

MARIESEL GALVAN

38 CAMBRIDGE DR

GREENVILLE SC 29605

1156

Form 8879

(Rev. January 2021)

Department of the Treasury

Internal Revenue Service

IRS e-file Signature Authorization

a ERO must obtain and retain completed Form 8879.

a Go to www.irs.gov/Form8879 for the latest information. OMB No. 1545-0074

Submission Identification Number (SID)

Taxpayer’s name Social security number

Spouse’s name Spouse’s social security number

Part I Tax Return Information — Tax Year Ending December 31, (Enter year you are authorizing.) Enter whole dollars only on lines 1 through 5.

Note: Form 1040-SS filers use line 4 only. Leave lines 1, 2, 3, and 5 blank. 1 Adjusted gross income 1 2 Total tax 2

3 Federal income tax withheld from Form(s) W-2 and Form(s) 1099 . . . . . 3 4 Amount you want refunded to you 4 5 Amount you owe 5

Part II Taxpayer Declaration and Signature Authorization (Be sure you get and keep a copy of your return) Under penalties of perjury, I declare that I have examined a copy of the income tax return (original or amended) I am now authorizing, and to the best of my knowledge and belief, it is true, correct, and complete. I further declare that the amounts in Part I above are the amounts from the income tax return (original or amended) I am now authorizing. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send my return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an ACH electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of my federal taxes owed on this return and/or a payment of estimated tax, and the financial institution to debit the entry to this account. This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a payment, I must contact the U.S. Treasury Financial Agent at 1-888-***-****. Payment cancellation requests must be received no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I further acknowledge that the personal identification number (PIN) below is my signature for the income tax return (original or amended) I am now authorizing and, if applicable, my Electronic Funds Withdrawal Consent.

Taxpayer’s PIN: check one box only

I authorize

ERO firm name

to enter or generate my PIN

Enter five digits, but

don’t enter all zeros

as my

signature on the income tax return (original or amended) I am now authorizing. I will enter my PIN as my signature on the income tax return (original or amended) I am now authorizing. Check this box only if you are entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.

Your signature a Date a

Spouse’s PIN: check one box only

I authorize

ERO firm name

to enter or generate my PIN

Enter five digits, but

don’t enter all zeros

as my

Spouse’s signature a Date a

Practitioner PIN Method Returns Only—continue below Part III Certification and Authentication — Practitioner PIN Method Only ERO’s EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN. Don’t enter all zeros

I certify that the above numeric entry is my PIN, which is my signature for the electronic individual income tax return (original or amended) I am now authorized to file for tax year indicated above for the taxpayer(s) indicated above. I confirm that I am submitting this return in accordance with the requirements of the Practitioner PIN method and Pub. 1345, Handbook for Authorized IRS e-file Providers of Individual Income Tax Returns. ERO’s signature a Date a

ERO Must Retain This Form — See Instructions

Don’t Submit This Form to the IRS Unless Requested To Do So For Paperwork Reduction Act Notice, see your tax return instructions. Form 8879 (Rev. 01-2021) QNA

67055520230482030689

MARIESEL HERNANDEZ GALVAN ***-**-****

2022

10152

1163

2297

02/21/2023

1 3 7 1 0

X 1ST CHOICE TAX

6 7 0 5 5 5 1 2 3 4 5

Pso43304

02/21/2023

Form

1040 U.S. Individual Income Tax Return 2022

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) QNA

MARIESEL HERNANDEZ GALVAN ***-**-****

38 CAMBRIDGE DR

GREENVILLE SC 29605

SAVANNAH N LOPEZ ***-**-**** DAUGHTER X

3493

7166

10659

507

10152

19400

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) QNA

HERNANDEZ GALVAN ***-**-****

650

500

150

1013

1163

3460

2297

0 6 1 0 0 0 1 0 4

1 0 0 0 2 6 3 2 5 7 5 5 1

MARILIN REMIGIO 877-***-**** 1 2 3 4 5

02/21/23

656-***-**** ad3lm1@r.postjobfree.com

MARILIN REMIGIO 02/21/23 P01931078 X

82-3051227

1ST CHOICE TAX

6200 BUFORD HIGHWAY SUITE D NORCROSS GA 30071

877-***-****

SCHEDULE 1

(Form 1040) 2022

Additional Income and Adjustments to Income

Department of the Treasury

Internal Revenue Service

Attach to Form 1040, 1040-SR, or 1040-NR.

Go to www.irs.gov/Form1040 for instructions and the latest information. OMB No. 1545-0074

Attachment

Sequence No. 01

Name(s) shown on Form 1040, 1040-SR, or 1040-NR Your social security number Part I Additional Income

1 Taxable refunds, credits, or offsets of state and local income taxes 1 2a Alimony received 2a b Date of original divorce or separation agreement (see instructions): 3 Business income or (loss). Attach Schedule C 3 4 Other gains or (losses). Attach Form 4797 4 5 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E . 5 6 Farm income or (loss). Attach Schedule F 6 7 Unemployment compensation 7 8 Other income:

a Net operating loss 8a b Gambling 8b

c Cancellation of debt 8c

d Foreign earned income exclusion from Form 2555 8d e Income from Form 8853 8e

f Income from Form 8889 8f

g Alaska Permanent Fund dividends 8g h Jury duty pay 8h

i Prizes and awards 8i

j Activity not engaged in for profit income 8j k Stock options 8k

l Income from the rental of personal property if you engaged in the rental for profit but were not in the business of renting such property . . . 8l m Olympic and Paralympic medals and USOC prize money (see instructions) 8m

n Section 951(a) inclusion (see instructions) 8n o Section 951A(a) inclusion (see instructions) 8o p Section 461(l) excess business loss adjustment 8p q Taxable distributions from an ABLE account (see instructions) . . . 8q r Scholarship and fellowship grants not reported on Form W-2 . . . 8r s Nontaxable amount of Medicaid waiver payments included on Form 1040, line 1a or 1d 8s t Pension or annuity from a nonqualifed deferred compensation plan or a nongovernmental section 457 plan 8t u Wages earned while incarcerated 8u z Other income. List type and amount:

9 Total other income. Add lines 8a through 8z 9 10 Combine lines 1 through 7 and 9. Enter here and on Form 1040, 1040-SR, or 1040-NR, line 8 10 For Paperwork Reduction Act Notice, see your tax return instructions. Schedule 1 (Form 1040) 2022 QNA

MARIESEL HERNANDEZ GALVAN ***-**-****

7166

Schedule 1 (Form 1040) 2022 Page 2

Part II Adjustments to Income

11 Educator expenses 11 12 Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 12 13 Health savings account deduction. Attach Form 8889 13 14 Moving expenses for members of the Armed Forces. Attach Form 3903 14 15 Deductible part of self-employment tax. Attach Schedule SE 15 16 Self-employed SEP, SIMPLE, and qualified plans 16 17 Self-employed health insurance deduction 17 18 Penalty on early withdrawal of savings 18 19a Alimony paid 19a b Recipient’s SSN

c Date of original divorce or separation agreement (see instructions): 20 IRA deduction 20

21 Student loan interest deduction 21 22 Reserved for future use 22 23 Archer MSA deduction 23 24 Other adjustments:

a Jury duty pay (see instructions) 24a b Deductible expenses related to income reported on line 8l from the rental of personal property engaged in for profit 24b c Nontaxable amount of the value of Olympic and Paralympic medals and USOC prize money reported on line 8m 24c d Reforestation amortization and expenses 24d e Repayment of supplemental unemployment benefits under the Trade Act of 1974 24e

f Contributions to section 501(c)(18)(D) pension plans 24f g Contributions by certain chaplains to section 403(b) plans 24g h Attorney fees and court costs for actions involving certain unlawful discrimination claims (see instructions) 24h i

Attorney fees and court costs you paid in connection with an award from the IRS for information you provided that helped the IRS detect tax law violations 24i

j Housing deduction from Form 2555 24j k Excess deductions of section 67(e) expenses from Schedule K-1 (Form 1041) 24k

z Other adjustments. List type and amount:

24z

25 Total other adjustments. Add lines 24a through 24z 25 26 Add lines 11 through 23 and 25. These are your adjustments to income. Enter here and on Form 1040 or 1040-SR, line 10, or Form 1040-NR, line 10a 26 Schedule 1 (Form 1040) 2022

QNA

MARIESEL HERNANDEZ GALVAN ***-**-****

507

SCHEDULE 2

(Form 1040) 2022

Additional Taxes

Department of the Treasury

Internal Revenue Service

Attach to Form 1040, 1040-SR, or 1040-NR.

Go to www.irs.gov/Form1040 for instructions and the latest information. OMB No. 1545-0074

Attachment

Sequence No. 02

Name(s) shown on Form 1040, 1040-SR, or 1040-NR Your social security number Part I Tax

1 Alternative minimum tax. Attach Form 6251 1 2 Excess advance premium tax credit repayment. Attach Form 8962 2 3 Add lines 1 and 2. Enter here and on Form 1040, 1040-SR, or 1040-NR, line 17 . . 3 Part II Other Taxes

4 Self-employment tax. Attach Schedule SE 4 5 Social security and Medicare tax on unreported tip income. Attach Form 4137 5

6 Uncollected social security and Medicare tax on wages. Attach Form 8919 6

7 Total additional social security and Medicare tax. Add lines 5 and 6 7 8 Additional tax on IRAs or other tax-favored accounts. Attach Form 5329 if required. If not required, check here 8 9 Household employment taxes. Attach Schedule H 9 10 Repayment of first-time homebuyer credit. Attach Form 5405 if required 10 11 Additional Medicare Tax. Attach Form 8959 11 12 Net investment income tax. Attach Form 8960 12 13 Uncollected social security and Medicare or RRTA tax on tips or group-term life insurance from Form W-2, box 12 13 14 Interest on tax due on installment income from the sale of certain residential lots and timeshares 14

15 Interest on the deferred tax on gain from certain installment sales with a sales price over $150,000 15

16 Recapture of low-income housing credit. Attach Form 8611 16

(continued on page 2)

For Paperwork Reduction Act Notice, see your tax return instructions. Schedule 2 (Form 1040) 2022 QNA

MARIESEL HERNANDEZ GALVAN ***-**-****

650

1013

Schedule 2 (Form 1040) 2022 Page 2

Part II Other Taxes (continued)

17 Other additional taxes:

a Recapture of other credits. List type, form number, and amount: 17a

b Recapture of federal mortgage subsidy, if you sold your home see instructions 17b

c Additional tax on HSA distributions. Attach Form 8889 17c d Additional tax on an HSA because you didn’t remain an eligible individual. Attach Form 8889 17d

e Additional tax on Archer MSA distributions. Attach Form 8853 . 17e f Additional tax on Medicare Advantage MSA distributions. Attach Form 8853 17f

g Recapture of a charitable contribution deduction related to a fractional interest in tangible personal property 17g h Income you received from a nonqualified deferred compensation plan that fails to meet the requirements of section 409A . . . 17h i Compensation you received from a nonqualified deferred compensation plan described in section 457A 17i j Section 72(m)(5) excess benefits tax 17j k Golden parachute payments 17k

l Tax on accumulation distribution of trusts 17l m Excise tax on insider stock compensation from an expatriated corporation 17m

n Look-back interest under section 167(g) or 460(b) from Form 8697 or 8866 17n

o Tax on non-effectively connected income for any part of the year you were a nonresident alien from Form 1040-NR 17o p Any interest from Form 8621, line 16f, relating to distributions from, and dispositions of, stock of a section 1291 fund 17p q Any interest from Form 8621, line 24 17q z Any other taxes. List type and amount:

17z

18 Total additional taxes. Add lines 17a through 17z 18 19 Reserved for future use 19 20 Section 965 net tax liability installment from Form 965-A . . . 20 21 Add lines 4, 7 through 16, and 18. These are your total other taxes. Enter here and on Form 1040 or 1040-SR, line 23, or Form 1040-NR, line 23b 21 Schedule 2 (Form 1040) 2022

QNA

MARIESEL HERNANDEZ GALVAN ***-**-****

1013

SCHEDULE C

(Form 1040)

Department of the Treasury

Internal Revenue Service

Profit or Loss From Business

(Sole Proprietorship)

Go to www.irs.gov/ScheduleC for instructions and the latest information. Attach to Form 1040, 1040-SR, 1040-NR, or 1041; partnerships must generally file Form 1065. OMB No. 1545-0074

2022

Attachment

Sequence No. 09

Name of proprietor Social security number (SSN)

A Principal business or profession, including product or service (see instructions) B Enter code from instructions C Business name. If no separate business name, leave blank. D Employer ID number (EIN) (see instr.) E Business address (including suite or room no.)

City, town or post office, state, and ZIP code

F Accounting method: (1) Cash (2) Accrual (3) Other (specify) G Did you “materially participate” in the operation of this business during 2022? If “No,” see instructions for limit on losses . Yes No H If you started or acquired this business during 2022, check here I Did you make any payments in 2022 that would require you to file Form(s) 1099? See instructions Yes No J If “Yes,” did you or will you file required Form(s) 1099? Yes No Part I Income

1 Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on Form W-2 and the “Statutory employee” box on that form was checked 1 2 Returns and allowances 2 3 Subtract line 2 from line 1 3 4 Cost of goods sold (from line 42) 4 5 Gross profit. Subtract line 4 from line 3 5 6 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) 6 7 Gross income. Add lines 5 and 6 7 Part II Expenses. Enter expenses for business use of your home only on line 30. 8 Advertising 8

9 Car and truck expenses

(see instructions) . . . 9

10 Commissions and fees . 10

11 Contract labor (see instructions) 11

12 Depletion 12

Depreciation and section 179

expense deduction (not

included in Part III) (see

instructions) 13

14 Employee benefit programs

(other than on line 19) . 14

15 Insurance (other than health) 15

16 Interest (see instructions):

a Mortgage (paid to banks, etc.) 16a

b Other 16b

17 Legal and professional services 17

18 Office expense (see instructions) . 18

19 Pension and profit-sharing plans . 19

20 Rent or lease (see instructions):

a Vehicles, machinery, and equipment 20a

b Other business property . . . 20b

21 Repairs and maintenance . . . 21

22 Supplies (not included in Part III) . 22

23 Taxes and licenses 23

24 Travel and meals:

a Travel 24a

b Deductible meals (see

instructions) 24b

25 Utilities 25

26 Wages (less employment credits) 26

27 a Other expenses (from line 48) . . 27a

b Reserved for future use ...27b

28 Total expenses before expenses for business use of home. Add lines 8 through 27a 28 29 Tentative profit or (loss). Subtract line 28 from line 7 29 30 Expenses for business use of your home. Do not report these expenses elsewhere. Attach Form 8829 unless using the simplified method. See instructions. Simplified method filers only: Enter the total square footage of (a) your home: and (b) the part of

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