VIEW ONLY

****

Form

Department of the Treasury–Internal Revenue Service 2022

U.S. Individual Income Tax Return OMB No. 1545-0074 IRS Use Only – Do not write or staple in this space. Married filing separately (MFS) Head of household (HOH) Qualifying surviving spouse (QSS) 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 You:

Home address (number and street). If you have a P.O. box, see instructions. Foreign country name

Apt. no. Presidential Election Campaign

not change your tax or refund.

You Spouse

Dependents (see instructions):

(1) First name Last name

(2) Social security (3) Relationship (4) Check the box if qualifies for (see instructions): Child tax credit Credit for other dependents

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Form 1040 (2022) Filing Status Single Married filing jointly

Age/Blindness

Digital

Assets

Were born before January 2, 1958 Are blind Spouse: Was born before January 2, 1958 Is blind 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 City, town, or post office. If you have a foreign address, also complete spaces below. Foreign province/state/county Foreign postal code

Check here if you, or your spouse

if filing jointly, want $3 to go to this

fund. Checking a box below will

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:

Check only

one box.

2a

3a

4a

5a

Tax-exempt interest

Qualified dividends

IRA distributions

Social security benefits

Capital gain or (loss). Attach Schedule D if required. If not required, check here 2a

3a

4a

2b

3b

4b

5b

6b

Taxable interest

Ordinary dividends

Taxable amount

Taxable amount

b

b

b

b

Standard

Deduction for -

Single or

Married filing

separately,

Head of

household,

$19,400

If you checked

any box under

Standard

instructions.

Deduction,

Pensions and annuities 5a b Taxable amount

7 7

Other income from Schedule 1, line 10

Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your 8 8

Adjustments to income from Schedule 1, line 26

Subtract line 10 from line 9. This is your

total income

adjusted gross income

Standard deduction or itemized deductions

Qualified business income deduction from Form 8995 or Form 8995-A 9

10

(from Schedule A)

Add lines 12 and 13

11

Subtract line 14 from line 11. If zero or less, enter -0-. This is your taxable income 11

State ZIP code

At any time during 2022, did you: (a) receive (as a reward, award, or payment for property or services); or (b) sell, Yes No

number to you

If more

than four

dependents,

see instructions

and check

here

6a 6a

Attach

Sch. B if

required.

9

12 12

13 13

14 14

15 15

10

exchange, gift, or otherwise dispose of a digital asset (or a financial interest in a digital asset)? (See instructions.) Income 1a Total amount from Form(s) W-2, box 1 (see instructions) b Household employee wages not reported on Form(s) W-2 c Tip income not reported on line 1a (see instructions) d Medicaid waiver payments not reported on Form(s) W-2 (see instructions) e Taxable dependent care benefits from Form 2441, line 26 f Employer-provided adoption benefits from Form 8839, line 29 g Wages from Form 8919, line 6

h Other earned income (see instructions)

i Nontaxable combat pay election (see instructions) z Add lines 1a through 1h

1a

1b

1c

1d

1e

1f

1g

1h

1i

1z

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.

$12,950

Married filing

jointly or

Qualifying

surviving

$25,900

see

c If you elect to use the lump-sum election method, check here (see instructions) UYA

spouse,

Deduction

Standard

X

Zynobia R Murray ***-**-****

13845 South Dearborn Street

Riverdale IL 60827

X

Riojenai Cooper ***-**-**** Daughter X

Gakneeva Cooper ***-**-**** Daughter X

Royalty Gaston ***-**-**** Daughter X

15,838.

15,838.

15,838.

15,838.

19,400.

19,400.

0.

VIEW ONLY

Form 1040 (2022) Page2

16

20

21

22

17

18

Tax

Amount from Schedule 2, line 3

Add lines 19 and 20

Subtract line 21 from line 18. If zero or less, enter -0- Federal income tax withheld from:

Other forms (see instructions)

Form(s) 1099

Amount from Schedule 3, line 8

Form(s) W-2

20

21

22

34 If line 33 is more than line 24, subtract line 24 from line 33. This is the amount you 35a Amount of line 34 you want

b Routing number

d Account number

36 Amount of line 34 you want

37

38 Estimated tax penalty (see instructions)

overpaid 34

refunded to you. If Form 8888 is attached, check here c Type: Checking Savings

applied to your 2023 estimated tax

38

36

37

Form 1040 (2022)

35a

Refund

Direct deposit?

See instructions.

17

Go to www.irs.gov/Form1040 for instructions and the latest information. Child tax credit or credit for other dependents from Schedule 8812

(see instructions). Check if any from Form(s): 1-881*-*-**** 3 Amount

(see inst.)

Protection PIN, enter it here

If the IRS sent your spouse an Identity

(see inst.)

Protection PIN, enter it here

If the IRS sent you an Identity

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. Sign

Here

Your signature Date Your occupation

Spouse's signature. If a joint return, both must sign. Date Spouse's occupation Preparer's name Preparer's signature Date

Firm's name

PTIN

Paid

Preparer

Joint return?

See instructions.

Keep a copy for

your records.

Check if:

Self-employed

Firm's address

Use Only Phone no.

16

a

b

American opportunity credit from Form 8863, line 8 c

Amount from Schedule 3, line 15

d

Add lines 27, 28, 29, and 31. These are your total other payments and refundable credits 19

Add lines 25d, 26, and 32. These are your total payments 25a

25b

25c

19

Third Party

Designee

Do you want to allow another person to discuss this return with the IRS? Designee’s

name

Phone

no.

Personal identification

number (PIN)

Yes. Complete below. No

Phone no. Email address

Firm's EIN

You Owe

If you have a

qualifying child,

attach Sch. EIC.

Add lines 16 and 17 18

23

Add lines 22 and 23. This is your

23

24 total tax 24

Other taxes, including self-employment tax, from Schedule 2, line 21 25

Add lines 25a through 25c 25d

26

27

28

29

30

26

27

28

29

30

2022 estimated tax payments and amount applied from 2021 return Earned income credit (EIC)

31 31

Additional child tax credit from Schedule 8812

Reserved for future use

32

33

32

33

See instructions

Subtract line 33 from line 24. This is the amount you owe. Payments

Tax and

Credits

For details on how to pay, go to www.irs.gov/Payments or see instructions UYA

Zynobia R Murray ***-**-****

0.

0.

0.

0.

0.

28.

28.

6,935.

1,987.

8,922.

8,950.

8,950.

8,950.

042287027 XXXXXX X

235-***-**** XXXXXX

0.

Packer shipper

773-***-****

Contact this candidate