Delivery Driver Warehouse Shipping

Location:

Montgomery, AL, 36117

Salary:

18$hr

Posted:

May 10, 2023

Contact this candidate

Resume:

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

Instructions

FOR THE YEAR ENDING

December 31, 2022

Prepared

for

PATRICK R HAMILTON

Tax

Summary

Gross Income -$3240 Adjusted Gross Income -$3240 Total Deductions $12950 Total Taxable Income $0

Total Tax $0 Total Payments $549 Refund Amount $549 Amount You Owe $0

Make check

payable to

Mailing

Address

Since you are filing your return electronically and you chose to use an electronic signature, you do not mail your return. Instructions

If you e-filed your return and it has been accepted, you will get notified via text or email if you opted for that option. Your tax obligation is exactly met. No additional tax is due. Checklist(2022) FDCHECKE-1WV 1.0

INSTRUCTIONS

ALABAMA

FOR THE YEAR ENDING

December 31, 2022

Prepared

for

PATRICK R HAMILTON

Tax

Summary

Adjusted Gross Income $ -20,000 Total Deductions $ 4,500 Total Taxable Income $ -24,500 Total Tax $ 0 Total Payments $ 0 Refund Amount $ 0 Amount You Owe $ 0

Make check

payable to Alabama Department of Revenue

Mailing

Address

Since you are filing your return electronically and you chose to use an electronic signature, you do not mail your return. Special Instructions

Keep A Copy

Click on Main Menu and then E-File or Print to print your return. Attach your copy of each W-2, W-2G, 1099R or 1099G with withholding. Keep with your records for three years. Checklist( 2022) STCHECK-1WV 1.0

Keep for Your Records

Routing Transit Number (RTN)

Depositor Account Number (DAN)

Routing Transit Number (RTN)

Refund Transfer Proceeds - Direct Deposit Information Depositor Account Number (DAN)

K0505S

PATRICK R HAMILTON

101089742

863-***-****

285*******

264171241

GEB

Statement of Profit and Loss

Income

Gross receipts or sales

Returns and allowances

Net sales

Cost of goods sold

Gross profit

Other income

Gross income

Expenses

Contract labor

Advertising

Commissions and fees

Car and truck expenses

Depreciation and section 179 expense

For the year ended December 31, 2022

Employee benefit programs

Insurance

Interest: Mortgage

Interest: Other

Legal and professional services

Office expenses

Pension and profit-sharing plans

Rent or lease: Vehicles, machinery and equipment

Rent or lease: Other business property

Repairs and maintenance

Supplies

Taxes and licenses

Travel

Deductible meals

Utilities

Wages

Other expenses

Total expenses

Net income (loss)

Note: This report is based solely upon information that you provided to H&R Block. We do not perform any independent verification of your infoirmation, and this report should not be relied upon by third parties. 2022 Amounts 2021 Amounts Difference

K0505S

Hamilton Realty Repair And INC

20,000

-20,000

-20,000 -20,000

-20,000

20,000

GEB

2022 TWO YEAR COMPARISON

Keep for Your Records

2022 2021 Difference

Filing status

INCOME:

Wages, salaries, tips, etc.

Interest income

Ordinary dividend income

Refunds of state and local taxes

Business income or (loss) (Schedule C)

Capital gain or (loss) (Schedule D)

Other gains or (losses) (Form 4797)

IRA distributions and pension income

Rental real estate, partnerships, estates, etc. (Schedule E) Farm income or (loss) (Schedule F)

Taxable social security income

Other income

Total income

ADJUSTMENTS:

IRA contributions

Deductible part of self-employment tax

Self-employed health insurance

Self-employed SEP, SIMPLE and qualified plans deduction Other adjustments

Total adjustments

ADJUSTED GROSS INCOME:

Student loan interest deduction

DEDUCTIONS:

Other miscellaneous deductions

Casualty and theft losses

Gifts to charity

Interest paid

Sales, income, and other taxes paid

Medical and dental expenses

If itemized, Schedule A deductions:

Standard deduction or Itemized deductions

Qualified business income deduction

Schedule 1 - Income

Schedule 1 - Adjustments

TAXABLE INCOME:

S0505S

Charitable contributions if taking standard deduction N/A Alimony received

Educator expenses

Busn expenses for reserviists, performing artists, etc Health savings account deduction

Moving expenses

Penalty on early withdrawal of savings

Alimony paid

Archer MSA deduction

PATRICK R HAMILTON

***-**-****

Single

16,760 16,760

-20,000 -20,000

-3,240 -3,240

12,950 12,950

310 310

GEB

2022 TWO YEAR COMPARISON

Keep for Your Records

2022 2021 Difference

OTHER TAXES:

Additional tax on IRAs

TOTAL TAXES:

PAYMENTS:

Federal income tax withheld

Earned income credit

Other payments

Total payments

AMOUNT DUE / REFUND:

Amount overpaid

Overpayment applied to next year

Refund

Amount due

Penalty

Other taxes

Estimated payments made

Refundable child tax credit or additional child tax credit ACA premium tax credit

American opportunity credit

Schedule 3 - Refundable Credits & Payments

Total credits

Retirement savings contribution credit

Other credits

Education credit

Schedule 3 - Non-Refundable Credits

Child care credit

Child and other dependents tax credit

Foreign tax credit

CREDITS:

Schedule 2 - Other Taxes

Recovery rebate credit

Qualified sick and family leave credit

S1003O

Sch D = Sch D tax worksheet QDCGTW = Qual Div Cap Gain Tax WS TCW = Tax Comp Worksheet (rates) Tax Calculation Methods:

Sch J = Inc Aver for Farmer/Fisherman F8615 = Child with unearned income TABLE = Tax Table FEITW = Foreign Earned Income Tax WS

Total taxes

Schedule 2 - Taxes

Tax calculation method

Excess advance premium tax credit repayment

Alternative minimum tax

Tax

TAX COMPUTATION (BEFORE CREDITS):

Tax rate

PATRICK R HAMILTON

***-**-****

549 549

TABLE

10%

GEB

Your first name and middle initial Last name Your social security number Married filing separately (MFS) Head of household (HOH) Qualifying surviving spouse (QSS) 1040 U.S. Individual Income Tax Return OMB No. 1545-0074 IRS Use Only--Do not write or staple in this space. Department of the Treasury--Internal Revenue Service Form

Were born before January 2, 1958 Are blind

You as a dependent

Spouse itemizes on a separate return or you were a dual-status alien Was born before January 2, 1958 Is blind

Your spouse as a dependent

If joint return, spouse's first name and middle initial Last name Spouse's social security number Credit for other

Child tax credit

(4) Check the box if qualifies

(2) Social security (3) Relationship

(1) First name Last name

Dependents (see instructions):

City, town, or post office. If you have a foreign address, also complete spaces below. You Spouse

Check here if you, or your

Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Presidential Election Campaign For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Form 1040 (2022) 22 1040S1 Form Software Copyright 1996 - 2023 HRB Tax Group, Inc. dependents

Filing Status Single Married filing jointly

Check only

one box.

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: spouse if filing jointly, want $3

to go to this fund. Checking a

box below will not change

Foreign country name Foreign province/state/county Foreign postal code Standard

Deduction

Age/Blindness

Someone can claim:

You: Spouse:

Qualified dividends

Tax-exempt interest

Total amount from Form(s) W-2, box 1 (see instructions) 3a

Taxable amount

Taxable interest

Social security benefits

Pensions and annuities

IRA distributions

Single or Married

Deduction for-

Standard

Add lines 12 and 13

Qualified business income deduction from Form 8995 or Form 8995-A Standard deduction or itemized deductions (from Schedule A) Subtract line 10 from line 9. This is your adjusted gross income Adjustments to income from Schedule 1, line 26

Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income Other income from Schedule 1, line 10

Capital gain or (loss). Attach Schedule D if required. If not required, check here 14

15 Subtract line 14 from line 11. If zero or less, enter -0-. taxable income filing separately,

$12,950

Married filing

jointly or

surviving spouse,

$25,900

Qualifying

Head of

household,

$19,400

If you checked

any box under

Standard

Deduction,

see instructions.

Ordinary dividends

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

Attach

Sch. B if

required.

State ZIP code

your tax or refund.

exchange, gift, or otherwise dispose of a digital asset (or a financial interest in a digital asset)? (See instructions.) for (see inst.):

Income

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

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.

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

Digital

Assets

PATRICK R HAMILTON ***-**-****

1343 buckingham dr

Montgomery

12,950

16,760

-3,240

-20,000

-3,240

AL 36116

16,760

12,950

GEB TXO 1040

Form 1040 (2022)

Account number

Direct deposit? Routing number c Type: Checking Savings Refund

Form 1040 (2022)

1 2 3

Go to www.irs.gov/Form1040 for instructions and the latest information. Third Party Do you want to allow another person to discuss this return with the IRS? See Yes. Complete below.

Designee's Phone Personal identification

Designee

name no. number (PIN)

Sign

Here

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

Joint return?

See instructions.

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

Keep a copy for

Your occupation

Spouse's occupation

Firm's EIN

Preparer's name Preparer's signature PTIN

Paid

If the IRS sent you an Identity

Protection PIN, enter

it here (see inst.)

Check if:

Preparer

Use Only

Phone no.

Self-employed

Firm's name

Firm's address

Tax (see instructions). Check if any from Form(s): 881*-****-** Amount from Schedule 2, line 3 17

Add lines 16 and 17

Child tax credit or credit for other dependents from Schedule 8812 19 Amount from Schedule 3, line 8 20

Add lines 19 and 20

Subtract line 21 from line 18. If zero or less, enter -0- 21

Other taxes, including self-employment tax, from Schedule 2, line 21 Add lines 22 and 23. This is your

Earned income credit (EIC)

American opportunity credit from Form 8863, line 8 Add lines 27, 28, 29, and 31. These are your 32

Add lines 25d, 26, and 32. These are your 33

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

35a

See instructions.

36 Amount of line 34 you want 36

Amount

You Owe

37 Subtract line 33 from line 24. This is the

38 38

your records.

Phone no. Email address

If the IRS sent your spouse an Identity

Protection PIN, enter

it here (see inst.)

Date

If you have a

instructions

qualifying

child, attach

Sch. EIC.

total tax

total other payments and refundable credits

total payments

overpaid

applied to your 2023 estimated tax

refunded to you. If Form 8888 is attached, check here 18

24 24

25 Federal income tax withheld from:

Form(s) W-2

Form(s) 1099

Other forms (see instructions)

Add lines 25a through 25c

2022 estimated tax payments and amount applied from 2021 return 27

25d

Amount from Schedule 3, line 15

Estimated tax penalty (see instructions)

25a

25b

25c

Page

Tax and

Credits

Payments

Additional child tax credit from Schedule 8812

Reserved for future use

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

549

863-***-****

101089742

549

PATRICK R HAMILTON ***-**-****

Delivery Driver

414-***-**** *******************@*****.***

549

GEB TXO 1040

SCHEDULE 1

Department of the Treasury

Internal Revenue Service

OMB No. 1545-0074

Additional Income and Adjustments to Income

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

Go to www.irs.gov/Form1040 for instructions and the latest information. Attachment Sequence No. 01

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

Taxable refunds, credits, or offsets of state and local income taxes Alimony received

Business income or (loss). Attach Schedule C

Other gains or (losses). Attach Form 4797

Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E Farm income or (loss). Attach Schedule F

Unemployment compensation

Other income:

(Form 1040)

Part I

Date of original divorce or separation agreement (see instructions): 6

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

h Jury duty pay 8h

i Prizes and awards 8i

j Activity not engaged in for profit income 8j

k Stock options 8k

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 l

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 Taxable distributions from an ABLE account (see instructions) 8q z Other income. List type and amount:

9 Total other income. Add lines 8a through 8z

10 Combine lines 1 through 7 and 9. Enter here and on Form 1040, 1040-SR, or 1040-NR, line 8 Alaska Permanent Fund dividends 8g

r Scholarship and fellowship grants not reported on Form W-2 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

***-**-****

-20,000

PATRICK R HAMILTON

-20,000

GEB TXO 1040

SCHEDULE C Profit or Loss From Business OMB No. 1545-0074

(Form 1040) (Sole Proprietorship)

Department of the Treasury Go to www.irs.gov/ScheduleC for instructions and the latest information. Attachment Internal Revenue Service Attach to Form 1040, 1040-SR, 1040-NR, or 1041; partnerships must generally file Form 1065. 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 no. (EIN) (see instr.) Expenses. Enter expenses for business use of your home 8 Advertising 8 18 Office expense (see instructions). 18 9 Car and truck expenses 19 Pension & profit-sharing plans. 19 instructions) 9 20 Rent or lease (see instructions): 10 Commissions and fees 10 a Vehicles, machinery, and equipment 20a 11 Contract labor (see instructions) 11 b Other business property 20b 12 Depletion 12 21 Repairs and maintenance 21

13 Depreciation and section 179 22 Supplies (not included in Part III) 22 expense deduction (not 23 Taxes and licenses 23

included in Part III) (see instr.) 13 24 Travel and meals: 14 Employee benefit programs a Travel 24a

(other than on line 19) 14 b Deductible meals

15 Insurance (other than health) 15 (see instructions) 24b 16 Interest (see instructions): 25 Utilities 25

a Mortgage (paid to banks, etc.) 16a 26 Wages (less employment credits) 26 b Other 16b 27 a Other expenses (from line 48) 27a 17 Legal and professional services 17 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

31 Net profit or (loss). Subtract line 30 from line 29. 31

If a loss, you must go to line 32.

32 If you have a loss, check the box that describes your investment in this activity. See instructions. 32a

(If you checked the box on line 1, see instructions). Estates and trusts, enter on If you checked 32a, enter the loss on both All investment is at risk. Schedule SE, line 2. (If you checked the box on line 1, see the line 31 instructions). Estates 32b Some investment is not at risk.

If you checked 32b, you must attach Form 6198. Your loss may be limited. For Paperwork Reduction Act Notice, see the separate instructions. Schedule C (Form 1040) 2022 22 C1 Form Software Copyright 1996 - 2023 HRB Tax Group, Inc. 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

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 your home used for business: . Use the Simplified Method Worksheet in the instructions to figure the amount to enter on line 30 Expenses for business use of your home. Do not report these expenses elsewhere. Attach Form 8829

(see

Form 1041, line 3.

If a profit, enter on both Schedule 1 (Form 1040), line 3, and on Schedule SE, line 2. Schedule 1 (Form 1040), line 3, and on

and trusts, enter on Form 1041, line 3.

only on line 30.

PATRICK R HAMILTON ***-**-****

RealEstate 531210

Hamilton Realty Repair And INC 84-1967178

1343 buckingham dr

Montgomery, AL 36116

20,000

-20,000

GEB TXO 1040

Schedule C (Form 1040) 2022 Page 2

Part III Cost of Goods Sold (see instructions)

33 Method(s) used to

value closing inventory: a Cost b Lower of cost or market c Other (attach explanation) 34 Was there any change in determining quantities, costs, or valuations between opening and closing inventory? If ``Yes," attach explanation Yes No

35 Inventory at beginning of year. If different from last year's closing inventory, attach explanation 35 36 Purchases less cost of items withdrawn for personal use 36 37 Cost of labor. Do not include any amounts paid to yourself 37 38 Materials and supplies 38

39 Other costs 39

40 Add lines 35 through 39 40

41 Inventory at end of year 41

42 Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4 42 Part IV Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9 and are not required to file Form 4562 for this business. See the instructions for line 13 to find out if you must 43 When did you place your vehicle in service for business purposes? (month/day/year) 44 Of the total number of miles you drove your vehicle during 2022, enter the number of miles you used your vehicle for: a Business b Commuting (see instructions) c Other

45 Was your vehicle available for personal use during off-duty hours? Yes No 46 Do you (or your spouse) have another vehicle available for personal use? Yes No 47a Do you have evidence to support your deduction? Yes No b If ``Yes," is the evidence written? Yes No

Part V Other Expenses. List below business expenses not included on lines 8-26 or line 30. 48 Total other expenses. Enter here and on line 27a 48 22 C2 Form Software Copyright 1996 - 2023 HRB Tax Group, Inc. Schedule C (Form 1040) 2022 file Form 4562.

10,000

3,000

7,000

20,000

PATRICK R HAMILTON 425492218

GEB TXO 1040

Attach to your tax return.

Form Qualified Business Income Deduction OMB No. 1545-2294 Attachment

Department of the Treasury

Internal Revenue Service Go to www.irs.gov/Form8995 for instructions and the latest information. Sequence No. 55 8995

Simplified Computation

Name(s) shown on return Your taxpayer identification number 1

iii

(a) Trade, business, or aggregation name (b) Taxpayer identification number

income or (loss)

Total qualified business income or (loss). Combine lines 1i through 1v, column (c) 2 3

Qualified business net (loss) carryforward from the prior year Total qualified business income. Combine lines 2 and 3. If zero or less, enter -0- Qualified business income component. Multiply line 4 by 20% (0.20) 5 Qualified REIT dividends and publicly traded partnership (PTP) income or (loss)

(see instructions)

Qualified REIT dividends and qualified PTP (loss) carryforward from the prior year Total qualified REIT dividends and PTP income. Combine lines 6 and 7. If zero or less, enter -0-

REIT and PTP component. Multiply line 8 by 20% (0.20) Qualified business income deduction before the income limitation. Add lines 5 and 9 Taxable income before qualified business income deduction (see instructions) Net capital gain (see instructions)

Subtract line 12 from line 11. If zero or less, enter -0- Income limitation. Multiply line 13 by 20% (0.20)

Qualified business income deduction. Enter the smaller of line 10 or line 14. Also enter this amount on the applicable line of your return (see instructions) Total qualified business (loss) carryforward. Combine lines 2 and 3. If greater than zero, enter -0- Total qualified REIT dividends and PTP (loss) carryforward. Combine lines 6 and 7. If greater than zero, enter -0-

For Privacy Act and Paperwork Reduction Act Notice, see instructions. 22 88951 Form Software Copyright 1996 - 2023 HRB Tax Group, Inc. Form 8995 (2022) Note. You can claim the qualified business income deduction business, real estate investment trust dividends, publicly traded partnership income, or a domestic production activities deduction passed through from an agricultural or horticultural cooperative. See instructions. Use this form if your taxable income, before your qualified business income deduction, is at or below $170,050 ($340,100 if married filing jointly), and you aren't a patron of an agricultural or horticultural cooperative. only if you have qualified business income from a qualified trade or PATRICK R HAMILTON

20,000

-20,000

***-**-****

GEB TXO 1040

RealEstate 84-1967178 -20,000

2022 WAGES AND SALARIES SUMMARY ATTACHMENT

T Federal Social Security State State Local

Employer Name Employer EIN or Wages State

***-**-****

Total 16,760 549 1,039

GEB

JOBMARk INC 05-0549826 T 16,760 549 1,039 AL

2022 FEDERAL TAX WITHHOLDINGS ATTACHMENT

***-**-****

GEB

W-2 JOBMARk INC 549

Total to Form 1040/1040-SR line 25d 549

Schedule/Form

Business Name

Business Type

Qualified Business Income (QBI)

1. Specified Business Income/Loss from Sch/Form

2. Non-Specified Business Income/Loss from Sch/Form 3. QBID Qualifed Losses and ST Gains from Asset Disposition 4. Net Qualifed Business Income (QBI) (sum L1 - L3) 6. Qualfied Other Income from PTPs

PTP Income

9. Net QBI and QOI (L4 + L8)

8. Net Qualfied Other Income (QOI) (L5 + L6 + L7)

7. QOI Qualifed Losses and ST Gains from Disposition incl Sale of PTP 5. Qualified REIT Sec 199A Dividends from 1099-DIV and K-1s EIN/SSN

Less applicable adjustments from 1040 Schedule 1

(includes SE Tax, SEHIN, & Qual Retirement plans)

Qualified Other Income (QOI)

Included in Aggregation #

K0505S

PATRICK R HAMILTON ***-**-****

RealEsta

Non-Spec

-20000

84-1967178

GEB

Exemptions 2 $3,000 Married filing joint 4 $3,000 Head of Family (with qualifying person).Complete Schedule HOF 5a Alabama Income Tax Withheld (from Schedule W-2, line 18, column G) A - Alabama tax withheld B - Income 5a 5b

Individual Income Tax Return

RESIDENTS & PART-YEAR RESIDENTS

For the year Jan. 1 - Dec. 31, 2022, or other tax year: Ending:

Your first name

Spouse's first name

Present home address (number and street or P.O. Box number) City, town or post office State ZIP code

Check if address Foreign Country

CHECK BOX IF AMENDED RETURN

is outside U.S.

Filing Status/ 1 $1,500 Single 3 $1,500 Married filing separate. Complete Spouse SSN Income

Amended Returns Only -- Previous refund (see instructions) Adjusted Total Payments. Subtract line 28 from line 27 28 28

AMOUNT

YOU OWE Place payment, along with Form 40V, loose in the mailing envelope. 30 30

31 Penalties (from Schedule ATP, Part II, line 3) (see instructions) 31 32

OVERPAID

32 If line 29 is larger than line 21, subtract line 21 from line 29, and enter AMOUNT Amount of line 32 to be applied to your 33

Donations

34 Total Donation Check-offs from Schedule DC, line 2 34 REFUND 35

40 2022

and

6 Interest and dividend income (also attach Schedule B if over $1,500) 6 Adjustments 7 Other income (from page 2, Part I, line 9) 7 8 Total income. Add amounts in the income column for line 5b through line 7 8 9 Total adjustments to income (from page 2, Part II, line 16) 9 10 Adjusted gross income. Subtract line 9 from line 8 10 11 Box a or b

Deductions Check box a, if you itemize deductions, and enter amount from Schedule A, line 27. Check box b, if you do not itemize deductions, and enter If claiming a deduc- a Itemized Deductions b Standard Deduction 11 tion on line 12, you

12 Federal tax deduction (see instructions)

DO NOT ENTER THE FEDERAL TAX WITHHELD FROM YOUR FORM W-2(S) 12 13 Personal exemption (from line 1, 2, 3, or 4) 13 1,2 and Schedule 1

of your Federal Re-

14 Dependent exemption (from page 2, Part III, line 2) 14 turn, if applicable.

15 Total deductions. Add lines 11, 12, 13, and 14 15 16 Taxable income. Subtract line 15 from line 10 16 17 Income Tax due. Enter amount from tax table or check if from Form NOL-85A 17 18 18

19 19

Tax

Staple Form(s) Additional taxes (from Schedule ATP, Part I, Line 3) W-2, W-2G, 20 Alabama Election Campaign Fund. You may make a voluntary contribution to the following: a Alabama Democratic Party $1 $2 none 20a

and/or 1099

b Alabama Republican Party $1 $2 none 20b

here. Attach

21 Total tax liability and voluntary contribution. Add lines 18, 19, 20a, and 20b 21 22 Alabama income tax withheld (from column A, line 5a) 22 23 2022 estimated tax payments/Automatic Extension Payment 23 24 Amended Returns Only - Previous payments (see instructions) 24 Payments

Total payments. Add lines 22, 23, 24, 25, and 26

Net tax due Alabama. Check box if computing tax using Schedule OC Refundable Credits. Enter the amount from Schedule OC, Section F,line F4. 35

Your social Spouse's SSN

, otherwise enter amount from line 17

Beginning:

security number if joint return

For Direct Deposit, check here and complete Part V, Page 2. Alabama

Initial Last name

Check if primary is deceased

Primary's deceased date

Check if spouse is deceased

Spouse's deceased date

(mm/dd/yyyy) (mm/dd/yyyy)

5b Wages, salaries, tips, etc. (from Schedule W-2, line 18, column I plus J): must attach page

(FORM 40V MUST ACCOMPANY PAYMENT.)

MUST be checked.

REFUNDED TO YOU. (CAUTION: You

Contact this candidate