Resume

14 15 Csr

Location:

Winston-Salem, NC

Posted:

June 08, 2023

Contact this candidate

Resume:

Form

**** *.*. ********** ****** Tax Return ****

Department of the Treasury—Internal Revenue Service (99) 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 widow(er) (QW) If you checked the MFS box, enter the name of your spouse. If you checked the HOH or QW box, enter the child’s name if the qualifying person is a child but not your dependent a

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

At any time during 2021, did you receive, sell, exchange, or otherwise dispose of any financial interest in any virtual currency? 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, 1957 Are blind Spouse: Was born before January 2, 1957 Is blind Dependents (see instructions):

If more

than four

dependents,

see instructions

and check

here a

(2) Social security

number

(3) Relationship

to you

(4) if qualifies for (see instructions):

(1) First name Last name Child tax credit Credit for other dependents 1 Wages, salaries, tips, etc. Attach Form(s) W-2 1 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 7 Capital gain or (loss). Attach Schedule D if required. If not required, check here a 7 8 Other income from Schedule 1, line 10 8 9 Add lines 1, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income a 9 10 Adjustments to income from Schedule 1, line 26 10 11 Subtract line 10 from line 9. This is your adjusted gross income a 11 Standard

Deduction for—

• Single or

Married filing

separately,

$12,550

• Married filing

jointly or

Qualifying

widow(er),

$25,100

• Head of

household,

$18,800

• If you checked

any box under

Standard

Deduction,

see instructions.

12a Standard deduction or itemized deductions (from Schedule A) . . 12a b Charitable contributions if you take the standard deduction (see instructions) 12b c Add lines 12a and 12b 12c 13 Qualified business income deduction from Form 8995 or Form 8995-A 13 14 Add lines 12c and 13 14 15 Taxable income. Subtract line 14 from line 11. If zero or less, enter -0- 15 For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Form 1040 (2021) Hairston ***-**-****

5024 Selena St

Winston Salem NC 271062329

37,580.

18,800.

18,780.

Triston Z Fulp ***-**-**** Son

Kealen J Fulp ***-**-**** Son

Nikauri C Fulp ***-**-**** Daughter

Yunika C

Form 1040 (2021) Page 2

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 Nonrefundable 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 a 24 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 2021 estimated tax payments and amount applied from 2020 return 26 If you have a

qualifying child,

attach Sch. EIC.

27a Earned income credit (EIC) 27a

Check here if you were born after January 1, 1998, and before January 2, 2004, and you satisfy all the other requirements for taxpayers who are at least age 18, to claim the EIC. See instructions a b Nontaxable combat pay election 27b

c Prior year (2019) earned income 27c

28 Refundable child tax credit or additional child tax credit from Schedule 8812 28 29 American opportunity credit from Form 8863, line 8 29 30 Recovery rebate credit. See instructions 30 31 Amount from Schedule 3, line 15 31 32 Add lines 27a and 28 through 31. These are your total other payments and refundable credits a 32 33 Add lines 25d, 26, and 32. These are your total payments a 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 . . . a 35a Direct deposit?

See instructions.

a b Routing number a c Type: Checking Savings

a d Account number

36 Amount of line 34 you want applied to your 2022 estimated tax ..a 36 Amount

You Owe

37 Amount you owe. Subtract line 33 from line 24. For details on how to pay, see instructions . a 37 38 Estimated tax penalty (see instructions) a 38 Third Party

Designee

Do you want to allow another person to discuss this return with the IRS? See instructions a Yes. Complete below. No Designee’s

name a

Phone

no. a

Personal identification

number (PIN) a

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.) a

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.) a

Phone no. Email address

Paid

Preparer

Use Only

Preparer’s name Preparer’s signature Date PTIN Check if: Self-employed

Firm’s name a Phone no.

Firm’s address a Firm’s EIN a

Go to www.irs.gov/Form1040 for instructions and the latest information. Form 1040 (2021)

336-***-****

csr

2,925.

1,925.

1,400.

1,969.

6,600.

10,925.

12,850.

10,881.

2 5 3 1 7 7 8 8 7

2 1 7 8 5 9 0 2

Self-Prepared

1,969.

BAA REV 02/16/22 Intuit.cg.cfp.sp

SCHEDULE EIC

(Form 1040)

Department of the Treasury

Internal Revenue Service (99)

Earned Income Credit

Qualifying Child Information

a Complete and attach to Form 1040 or 1040-SR only if you have a qualifying child.

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

2021

Attachment

Sequence No. 43

1040

1040-SR

. . . . . . . . .

EIC

Name(s) shown on return Your social security number If you are separated from your spouse, filing a separate return and meet the requirements to claim the EIC (see instructions), check here Before you begin: • See the instructions for Form 1040, lines 27a, 27b, and 27c, to make sure that (a) you can take the EIC, and

(b) you have a qualifying child.

• Be sure the child’s name on line 1 and social security number (SSN) on line 2 agree with the child’s social security card. Otherwise, at the time we process your return, we may reduce your EIC. If the name or SSN on the child’s social security card is not correct, call the Social Security Administration at 800-***-****.

• If you have a child who meets the conditions to be your qualifying child for purposes of claiming the EIC, but that child doesn’t have an SSN as defined in the instructions for Form 1040, lines 27a, 27b, and 27c, see the instructions. F!

CAUTION

• You can’t claim the EIC for a child who didn’t live with you for more than half of the year.

• If your child doesn’t have an SSN as defined in the instructions for Form 1040, lines 27a, 27b, and 27c, see the instructions.

• If you take the EIC even though you are not eligible, you may not be allowed to take the credit for up to 10 years. See the instructions for details.

• It will take us longer to process your return and issue your refund if you do not fill in all lines that apply for each qualifying child. Qualifying Child Information Child 1 Child 2 Child 3 1 Child’s name

If you have more than three qualifying

children, you have to list only three to get

the maximum credit.

First name Last name First name Last name First name Last name 2 Child’s SSN

The child must have an SSN as defined in

the instructions for Form 1040, lines 27a,

27b, and 27c, unless the child was born

and died in 2021 or you are claiming the

self-only EIC (see instructions). If your

child was born and died in 2021 and did

not have an SSN, enter “Died” on this line

and attach a copy of the child’s birth

certificate, death certificate, or hospital

medical records showing a live birth.

3 Child’s year of birth Year

If born after 2002 and the child is

younger than you (or your spouse, if

filing jointly), skip lines 4a and 4b;

go to line 5.

Year

If born after 2002 and the child is

younger than you (or your spouse, if

filing jointly), skip lines 4a and 4b;

go to line 5.

Year

If born after 2002 and the child is

younger than you (or your spouse, if

filing jointly), skip lines 4a and 4b;

go to line 5.

4 a Was the child under age 24 at the end of

2021, a student, and younger than you (or

your spouse, if filing jointly)?

Yes.

Go to

line 5.

No.

Go to line 4b.

Yes.

Go to

line 5.

No.

Go to line 4b.

Yes.

Go to

line 5.

No.

Go to line 4b.

b Was the child permanently and totally

disabled during any part of 2021? Yes.

Go to

line 5.

No.

The child is not a

qualifying child.

Yes.

Go to

line 5.

No.

The child is not a

qualifying child.

Yes.

Go to

line 5.

No.

The child is not a

qualifying child.

5 Child’s relationship to you

(for example, son, daughter, grandchild,

niece, nephew, eligible foster child, etc.)

6 Number of months child lived

with you in the United States

during 2021

• If the child lived with you for more than

half of 2021 but less than 7 months,

enter “7.”

• If the child was born or died in 2021 and

your home was the child’s home for more

than half the time he or she was alive

during 2021, enter “12.”

months

Do not enter more than 12

months.

months

Do not enter more than 12

months.

months

Do not enter more than 12

months.

For Paperwork Reduction Act Notice, see your tax

return instructions.

Schedule EIC (Form 1040) 2021

Yunika C Hairston ***-**-****

Triston Z Fulp

***-**-****

2 0 0 7

Son

Kealen J Fulp

***-**-****

2 0 1 0

Son

Nikauri C Fulp

***-**-****

2 0 2 1

Daughter

BAA REV 02/16/22 Intuit.cg.cfp.sp

SCHEDULE 8812

(Form 1040) 2021

Credits for Qualifying Children

and Other Dependents

Department of the Treasury

Internal Revenue Service (99)

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

a Go to www.irs.gov/Schedule8812 for instructions and the latest information. OMB No. 1545-0074

Attachment

Sequence No. 47

1040

1040-SR

1040-NR

. . . . . . . . .

8812

Name(s) shown on return Your social security number Part I-A Child Tax Credit and Credit for Other Dependents 1 Enter the amount from line 11 of your Form 1040, 1040-SR, or 1040-NR 1 2a Enter income from Puerto Rico that you excluded 2a b Enter the amounts from lines 45 and 50 of your Form 2555 2b c Enter the amount from line 15 of your Form 4563 2c d Add lines 2a through 2c 2d 3 Add lines 1 and 2d 3 4a Number of qualifying children under age 18 with the required social security number 4a b Number of children included on line 4a who were under age 6 at the end of 2021 . . 4b c Subtract line 4b from line 4a 4c 5 If line 4a is more than zero, enter the amount from the Line 5 Worksheet; otherwise, enter -0- 5 6 Number of other dependents, including any qualifying children who are not under age 18 or who do not have the required social security number 6 Caution: Do not include yourself, your spouse, or anyone who is not a U.S. citizen, U.S. national, or U.S. resident alien. Also, do not include anyone you included on line 4a. 7 Multiply line 6 by $500 7 8 Add lines 5 and 7 8 9 Enter the amount shown below for your filing status.

• Married filing jointly—$400,000

• All other filing statuses—$200,000 } 9 10 Subtract line 9 from line 3.

• If zero or less, enter -0-.

• If more than zero and not a multiple of $1,000, enter the next multiple of $1,000. For example, if the result is $425, enter $1,000; if the result is $1,025, enter $2,000, etc. } 10 11 Multiply line 10 by 5% (0.05) 11 12 Subtract line 11 from line 8. If zero or less, enter -0- 12 13 Check all the boxes that apply to you (or your spouse if married filing jointly). A Check here if you (or your spouse if married filing jointly) had a principal place of abode in the United States for more than half of 2021 B Check here if you (or your spouse if married filing jointly) were a bona fide resident of Puerto Rico for 2021 Part I-B Filers Who Check a Box on Line 13

Caution: If you did not check a box on line 13, do not complete Part I-B; instead, skip to Part I-C. 14a Enter the smaller of line 7 or line 12 14a b Subtract line 14a from line 12 14b c If line 14a is zero, enter -0-; otherwise, enter the amount from the Credit Limit Worksheet A 14c d Enter the smaller of line 14a or line 14c 14d e Add lines 14b and 14d 14e f

37,580.

9,600.

200,000.

9,600.

3,000.

9,600.

6,600.

BAA REV 02/16/22 Intuit.cg.cfp.sp

Schedule 8812 (Form 1040) 2021 Page 2

Part I-C Filers Who Do Not Check a Box on Line 13

Caution: If you checked a box on line 13, do not complete Part I-C. 15a Enter the amount from the Credit Limit Worksheet A 15a b Enter the smaller of line 12 or line 15a 15b Additional child tax credit. Complete Parts II-A through II-C if you meet each of the following items. 1. You are not filing Form 2555.

2. Line 4a is more than zero.

3. Line 12 is more than line 15a.

c If you completed Parts II-A through II-C, enter the amount from line 27; otherwise, enter -0- 15c d Add lines 15b and 15c 15d e

Enter the aggregate amount of advance child tax credit payments you (and your spouse if filing jointly) received for 2021. See your Letter(s) 6419 for the amounts to include on this line. If you are missing Letter 6419, see the instructions before entering an amount on this line. If you didn’t receive any advance child tax credit payments for 2021, enter -0- 15e Caution: If the amount on this line doesn’t match the aggregate amounts reported to you (and your spouse if filing jointly) on your Letter(s) 6419, the processing of your return will be delayed. f Subtract line 15e from line 15d. If zero or less, enter -0- on lines 15f through 15h and go to Part III 15f g Enter the smaller of line 15b or line 15f. This is your nonrefundable child tax credit and credit for other dependents. Enter this amount on line 19 of your Form 1040, 1040-SR, or 1040-NR 15g h Subtract line 15g from line 15f. This is your additional child tax credit. Enter this amount on line 28 of your Form 1040, 1040-SR, or 1040-NR 15h Part II-A Additional Child Tax Credit (use only if completing Part I-C) Caution: If you file Form 2555, do not complete Parts II-A through II-C; you cannot claim the additional child tax credit. Caution: If you checked a box on line 13, do not complete Parts II-A through II-C; you cannot claim the additional child tax credit. 16a Subtract line 15b from line 12. If zero, skip Parts II-A and II-B and enter -0- on line 27 16a b Number of qualifying children under 18 with the required social security number: x $1,400. Enter the result. If zero, skip Parts II-A and II-B and enter -0- on line 27 16b TIP: The number of children you use for this line is the same as the number of children you used for line 4a. 17 Enter the smaller of line 16a or line 16b 17 18a Earned income (see instructions) 18a b Nontaxable combat pay (see instructions) 18b 19 Is the amount on line 18a more than $2,500?

No. Leave line 19 blank and enter -0- on line 20.

Yes. Subtract $2,500 from the amount on line 18a. Enter the result 19 20 Multiply the amount on line 19 by 15% (0.15) and enter the result 20 Next. On line 16b, is the amount $4,200 or more?

No. If line 20 is zero, enter -0- on line 15c. Otherwise, skip Part II-B and enter the smaller of line 17 or line 20 on line 27.

Yes. If line 20 is equal to or more than line 17, skip Part II-B and enter the amount from line 17 on line 27. Otherwise, go to line 21.

Part II-B Certain Filers Who Have Three or More Qualifying Children 21

Withheld social security, Medicare, and Additional Medicare taxes from Form(s) W-2, boxes 4 and 6. If married filing jointly, include your spouse’s amounts with yours. If your employer withheld or you paid Additional Medicare Tax or tier 1 RRTA taxes, see instructions 21

22 Enter the total of the amounts from Schedule 1 (Form 1040), line 15; Schedule 2 (Form 1040), line 5; Schedule 2 (Form 1040), line 6; and Schedule 2 (Form 1040), line 13 . 22 23 Add lines 21 and 22 23

24 1040 and

1040-SR filers: Enter the total of the amounts from Form 1040 or 1040-SR, line 27a, and Schedule 3 (Form 1040), line 11.

1040-NR filers: Enter the amount from Schedule 3 (Form 1040), line 11. } 24 25 Subtract line 24 from line 23. If zero or less, enter -0- 25 26 Enter the larger of line 20 or line 25 26 Next, enter the smaller of line 17 or line 26 on line 27. Part II-C Additional Child Tax Credit

27 Enter this amount on line 15c 27 BAA Schedule 8812 (Form 1040) 2021

REV 02/16/22 Intuit.cg.cfp.sp

Schedule 8812 (Form 1040) 2021 Page 3

Part III Additional Tax (use only if line 14g or line 15f, whichever applies, is zero) 28a Enter the amount from line 14f or line 15e, whichever applies 28a b Enter the amount from line 14e or line 15d, whichever applies 28b 29 Excess advance child tax credit payments. Subtract line 28b from line 28a. If zero, stop; you do not owe the additional tax 29

Enter the number of qualifying children taken into account in determining the annual advance amount you received for 2021. See your Letter 6419 for this number. If you are missing your Letter 6419, you are filing a joint return, or you received more than one Letter 6419, see the instructions before entering a number on this line .. 30 Caution: If the amount on this line doesn’t match the number of qualifying children reported to you (and your spouse if filing jointly) on your Letter(s) 6419, the processing of your return will be delayed. 31 Enter the smaller of line 4a or line 30 31 32 Subtract line 31 from line 30. If zero, skip to line 40 and enter the amount from line 29; otherwise, continue to line 33 32

33 Enter the amount shown below for your filing status.

• Married filing jointly or Qualifying widow(er)—$60,000

• Head of household—$50,000

• All other filing statuses—$40,000 } 33 34 Subtract line 33 from line 3. If zero or less, enter -0- 34 35 Enter the amount from line 33 35 36 Divide line 34 by line 35. Enter the result as a decimal (rounded to at least three places). If the result is 1.000 or more, enter 1.000 36 37 Multiply line 32 by $2,000 37 38 Multiply line 37 by line 36 38 39 Subtract line 38 from line 37 39 40 Subtract line 39 from line 29. If zero or less, enter -0-. This is your additional tax. If more than zero, enter this amount on Schedule 2 (Form 1040), line 19 40 BAA REV 02/16/22 Intuit.cg.cfp.sp Schedule 8812 (Form 104*-****-**** Individual Income Tax Return

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37580

16125

22125

15455

811

1055

244

(59)

REV 02/15/22 INTUIT.CG.CFP.SP

0.0000

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