Form

**** ********** *.*. ********** of the Treasury—Internal Income Revenue Tax Service Return 2022 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

. . . . . . . . . . . . . . . . . .

2a Tax-exempt interest . . . 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 . . . . . . . . . . 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

Subtract line 10 from line 9. This is your adjusted gross income 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. Cat. No. 11320B Form 1040 (2022) LEGREE

ST. PETERSBURG FL 33711

12950

12950

2343 36TH STREET SOUTH

4

ERIC W

4

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)

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