Here are the completed federal individual income tax return forms for Bob and Melissa Grant for the 2013 tax year. Please note that these forms are only a sample and may not accurately reflect the actual forms or the Grant’s tax liability.
Form 1040
Filing Status: Joint return
Name(s) shown on tax return: Bob Grant, Melissa Grant
Social Security number(s): 987-45-1234, 494-37-4893
Address: 95 Hickory Road, Lexington, Kentucky 40502
Tax Year: 2013
Form W-2
Name: Bob Grant Social Security Number: 987-45-1234
Employer’s name, address, and ZIP code: National Storage Wages, tips, other compensation: $66,200 Federal income tax withheld: $8,000 State: Kentucky State income tax withheld: $3,750
Name: Melissa Grant Social Security Number: 494-37-4893
Employer’s name, address, and ZIP code: Jensen Photography Wages, tips, other compensation: $24,500 Federal income tax withheld: $2,450 State: Kentucky State income tax withheld: $1,225
Form 1040 – Schedule B (Form 1040)
Name(s) shown on tax return: Bob Grant, Melissa Grant
Interest income:
- First Kentucky Bank: $130
- City of Lexington, KY Bond: $450
- U.S. Treasury Bond: $675
- Nevada State School Board Bond: $150
Total interest income: $1,405
Form 1040 – Schedule 1 (Form 1040)
Name(s) shown on tax return: Bob Grant, Melissa Grant
Other income:
- Workers’ compensation payments: $4,350
- Disability payments: $3,500
Total other income: $7,850
Form 1040 – Schedule 1 (Form 1040) – Continued
Name(s) shown on tax return: Bob Grant, Melissa Grant
Less: Adjustments to income
- Annuity exclusion: $15,000 (see Form 1099-R)
Total adjustments to income: $15,000
Taxable amount: $7,850 – $15,000 = -$7,150
Form 1040 – Schedule D (Form 1040)
Name(s) shown on tax return: Bob Grant, Melissa Grant
Capital gain distributions: $0
Other gains or losses:
- Lawsuit settlement: $24,500 (see Form 1099-MISC)
Total other gains or losses: $24,500
Total capital gains and losses: $0 + $24,500 = $24,500
Form 1040 – Schedule E (Form 1040)
Name(s) shown on tax return: Bob Grant, Melissa Grant
Rental real estate, royalties, partnerships, S corporations, trusts, etc.: $0
Farm income or (loss): $0
Unemployment compensation: $0
Social security benefits: $0