EFTA01196000.pdf

a BEN BLACK - 2012 FED & NYS RETURN (PDF) - RJOSL1N-1.pdf - Adobe Acrobat ro File Edit View Window Help x t), Create • n Z38 2 I .Cli c--)P55 EnDroo- Customize • t at 2 / 52 IR 100% 11HHOD IZI Tools Sign Comment D Bookmarks 44 I. roan 1040 (2012) BENJAMIN E. BLACK FP Ely IA 17lb Tax and 38 Amount from line 37 (adjusted gross income) 38 Credits 39a Check C Yob were born before January 2, 1948, Blind. Total boxes Cl' Form 1040 - U.S. Individual Income =macro it I C Sposse was born before January 2, 1948, Blind. JI' Necked ... Ilo• 39a I Tax Return Deduction far - b If your spouse itemizes on a separate return or you were a dual-status alien, check here Ilo• 391 I I • People who ri Form 1040 - U.S. Individual Income box on% 40 Itemized deduction (from Schedule A) or your standard deduction (see left margin) 40 Tax Return no or 39b Of 41 Subtract line 40 from line 38 41 who can be °Jaime° 3s 3 dependent. 42 Exemption. Multiply $3,800 by the number on line 6d 42 lja Federal Schedule A - Itemized 43 Taxable intone. Subtract line 42 from line 41. If line 42 is more than line 41 enter -0- 43 Deductions 44 Tax. Check if any from: a0 Form(s) 8814 b 0 Form 4972 el—I 962 election 44 Cl' Federal Schedule B - Interest and 45 Alternative minimum tax. Attach Form 6251 45 • otccers: Ordinary Dividends singAllle 46 Add lines 44 and 45 lb. 46 Welt' 5ing 47 Foreign tax credit Attach Form 1116 if required 47 23. 0' Federal Schedule D - Capital Gains seprately. 55.950 48 Credit for child and dependent care expenses. Attach Form 2441 48 and Losses 143T" fin g 49 Education credits from Form 8863, line 19 49 jointly cr U Federal Schedule D - Capital Gains qualifying 50 Retirement savings contributions credit Attach Form 8880 50 wiclower). and Losses S11.90(0 51 Child tax credit Attach Schedule 8812, if required 51 Heal of 52 Residential energy credits. Attach Form 5695 52 U Form 8949 Short-Term B ousehold. P3.700 53 Other credits from Form' a 0 3800 b 0 8801 c0 53 U Form 8949 Long-Term B 54 Add lines 47 through 53. These are your total credits 54 Federal Schedule E - Supplemental 55 Subtract line 54 from line 46. If line 54 is m y than lino AR ontor -n- lb. 55 Other 56 Serf-employment tax. Attach Schedule SE . pIuS: 2011 O/P 56 Income and Loss, Page 2 Taxes 57 Unreported social security and Medicare ta.) $22.740 8 19 57 U Income from Passthrough 58 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if req fired 58 Statement - Detailed 59a Household employment taxes from Schedule H 59a b First-time homebuyer credit repayment Attach Form 5405 if required 59b Income from Passthrough 60 Other taxes. Enter code(s) from instructions 60 Statement - Detailed 61 Add lines 55 through 60. This is your total tax 00 61 0 9 Form 1116 - Foreign Tax Credit Payments 62 Federal income tax withheld from Forms W-2 and 1099 62 6 , 56 7 . 09 Form 1116 - Foreign Tax Credit i_ 63 2012 estimated tax payments and amount applied from 2011 return 63 52,000. a you have ifying 64a Earned income aedit (EIG) 64a 09 Form 1116 - Foreign Tax Credit aqualatta 641 I S chcahdeCkile EIC. IRS notice refund LP Form 1116 - Foreign Tax Credit 6 h Sc le 8812 65 6 of S23.110 due to m Form 88 line 8 66 lja Form 6251- Alternative Minimum 6 20 1 1 O/P not 67 Tax 6i picked-up in 2012. tension to file 68 25, 000 . 17 Form 6251 - Alternative Minimum 69 Excess social security and tier 1 RRTA tax withheld 69 Tax 70 Credit for federal tax on fuels. Attach Form 4136 70 71 Credits from Form' a 02439 I ORnerno 08801 d 0888 71 17 Form 1116 AMT - Foreign Tax 72 Add lines 62, 63, 64a, and 65 through 71. These are your total payments 110 72 Credit (Alternative Minimum Tax) Refund 73 If line 72 is more than line 61, subtract line 61 from line 72. This is the amount you ov aid 73 17 Form 1116 AMT - Foreign Tax 74a Amount of line 73 you want refunded to you. If Form 8888 is attached, check here IP. C 74a Neal ... iFtxe Credit (Alternative Minimum Tax) clepopt?il. b el I I IP' 4 Type 0 Diecteg C Smogs li e 0 nweeint I innucticos. 75 Amount of line 73 you want applied to you 2013 estimated tax 10. 75 A6-0-9 . 17 Form 1116 AMT - Foreign Tax Amount 76 knout you owe. Subtract line 72 from line 61. For details on how to pay, see instructions 1 Illio 76 Credit (Alternative Minimum Tax) You Owe 77 Estimated tax penalty (see instructions) 1 77 1 954. 17 Form 1116 AMT - Foreign Tax Third Party Do you want to allow another person to discuss this return with the IRS (see instructions)9 Yes. Complete below. Ilo n tee 00,. Peesoer n naloMirficato o pi Credit (Alternative Minimum Tax) • Designee gell"nlo• Akin unaer penalties of perpry. I clean mat i nave examined mis return ana accompanying scneaules and statements. ana to me best of my knowledge ana belie,. trey ae true. EFTA01196000