during 2021 john paid the following amounts,
Auto loan 1575
Credit card interest 655
State sales tax 1800
Doctor bills 4000
Other deductible medical expenses 1800
Income tax prep fee 500
Job-hunting expenses 925
Cash charitable donation to the jonagold research center 500
John's employer offers a retirement plan, but john does not participate. instead, he made a $4000 contribution to a Roth IRA.
Required: Form 1040, Schedule 1, Schedule A,and Schedule D as needed to complete this tax return.
Transcribed Image Text: John received the following Form 1098 reporting mortgage interest and property taxes:
CORRECTED (If checked)
RECIPIENT'S/LENDER'S name, streat address, city or town, state or
province, country, ZIP or foreign postal code, and telephone no.
Braeburn National Bank
1600 W. Nob Hill Blvd.
Yakima, WA 98902
RECIPIENT'S LENDER'S TIN
54-9019016
PAYER'S BORROWER'S nama
John Fuji
Street address (including apt. no)
468 Bonnie Doon Avenue
City or town, state or province, country, and ZIP or foreign postal code
Yakima, WA 98902
PAYER'S/BORROWER'S TIN
571-78-5974
9 Number of properties securing the 10 Other
mortgage
1
Account number (see instructions)
Form 1098
Prop Taxes $1,900.00
Descrip
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Moderni Pharm
Moderni Pharm
Moderni Pharm
Moderni Pharm
Moderni Pharm
Moderni Pharm
Moderni Pharm
Moderni Pharm
Moderni Pharm
Moderni Pharm
Moderni Pharm
Moderni Pharm
(Keep for your records)
Little John Brokerage Statement
100 Nottingham Street
Sherwood Forest, MA 01233
Substitute Form 1099-B
Tax Year 2021
"Caution: The amount shown may
not be fully deductible by you.
Limits based on the loan amount
and the cost and value of the
secured property may apply Also,
you may only deduct interest to the
extent if was incurred by you
actually paid by you, and not
reimbursed by another person.
Form 1098
1 Mortgage interest received from payer(s)/borrower(e)"
$ 7,851.47
2 Outstanding mortgage
principal
$256,341.99
4 Refund of overpaid
interest
OMB No. 1546-1380
2021
3 Mortgage origination date
10/1/2017
5 Mortgage insurance
premiums
$
$
6 Points paid on purchase of principal residence
www.irs.gov/Form1098
$
7 X If address of property securing mortgage is the same
as PAYER'S/BORROWER'S address, the box is checked, or
the address or description is entered in box 8,
8 Address or description of property securing mortgage (see
instructions)
Mortgage
Interest
Statement
Copy B
For Payer/
Borrower
The information in boxes 1
through 9 and 11 is
Important tax information
and is being furnished to
the IRS. If you are required
to file a return, a negligence
penalty or other sanction
may be imposed on you if
the IRS determines
that an underpayment of
tax results because you
overstated a deduction for
this mortgage interest or for
these points, reported in
boxes 1 and 6; or because
you didn't report the refund
of interest (box 4); or
because you claimed a
nondeductible item.
11 Mortgage
acquisition date
John tried his hand at day trading for one week in February 2021. He received a
substitute Form 1099-B from his broker. Because the IRS was provided the acquisi-
tion date and basis for all trades and none required any adjustments or codes, these
can be entered as a summary entry into Schedule D and no Form 8949 needs to
be prepared.
Department of the Treasury - Internal Revenue Service
John Fuji
468 Bonnie Doon Ave.
Yakima, WA 98902
XXX-XX-5974
1b
1c
1d
1a
Shares Date Acq Date Sold Proceeds
890.00
1e
Cost Basis
888.00
740.00
738.00
623.00
473.00
150.00
569.00
593.00
(24.00)
683.00
443.00
240.00
422.00
172.00
250.00
786.00
767.00
19.00
464.00
182.00
646.00
692.00 495.00
595.00
197.00
478.00
117.00
44 2/3/2021 2/3/2021
37 2/3/2021 2/3/2021
31 2/3/2021 2/3/2021
28 2/3/2021 2/3/2021
34 2/3/2021 2/3/2021
21 2/4/2021 2/4/2021
40 2/4/2021 2/4/2021
32 2/4/2021 2/4/2021
35 2/4/2021 2/4/2021
30 2/4/2021 2/4/2021
42 2/5/2021 2/5/2021
28 2/5/2021 2/5/2021
33 2/5/2021 2/5/2021
21 2/5/2021 2/5/2021
32 2/5/2021 2/5/2021
39 2/6/2021 2/6/2021
40 2/6/2021 2/6/2021
38 2/6/2021 2/6/2021
34 2/6/2021 2/6/2021
847.00
579.00 268.00
433.00 132.00
565.00
664.00
422.00
421.00 243.00
277.00
145.00
630.00
478.00 152.00
780.00
509.00 271.00
796.00
711.00
85.00
754.00
484.00
270.00
674.00 424.00 250.00
12,778.00 9,827.00 2,951.00
Net Gain
or Loss
2.00
2.00
2
ST/LT
ST
ST
ST
ST
ST
ST
ST
ST
ST
ST
ST
ST
ST
ST
ST
ST
ST
ST
ST
Transcribed Image Text: 2B. John Fuji (birthdate June 6, 1982) received the following Form W-2 from his employer
related to his job as a manager at a Washington apple-processing plant:
b Employer identification number (EIN)
34-7654321
e Employer's name, address, and ZIP code
Granny Smith Apple Co.
200 Ahtanum Road
Yakima, WA 98903
d Control number
Employee's first name and initial
John Fuji
468 Bonnie Doon Avenue
Yakima, WA 98902
f Employee's address and ZIP code
16 State Employer's state ID number
WA
a Employee's social security number
571-78-5974
W-2 Wage and Tax Statement
Form
Copy B-To Be Filed With Employee's FEDERAL Tax Return.
This information is being furnished to the Internal Revenue Service.
Braeburn National Bank
1600 W. Nob Hill Rd.
Yakima, WA 98902
PAYER'S TIN
54-9019016
RECIPIENT'S name
John Fuji
Street address (including apt, no.)
468 Bonnie Doon Ave.
Last name
Account number (see instructions)
Form 1099-INT
RECIPIENT'S TIN
City or town, state or province, country, and ZIP or foreign postal code.
Yakima, WA 98902
571-78-5974
OMB No. 1545-0008 FASTI Use
16 State wages, tips, etc. 17 State income tax
CORRECTED (if checked)
PAYER'S name, street address, city or town, state or province, country, ZIP Payer's RTN (optional)
or foreign postal code, and telephone no.
Safe, accurate, P file
1 Wages, lips, other compensation
75,150.00
(keep for your records)
3 Social security wages
75,150.00
5 Medicare wages and tips
75,150.00
7 Social security tips
9
Suff. 11 Nonqualified plans
13 Statutory
▬
14 Other
2021
Retirement
X
John's other income includes interest on a Certificate of Deposit reported on a
Form 1099-INT:
1 Interest income
987.11
$
2 Early withdrawal penalty
Third-party
6 Foreign tax paid
$
8 Tax-exempt interest.
$
10 Market discount
2 Federal Income tax withheld
9,700.00
18 Local wages, tips, etc. 19 Local income tax
4 Social security tax withheld
4,659.30
8 Medicare tax withheld
1,089.68
8 Allocated tips
$
14 Tax-exempt and tax credit.
bond CUSIP no.
10 Dependent care benefits
www.irs.gov/Form1099INT
Visit the IRS website a
www.irs.gov/efile
12a See instructions for box 12
12b
120
12d
Department of the Treasury-Internal Revenue Service
$
3 Interest on U.S. Savings Bonds and Treas, obligations
OMB No. 1545-0112
$
4 Federal income tax withheld 5 Investment expenses.
0.00
$
$
7 Foreign country or U.S. possession
2021
Form 1099-INT
20 Locality name
9 Specified private activity bond
interest
$
11 Bond premium
$
FATCA filing $
requirement 12 Band premium on Treasury obligations 13 Bond premium on tax-exempt bond
$
Interest
Income
Copy B
For Recipient
This is important tax
information and is
being furnished to the
IRS. If you are
required to file a
return, a negligence
penalty or other
sanction may be
imposed on you if
this income is
taxable and the IRS
determines that it has
not been reported.
15 State 16 State identification no. 17 State tax withheld
$
Department of the Treasury - Internal Revenue Service
Also, in accordance with the January 2016 divorce decree he paid $500 per month
alimony to his ex-wife (Dora Fuji, Social Security number 573-79-6075) in 2021.