Tax Transcript Decoder: Comparison of 2020 Tax Return and Tax Transcript Data

Tax Transcript Decoder©

COMPARISON OF 2020 TAX RETURN AND TAX TRANSCRIPT DATA

2022-23 Award Year

YEAR

ANNIVERSARY

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CONSEQUENTIAL DAMAGES RESULTING FROM THE FURNISHING, PERFORMANCE, OR USE OF THIS MATERIAL.

This publication contains material related to the federal student aid programs under Title IV of the Higher Education Act and/or Title VII or Title VIII of the

Public Health Service Act. While we believe that the information contained herein is accurate and factual, this publication has not been reviewed or

approved by the U.S. Department of Education, the Department of Health and Human Services, or the Department of the Interior.

The Free Application for Federal Student Aid (FAFSA

) is a registered trademark of the U.S. Department of Education.

September 2021

Information in this publication is current as of September 23, 2021.

Tax Transcript Decoder©

Comparison of 2020 Tax Return and Tax Transcript Data

FAFSA instructions direct applicants to obtain information from certain lines on IRS income tax returns and schedules. For

the most part, the instructions identify the relevant lines on the tax form by line number. These line item numbers do not

appear on IRS tax transcripts. Instead, each item is identified by name. When verifying FAFSA data using tax transcripts, it is

important to identify the correct answer.

The following pages contain a sample tax return and corresponding tax return transcript. Relevant line items have been

highlighted as follows:

Red: information to help cross-reference tax return line items with corresponding data on the tax return transcript.

Yellow: tax return line items that are required verification data elements for the 2022-23 award year.

Blue: tax return line items listed in the FAFSA instructions, which should be reviewed for potential conflicting information.

2020 Tax Return Line Items for 2022-23 Verification

1040 and Schedules

2022-23

FAFSA Question

AGI 1040 Line 11 36 (S) and 84 (P)

Income tax paid* 1040 Line 22 minus Schedule 2, Line 2 37 (S) and 85 (P)

Education credits

1040 Schedule 3, Line 3

43a (S) and 91a (P)

IRA deductions and payments 1040 Schedule 1, Line 15 + Line 19 44b (S) and 92b (P)

Tax-exempt interest income 1040 Line 2a 44d (S) and 92d (P)

Untaxed portions of IRA, pension, and

annuity distributions (withdrawals)*

1040 Lines (4a + 5a) minus (4b + 5b)

(exclude rollovers)

44e (S) and 92e (P)

2020 Tax Return Transcript Line Items for 2022-23 Verification

Tax Transcript

2022-23

FAFSA Question

AGI “ADJUSTED GROSS INCOME PER COMPUTER” 36 (S) and 84 (P)

Income tax paid*

“INCOME TAX AFTER CREDITS PER COMPUTER”

minus

“EXCESS ADVANCE PREMIUM TAX CREDIT

REPAYMENT AMOUNT”

37 (S) and 85 (P)

Education credits “EDUCATION CREDIT PER COMPUTER” 43a (S) and 91a (P)

IRA deductions and payments

“KEOGH/SEP CONTRIBUTION DEDUCTION”

plus

“IRA DEDUCTION PER COMPUTER”

44b (S) and 92b (P)

Tax-exempt interest income “TAX-EXEMPT INTEREST” 44d (S) and 92d (P)

Untaxed portions of IRA, pension, and

annuity distributions (withdrawals)*

“TOTAL IRA DISTRIBUTIONS” plus

“TOTAL PENSIONS AND ANNUITIES”

minus

“TAXABLE IRA DISTRIBUTIONS” plus

“TAXABLE PENSION/ANNUITY AMOUNT”

(exclude rollovers)

44e (S) and 92e (P)

* If negative, enter zero.

Form

1040

2020

U.S. Individual Income 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

Your first name and middle initial Last name Your social security number

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

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, 1956

Are blind Spouse:

Was born before January 2, 1956

Is blind

Dependents

(see instructions):

If more

than four

dependents,

see instructions

and check

here

(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 .....

3a Qualified dividends . . . 3a

b Ordinary dividends .....

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 ....

8 Other income from Schedule 1, line 9 ................... 8

9 Add lines 1, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income .........

10 Adjustments to income:

a From Schedule 1, line 22 ..............

10a

Charitable contributions if you take the standard deduction. See instructions

10b

c Add lines 10a and 10b. These are your total adjustments to income ........

10c

11 Subtract line 10c from line 9. This is your adjusted gross income .........

12 Standard deduction or itemized deductions (from Schedule A) ..........

Standard

Deduction for—

• Single or

Married filing

separately,

$12,400

• Married filing

jointly or

Qualifying

widow(er),

$24,800

• Head of

household,

$18,650

•

If you checked

any box under

Standard

Deduction,

see instructions.

13 Qualified business income deduction. Attach Form 8995 or Form 8995-A ........ 13

14 Add lines 12 and 13 ........................ 14

15 Taxable income. Subtract line 14 from line 11. If zero or less, enter -0- .........

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions.

Cat. No. 11320B

Form 1040 (2020)

At any time during 2020, did you receive, sell, send, exchange, or otherwise acquire any financial interest in any virtual currency?

BOSCH111111111111111111111111111

7203 WOODROW WILSON DR

LOS ANGELES

90068

MADDIE M BOSCH1111111111111111

COLTRANE B BOSCH111111111111111

DAUGHTER

SON111111

1111111161,567

XXX11XX118644

XXX11XX116882

HARRY T111111111111111111111111

✔

XXX11XX114285

XXX11XX115760

161,5671111111

1111111111,880

1111111162,447

1111111137,332

1111111125,115

1111111137,332

1111111111,880

If joint return, spouse's first name and middle initial

ELEANOR W111111111111111111111

Sample IRS Form 1040, Page 1 – Harry and Eleanor Bosch

Income earned from work: IRS Form 1040–Line 1 , Schedule 1–Lines 3 and 6 , Schedule K-1 (IRS Form 1065)–Box 14 (Code A).

If any individual earning item is negative, do not include that item in your calculation.

Page 2

Tax (see instructions). Check if any from Form(s):

1 8814 2 4972 3

17 Amount from Schedule 2, line 3 .................... 17

18 Add lines 16 and 17 ........................ 18

19 Child tax credit or credit for other dependents ................ 19

20 Amount from Schedule 3, line 7 .................... 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 10 ......... 23

Add lines 22 and 23. This is your total tax ......

......u..

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 2020 estimated tax payments and amount applied from 2019 return .......... 26

27 Earned income credit (EIC) ..............

•

If you have a

qualifying child,

attach Sch. EIC.

•

If you have

nontaxable

combat pay,

see instructions.

28 Additional child tax credit. Attach 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 13 ............ 31

Add lines 27 through 31. These are your total other payments and refundable credits ...

33 Add lines 25d, 26, and 32. These are your total payments ...........

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.

Routing number

c Type: Checking Savings

Account number

Amount of line 34 you want applied to your 2021 estimated tax

Amount

You Owe

For details on

how to pay, see

instructions.

Subtract line 33 from line 24. This is the amount you owe now ..........

Note: Schedule H and Schedule SE filers, line 37 may not represent all of the taxes you owe for

2020. See Schedule 3, line 12e, and its instructions for details.

38 Estimated tax penalty (see instructions) .........

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

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 (2020)

1111111119,105

111111114,000

1111111111,45

111111114,045

11111111115,060

1111111115,060

1111111110,586

1111111114,474

Harry T.1Bosch11111111111111

Detective11111111111111111

04/26/2021

Spouse’s occupation

Agent11111

Sample IR

S Form 1040, Page 2 – Harry and Eleanor Bosch

Form 1040 (2020)

Additional Income and Adjustments to Income

▶

Attach to Form 1040 or 1040-SR

▶

Go to www.irs.gov/Form1040 for instructions and the latest information.

OMB No. 1545-0074

2020

Attachment

Sequence No.

Name(s) shown on Form 1040 or 1040-SR Your social security number

Part I Additional Income

1 Taxable refunds, credits, or offsets of state and local income taxes . . . . . . . . . . . . 1

2a Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a

Date of original divorce or separation agreement (see instructions)

▶

3 Business income or (loss). Attach Schedule C . . . . . . . . . . . . . . . . . . . 3

4 Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . . . . . . . . . 4

5 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E . . . . . 5

6 Farm income or (loss). Attach Schedule F . . . . . . . . . . . . . . . . . . . . 6

7 Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . 7

Other income. List type and amount

▶

Combine lines 1 through 8. Enter here and on Form 1040, 1040-SR, or 1040-NR line 8. . . . . .

Part II Adjustments to Income

10 Educator expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Certain business expenses of reservists, performing artists, and fee-basis government officials.

Attach

Form 2106 . . . . . . . . . . . . . . . . . . . . . . . . . . . .

12 Health savings account deduction. Attach Form 8889 . . . . . . . . . . . . . . . . 12

13 Moving expenses for members of the Armed Forces. Attach Form 3903 . . . . . . . . . . 13

14 Deductible part of self-employment tax. Attach Schedule SE . . . . . . . . . . . . . . 14

15 Self-employed SEP, SIMPLE, and qualified plans . . . . . . . . . . . . . . . . . . 15

16 Self-employed health insurance deduction . . . . . . . . . . . . . . . . . . . . 16

17 Penalty on early withdrawal of savings . . . . . . . . . . . . . . . . . . . . . 17

18a Alimony paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18a

b Recipient’s SSN . . . . . . . . . . . . . . . . . . . . .

▶

Date of original divorce or separation agreement (see instructions)

▶

19 IRA deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

20 Student loan interest deduction . . . . . . . . . . . . . . . . . . . . . . . 20

Tuition and fees. Attach Form 8917 . . . . . . . . . . . . . . . . . . . . . .

Add lines 10 through 21. These are your adjustments to income. Enter here and on Form 1040,

1040-SR, or 1040-NR, line 10a . . . . . . . . . . . . . . . . . . . . . . .

For Paperwork Reduction Act Notice, see your tax return instructions.

Cat. No. 71479F

Schedule 1 (Form 1040) 2020

xxxxxxx131,638

SCHEDULE 1

(Form 1040)

Department of the Treasury

Internal Revenue Service

or 1040-NR.

Income earned from work: IRS Form 1040–Line 1 , Schedule 1–Lines 3 and 6 , Schedule K-1 (IRS Form 1065)–Box 14 (Code A).

If any individual earning item is negative, do not include that item in your calculation.

Sample IRS Form 1040 Schedule 1 (not filed by Harry and Eleanor)

SCHEDULE 2

(Form 1040

)

2020

Additional Taxes

Department of the Treasury

Internal Revenue Service

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

Go to www.irs.gov/Form1040 for instructions and the latest information.

OMB No. 1545-0074

Attachment

Sequence No.

Name(s) shown on Form 1040, 1040-SR, or 1040-NR Your social security number

Part I Tax

1 Alternative minimum tax. Attach Form 6251 ................ 1

2 Excess advance premium tax credit repayment. Attach Form 8962 ....... 2

3 Add lines 1 and 2. Enter here and on Form 1040, 1040-SR, or 1040-NR, line 17 . . 3

Part II

Other Taxes

4 Self-employment tax. Attach Schedule SE ................. 4

5 Unreported social security and Medicare tax from Form: a 4137 b 8919 .

6 Additional tax on IRAs, other qualified retirement plans, and other tax-favored

accounts. Attach Form 5329 if required .................. 6

7a Household employment taxes. Attach Schedule H ............. 7a

b Repayment of first-time homebuyer credit from Form 5405. Attach Form 5405 if

required .............................. 7b

8 Taxes from: a Form 8959 b Form 8960

Instructions; enter code(s) 8

9 Section 965 net tax liability installment from Form 965-A . . . 9

10 Add lines 4 through 8. These are your total other taxes. Enter here and on Form

1040 or 1040-SR, line 23, or Form 1040-NR, line 23b ............

For Paperwork Reduction Act Notice, see your tax return instructions.

Cat. No. 71478U Schedule 2 (Form 1040) 2020

Sample IRS Form 1040 Schedule 2 (not filed by Harry and Eleanor)

xxxxxxx131,638

Income Tax Paid*

1040 Line 22

minus

Schedule 2, Line 2

*If negative, enter zero

SCHEDULE 3

(Form 1040)

2020

Additional Credits and Payments

Department of the Treasury

Internal Revenue Service

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

Go to www.irs.gov/Form1040 for instructions and the latest information.

OMB No. 1545-0074

Attachment

Sequence No.

Name(s) shown on Form 1040, 1040-SR, or 1040-NR Your social security number

Part I

Nonrefundable Credits

1 Foreign tax credit. Attach Form 1116 if required .............. 1

2 Credit for child and dependent care expenses. Attach Form 2441 ....... 2

3 Education credits from Form 8863, line 19 ................. 3

4 Retirement savings contributions credit. Attach Form 8880 .......... 4

5 Residential energy credits. Attach Form 5695 ............... 5

6 Other credits from Form: a 3800 b 8801 c 6

7 Add lines 1 through 6. Enter here and on Form 1040, 1040-SR, or 1040-NR, line 20

Part II

Other Payments and Refundable Credits

8 Net premium tax credit. Attach Form 8962 ................. 8

9 Amount paid with request for extension to file (see instructions) ........ 9

10 Excess social security and tier 1 RRTA tax withheld ............. 10

11 Credit for federal tax on fuels. Attach Form 4136 .............. 11

12 Other payments or refundable credits:

a Form 2439 .....................

12a

b Qualified sick and family leave credits from Schedule(s) H and

Form(s) 7202 ....................

12b

c Health coverage tax credit from Form 8885 ........ 12c

d Other: 12d

e Deferral for certain Schedule H or SE filers (see instructions) . 12e

f Add lines 12a through 12e ....................... 12f

Add lines 8 through 12f. Enter here and on Form 1040, 1040-SR, or 1040-NR, line 31

For Paperwork Reduction Act Notice, see your tax return instructions.

Cat. No. 71480G Schedule 3 (Form 1040) 2020

1111111111,45

1111111111,415

HARRY T BOSCH

XXX-XX-4285

Sample IRS Form 1040 Schedule 3 – Harry and Eleanor Bosch

SCHEDULE A

(Form 1040)

Department of the Treasury

Internal Revenue Service (99)

Itemized Deductions

▶

Go to www.irs.gov/ScheduleA for instructions and the latest information.

▶

Attach to Form 1040 or 1040-SR.

Caution: If you are claiming a net qualified disaster loss on Form 4684, see the instructions for line 16.

OMB No. 1545-0074

2020

Attachment

Sequence No.

Name(s) shown on Form 1040 or 1040-SR

Medical

and

Dental

Expenses

Caution: Do not include expenses reimbursed or paid by others.

1 Medical and dental expenses (see instructions) . . . . . . . 1

Enter amount from Form 1040 or 1040-SR, line 11

3 Multiply line 2 by 7.5% (0.075) . . . . . . . . . . . . . 3

4 Subtract line 3 from line 1. If line 3 is more than line 1, enter -0- . . . . . . . . . 4

Taxes You

Paid

5 State and local taxes.

State and local income taxes or general sales taxes. You may include

either income taxes or general sales taxes on line 5a, but not both. If

you elect to include general sales taxes instead of income taxes,

check this box . . . . . . . . . . . . . . . . .

▶

State and local real estate taxes (see instructions) . . . . . . .

State and local personal property taxes . . . . . . . . . .

Add lines 5a through 5c . . . . . . . . . . . . . . .

e Enter the smaller of line 5d or $10,000 ($5,000 if married filing

separately) . . . . . . . . . . . . . . . . . . .

Other taxes. List type and amount

▶

7 Add lines 5e and 6 . . . . . . . . . . . . . . . . . . . . . . .

Interest

You Paid

Caution: Your

mortgage interest

deduction may be

limited (see

instructions).

8 Home mortgage interest and points. If you didn’t use all of your home

mortgage loan(s) to buy, build, or improve your home, see

instructions and check this box . . . . . . . . . . .

▶

a Home mortgage interest and points reported to you on Form 1098.

See instructions if limited . . . . . . . . . . . . . .

Home mortgage interest not reported to you on Form 1098. See

instructions if limited. If paid to the person from whom you bought the

home, see instructions and show that person’s name, identifying no.,

and address . . . . . . . . . . . . . . . . . . .

▶

c Points not reported to you on Form 1098. See instructions for special

rules . . . . . . . . . . . . . . . . . . . . .

d Mortgage insurance premiums (see instructions) . . . . . . . 8d

e Add lines 8a through 8d . . . . . . . . . . . . . . . 8e

9 Investment interest. Attach Form 4952 if required. See instructions . 9

10 Add lines 8e and 9 . . . . . . . . . . . . . . . . . . . . . . .

Gifts to

Charity

Caution: If you

made a gift and

got a benefit for it,

see instructions.

11 Gifts by cash or check. If you made any gift of $250 or more, see

instructions . . . . . . . . . . . . . . . . . . .

12 Other than by cash or check. If you made any gift of $250 or more,

see instructions. You must attach Form 8283 if over $500. . . .

13 Carryover from prior year . . . . . . . . . . . . . . 13

14 Add lines 11 through 13 . . . . . . . . . . . . . . . . . . . . . .

Casualty and

Theft Losses

15 Casualty and theft loss(es) from a federally declared disaster (other than net qualified

disaster losses). Attach Form 4684 and enter the amount from line 18 of that form. See

instructions . . . . . . . . . . . . . . . . . . . . . . . . . .

Other

Itemized

Deductions

Other—from list in instructions. List type and amount

▶

Total

Itemized

Deductions

Add the amounts in the far right column for lines 4 through 16. Also, enter this amount on

Form 1040 or 1040-SR, line 12 . . . . . . . . . . . . . . . . . . . .

If you elect to itemize deductions even though they are less than your standard deduction,

check this box . . . . . . . . . . . . . . . . . . . . . . . .

▶

For Paperwork Reduction Act Notice, see the Instructions for Forms 1040 and 1040-SR.

Cat. No. 17145C Schedule A (Form 1040) 2020

10,000

15,687

23,945

8,258

940

490

450

26,392

37,332

162,447

10,000

26,392

HARRY T BOSCH ELEANOR W BOSCH

12,184

XXX-XX-4285

Your social security number

Note: Besides Schedules 1, 2, and 3, the school does not need to collect copies of IRS schedules or forms attached to the tax

return, unless conflicting information in the student’s file needs resolving.

SCHEDULE B

(Form 1040

)

Department of the Treasury

Internal Revenue Service (99)

Interest and Ordinary Dividends

▶

Go to www.irs.gov/ScheduleB for instructions and the latest information.

▶

Attach to Form 1040 or 1040-SR.

OMB No. 1545-0074

Attachment

Sequence No.

Your social security number

Part I

Interest

(See instructions

and the

instructions for

Forms 1040 and

1040-SR, line 2b.)

Note: If you

received a Form

1099-INT, Form

1099-OID, or

substitute

statement from

a brokerage firm,

list the firm’s

name as the

payer and enter

the total interest

shown on that

form.

List name of payer. If any interest is from a seller-financed mortgage and the

buyer used the property as a personal residence, see the instructions and list this

interest first. Also, show that buyer’s social security number and address

▶

Amount

2 Add the amounts on line 1 . . . . . . . . . . . . . . . . . . . 2

3 Excludable interest on series EE and I U.S. savings bonds issued after 1989.

Attach Form 8815 . . . . . . . . . . . . . . . . . . . . . . 3

Subtract line 3 from line 2. Enter the result here and on Form 1040 or 1040-SR,

line 2b . . . . . . . . . . . . . . . . . . . . . . . .

▶

Note: If line 4 is over $1,500, you must complete Part III.

Amount

Part II

Ordinary

Dividends

(See instructions

and the

instructions for

Forms 1040 and

1040-SR, line 3b.)

Note: If you

received a Form

1099-DIV or

substitute

statement from

a brokerage firm,

list the firm’s

name as the

payer and enter

the ordinary

dividends shown

on that form.

List name of payer

▶

Add the amounts on line 5. Enter the total here and on Form 1040 or 1040-SR,

line 3b . . . . . . . . . . . . . . . . . . . . . . . .

▶

Note: If line 6 is over $1,500, you must complete Part III.

Part III

Foreign

Accounts

and Trusts

Caution: If

required, failure

to file FinCEN

Form 114 may

result in

substantial

penalties. See

instructions.

You must complete this part if you (a) had over $1,500 of taxable interest or ordinary dividends; (b) had a

foreign account; or (c) received a distribution from, or were a grantor of, or a transferor to, a foreign trust.

Yes No

7 a At any time during 2020, did you have a financial interest in or signature authority over a financial

account (such as a bank account, securities account, or brokerage account) located in a foreign

country? See instructions . . . . . . . . . . . . . . . . . . . . . . . .

If “Yes,” are you required to file FinCEN Form 114, Report of Foreign Bank and Financial

Accounts (FBAR), to report that financial interest or signature authority? See FinCEN Form 114

and its instructions for filing requirements and exceptions to those requirements . . . . . .

If you are required to file FinCEN Form 114, enter the name of the foreign country where the

financial account is located

▶

8 During 2020, did you receive a distribution from, or were you the grantor of, or transferor to, a

foreign trust? If “Yes,” you may have to file Form 3520. See instructions . . . . . . . . .

For Paperwork Reduction Act Notice, see your tax return instructions.

Cat. No. 17146N

Schedule B (Form 1040) 2020

880

FIRST FINANCIAL FCU

880

451

429

XXX-XX-4285

Name(s) shown on Form 1040 or 1040-SR

HARRY T BOSCH

Form 5695

2020

Residential Energy Credits

Department of the Treasury

Internal Revenue Service

▶

Go to www.irs.gov/Form5695 for instructions and the latest information.

▶

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

OMB No. 1545-0074

Attachment

Sequence No.

158

Name(s) shown on return Your social security number

Part I

Residential Energy Efficient Property Credit (See instructions before completing this part.)

Note: Skip lines 1 through 11 if you only have a credit carryforward from 2019.

1 Qualified solar electric property costs . . . . . . . . . . . . . . . . . . . . . 1

2 Qualified solar water heating property costs . . . . . . . . . . . . . . . . . . . 2

3 Qualified small wind energy property costs . . . . . . . . . . . . . . . . . . . . 3

4 Qualified geothermal heat pump property costs . . . . . . . . . . . . . . . . . . 4

5 Add lines 1 through 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

6 Multiply line 5 by 26% (0.26) . . . . . . . . . . . . . . . . . . . . . . . . 6

7 a

Qualified fuel cell property. Was qualified fuel cell property installed on, or in connection with, your

main home located in the United States? (See instructions.) . . . . . . . . . . . . .

▶

7a Yes No

Caution: If you checked the “No” box, you cannot take a credit for qualified fuel cell property. Skip

lines 7b through 11.

b Print the complete address of the main home where you installed the fuel cell property.

Number and street Unit No.

City, State, and ZIP code

8 Qualified fuel cell property costs . . . . . . . . . . . . . . . 8

9 Multiply line 8 by 26% (0.26) . . . . . . . . . . . . . . . . 9

10 Kilowatt capacity of property on line 8 above . .

▶

. x $1,000 10

11 Enter the smaller of line 9 or line 10 . . . . . . . . . . . . . . . . . . . . . . 11

12 Credit carryforward from 2019. Enter the amount, if any, from your 2019 Form 5695, line 16 . . . 12

13 Add lines 6, 11, and 12 . . . . . . . . . . . . . . . . . . . . . . . . . . 13

14 Limitation based on tax liability. Enter the amount from the Residential Energy Efficient Property

Credit Limit Worksheet (see instructions) . . . . . . . . . . . . . . . . . . . . 14

15 Residential energy efficient property credit. Enter the smaller of line 13 or line 14. Also include this

amount on Schedule 3 (Form 1040), line 5 . . . . . . . . . . . . . . . . . . . . 15

Credit carryforward to 2021. If line 15 is less than line 13, subtract line 15

from line 13 . . . . . . . . . . . . . . . . . . . . . .

For Paperwork Reduction Act Notice, see your tax return instructions.

Cat. No. 13540P

Form 5695 (2020)

✔

HARRY T BOSCH

XXX-XX-4285

Note: Besides Schedules 1, 2, and 3, the school does not need to collect copies of IRS schedules or forms attached to the tax

return, unless conflicting information in the student’s file needs resolving.

Form 5695 (2020)

Page 2

Part II

Nonbusiness Energy Property Credit

17 a

Were the qualified energy efficiency improvements or residential energy property costs for your main

home located in the United States? (see instructions) . . . . . . . . . . . . . . .

▶

17a Yes No

Caution: If you checked the “No” box, you cannot claim the nonbusiness energy property credit. Do

not complete Part II.

b Print the complete address of the main home where you made the qualifying improvements.

Caution: You can only have one main home at a time.

Number and street Unit No.

City, State, and ZIP code

c Were any of these improvements related to the construction of this main home? . . . . . .

▶

17c Yes No

Caution: If you checked the “Yes” box, you can only claim the nonbusiness energy property credit for

qualifying improvements that were not related to the construction of the home. Do not include expenses

related to the construction of your main home, even if the improvements were made after you moved

into the home.

1818 Lifetime limitation. Enter the amount from the Lifetime Limitation Worksheet (see instructions) . . .

Qualified energy efficiency improvements (original use must begin with you and the component must

reasonably be expected to last for at least 5 years; do not include labor costs) (see instructions).

a Insulation material or system specifically and primarily designed to reduce heat loss or gain of your

home that meets the prescriptive criteria established by the 2009 IECC . . . . . . . . . .

19a

b Exterior doors that meet or exceed the version 6.0 Energy Star program requirements . . . . . 19b

Metal or asphalt roof that meets or exceeds the Energy Star program requirements and has appropriate

pigmented coatings or cooling granules which are specifically and primarily designed to reduce the

heat gain of your home . . . . . . . . . . . . . . . . . . . . . . . . . .

19c

d Exterior windows and skylights that meet or exceed the version 6.0 Energy

Star program requirements . . . . . . . . . . . . . . . . .

19d

e Maximum amount of cost on which the credit can be figured . . . . . . 19e

$2,000

f If you claimed window expenses on your Form 5695 prior to 2020, enter the

amount from the Window Expense Worksheet (see instructions); otherwise

enter -0- . . . . . . . . . . . . . . . . . . . . . . .

19f

g Subtract line 19f from line 19e. If zero or less, enter -0- . . . . . . . . 19g

h Enter the smaller of line 19d or line 19g . . . . . . . . . . . . . . . . . . . . . 19h

20 Add lines 19a, 19b, 19c, and 19h . . . . . . . . . . . . . . . . . . . . . . . 20

21 Multiply line 20 by 10% (0.10) . . . . . . . . . . . . . . . . . . . . . . . . 21

22 Residential energy property costs (must be placed in service by you; include labor costs for onsite

preparation, assembly, and original installation) (see instructions).

a Energy-efficient building property. Do not enter more than $300 . . . . . . . . . . . . . 22a

22bb Qualified natural gas, propane, or oil furnace or hot water boiler. Do not enter more than $150 . . .

c Advanced main air circulating fan used in a natural gas, propane, or oil furnace. Do not enter more

than $50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

22c

23 Add lines 22a through 22c . . . . . . . . . . . . . . . . . . . . . . . . . 23

24 Add lines 21 and 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

25 Maximum credit amount. (If you jointly occupied the home, see instructions) . . . . . . . . . 25

$500

26 Enter the amount, if any, from line 18 . . . . . . . . . . . . . . . . . . . . . . 26

27 Subtract line 26 from line 25. If zero or less, stop; you cannot take the nonbusiness energy property

credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

28 Enter the smaller of line 24 or line 27 . . . . . . . . . . . . . . . . . . . . . . 28

29 Limitation based on tax liability. Enter the amount from the Nonbusiness Energy Property Credit Limit

Worksheet (see instructions) . . . . . . . . . . . . . . . . . . . . . . . .

30 Nonbusiness energy property credit. Enter the smaller of line 28 or line 29. Also include this amount

on Schedule 3 (Form 1040), line 5 . . . . . . . . . . . . . . . . . . . . . . .

Form 5695 (2020)

Los Angeles, CA 90068

451

✔

451

2,000

500

19,105

7203 Woodrow Wilson Dr

Note: Besides Schedules 1, 2, and 3, the school does not need to collect copies of IRS schedules or forms attached to the tax

return, unless conflicting information in the student’s file needs resolving.

Internal Revenue Service

United States Department of the Treasury

This Product Contains Sensitive Taxpayer Data

Request Date: 08-30-2021

Response Date: 08-30-2021

Tracking Number: XXXXXXXXXXXX

Tax Return Transcript

SSN Provided: XXX-XX-4285

Tax Period Ending: Dec. 31, 2020

The following items reflect the amount as shown on the return (PR), and the amount as adjusted

(PC), if applicable. They do not show subsequent activity on the account.

SSN: XXX-XX-4285

SPOUSE SSN: XXX-XX-2230

NAME(S) SHOWN ON RETURN: HARR T & ELEA W BOSC

ADDRESS: 7203 W

FILING STATUS: Married Filed Joint

FORM NUMBER: 1040

CYCLE POSTED: 20211702

RECEIVED DATE: Apr.26, 2021

REMITTANCE: $0.00

EXEMPTION NUMBER: 04

DEPENDENT 1 NAME CTRL: BOSC

DEPENDENT 1 SSN: XXX-XX-8644

DEPENDENT 2 NAME CTRL: BOSC

DEPENDENT 2 SSN: XXX-XX-6882

DEPENDENT 3 NAME CTRL:

DEPENDENT 3 SSN:

DEPENDENT 4 NAME CTRL:

DEPENDENT 4 SSN:

PTIN:

PREPARER EIN:

WAGES, SALARIES, TIPS, ETC:...........................................................$161,567.00

TAXABLE INTEREST INCOME: SCH B:...........................................................$880.00

TAX-EXEMPT INTEREST:........................................................................$0.00

ORDINARY DIVIDEND INCOME: SCH B:............................................................$0.00

QUALIFIED DIVIDENDS:........................................................................$0.00

REFUNDS OF STATE/LOCAL TAXES:...............................................................$0.00

ALIMONY RECEIVED:...........................................................................$0.00

BUSINESS INCOME OR LOSS (Schedule C):.......................................................$0.00

BUSINESS INCOME OR LOSS: SCH C PER COMPUTER:................................................$0.00

CAPITAL GAIN OR LOSS: (Schedule D):.........................................................$0.00

CAPITAL GAINS OR LOSS: SCH D PER COMPUTER:..................................................$0.00

OTHER GAINS OR LOSSES (Form 4797):..........................................................$0.00

TOTAL IRA DISTRIBUTIONS:....................................................................$0.00

TAXABLE IRA DISTRIBUTIONS:..................................................................$0.00

TOTAL PENSIONS AND ANNUITIES:...............................................................$0.00

TAXABLE PENSION/ANNUITY AMOUNT:.............................................................$0.00

ADDITIONAL INCOME:..........................................................................$0.00

ADDITIONAL INCOME PER COMPUTER:.............................................................$0.00

REFUNDABLE CREDITS PER COMPUTER:............................................................$0.00

REFUNDABLE EDUCATION CREDIT PER COMPUTER:...................................................$0.00

QUALIFIED BUSINESS INCOME DEDUCTION:........................................................$0.00

RENT/ROYALTY/PARTNERSHIP/ESTATE (Schedule E):...............................................$0.00

RENT/ROYALTY/PARTNERSHIP/ESTATE (Schedule E) PER COMPUTER:..................................$0.00

RENT/ROYALTY INCOME/LOSS PER COMPUTER:......................................................$0.00

1040: P1

1040: 1

1040: 2a

Sch 1: 3

1040: 4a

1040: 4b

1040: 5a

1040: 5b

Sample Tax Return Transcript – Harry and Eleanor Bosch

Income

1040: P1

Income earned from work: IRS Form 1040–Line 1 , Schedule 1–Lines 3 and 6 , Schedule K-1 (IRS Form 1065)–Box 14 (Code A).

If any individual earning item is negative, do not include that item in your calculation.

ESTATE/TRUST INCOME/LOSS PER COMPUTER:......................................................$0.00

PARTNERSHIP/S-CORP INCOME/LOSS PER COMPUTER:................................................$0.00

FARM INCOME OR LOSS (Schedule F):...........................................................$0.00

FARM INCOME OR LOSS (Schedule F) PER COMPUTER:..............................................$0.00

UNEMPLOYMENT COMPENSATION:..................................................................$0.00

TOTAL SOCIAL SECURITY BENEFITS:.............................................................$0.00

TAXABLE SOCIAL SECURITY BENEFITS:...........................................................$0.00

TAXABLE SOCIAL SECURITY BENEFITS PER COMPUTER:..............................................$0.00

OTHER INCOME:...............................................................................$0.00

SCHEDULE EIC SE INCOME PER COMPUTER:........................................................$0.00

SCHEDULE EIC EARNED INCOME PER COMPUTER:....................................................$0.00

SCH EIC DISQUALIFIED INC COMPUTER:..........................................................$0.00

QUALIFIED BUSINESS INCOME DEDUCTION:........................................................$0.00

F8995 QUALIFIED BUSINESS INCOME DEDUCTION COMPUTER:.........................................$0.00

PRIMARY ECONOMIC PAYMENT:...............................................................$1,700.00

SECONDARY ECONOMIC PAYMENT:.............................................................$1,700.00

SCHOLARSHIP FELLOWSHIP GRANT:...............................................................$0.00

TOTAL INCOME:.........................................................................$162,447.00

TOTAL INCOME PER COMPUTER:............................................................$162,447.00

Adjustments to Income

EDUCATOR EXPENSES:..........................................................................$0.00

EDUCATOR EXPENSES PER COMPUTER:.............................................................$0.00

RESERVIST AND OTHER BUSINESS EXPENSE:.......................................................$0.00

HEALTH SAVINGS ACCT DEDUCTION:..............................................................$0.00

HEALTH SAVINGS ACCT DEDUCTION PER COMPTR:...................................................$0.00

MOVING EXPENSES: F3903:.....................................................................$0.00

SELF EMPLOYMENT TAX DEDUCTION:..............................................................$0.00

SELF EMPLOYMENT TAX DEDUCTION PER COMPUTER:.................................................$0.00

SELF EMPLOYMENT TAX DEDUCTION VERIFIED:.....................................................$0.00

KEOGH/SEP CONTRIBUTION DEDUCTION:...........................................................$0.00

SELF-EMP HEALTH INS DEDUCTION:..............................................................$0.00

EARLY WITHDRAWAL OF SAVINGS PENALTY:........................................................$0.00

ALIMONY PAID SSN:................................................................................

ALIMONY PAID:...............................................................................$0.00

SCHOLARSHIP FELLOWSHIP EXCLUDED:............................................................$0.00

IRA DEDUCTION:..............................................................................$0.00

IRA DEDUCTION PER COMPUTER:.................................................................$0.00

STUDENT LOAN INTEREST DEDUCTION:............................................................$0.00

STUDENT LOAN INTEREST DEDUCTION PER COMPUTER:...............................................$0.00

STUDENT LOAN INTEREST DEDUCTION VERIFIED:...................................................$0.00

TUITION AND FEES DEDUCTION:.................................................................$0.00

TUITION AND FEES DEDUCTION PER COMPUTER:....................................................$0.00

DOMESTIC PRODUCTION ACTIVITIES DEDUCTION:...................................................$0.00

OTHER ADJUSTMENTS:..........................................................................$0.00

ARCHER MSA DEDUCTION:.......................................................................$0.00

ARCHER MSA DEDUCTION PER COMPUTER:..........................................................$0.00

TOTAL ADJUSTMENTS:..........................................................................$0.00

TOTAL ADJUSTMENTS PER COMPUTER:.............................................................$0.00

ADJUSTED GROSS INCOME:................................................................$162,447.00

ADJUSTED GROSS INCOME PER COMPUTER:...................................................$162,447.00

Tax and Credits

65-OR-OVER:....................................................................................NO

BLIND:.........................................................................................NO

SPOUSE 65-OR-OVER:.............................................................................NO

SPOUSE BLIND:..................................................................................NO

STANDARD DEDUCTION PER COMPUTER:............................................................$0.00

ADDITIONAL STANDARD DEDUCTION PER COMPUTER:.................................................$0.00

TAX TABLE INCOME PER COMPUTER:........................................................$125,115.00

EXEMPTION AMOUNT PER COMPUTER:..............................................................$0.00

TAXABLE INCOME:.......................................................................$125,115.00

TAXABLE INCOME PER COMPUTER:..........................................................$125,115.00

TOTAL POSITIVE INCOME PER COMPUTER:...................................................$162,447.00

TENTATIVE TAX:.........................................................................$19,105.00

TENTATIVE TAX PER COMPUTER:............................................................$19,105.00

FORM 8814 ADDITIONAL TAX AMOUNT:............................................................$0.00

Sch 1: 6

Sch 1: 12

Sch 1: 15

Sch 1: 19

1040: 11

*Income earned from work: IRS Form 1040–Line 1 , Schedule 1–Lines 3 and 6 , Schedule K-1 (IRS Form 1065)–Box 14 (Code A).

If any individual earning item is negative, do not include that item in your calculation.

TAX ON INCOME LESS SOC SEC INCOME PER COMPUTER:.............................................$0.00

FORM 6251 ALTERNATIVE MINIMUM TAX:..........................................................$0.00

FORM 6251 ALTERNATIVE MINIMUM TAX PER COMPUTER:.............................................$0.00

FOREIGN TAX CREDIT:.........................................................................$0.00

FOREIGN TAX CREDIT PER COMPUTER:............................................................$0.00

FOREIGN INCOME EXCLUSION PER COMPUTER:......................................................$0.00

FOREIGN INCOME EXCLUSION TAX PER COMPUTER:..................................................$0.00

EXCESS ADVANCE PREMIUM TAX CREDIT REPAYMENT AMOUNT:.........................................$0.00

EXCESS ADVANCE PREMIUM TAX CREDIT REPAYMENT VERIFIED AMOUNT:................................$0.00

CHILD & DEPENDENT CARE CREDIT:..............................................................$0.00

CHILD & DEPENDENT CARE CREDIT PER COMPUTER:.................................................$0.00

CREDIT FOR ELDERLY AND DISABLED:............................................................$0.00

CREDIT FOR ELDERLY AND DISABLED PER COMPUTER:...............................................$0.00

EDUCATION CREDIT:...........................................................................$0.00

EDUCATION CREDIT PER COMPUTER:..............................................................$0.00

GROSS EDUCATION CREDIT PER COMPUTER:........................................................$0.00

RETIREMENT SAVINGS CNTRB CREDIT:............................................................$0.00

RETIREMENT SAVINGS CNTRB CREDIT PER COMPUTER:...............................................$0.00

PRIM RET SAV CNTRB: F8880 LN6A:.............................................................$0.00

SEC RET SAV CNTRB: F8880 LN6B:..............................................................$0.00

TOTAL RETIREMENT SAVINGS CONTRIBUTION: F8880 CMPTR:.........................................$0.00

RESIDENTIAL ENERGY CREDIT:.................................................................$45.00

RESIDENTIAL ENERGY CREDIT PER COMPUTER:....................................................$45.00

CHILD AND OTHER DEPENDENT CREDIT:.......................................................$4,000.00

CHILD AND OTHER DEPENDENT CREDIT PER COMPUTER:..........................................$4,000.00

ADOPTION CREDIT: F8839:.....................................................................$0.00

ADOPTION CREDIT PER COMPUTER:...............................................................$0.00

FORM 8396 MORTGAGE CERTIFICATE CREDIT:......................................................$0.00

FORM 8396 MORTGAGE CERTIFICATE CREDIT PER COMPUTER:.........................................$0.00

F3800, F8801 AND OTHER CREDIT AMOUNT:.......................................................$0.00

FORM 3800 GENERAL BUSINESS CREDITS:.........................................................$0.00

FORM 3800 GENERAL BUSINESS CREDITS PER COMPUTER:............................................$0.00

PRIOR YR MIN TAX CREDIT: F8801:.............................................................$0.00

PRIOR YR MIN TAX CREDIT: F8801 PER COMPUTER:................................................$0.00

F8936 ELECTRIC MOTOR VEHICLE CREDIT AMOUNT:.................................................$0.00

F8936 ELECTRIC MOTOR VEHICLE CREDIT PER COMPUTER:...........................................$0.00

F8910 ALTERNATIVE MOTOR VEHICLE CREDIT AMOUNT:..............................................$0.00

F8910 ALTERNATIVE MOTOR VEHICLE CREDIT PER COMPUTER:........................................$0.00

SICK FAMILY LEAVE CREDIT:...................................................................$0.00

NON ITEMIZED CHARITABLE CONTRIBUTION DEDUCTION:.............................................$0.00

NON ITEMIZED CHARITABLE CONTRIBUTION PER COMPUTER:..........................................$0.00

RECOVERY REBATE CREDIT:.....................................................................$0.00

RECOVERY REBATE CREDIT PER COMPUTER:........................................................$0.00

RECOVERY REBATE CREDIT VERIFIED:............................................................$0.00

OTHER CREDITS:..............................................................................$0.00

TOTAL CREDITS:..........................................................................$4,045.00

TOTAL CREDITS PER COMPUTER:.............................................................$4,045.00

INCOME TAX AFTER CREDITS PER COMPUTER:.................................................$15,060.00

“Income Tax After Credits Per Computer” $15,060.00 ***

“Excess Advance Premimum Tax Credit Repayment Amount”

‒

$0.00 **

= Income Tax Paid = $15,060.00 ****

Other Taxes

SE TAX:.....................................................................................$0.00

SE TAX PER COMPUTER:........................................................................$0.00

SOCIAL SECURITY AND MEDICARE TAX ON UNREPORTED TIPS:........................................$0.00

SOCIAL SECURITY AND MEDICARE TAX ON UNREPORTED TIPS PER COMPUTER:...........................$0.00

TAX ON QUALIFIED PLANS F5329 (PR):..........................................................$0.00

TAX ON QUALIFIED PLANS F5329 PER COMPUTER:..................................................$0.00

IRAF TAX PER COMPUTER:......................................................................$0.00

TP TAX FIGURES (REDUCED BY IRAF) PER COMPUTER:.........................................$15,060.00

IMF TOTAL TAX (REDUCED BY IRAF) PER COMPUTER:..........................................$15,060.00

TOTAL OTHER TAXES PER COMPUTER:.............................................................$0.00

UNPAID FICA ON REPORTED TIPS:...............................................................$0.00

F8959-8960 OTHER TAXES:.....................................................................$0.00

TOTAL OTHER TAXES:..........................................................................$0.00

RECAPTURE TAX: F8611:.......................................................................$0.00

HOUSEHOLD EMPLOYMENT TAXES:.................................................................$0.00

HOUSEHOLD EMPLOYMENT TAXES PER COMPUTER:....................................................$0.00

Sch 2: 2

Sch 3: 3

1040: 22

Sch 2: 2

***

****If Income Tax Paid is negative, enter zero.

‒

IRC 453 TAX:................................................................................$0.00

HEALTH CARE RESPONSIBILITY PENALTY:.........................................................$0.00

HEALTH CARE RESPONSIBILITY PENALTY VERIFIED:................................................$0.00

HEALTH COVERAGE RECAPTURE: F8885:...........................................................$0.00

DEFERRED TAX SCH H SE:......................................................................$0.00

MAX DEFERRED TAX PER COMPUTER:..............................................................$0.00

RECAPTURE TAXES:............................................................................$0.00

TOTAL ASSESSMENT PER COMPUTER:.........................................................$15,060.00

TOTAL TAX LIABILITY TP FIGURES:........................................................$15,060.00

TOTAL TAX LIABILITY TP FIGURES PER COMPUTER:...........................................$15,060.00

Payments

FEDERAL INCOME TAX WITHHELD:...........................................................$10,586.00

HEALTH CARE: INDIVIDUAL RESPONSIBILTY:......................................................$0.00

HEALTH CARE FULL-YEAR COVERAGE INDICATOR:.......................................................0

ESTIMATED TAX PAYMENTS:.....................................................................$0.00

OTHER PAYMENT CREDIT:.......................................................................$0.00

REFUNDABLE EDUCATION CREDIT:................................................................$0.00

REFUNDABLE EDUCATION CREDIT PER COMPUTER:...................................................$0.00

REFUNDABLE EDUCATION CREDIT VERIFIED:.......................................................$0.00

REFUNDABLE CREDITS:.........................................................................$0.00

EARNED INCOME CREDIT:.......................................................................$0.00

EARNED INCOME CREDIT PER COMPUTER:..........................................................$0.00

EARNED INCOME CREDIT NONTAXABLE COMBAT PAY:.................................................$0.00

SCHEDULE 8812 NONTAXABLE COMBAT PAY:........................................................$0.00

EXCESS SOCIAL SECURITY & RRTA TAX WITHHELD:.................................................$0.00

SCHEDULE 8812 TOT SS/MEDICARE WITHHELD:.....................................................$0.00

SCHEDULE 8812 ADDITIONAL CHILD TAX CREDIT:..................................................$0.00

SCHEDULE 8812 ADDITIONAL CHILD TAX CREDIT PER COMPUTER:.....................................$0.00

SCHEDULE 8812 ADDITIONAL CHILD TAX CREDIT VERIFIED:.........................................$0.00

AMOUNT PAID WITH FORM 4868:.................................................................$0.00

FORM 2439 REGULATED INVESTMENT COMPANY CREDIT:..............................................$0.00

FORM 4136 CREDIT FOR FEDERAL TAX ON FUELS:..................................................$0.00

FORM 4136 CREDIT FOR FEDERAL TAX ON FUELS PER COMPUTER:.....................................$0.00

HEALTH COVERAGE TX CR: F8885:...............................................................$0.00

SEC 965 TAX INSTALLMENT:....................................................................$0.00

SEC 965 TAX LIABILITY:......................................................................$0.00

PREMIUM TAX CREDIT AMOUNT:..................................................................$0.00

PREMIUM TAX CREDIT VERIFIED AMOUNT:.........................................................$0.00

PRIMARY NAP FIRST TIME HOME BUYER INSTALLMENT AMT:..........................................$0.00

SECONDARY NAP FIRST TIME HOME BUYER INSTALLMENT AMT:........................................$0.00

FIRST TIME HOMEBUYER CREDIT REPAYMENT AMOUNT:...............................................$0.00

FORM 5405 TOTAL HOMEBUYERS CREDIT REPAYMENT PER COMPUTER:...................................$0.00

SMALL EMPLOYER HEALTH INSURANCE PER COMPUTER:...............................................$0.00

SMALL EMPLOYER HEALTH INSURANCE PER COMPUTER (2):...........................................$0.00

FORM 2439 AND OTHER CREDITS:................................................................$0.00

TOTAL PAYMENTS:........................................................................$10,586.00

TOTAL PAYMENTS PER COMPUTER:...........................................................$10,586.00

Refund or Amount Owed

AMOUNT YOU OWE:.........................................................................$4,474.00

APPLIED TO NEXT YEAR’S ESTIMATED TAX:.......................................................$0.00

ESTIMATED TAX PENALTY:......................................................................$0.00

TAX ON INCOME LESS STATE REFUND PER COMPUTER:...............................................$0.00

BAL DUE/OVER PYMT USING TP FIG PER COMPUTER:............................................$4,474.00

BAL DUE/OVER PYMT USING COMPUTER FIGURES:...............................................$4,474.00

FORM 8888 TOTAL REFUND PER COMPUTER:........................................................$0.00

Third Party Designee

THIRD PARTY DESIGNEE ID NUMBER:..................................................................

AUTHORIZATION INDICATOR:........................................................................0

THIRD PARTY DESIGNEE NAME:.......................................................................

Schedule A--Itemized Deductions

MEDICAL/DENTAL

MEDICAL AND DENTAL EXPENSES:................................................................$0.00

ADJUSTED GROSS INCOME PERCENTAGE:......................................................$12,184.00

ADJUSTED GROSS INCOME PERCENTAGE PER COMPUTER 10 PERCENT:...................................$0.00

ADJUSTED GROSS INCOME PERCENTAGE PER COMPUTER 7.5 PERCENT:.............................$12,183.00

NET MEDICAL DEDUCTION:......................................................................$0.00

NET MEDICAL DEDUCTION PER COMPUTER:.........................................................$0.00

TAXES PAID

STATE AND LOCAL INCOME OR SALES TAXES:..................................................$8,258.00

GENERAL SALES TAX:..........................................................................$0.00

REAL ESTATE TAXES:.....................................................................$15,687.00

PERSONAL PROPERTY TAXES:....................................................................$0.00

OTHER TAXES AMOUNT:.........................................................................$0.00

SCH A TAX DEDUCTIONS:..................................................................$10,000.00

SCH A TAX PER COMPUTER:................................................................$10,000.00

INTEREST PAID

MORTGAGE INTEREST (FINANCIAL):.........................................................$26,392.00

MORTGAGE INTEREST (INDIVIDUAL):.............................................................$0.00

DEDUCTIBLE POINTS:..........................................................................$0.00

QUALIFIED MORTGAGE INSURANCE PREMIUMS:......................................................$0.00

DEDUCTIBLE INVESTMENT INTEREST:.............................................................$0.00

TOTAL INTEREST DEDUCTION:..............................................................$26,392.00

TOTAL INTEREST DEDUCTION PER COMPUTER:.................................................$26,392.00

CHARITABLE CONTRIBUTIONS

CASH CONTRIBUTIONS:.......................................................................$490.00

OTHER THAN CASH: Form 8283:...............................................................$450.00

CARRYOVER FROM PRIOR YEAR:..................................................................$0.00

SCH A TOTAL CONTRIBUTIONS:................................................................$940.00

SCH A TOTAL CONTRIBUTIONS PER COMPUTER:...................................................$940.00

CASUALTY AND THEFT LOSS

CASUALTY OR THEFT LOSS:.....................................................................$0.00

JOBS AND MISCELLANEOUS

UNREIMBURSED EMPLOYEE EXPENSE AMOUNT:.......................................................$0.00

TOTAL LIMITED MISC EXPENSES:................................................................$0.00

NET LIMITED MISC DEDUCTION:.................................................................$0.00

NET LIMITED MISC DEDUCTION PER COMPUTER:....................................................$0.00

OTHER MISCELLANEOUS

OTHER THAN GAMBLING AMOUNT:.................................................................$0.00

OTHER MISC DEDUCTIONS:......................................................................$0.00

TOTAL ITEMIZED DEDUCTIONS

TOTAL ITEMIZED DEDUCTIONS:.............................................................$37,332.00

TOTAL ITEMIZED DEDUCTIONS PER COMPUTER:................................................$37,332.00

RECOMPUTED TOTAL ITEMIZED DEDUCTIONS PER COMPUTER:..........................................$0.00

ELECT ITEMIZED DEDUCTION INDICATOR:..............................................................

SCH A ITEMIZED PERCENTAGE PER COMPUTER:.....................................................$0.00

Interest and Dividends

GROSS SCHEDULE B INTEREST:................................................................$880.00

TAXABLE INTEREST INCOME:..................................................................$880.00

EXCLUDABLE SAVINGS FROM BOND INT:...........................................................$0.00

GROSS SCHEDULE B DIVIDENDS:.................................................................$0.00

DIVIDEND INCOME:............................................................................$0.00

FOREIGN ACCOUNTS IND:........................................................................None

REQUIRED TO FILE FINCEN FORM 114:............................................................None

Form 8863 – Education Credits (Hope and Lifetime Learning Credits)

PART III – ALLOWABLE EDUCATION CREDITS

GROSS EDUCATION CR PER COMPUTER:............................................................$0.00

TOTAL EDUCATION CREDIT AMOUNT:..............................................................$0.00

TOTAL EDUCATION CREDIT AMOUNT PER COMPUTER:.................................................$0.00

This Product Contains Sensitive Taxpayer Data

Appendices

Appendix A

Sample 2020 W-2 Form, Reference Guide for Box 12 Codes, and Sample Wage and Income Statement

Appendix B

Sample 2020 K-1 (Form 1065) – Box 14, Self-Employment Earnings

Appendix C

Criteria for 2022-23 Simplified Needs Formulas and Automatic Zero EFC Calculation

Appendix D

2020 IRS Form 1040 Schedules Required for Federal Verification

Appendix E

Current Year Transcript Availability

Appendix F

References, Resources and Websites – Tax Returns and Transcripts

Appendix A

Sample 2020 W-2 Form

In addition to wages earned, the W-2 form may reveal sources of untaxed income, such as payments to tax-deferred pension and

savings plan amounts reported in boxes 12a through 12d, code D, E, F, G, H and S.

Schools are not required to review income listed in box 14, however if you are aware that a box 14 item should be reported (i.e. clergy

parsonage allowances) then you would count that amount as untaxed income.

Form W-2 Reference Guide for Box 12 Codes

A Uncollected social security or RRTA tax on tips

20% excise tax on excess golden parachute

payments

Income from exercise of nonstatutory stock

option(s)

B Uncollected Medicare tax on tips L

Substantiated employee business expense

reimbursements

Employer contributions (including amounts

employee elected to contribute using a cafeteria

plan) to employee’s health savings account

Taxable cost of group-

term life insurance over

$50,000

Uncollected social security or RRTA tax on

taxable cost of group-term life insurance over

$50,000 (former employees only)

Deferrals under a section 409A nonqualified

deferred compensation plan

Elective deferrals to a section 401(k) cash or

deferred arrangement (including deferrals

under a SIMPLE 401(k) arrangement)

Uncollected Medicare tax on taxable cost of

group-

term life insurance over $50,000 (former

employees only)

Income under a nonqualified deferred

compensation plan that fails to satisfy section

409A

Elective deferrals under a section 403(b)

salary reduction agreement

Excludable moving expense reimbursements

paid directly to a member of the U.S. Armed

Forces

Designated Roth contributions under a section

401(k) plan

Elective deferrals under a section 408(k)(6)

salary reduction SEP

Q Nontaxable combat pay BB

Designated Roth contributions under a section

403(b) plan

Elective deferrals and employer contributions

(including nonelective deferrals) to a section

457(b) deferred compensation plan

R Employer contributions to an Archer MSA DD Cost of employer-sponsored health coverage

Elective deferrals to a section 501(c)(18)(D)

tax-exempt organization plan

Employee salary reduction contributions under

a section 408(p) SIMPLE plan

Designated Roth contributions under a

governmental section 457(b) plan

J Nontaxable sick pay T Adoption benefits FF

Permitted benefits under a qualified small

employer health reimbursement arrangement

(For additional codes and complete descriptions, visit https://www.irs.gov/pub/irs-pdf/fw2_20.pdf)

Sample 2020 Wage and Income Statement

Internal Revenue Service

United States Department of the Treasury

This Product Contains Sensitive Taxpayer Data

Request Date: 09-08-2021

Response Date: 09-08-202

Tracking Number: XXXXXXXXXXXX

Wage and Income Transcript

SSN Provided: XXX-XX-4285

Tax Period Ending: December 2020

Form W-2 Wage and Tax Statement

Employer:

Employer Identification Number (EIN):

Employee:

Employee’s Social Security Number: XXX-XX-4285

Submission Type:................................................Original document

Wages, Tips and Other Compensation:....................................$62,910.00 - - - - - Box 1

Federal Income Tax Withheld:............................................$5,725.00

- - Box 2

Social Security Wages:.................................................$70,805.00

- - - - - Box 3

Social Security Tax Withheld:...........................................$4,389.00

- - Box 4

Medicare Wages and Tips:...............................................$70,805.00

- - - - - Box 5

Medicare Tax Withheld:..................................................$1,026.00

- - Box 6

Social Security Tips:.......................................................$0.00

- - - - - Box 7

Allocated Tips:.............................................................$0.00

- - Box 8

Dependent Care Benefits:....................................................$0.00

- - - - - Box 10

Deferred Compenensation:................................................$3,491.00

- - Box 12a-d (D, E, F, G, H)

Code “Q” Nontaxable Combat Pay:.............................................$0.00

Code “W” Employer Contributions to a Health Savings Account:................$0.00

Code “Y” Deferrals under a section 409A nonqualified Deferred Compensation

plan:.......................................................................$0.00

Code “Z” Income under section 409A on a nonqualified Deferred Compensation

plan:.......................................................................$0.00

Code “R” Employer’s Contribution to MSA:....................................$0.00

Code “S” Employer’s Contribution to Simple Account:.........................$0.00

- - - - - Box 12a-d (S)

Code “T” Expenses Incurred for Qualified Adoptions:.........................$0.00

Code “V” Income from exercise of non-statutory stock options:...............$0.00

Code “AA” Designated Roth Contributions under a Section 401(k) Plan:........$0.00

Code “BB” Designated Roth Contributions under a Section 403(b) Plan:........$0.00

Code “DD” Cost of Employer-Sponsored Health Coverage:..................$11,249.00

Code “EE” Designated ROTH Contributions Under a Governmental Section 457(b)

Plan:.......................................................................$0.00

Code “FF” Permitted benefits under a qualified small employer health

reimbursement arrangement:..................................................$0.00

* Current tax year information may not be available until July.

Note: Payments to tax-deferred pension and retirement savings plans under “Deferred Compensation” and “Code ‘S’ Employer’s Contribution to Simple

Account” are not required to be verified unless there is conflicting information. “Deferred Compensation” is assumed to include W-2 Box 12a to 12d,

Codes D, E, F, G, and H. If the total for this line plus the line for Code ‘S’ do not match the amount reported on the FAFSA, the school will need to collect

additional documentation from the student or parent, as applicable. Schools may obtain a signed statement indicating the correct amounts or some

other documentation the school deems appropriate to resolve the conflict.

HARR TITU BOSC

7203 W

111111111111111111

If any individual earning item is negative, do not include that item in your calculation.

Income earned from work: IRS Form 1040–Line 1 , Schedule 1–Lines 3 and 6 , Schedule K-1 (IRS Form 1065)–Box 14 (Code A).

Appendix B

Sample 2020 K-1 (Form 1065) – Box 14, Self Employment Earnings

Appendix C

Criteria for 2022-23 Simplified Needs Formulas and Automatic Zero EFC Calculation

The following criteria is used to determine if students qualify to have their EFCs calculated using a simplified formula.

Simplified

(assets not considered)

Automatic Zero EFC

Formula A

Dependent student

 Parents had a 2020 AGI of $49,999 or less (for tax

filers), or if non-filers, income earned from work in

2020 is $49,999 or less; and

 Either

- Parents filed a 2020 IRS Form 1040, but did not

file a Schedule 1

, filed a tax form from a Trust

Territory

, or were not required to file any

income tax return or

- Anyone in the parents’ household size (as

defined on the FAFSA) received any designated

means-tested federal benefits

during 2020 or

2021, or

- Parent is a dislocated worker.

 Parents had a 2020 AGI of $27,000 or less (for tax

filers), or if non-filers, income earned from work in

2020 is $27,000 or less; and

 Either

- Parents filed a 2020 IRS Form 1040, but did not

file a Schedule 1

, filed a tax form from a Trust

Territory

, or were not required to file any

income tax return or

- Anyone in the parents’ household size (as

defined on the FAFSA) received any designated

means-tested federal benefits

during 2020 or

2021, or

- Parent is a dislocated worker.

Formula B

Independent student

without dependents

(other than a spouse)

 Student (and spouse, if any) had a 2020 AGI of

$49,999 or less (for tax filers), or if non-filers,

income earned from work in 2020 is $49,999 or

less; and

 Either

- Student (and spouse, if any) filed a 2020 IRS

Form 1040, but did not file a Schedule 1

, filed a

tax form from a Trust Territory

, or were not

required to file any income tax return or

- Anyone in the student’s household size (as

defined on the FAFSA) received any designated

means-tested federal benefits

during 2020 or

2021, or

- Student (or spouse, if any) is a dislocated worker.

Not applicable.

Formula C

Independent student

with dependents

(other than a spouse)

 Student (and spouse, if any) had a 2020 AGI of

$49,999 or less (for tax filers), or if non-filers,

income earned from work in 2020 is $49,999 or

less; and

 Either

- Student (and spouse, if any) filed a 2020 IRS

Form 1040, but did not file a Schedule 1

, filed a

tax form from a Trust Territory

, or were not

required to file any income tax return or

- Anyone in the student’s household size (as

defined on the FAFSA) received any designated

means-tested federal benefits

during 2020 or

2021, or

- Student (or spouse, if any) is a dislocated worker.



Student (and spouse, if any) had a 2020 AGI of

$27,000 or less (for tax filers), or if non-filers,

income earned from work in 2020 is $27,000 or

less; and

 Either

- Student (and spouse, if any) filed a 2020 IRS

Form 1040, but did not file a Schedule 1

, filed a

tax form from a Trust Territory

, or were not

required to file any income tax return or

- Anyone in the student’s household size (as

defined on the FAFSA) received any designated

means-tested federal benefits

during 2020 or

2021, or

- Student (or spouse, if any) is a dislocated worker.

May also qualify if Schedule 1 was only filed to report the following additions or adjustments to income: unemployment compensation (line 7),

Alaska Permanent Fund dividend (line 8 – may not be a negative value), educator expenses (line 10), IRA deduction (line 19), or student loan interest

deduction (line 20).

Trust Territory: Commonwealth of Puerto Rico, Guam, American Samoa, the U.S. Virgin Islands, the Republic of the Marshall Islands, the Federated

States of Micronesia, or Palau.

Benefits include Medicaid, Supplemental Security Income (SSI), Supplemental Nutrition Assistance (SNAP), Free or Reduced Price School Lunch,

Temporary Assistance for Needy Families (TANF), and Special Supplemental Nutrition Program for Women, Infants and Children (WIC).

Appendix D

2020 IRS Form 1040 Schedules Required for Federal Verification

Many taxpayers will only need to file Form 1040 and no schedules; those with more complicated tax returns will need to

complete one or more of the 2020 Form 1040 Schedules along with their Form 1040. These taxpayers include people

claiming certain deductions or credits or owing additional taxes.

Besides Schedules 1, 2, and 3, the school does not need to collect copies of IRS schedules or forms attached to the tax

return unless conflicting information in the student’s file needs resolving. Absent conflicting information, federal

verification requires the collection of schedules only for the three highlighted line items below.

INDICATORS THAT SCHEDULE 1, 2, OR 3 WAS FILED:

IF YOU… THEN USE…

Have additional income, such as business or farm income or loss, unemployment compensation, prize or

award money, or gambling winnings.

Have any deductions to claim, such as student loan interest deduction, self-employment tax, or educator

expenses.

 1040 Line 8 is not blank and not zero*, or 1040 Line 10a is not blank and not zero*

2022-23 FAFSA questions #35 (S) and #82 (P) ask if Schedule 1 was (or will be) filed with a 2020 tax

return. A note on p. 9 of the FAFSA reads:

Answer “No” if you (and if married, your spouse) did not file a Schedule 1.

Answer “No” if you (and if married, your spouse) did or will file a Schedule 1 to report only one or more

of the following items:

1. Unemployment compensation (line 7)

2. Other income to report an Alaska Permanent Fund dividend (line 8 – may not be a negative value)

3. Educator expenses (line 10)

4. IRA deduction (line 19)

5. Student loan interest deduction (line 20)

Answer “Yes” if you (or if married, your spouse) filed or will file a Schedule 1 and reported additional

income or adjustments to income on any lines other than or in addition to the five exceptions listed

above.

Schedule 1

Owe alternative minimum tax or need to make an excess advance premium tax credit repayment.

Owe other taxes, such as self-employment tax, household employment taxes, additional tax on IRAs or

other qualified retirement plans and tax-favored accounts.

 1040 Line 17 is not blank and not zero*, or 1040 Line 23 is not blank and not zero*

Schedule 2

Can claim a nonrefundable credit other than the child tax credit or the credit for other dependents, such

as the foreign tax credit, education credits, or general business credit.

Can claim a refundable credit other than the earned income credit, American Opportunity Credit, or

additional child tax credit, such as the net premium tax credit or health coverage tax credit.

Have other payments, such as an amount paid with a request for an extension to file or excess social

security tax withheld.

 1040 Line 20 is not blank and not zero*, or 1040 Line 31 is not blank and not zero*

Schedule 3

*Zero is not an amount for this purpose because zero would be ignored in the calculation of the AGI. Blank, “None” or “N/A” also is

not an amount. A positive or negative figure is an amount indicating there was additional income or income adjustments that are

included in the calculation of the AGI, even if it is negative income.

Sample 2020 IRS Form 1040 – Page 1

Sample 2020 IRS Form 1040 – Page 2

Zero is not an amount for this purpose because zero would be ignored in the calculation of the AGI. Blank, “None” and “N/A” also is

not an amount. A positive or negative figure is an amount indicating there was additional income on Schedule 1, Line 9, that is

included in the calculation of the AGI, even if it is negative income.

Note: There are instances when Schedule 1, 2, or 3 was filed, but you do not need a copy of that schedule for federal

verification purposes unless there is conflicting information. If any of the following line items are the sole reason the

taxpayer filed the schedule, you do not need to collect a copy of that schedule:

 Schedule 1, Line 8

 Schedule 2, Line 23

 Schedule 3, Line 31

Line 17 not blank, and not zero

15,060

Line 23 not blank, and not zero

Line 10a is not blank, and not zero

Collect Schedule 1 if…

Line 17 is not blank, and not zero

Collect Schedule 2 if…

Line 20 is not blank, and not zero

Collect Schedule 3 if…

125,115

Appendix E

Current Year Transcript Availability

Use the table below to determine the general timeframe when you can request a transcript for a current

year Form 1040 return filed on or before the April due date. Availability varies based on the method you

used to file your return and whether you have a refund or balance due.

Note: If you made estimated tax payments and/or applied your overpayment from a prior year tax return

to your current year tax return, you can request a tax account transcript to confirm these payments or

credits a few weeks after the beginning of the calendar year prior to filing your current year return.

When your original return

shows a …

and you filed electronically,

then

and you filed on paper, then

refund amount or no balance

due,

allow 2-3 weeks after return

submission before you request

a transcript.

allow 6-8 weeks after you

mailed your return before you

request a transcript.

balance due and you paid in full

with your return,

allow 2-3 weeks after return

submission before you request

a transcript.

we process your return in June

and you can request a transcript

in mid to late June.

Note: we process all payments

upon receipt.

balance due and you paid in full

after submitting the return,

allow 3-4 weeks after full

payment before you request a

transcript.

balance due and you didn’t pay

in full,

we process your return in mid-

May and you can request a

transcript by late May.

https://www.irs.gov/individuals/transcript-availability

Appendix F

References, Resources and Websites – Tax Returns and Transcripts

U.S. DEPARTMENT OF EDUCATION

Federal Registers

 Free Application for Federal Student Aid (FAFSA®) Information to be Verified for the 2022-23 Award Year

Electronic Announcements

 2022-2023 Suggested Verification Text (GEN-21-06)

2022-2023 Free Application for Federal Student Aid (FAFSA®) and FAFSA on the Web Worksheet

ENGLISH

 Draft 2022-23 Free Application for Federal Student Aid (FAFSA®)

 2022-23 FAFSA on the Web Worksheet

SPANISH

 Draft 2022-23 Free Application for Federal Student Aid (FAFSA®)

 2022-23 FAFSA on the Web Worksheet

2021-22 Federal Student Aid Handbook

 Application and Verification Guide

- Chapter 2: Filling Out the FAFSA

- Chapter 3: Expected Family Contribution (EFC)

- Chapter 4: Verification, Updates, and Corrections

Program Integrity Questions and Answers – Verification

Glossary – Federal Student Aid Handbook Glossary

INTERNAL REVENUE SERVICE

 Current Year Transcript Availability

 Secure Access: How to Register for Certain Online Self-Help Tools

 Transcript Types and Ways to Order Them

 Get Transcript FAQs

 4506T-EZ: Short Form Request for Individual Tax Return Transcript

 4506-T: Request for Transcript of Tax Return (transcript and other return information)

 2020 IRS Publication 17, p. 1: What’s New