The Sample Tax Return Transcript form provides a summary of a taxpayer's income, deductions, and tax liabilities as reported on their federal tax return. This document is essential for individuals who need to verify their income for purposes such as applying for loans or financial aid. Understanding the details of this form can help taxpayers ensure accuracy in their financial dealings.
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The Sample Tax Return Transcript form serves as a vital document for taxpayers, providing a comprehensive overview of a taxpayer's financial situation as reported to the IRS. It includes essential information such as the taxpayer's Social Security Number (SSN), filing status, and total income for the specified tax period, in this case, the year ending December 31, 2017. The form outlines various income sources, including wages, business income, and taxable interest, alongside adjustments that affect the taxpayer's adjusted gross income. Notably, it also details tax credits, payments made, and any amount owed or refunded. With sensitive taxpayer data contained within, this transcript is crucial for individuals seeking to verify their tax records, apply for loans, or resolve disputes with the IRS. Understanding this form's components is essential for effectively navigating tax-related matters and ensuring compliance with federal regulations.
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Understanding the Sample Tax Return Transcript form is essential for taxpayers seeking clarity on their tax situation. Here are some key takeaways to consider:
Using the Sample Tax Return Transcript effectively can help individuals navigate their tax obligations and ensure compliance with IRS regulations.
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This Product Contains Sensitive Taxpayer Data
Tax Return Transcript
Request Date:
08-09-2018
Response Date:
Tracking Number:
100200235179
Customer File Number:
0987654321
SSN Provided:
XXX-XX-5084
Tax Period Ending: Dec. 31, 2017
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:
SPOUSE SSN:
NAME(S) SHOWN ON RETURN: DRAK
ADDRESS:
123 DA
FILING STATUS:
Single
FORM NUMBER:
1040
CYCLE POSTED:
20181005
RECEIVED DATE:
Jan.15, 2018
REMITTANCE:
$0.00
EXEMPTION NUMBER:
1
DEPENDENT 1
N ME CTRL:
DEPENDENT 2
DEPENDENT 3
N:
DEPENDENT 4
PTIN:
PREPARER EIN:
Income
WAGES, SALARIES, TIPS, ETC:
$13,000.00
TAXABLE INTEREST INCOME: SCH B:
TAX-EXEMPT INTEREST:
ORDINARY DIVIDEND INCOME: SCH B:
QUALIFIED DIVIDENDS:
REFUNDS OF STATE/LOCAL TAXES:
8/9/2018
Page 2 of 6
ALIMONY RECEIVED:
BUSINESS INCOME OR LOSS (Schedule C):
$2,500.00
BUSINESS INCOME OR LOSS: SCH C PER COMPUTER:
CAPITAL GAIN OR LOSS: (Schedule D):
CAPITAL GAINS OR LOSS: SCH D PER COMPUTER:
OTHER GAINS OR LOSSES (Form 4797):
TOTAL IRA DISTRIBUTIONS:
TAXABLE IRA DISTRIBUTIONS:
TOTAL PENSIONS AND ANNUITIES:
SAMPLE
TAXABLE PENSION/ANNUITY AMOUNT:
RENT/ROYALTY/PARTNERSHIP/ESTATE (Schedule E):
RENT/ROYALTY/PARTNERSHIP/ESTATE (Schedule E) PER COMPUTER:
RENT/ROYALTY INCOME/LOSS PER COMPUTER:
ESTATE/TRUST INCOME/LOSS PER COMPUTER:
PARTNERSHIP/S-CORP INCOME/LOSS PER COMPUTER:
FARM INCOME OR LOSS (Schedule F):
FARM INCOME OR LOSS (Schedule F) PER COMPUTER:
UNEMPLOYMENT COMPENSATION:
TOTAL SOCIAL SECURITY BENEFITS:
TAXABLE SOCIAL SECURITY BENEFITS:
TAXABLE SOCIAL SECURITY BENEFITS PER COM UTER:
OTHER INCOME:
SCHEDULE EIC SE INCOME PER COMPUTER:
$2,323.00
SCHEDULE EIC EARNED INCOME PER COMPUTER:
$15,323.00
SCH EIC DISQUALIFIED INC COMPUTER:
TOTAL INCOME:
$15,500.00
TOTAL INCOME PER COMPUTER:
Adjustments to Income
EDUCATOR EXPENSES:
EDUCATOR EXPENSES PER CO PUTER:
RESERVIST AND OTHER
BUSINESS EXPENSE:
HEALTH
VINGS
CCT
DEDUCTION:
HEALTH S VINGS
DEDUCTION PER CO PTR:
MOVING EXPENSES: F3903:
SELF EMPLOYMENT T X DEDUCTION:
$177.00
SELF EMPLOYMENT T X DEDUCTION PER COMPUTER:
ELF EMPLOYMENT T X DEDUCTION VERIFIED:
KEOGH/ EP CONTRIBUTION DEDUCTION:
ELF-EMP HE LTH INS DEDUCTION:
EARLY WITHDRAWAL OF
AVINGS PENALTY:
ALIMONY PAID
ALIMONY PAID:
IRA DEDUCTION:
IRA DEDUCTION PER COMPUTER:
STUDENT LOAN INTEREST DEDUCTION:
STUDENT LOAN INTEREST DEDUCTION PER COMPUTER:
STUDENT LOAN INTEREST DEDUCTION VERIFIED:
TUITION AND FEES DEDUCTION:
TUITION AND FEES DEDUCTION PER COMPUTER:
DOMESTIC PRODUCTION ACTIVITIES DEDUCTION:
Page 3 of 6
DOMESTIC PRODUCTION ACTIVITIES DEDUCTION PER COMPUTER:
OTHER ADJUSTMENTS:
ARCHER MSA DEDUCTION:
ARCHER MSA DEDUCTION PER COMPUTER:
TOTAL ADJUSTMENTS:
TOTAL ADJUSTMENTS PER COMPUTER:
ADJUSTED GROSS INCOME:
ADJUSTED GROSS INCOME PER COMPUTER:
Tax and Credits
65-OR-OVER:
NO
BLIND:
SPOUSE 65-OR-OVER:
SPOUSE BLIND:
STANDARD DEDUCTION PER COMPUTER:
$4,850.00
ADDITIONAL STANDARD DEDUCTION PER COMPUTER:
TAX TABLE INCOME PER COMPUTER:
$10,473.00
EXEMPTION AMOUNT PER COMPUTER:
$3,100.00
TAXABLE INCOME:
$7,373.00
TAXABLE INCOME PER COMPUTER:
TOTAL POSITIVE INCOME PER COMPUTER:
TENTATIVE TAX:
$749.00
TENTATIVE TAX PER COMPUTER:
FORM 8814 ADDITIONAL TAX AMOUNT:
TAX ON INCOME LESS SOC SEC INCOME PER COM UTER:
FORM 6251 ALTERNATIVE MINIMUM TAX:
FORM 6251 ALTERNATIVE INI UM TAX PER CO UTER:
FOREIGN TAX CREDIT:
FOREIGN TAX CREDIT PER CO PUTER:
FOREIGN INCOME EXCLUSION PER CO PUTER:
FOREIGN INCOME EXCLUSION TAX PER CO PUTER:
EXCESS ADVANCE PREMIUM TAX CREDIT REPAY ENT OUNT:
EXCESS
DV NCE PREMIUM T X CREDIT REP Y ENT VERIFIED A OUNT:
CHILD & DEPENDENT C RE CREDIT:
CHILD & DEPENDENT C RE CREDIT PER COMPUTER:
CREDIT FOR ELDERLY
ND DIS BLED:
ND DIS BLED PER COMPUTER:
EDUCATION CREDIT:
EDUCATION CREDIT PER COMPUTER:
GRO EDUC TION CREDIT PER COMPUTER:
RETIREMENT
AVINGS CNTRB CREDIT:
AVINGS CNTRB CREDIT PER COMPUTER:
PRIM RET
AV CNTRB: F8880 LN6A:
EC RET
AV CNTRB: F8880 LN6B:
TOTAL RETIREMENT
AVINGS CONTRIBUTION: F8880 CMPTR:
RESIDENTIAL ENERGY CREDIT:
RESIDENTIAL ENERGY CREDIT PER COMPUTER:
CHILD TAX CREDIT:
CHILD TAX CREDIT PER COMPUTER:
ADOPTION CREDIT: F8839:
ADOPTION CREDIT PER COMPUTER:
Page 4 of 6
FORM 8396 MORTGAGE CERTIFICATE CREDIT:
FORM 8396 MORTGAGE CERTIFICATE CREDIT PER COMPUTER:
F3800, F8801 AND OTHER CREDIT AMOUNT:
FORM 3800 GENERAL BUSINESS CREDITS:
FORM 3800 GENERAL BUSINESS CREDITS PER COMPUTER:
PRIOR YR MIN TAX CREDIT: F8801:
PRIOR YR MIN TAX CREDIT: F8801 PER COMPUTER:
F8936
ELECTRIC MOTOR VEHICLE CREDIT AMOUNT:
ELECTRIC MOTOR VEHICLE CREDIT PER COMPUTER:
F8910
ALTERNATIVE MOTOR VEHICLE CREDIT AMOUNT:
ALTERNATIVE MOTOR VEHICLE CREDIT PER COMPUTER:
OTHER CREDITS:
TOTAL CREDITS:
TOTAL CREDITS PER COMPUTER:
INCOME TAX AFTER CREDITS PER COMPUTER:
Other Taxes
SE TAX:
$354.00
SE TAX PER COMPUTER:
SOCIAL SECURITY AND MEDICARE TAX ON UNREPORTED TIPS:
SOCIAL SECURITY AND MEDICARE TAX ON UNRE ORTED TI
ER COM UTER:
TAX ON QUALIFIED PLANS F5329 (PR):
TAX ON QUALIFIED PLANS F5329 PER COM UTER:
IRAF TAX PER COMPUTER:
TP TAX FIGURES (REDUCED BY IRAF) PER COM UTER:
$1,103.00
IMF TOTAL TAX (REDUCED BY IRAF) PER COM UTER:
OTHER TAXES PER COMPUTER:
UNPAID FICA ON REPORTED TIPS:
OTHER TAXES:
RECAPTURE TAX: F8611:
HOUSEHOLD EMPLOYMENT TAXES:
HOUSEHOLD EMPLOYMENT TAXES PER CO PUTER:
HEALTH C RE RESPONSIBILITY PEN LTY:
HEALTH C RE RESPONSIBILITY PEN LTY VERIFIED:
HEALTH COVER GE REC PTURE: F8885:
RECAPTURE T XES:
TOTAL SSESSMENT PER COMPUTER:
TOTAL T X LI BILITY TP FIGURES:
TOTAL T X LI BILITY TP FIGURES PER COMPUTER:
Payments
FEDERAL INCOME TAX WITHHELD:
$1,000.00
HEALTH CARE: INDIVIDUAL RESPONSIBILITY:
HEALTH CARE FULL-YEAR COVERAGE INDICATOR:
0
E TIMATED TAX
PAYMENT :
OTHER PAYMENT CREDIT:
REFUNDABLE EDUCATION CREDIT:
REFUNDABLE EDUCATION CREDIT PER COMPUTER:
REFUNDABLE EDUCATION CREDIT VERIFIED:
EARNED INCOME CREDIT:
EARNED INCOME CREDIT PER COMPUTER:
EARNED INCOME CREDIT NONTAXABLE COMBAT PAY:
Page 5 of 6
SCHEDULE 8812
NONTAXABLE COMBAT PAY:
EXCESS SOCIAL
SECURITY & RRTA TAX WITHHELD:
TOT SS/MEDICARE WITHHELD:
ADDITIONAL CHILD TAX CREDIT:
ADDITIONAL CHILD TAX CREDIT PER COMPUTER:
ADDITIONAL CHILD TAX CREDIT VERIFIED:
AMOUNT PAID WITH FORM 4868:
FORM 2439 REGULATED INVESTMENT COMPANY CREDIT:
FORM 4136 CREDIT FOR FEDERAL TAX ON FUELS:
FORM 4136 CREDIT FOR FEDERAL TAX ON FUELS PER COMPUTER:
HEALTH COVERAGE TX CR: F8885:
PREMIUM TAX CREDIT AMOUNT:
PREMIUM TAX CREDIT VERIFIED AMOUNT:
PRIMARY NAP FIRST TIME HOME BUYER INSTALLMENT AMT:
SECONDARY NAP
FIRST TIME HOME BUYER INSTALLMENT AMT:
FIRST TIME HOMEBUYER CREDIT REPAYMENT AMOUNT:
FORM 5405 TOTAL HOMEBUYERS CREDIT REPAYMENT PER COMPUTER:
SMALL EMPLOYER HEALTH INSURANCE PER COMPUTER:
SMALL EMPLOYER HEALTH INSURANCE PER COMPUTER (2):
FORM 2439 AND
TOTAL PAYMENTS:
TOTAL PAYMENTS PER COMPUTER:
Refund or Amount Owed
AMOUNT YOU OWE:
$103.00
APPLIED TO NEXT YEAR'S ESTIMATED TAX:
ESTIMATED TAX PENALTY:
TAX ON INCOME LESS STATE REFUND PER CO UTER:
BAL DUE/OVER PYMT USING TP FIG PER CO PUTER:
BAL DUE/OVER PYMT USING CO PUTER FIGURES:
FORM 8888 TOTAL REFUND PER CO PUTER:
Third Party Designee
THIRD P RTY DESIGNEE ID NU BER:
AUTHORIZ TION INDIC TOR:
THIRD RTY DESIGNEE N ME:
Schedule C--Profit or Loss From Business
OCIAL
ECURITY NUMBER:
EMPLOYER
ID NUMBER:
BU INE
NAME:
DE CRIPTION OF BU INE /PROFESSION:
DRAK
NAICS CODE:
000000
ACCT MTHD:
FIR T TIME CHEDULE C FILED:
N
TATUTORY EMPLOYEE IND:
INCOME
GROSS RECEIPTS OR SALES:
$2,700.00
RETURNS AND ALLOWANCES:
NET GROSS RECEIPTS:
COST OF GOODS SOLD:
SCHEDULE C FORM 1099 REQUIRED:
NONE
Page 6 of 6
SCHEDULE C FORM 1099 FILED:
EXPENSES
CAR AND TRUCK EXPENSES:
DEPRECIATION:
INSURANCE (OTHER THAN HEALTH):
MORTGAGE INTEREST:
LEGAL AND PROFESSIONAL SERVICES:
REPAIRS AND MAINTENANCE:
TRAVEL:
MEALS AND ENTERTAINMENT:
WAGES:
OTHER EXPENSES:
TOTAL EXPENSES:
$200.00
EXP FOR BUSINESS USE OF HOME:
SCH C NET PROFIT OR LOSS PER COMPUTER:
AT RISK CD:
OFFICE EXPENSE AMOUNT:
UTILITIES EXPENSE AMOUNT:
COST OF GOODS SOLD
INVENTORY
AT
BEGINNING OF
YEAR:
END OF YEAR:
Schedule SE--Self-Employment Tax
SSN OF SELF-EMPLOYED TAXPAYER:
NET FARM PROFIT/LOSS: SCH F:
CONSERVATION RESERVE PROGRAM PAY ENTS:
NET NONFARM PROFIT/LOSS:
TOTAL SE INCOME:
SE QUARTERS COVERED:
4
TOTAL SE TAX PER COMPUTER:
$353.12
SE INCOME COMPUTER VERIFIED:
SE INCOME PER COMPUTER:
$2,308.00
TOTAL NET E RNINGS PER CO PUTER:
LONG FORM ONLY
TENTATIVE
CHURCH RNINGS:
TOTAL SOC
SEC & RR W GES:
E
T X
COMPUTER:
$286.19
E MEDIC RE INCOME PER COMPUTER:
E MEDICARE TAX PER COMPUTER:
$66.93
E FARM OPTION METHOD U ED:
E OPTIONAL METHOD INCOME:
Form 8863 - Education Credits (Hope and Lifetime Learning Credits)
PART III - ALLOWABLE EDUCATION CREDITS
GROSS EDUCATION CR PER COMPUTER:
TOTAL EDUCATION CREDIT AMOUNT:
TOTAL EDUCATION CREDIT AMOUNT PER COMPUTER: