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Appendix A
Please use this information for your Tax Return and Paper.
*All people, businesses, and information are fictional. Any
relation to an actual person or business is accidental.
Kenneth Jones
SSN: 0XX-01-1XXX
Date of Birth (DOB): 05/27/1977
Gross Pay: $64,628
401(k) contributions: $5,250
Healthcare costs (payroll deductions): $2,438
Reported wages: $56,940
Social Security Wages: $62,190
Medicare Wages: $62,190
State Wages: $56,940
Taxes withheld:
Federal: $5,640
Social Security: $3,855.78
Medicare: $901.76
State: $723.56
SDI (mandatory disability insurance): $581.65
Employer: PointMark, INC
Address: 1111 One Park Place
City: One City
State: California
Zip code: 11111
Employer’s FED ID number: 33-01XXX11
Naomi Jones
SSN: 001-02-XXXX
DOB: 08/11/1980
Gross Pay: $58,192
401(k) contributions: $5,000
Healthcare costs (payroll deductions): $2,164
Reported wages: $51,028
Social Security Wages: $56,028
Medicare Wages: $56,028
State Wages: $51,028
Taxes withheld:
Federal: $4,704
Social Security: $3,473.74
Medicare: $812.41
State: $704.82
SDI (mandatory disability insurance): $523.73
Employer: CompanyOne
Address: 1111 Place Road
City: One City
State: California
Zip code: 11112
Employer’s FED ID number: 33-01XXX22
Dependent:
Home address:
Derek Jones
123 Rolling Road
SSN: 001-XX-XX00
One City, CA 11111
DOB: 12/29/2013
Child Care Costs: $11,200
Child Care Provider: Kidland Daycare Center
Address: 121 Place Road
City: One City
State: California
Zip code: 11111
Identifying number: 33-XXXX011
Life Change Events
Home Sale:
Primary residence sale price $615,000
Cost basis (incurred three years prior) $400,000
Property Tax paid: $4,700
Mortgage Interest paid: $16,300

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Appendix APlease use this information for your Tax Return and Pa.docx

  • 1. Appendix A Please use this information for your Tax Return and Paper. *All people, businesses, and information are fictional. Any relation to an actual person or business is accidental. Kenneth Jones SSN: 0XX-01-1XXX Date of Birth (DOB): 05/27/1977 Gross Pay: $64,628 401(k) contributions: $5,250 Healthcare costs (payroll deductions): $2,438 Reported wages: $56,940 Social Security Wages: $62,190 Medicare Wages: $62,190 State Wages: $56,940 Taxes withheld: Federal: $5,640 Social Security: $3,855.78 Medicare: $901.76 State: $723.56 SDI (mandatory disability insurance): $581.65 Employer: PointMark, INC Address: 1111 One Park Place City: One City
  • 2. State: California Zip code: 11111 Employer’s FED ID number: 33-01XXX11 Naomi Jones SSN: 001-02-XXXX DOB: 08/11/1980 Gross Pay: $58,192 401(k) contributions: $5,000 Healthcare costs (payroll deductions): $2,164 Reported wages: $51,028 Social Security Wages: $56,028 Medicare Wages: $56,028 State Wages: $51,028 Taxes withheld: Federal: $4,704 Social Security: $3,473.74 Medicare: $812.41 State: $704.82 SDI (mandatory disability insurance): $523.73 Employer: CompanyOne Address: 1111 Place Road City: One City State: California
  • 3. Zip code: 11112 Employer’s FED ID number: 33-01XXX22 Dependent: Home address: Derek Jones 123 Rolling Road SSN: 001-XX-XX00 One City, CA 11111 DOB: 12/29/2013 Child Care Costs: $11,200 Child Care Provider: Kidland Daycare Center Address: 121 Place Road City: One City
  • 4. State: California Zip code: 11111 Identifying number: 33-XXXX011 Life Change Events Home Sale: Primary residence sale price $615,000 Cost basis (incurred three years prior) $400,000 Property Tax paid: $4,700 Mortgage Interest paid: $16,300