User's Manual

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DEPENDENTS STATEMENT 2FORM 1040
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CHECK IF:
T SOCIAL CHILD OTH
S SECURITY TAX DEP
J DEPENDENT'S NAME NUMBER RELATIONSHIP CR CR
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CHAYA F GOLDSTEIN 066-92-6582 DAUGHTER X
NISSAN GOLDSTEIN 099-94-8645 SON X
CHANA YENTA GOLDSTEIN 057-98-4925 DAUGHTER X
MOSHE GOLDSTEIN 053-02-5911 SON X
ZIPPY ROCHEL GOLDSTEIN 289-85-4762 DAUGHTER X
CHAIM GOLDSTEIN 022-96-9698 SON X
ARYA ABRAHAM GOLDSTEIN 885-37-6218 SON X
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WAGES RECEIVED AND TAXES WITHHELD STATEMENT 3FORM 1040
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FEDERAL STATE CITY
T AMOUNT TAX TAX SDI FICA MEDICARE
S EMPLOYER'S NAME PAID WITHHELD WITHHELD TAX W/H TAX TAX
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T B&H FOTO &
ELECTRONICS CORP 68,517. 2,786. 3,002. 2,134. 4,248. 993.
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TOTALS 68,517. 2,786. 3,002. 2,134. 4,248. 993.
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SCHEDULE C GROSS RECEIPTS STATEMENT 4
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DESCRIPTION AMOUNT
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BONEI OLAM - FROM 1099-MISC 1,500.
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1,500.TOTAL TO SCHEDULE C, LINE 1
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SCHEDULE SE NON-FARM INCOME STATEMENT 5
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DESCRIPTION AMOUNT
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1,500.
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1,500.TOTAL TO SCHEDULE SE, LINE 2
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YISROEL & GITTY GOLDSTEIN 100-88-1947
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STATEMENT(S) 2, 3, 4, 5