Donald and Barbara Mims are married with one child, Ashley. Donald is a
piano tuner and Barbara is a car detailer. Donald's W-2 is shown and
Barbara's W-2 provided her wages as $49,800 and the amount withheld for
federal income tax as $8,123.
They received $556 in bank interest and $412 in stock dividends.
Their itemized deductions are:
Medical expenses: doctors $1,770, dentists $2,300
State income taxes withheld: $2,304
Property taxes: $3,111
Interest paid: $5,290
Contributions: cash $540, used clothing $600
Casualty and theft loss: $12,000
Job expenses: union dues $400, tax preparation fees $175
Employer identifiation number N
00-0000000
Employee's social security number
000-00-0000
Employer's name, address, and 2P code
Frank's Pianos
231 Royal Guardsman Road
Plano, TX 75074
Control number
OMB No. 1545-0008
FAST U
Vingen, Sign, other compensation
$57.890.00
3 Social security w
$57,890.00
Medica
$57,890.00
7 Social security
Advance BC payment
Last name
SUR.
11 Nonqualified plans
Mims
e-file
thebale
$9.765.00
4 Social security
Media withd
Alocated Nige
10 Dependant cars bent
12 Ove ratructions for box 12
Donald
175 Rickenbacker Road
Plano, TX 75074
Employee's address and 2P code
Employer's state 10 number
....00-0000000
16 State wate
13
14 Other
17 Sale income tax
$57.000.00 $140.00
325
320
