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£1040 Gis"iviaass icone Tax return {20S osors wsors|evinow-ontearnmenun eee gases iets @ Semen eta ae ae Sea Et pmaesiaiore areas —fR Shi ese obs oe nnei area naira ae Ta a 33333 FUME BLANC WAY. Sr on ine Ge 9 Sobet: SEE ram aT TERA ROTTS nee aa salen aoe ‘Fereign country name: Farwipn provinceistale/eouriy | Foxe pata code ee eae | a Fiveu [)secsion Aim tan CU tame 2 dared tra joven ton one a oe eueumienmias sen cuckeryene 15 Li nadia eoewemy tereisareteine sauce me mules 2 Contre sane! STRATE Exemptions &% © Youselt. someone can cam yoassacapondor. ao notcwecctorsa. | Souscincaa apy ee io a eae eee oe eee GERALD A. CLIFDEN 466741131 |SON Oo oe more tan four “Gary T__CUFDEN|4667.6@3 7 5 /sow ial ae ora a aor fremctine ard. GLENN. ‘CUFDEN [475231426 |SON @ fotoumed abs _ 0 ccheatchere ] i oa sssnrornon [5 ] aa = See income ee ee : sas soa] 9) to Table Ret Aa Seta! rs oe b Tax-exempt interest. Do not include online Sa... | 8b 1490| 00285] Ata Fom) 9a Oranay dvidends, Abach Schecle B I requred PT Lee esl 00 ‘attach Forms. b Qualified dividends [se | “sz oo SE! Slodamd™” [ib Telente som canu ool on eco a Py eagles een as 14 _Aimony reoelvact oe a4 Le eles meee ee 2 ma 13. (Capra gan o oss), Attach Schedule Dit equired, Hi not required, check hare Pe O [as 8350| 00 Ryeugsret 44 Onegin or dona inch Form 4787. or ae Seen secs. 18a Adbuintons [18a | baie onout 450) ie Meonecunine (nT janl_al teat io ae (2: peatm aes ee pee oacoa eee accion Ee i ronnie bet wen anene on s Dsneoreeens ee 7s te Scans Ome ineens 28 f Onvmons Lntinood «ST NAT a Tazal—5 3 _Gontnatu morta arg oume trey Wai AL TU jaa eanaag EE] peat - a Lie aaa 2 a Adjusted ‘24 Cotas inaess bern of oeeve: ceceiy diss and Gross fee-basis aovernenent ofc. Altach Form 2106. 2106-02 | 24 income as featantraroutseantin Mecrtamoas [aE To 26 Moving expenses, Attach Fon 3903 is ee 2 Deana pactispenpiom eo scons | [ naa 22 Soverpnyecter SHPLE ard afedpare | [28 | 29° -Sot-emoloyed health insurance deduction 2, ze 0 pao cvout atetoua eeu = L 91a. Alor paid b Recipient'sSSN & se623ls431 (Sta ‘6000; oo} 82 RAGeduction 32 | a 5 Gav maauss 3 : = lane ee mantor on = Somers pein ene ute ec er n [SE : BS mubannous ‘* oe 27 _Sibnains ators 2 That er adaned gse neue set ee For Disclosure, Privacy Ack, and Paperwork Reduction Act Noli, see separate instructions. Gai Ne 1&8 Farm 1040 015) Fenn 040 6019 an Tox and 2 POI anne aie gees) me] oo Credits 92 cheek { [) You were born before January 2, 1849, Dating, restbores tt Ey spouse was boone varsny2, 101, | cherod > 398 Sica |_b you spe Norns ona span tan oyu were a iat alo, chechoeh —e5] | cnataaae ‘omized deductions (from Schedule A) or your standard deduction (see left margin) 20965 Subyact ne 40 from ine 99 1679) Exemptions re bs rin rat $00 yh eto bw. tiv a nore 8500) Taxable income. Subact ine 42 fom Ine 4 ne 42 Is more than nw 1, ete -0- Tax feeinstuctons Check ary om: a [Z] Forma) 8874 b LI Form 4a72 © 1) 4236] ‘Atemative minimum tax (eee nsvuction) Attach Form 6251, 0 rm ry 2173] _00 0 | oo 0 “22381 = a 2 2 “ * 45 Addie aura 45 i 47 Forointixcrat Ath Fomttiewrwaued. | Lar 48 Gledt forehand dependent care exoeene. Ath For 81 [a 49. Evcaton crs fom Form 863, ne 18 o 50 Peterman! savage contrbulons ce. Atach Form eean [0 1 _Chadtax cust Atach Sowcle0812, reauited. st 009 52 Reso energy eea, tach Fon 58s 2 53 Other credits trom Form: a] 9800 b[] gac1 ¢) S53. | 54 feds 47 tough 68. Thos you total rel Sue 20001 09 55__Sutactne tom ine 40 0 64ers nie ia. 0- > fel 2236] 00 36 Gol-employmenttax Ach Scecie SE | anal 09 57. Uvepored socal sect and Medicare tx om Form: a [14187] 6019 er faa 5 And econ Fl, tar tcc pt, Ah Form 529 eed 80. Houshot ampere ines fom Stade Fre homey cre payne tach Form 505 aque aro ‘60 Taxes rom: a [1Ferm 8950 » C]Fom 960 « [) Intuctions; enter codes) Es 81. Ags ines S6tyoigh 60, Theis youre tag 2. wosae! 06 Payments 62 Fderibcone tr wield tom Fore W2 and 1088 [2 : 62 t7ideanand incomes around fon 202m, [8 youtave® 64a -Eamed income cred 10) us Siatdcn [8 Nertatlecomtetpaysincion [eww] | eee Seheate tc: | 08° Anon chs tena atc Sede OE | TTL as 5 Arran cpporunty erect fom Fam B69 8 (oe @ heen o 8 Arai pid wth eqs for tenon oe im 69. Esco socal sci re fer 3 TA wat to 70. Gre or foal tm on fl Atach Form #199 Go 71 Gredits fom Form: @ [2499 b Bi] Reed © (] 8885. ao pn 72h bs 6,6, a, ond 0 ous 71: These re our tT pp a Refund 73 Wve 7a temere an to 61, canta ne hrs ino 2 Tis isthe arnt You oerpald Tae ‘Acar of lk 78 you wt remdec yas If Form 8888 is attached, check here. C], rcp YB. Ret br t i olin: ohesing Sng > a recount Son 7 Dol eee sae E ‘inount 76 Amount you owe. usec in 2 Fo ie Bi. For dlls on ow o py Sa TSPacion © You Owe _77__ Estimated tax penaty (see instructions) {orl Third Party DO veUWart alow archer parson to cesis ta atu we te 1RS (seo lnowucuonay?] Vee Designee Designee's, Phone. Porson identifi coe a saa on Sign Here htawetan, Ore be | Yourexrpatn a SELr-eMeLovED eanacen tx) Smcade vpaize Tafa balms | Das | Spanesvrspetan hreacuer maa TET RRS | Fanaa Tae a oe Sar ‘Use Only —firt’snsne Arm's EN > raise a Fan TOaD pay ‘SCHEDULE A (van, 154.0076 (rom 1040) Itemized Deductions O43 cmwmeneivetemay | Piforallon abou Schedule A andis separate instuctonaieatwornirsgovacheduiee, | 20) Patan St Attach to Frm 1080. Swe 07 iaratyabosen on Tear scat say a oREGORY R_CUFDEH sinen 9786 ‘Caution. Do not include expenses reimbursed or paid by others. [fil = Medical 4 Modicel anc dental expenses (see irstwuctions) =... LA 200 and 2 Ener aunt rom Form 1040, ine 98. [2 | sxe oo Dental 3. wuitpy ne 2 by 1056 (10). Bother you or yor epoune was | Expenses ‘bom before January 2, 1949, multiply line 2 by 7.5% (.075) instead | 3 #264) 4 Subiract lin 3 from line 1 line 3 is more than line 1, enter -O- Taxes You 6 Stee anol (eck nly one Bore Paid Sa ee 210) b [General sales taxes 6. Realestate taxes (ee Instructions) ae |s| 2200} 7 Personal property taxes 7 150 8 Other taxes. List ype and amount z 2 ° Sisighs, 2320) 00 interest 10 Home morgage terest and paints epored to you on Form 1008 [10] 3100 You Paid 11. Home mortgage terest not repores to you on Form 1038. pad tothe person from whom you bought the nome, see Instructions A Note. and show that parsons ame, dering na, and access > Yourmergeg9 terest z ‘oduton may Eeoeceeaeeaee a belied 22 12 Points nol roparod to you on Form 1096. See Instone for inatrstors "special rules 12 19 Mortgage insurance premiums (ce instructions) 53 p 44 Investment interest, Attach For 4852 Frequted, Geeinstuctions) [44] 7a 9 48 Add lines 10 through 14. 5 10700] 00 Gifls to 18 Gite by cash or cneck you made any git of $250 or more, = Charity see insvuctons he 175 9 Hyouradee 17 Other than by eash or chock. eny git of $260 or more, £60 ghardget instructions. You must attach Form 8288 i ever $500 7 iH bmefetert, 48 Caryoverttomproryear Fr seattons 49 agg ines 16 through 18 | 1875} 00 Casuaiy an Theft Losses _20 Casualty or thet losses. tach Form 4684, S22 instructions} 20 ‘Job Expenses “21 Unreimbursed employee expenses—job travel, union dues, 2 andCarain "jon edeation ete’ Attach Form 2108 oF 2108482 Frequres, fe Miscellaneous (See instructions ) Heer [at Ed Deductions 29. Tax preparation fos 2 i) 23 Othor expenses—investment, safe depost box, etc. st type ial i endamoun i) | : 23) | 24 Ridines BH Trough 2a | 25 Enter amount ren Form 1040, ne 38. [25 s2sue| oof | 28 Mutipy ie 25 by 236 (02) F 26 725 || 27 Subtect ine 28 rom ne 24 ine 26 is more than ine 24, enter El of 0 Oier 28 Other-from Ist in instructions. List ype and amount Ez Wiscelaneous ke Deductions a Siacesersea see 20 Total Htemized Deductions forlnes 4 through 28. Also, enter this amount on Form 4040, ine 40 C1 Yes. Your deduction may be inited, See the terized Deductions, \Werkshieat in the instructions to igure the amount to enter. 20 If you elect to itemize deductions even though they are less than your standard eduction, check here... - > oO For Paperwork Reduction Act Notice, see Form 1040 insinactons at Nos 79656 ‘Schedule Form 1040) 2013 SCHEDULE B (118 No. 1585.0074 {Form 10404 or 1040) Interest and Ordinary Dividends 2013 trea, > attach wo Form 10408 oF 190, eel ESTReiatatt Ba | tomaton abot Schade B Pam TOsOh or Ou} end ts tuconaiatwmimgovscheduet| SCTE og Ate row one Far it soca abo? GREGORY R. CLIFDEN 543.99.9755 Part! 1 Ut name of payer any inert is fom a selertinanced mortgage and the ‘Amount buyer used the property as a personal residence, ee Instructions on back and lst Interest this interest first. Also, show that buyer's social security number and address BOB'S BIG BANK eect Este 260) BANK OF IRELAND, 220] Geelesmiclone TAGE BANK a ans eybackand he CITY OF ATLANTA TAK EREMPT BONDS. a| Fo 10408 cr Fam 104, trot) galls Note. ifyou received 3 Form “ose-NT, Form 4098-010, or subsite Slalerent om brokerage frm, Ist the firm's namoaste 2 Banca 3. EXCludable interest on series EE and | U.S. savings bonds issued after 1989, show on that Attach Form 8815 . fom 4 Subtract line 3 from lne 2. Enter the reault here and on Form 1040A, or Form 1040, no 8a a aa 4955] 00 Note line 4 io over $1,500, you must complete Part “Amount 5 Ustrameotpayer™ SO 10] 08 HEINZ FOODS. 2161.00 2 se] 06 Part Ordinary Dividends {Sow nsruetions nen z eee fon bast and the lrstuctons for Form 10408, or Ferm 1040, toa) Note. Ifyou recesved's Form {oge-DV or subset Stemere for brokerage fr, tet tne tre namaenthe payerand enter i poe : reerainay. io ‘hecrcinay |g dd the amounis on Tine 5. Enter the total here and on Form 40408, or Form fn that form. 1040, ine 8a ‘i pie 26] 00 Note. ifline 6 is over $1,500, you must complete Part i ‘You must complete this part if you (a) hac ver $1,500 of taxable interest or ordinary dividends; (b) had & fongn acco or) eeeved a tan fm or ware aencr sor earsror teers Part ll 78 Atany tine dring 2010, ed you have arancialinferetin or igatureauthoriy overs francia’” (ERIS A account (euch as a bank account, securities account, or brokerage account) focatod Inaforeign |. Foreign per ee orc rear in Ee Accounts IF *¥es," are you required to fle FinGEN Form 114, Repot of Foreign Bank and Financial ‘and Trusts counts (FBAR), formerly TD F 90-22.1, to report that financial interest or signature authority? a See FinCEN Form 114 and its instructions for fling requirements and exceptions to those ° requirements erectorecr bf you ar required to ite FinCEN Form 114, enter the namo ofthe foreign couniry wher the financial account is located nnn 8 During 2013, dd you recelve e distribution from, oF ware you the grantor of, or raneteror to, @ = foroign trust? I "Yes," you may hve to fle Form 3520, See instructions on back «=. Ly For Paperwork Reduction Act Notice, sea your fax return instructions. a Ne 7H ‘Soho res WHOA TOO} BOTS SCHEDULE C Profit or Loss From Business oun, 18.04 (Form 1040) {Sole Proprietorship) 2013 ceweretnsteman, | >Forlnfomation on Schedie Cand einsrctons, goto wmuiegovlecheduee. | adn QE Ieta| ean to Form 1010, THON, oF Tt; parterhaps generay mnt ie Form 185 | Seat OB Fee ote Socal coa ber 5S GREGORY_R._CUFDEN ‘A Principal pueless orprolesion,inludig produc or sence (ga structions) usioes nae no epee baer, av Bark 3 Eason Der Bat ROCK GLEN HOUSE BED & BREAKFAST als tizisielste| >| Ee Srsoss acess cing se or oon od PH a Cty, town or post ote, sa, ond 78 code_ORAPER, UT 84070 ecourtng mato) (can) Clacinal @ L]Ober foxy) > _ a Did yu marily aria" inthe opsaien of te business ving 20137 ND” soil ee oases you sated or ecqued tis tines Gung 201, checchere Ott you make any payments n 2019 that woul cure you tole Frm) 1088? neurons) ives dd you owl you a eited Fos 058? : income Herzen 1 Gis oes or lal Soo aloe read Ghee BOK nae was opred 6 USN Fowm We and eS eploe oon a or es ceca my La seszsa| 00 2 etme ar alnanooe 2 3 Stace om no 4 3 Ta] oo 4 Costot goods sl trom in 2) 2 5 Grose prot. Sbtectin om no a | 06 6 Oterncte, ng fade and Sao gsi ofl ax eto en (oe cons) ¢ asl 00 7. cross income, Ades Sa wy iess7s 00 Expenses iter Sxponses for business use of your home only on fine 3 Adeiong = #720] 0] 18 Ofice opens xeFatuciond [18 eo]_00 9 Garand tsk expen ee 10 Penimandpotesrrgpiae (19 irae intucion ® 2D_anr lean eens): 10 Conmssonsandiees | [10 8 vetes maine, rdonspmert | 208 11 Comat iesiing [4 Other buses propery 206 12 Deleon rn 21 Pepa and waltonarce 2 3 13 Doocaln end ecto 70 22 Sopoespot eusnin Pati) | [2 esol eee | cau, "fs 23 Toxesand eeees 20,00 batucton). 1 sereo[_oo] 24 Tia nod, edenterahmere EH 14 Employee borat progans a Tinet 2a (ehortanorine 1 | 14 1 Doductle man and 18 travece cer tenneat) 1 See] cnonormre pos retustong . | $0 rst 25 Ui = a 2. Moroage aetoterts ee) [18a sos1o|_oo] 26. Vieges fee enoioyent ret). | 25 15460] 00 bonne 7 Ba Oterexsenes ienine se). [Ta 2290] 00 17 tnd xd piesa sovces [17 “esol co] b Resared ornawewe [2 38 Total expenses bee exponen for barons athe, A es Strout 27a > Tas Talo 29° Telavoprot or foes, Sua! io 28 fom re 7 28 s76s| 00 20° Expenses or bss we cf yur harm Do not report tebe expnate eer. Ach Form B20 those cha te snp webs Pater ‘Simplified met Her ny orn ota caus fotge of) ourhame: 206 ep of yor hoe efor bushes Test Snood Method Worhet nto nsclon o ure w AOUR Tae OBO 0 31 Net profit or oes). Sub ne 0 om ie + Hartt eon bth Farm 140, re 1 For O40NR, Se 19 aon Sehele E, ne | {tjovchucied te bx et sense Ete nd tua earn Farm 04, ne 3. al sts|_00 oss, yourmust go to tine 82. 32 Wyouhave a loss, check the box that deserts your lvestmentin his activty (ae instructions). + thyeu checked 32a, enter the foes on both Form 1080, ine 12, (or Form 1040NR, tine 13) and ‘e'SOhdie Se tne 2 you aces saxon ine reel St rewectow! eames a | 320 (Z] Aveta ti ‘rusts, enter on Form 1041, fine 3. se O frp isnot 1 nyorchectg ou tah Form 6168, Yours mayb te For Paperwork Reduction Act Notice, see the separate Instructions. at Ne ‘Scheate Form 108) 2078 seal © orn 14020 Pe Cost of Goods Sold ae MaTUCTORS) 33 Method) used to vauedoshginentoy: a CJ Cost —bL) Lowerofcostormarket_ ©} Other(atach explanation) ‘34 Wastere any change in determining quantities, costs, r valuations between opening and closing Inventory? WY" attach explanation Ove ON 35 Inventory at begrning of year. I cifarent rom act yeas cling Inverter, attach explanation 35 96 Purchases less cost ofiems withdrawn for personal use. Ed ‘37 Cost labor. Do not neue ary amounts paid to yours oe ar 38 Matos and supptes 98 Otorcosts. oe ee Ls. 40 Add tines 35 through 39 ue an 2s |. 41 lnyortory at end of yoar 1 42 Costot goods sold. Subtract ne 41 from fe 40. Ear the result here and on ne 7 2 Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line @ ‘and are rt required to file Form 4562 for this business. See the instructions for line 13 to find out i you must file Form 4562. 49 Vinen cid you place your vehicle n sence for buss purposes? (month, day, yea) De 444 Of me tatal numberof mlas you drove your vaticls ding 2013, err the numberof mls you usod your vehicle for 8 Business Commuting (insu) oe © ONCE 45 Wes your vile valabie for persona use dung of duty hous? (ves Ne 46 Doyou(or your spouse have anchor vehicle avelable for personal use? ee Dive oN 4a Doyouhave.radence to suppur yx deduction? Ove ON _I1°¥6s," isthe vidence writen? Cres _C)Ne [EEN Gther Expenses. List below business expenses not included on lines 8-26 or ine 30. Saeaeal LAUNDRY EXPENSES : a 290] 00 a _Toat thar expenses Ets here and on ea Ts rT “Schedule © Form 1080) 2043, SCHEDULE D const 34-0 econ a09th Capital Gains and Losses | sure reser > attach o Form 1040 or Form 1040 2013 uterine reaany | > nformation about Schedule Dandie coperate sructons is at winirsgovlechedsed. | peacyme internal Raveoue Service (99) > Use Form 8949 to list your transactions for lines 1b, 2, 3, 8b, 9, and 10. ‘Sequence No. 12, eRe Tear ol cea naa GREGORY R. CLIFDEN (LO semesrse ‘Short-Term Capital Gains and Losses—Assets Held One Year or Less. 5 conieron the @ Honea epson for how fous he amounts te. z 2 |e | See This form may be easier to complete if you round off cants to sneprce) | (oroterbare) | Farm), Pa | comme neream wh note dota cae Tee can | aos “fa. Totas forall shor term taneactions reported on Form jl 1098-8 for which basis wasraportd othe IS ae for which you have no adjustments see istuction) . However you choose o report al hese traneations tn Form 8949, ave ths ine blank and go tone 1 z “ota fora transection reporod on Forms) 8949 wth BoxA crooked 2109 1200 un) 2] Tota fra transaction reported on Form) 6949 wth Box 8 checked 3 Totas frail rarsacions reported on Form) 6849 with | Box checked | 4 Shorter gan ftom Form 6252 and shor-term gain or (oss) rom Forms 4684, 678%, and 8828 4 5 Net shorterm gain or (oss) fom parnereipe, S corporations, Schedules) K-1 6 Short-term capital loss carryover Enter the amount, if any, rom line 8 of your Capital Loss Samyover Worksheot in the instructions 7. Net short-term capital gain or oss). Combine nes 1a through 6 in column (Ifyou have any ona: term capital gains or losses, goto Part Il below. Otherwise, go to Par ion estates, and trusts from the back. z 2100) ‘Long-Term Capital Gains and Losses Assets Held More Than One Year ‘See insiructions for how to figure the amounts to enter on the Tings below. “This form may be easier to complete you round off cents to Whole dollars. Petes esp @ ‘Gan ots o gittreres | sine sae) cox togunonassron | romcaune(c (eroter ess) | Frm) 8040, Par I, | cee eth ee ‘8a. Totals for all long-term transactions reported on Form 1098-8 for which basis was reported to the IRS and for which you have no adjustments (see Instructions). However, you choose to report all these transactions ‘on Form 8948, leave this line blank and goto line 8b 8b Tolls fr l vasactons reported on Forms) 049 with Box D checked i 15700) 5260] 10450 Totals for all ransactions report on Forms) 8949 wth Box E checked 0. Totals for all transactions reported on Forme) 8849 with Box F checked. “1 Gain from Form 4707, Part I; long-term gain from Forms 2439 and 6252; and long-term gain or (088) from Forms 4684, 6781, and 8824 ‘ 42 Net long-term gain or loss) rom partnerships, $ corporations, estates, and trusts from Schedules) K-1 | 12 1" 18. Capital gain distributions. See the instructions 49 14 Long-term capital les camover Enter he amount, any, fom ine 19 of your Capital Loss Carryover Worksheet in the instructions 14 | ) 45 Net long-term capital gain or loss). Combine nes @a through 14 in cluma fh Ten goto Fat ton theback. 16 10450 For Paperwork Reduction Act Notice see your tax return isiructons. Cat No 1H ‘SeheteD (Form 1040) 2013, ees ve? TERM] Summary 18 Comin es 7 and 15a onl resut 6 no +10 1616 a gl, oierho amount Fo tno 16 on Form 140, ne 13, o Fem YONONR re {han gun bie + rg 10 lows Ship ne 17 tough 20 blow Then Goto ine 21. kobe suet eampte tne «a 618 aro aip es 17 hough 21 blow arene 0 on For 1040 In 13, oF Fm {bain neta Than gots ines 17 protpes 15 and 18 both gure? @ Yes. Go to line 18. No. Skip lines 18 through 21, and ge to line 22, 18 Enter the ancur. ay, fomtn oho 20% Rete Gah Worksheet teintucions ..» [18 SE emer eee ce nae ere eel ea 0 20° froth 18. 10 both 2000 Br? [@ Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions IerForn oa, ne orn he evucton for Form SosONR ns), boot spite ree Sica ban C1 No. Complete the Schedule D Tax Worksheet in the instructions. Do not complete lines 21 to 22 boom, 21 Ine 8s as, rer here ad on Fe 1040, re 19, Fo 180NR, te 14th malo of sTreleoontine 16er nk ) 1 S000, or mar ng separate, 1.500 Nota Won fguing wich amounts ate, ea both runt aa pele umber 22 Do youave quad iden on Form 1040, ne 9, o Form OAONR, ne 082 (Yee, Corpse Qualifled Dividends and Copia Gln Tax Worksheet nth sustors Irtoon Totnes rinne alone fom 164 ne (No. Complete the rest of Form 1040 or Form 1040NR, Scene ‘Scheie D Form 1060, 2013 ton 8949 | Sates and Other Dispositions of Capital Assets sea > Information about Form &649andits seperate instruction is at wnvnireoW/fonmSo, Degetramolmetee’ |» rtewith your Schedule D to fist your trnsactions fries tb, 2,3, 9,9, and *0of Schedule D. amet shown ones Bocil aculy nub or taxpayer iereation number GREGORY R.CLIFDEN 543-98-9758 ‘Mest brokre suo tai own subsite Saleen stead of lng Form 1688-6. They also may provide bass information (usualy your cost fo you on the statement even fits no reportad fo ti IRS. Before you chock Bax A,B, or C below, deterine wether you received ary statomentis) and iso, the transactions for which basis was reported to the IS. Brokers are raquied 0 raport basis othe IRS for most sack you baught in 2011 or later. ‘Short-Term. Transactions involving capital assets you held one year or less are short term. For long-term transactions, see page 2. Note. You may aggregate all short-term transactions reported on Form(s) 1099-8 showing basis was reported to the IRS and for which no adjustments or codes are required. Enter the total direct\y on _ Schedule D, line 1a: you are not required to report these transactions on Form 8949 (see instructions). ‘You must check Box A, B, or C below. Check only one box. If more than one box applies for your short-term transactions, ‘complete a separate Form 848, page 1, for each applicable box. if you have more short-term transactions than wil fi on this page {or one oF more of the boxes, complete &s mary forms with the same box checked as you nees. 12) (A) Shor-term transactions reported on Forms) 1088-B showing basis was reported to the IRS (see Note above) L118) Sher-term transactions reported on Form(s) 1099-B showing bas's was not reported tothe IRS. 1.0) Short-torm traneactions not reported to you on Form 1098-8, aetna ain oios : ©, Peneenreana ° (0 [oatordtte mae sn acznn cen, £ Phos] abuse | prbtads [Sette oaou|_ See seprta nett sao Dba Eee) | Nyaa) | Gee iieccemel oo | anche 1003 7200) | Men sara) ners) ron {hte separse |. senda] minaret | "nine sepa ss [otacora| eth gown co. sravzo1s | sier201s 2100] +4200, 2100) 2 Totals, Ad he sraurt ctu (a fact ‘gate amourt) Enor cach tot! have nd Iniede on Your Schedule, tine 1 Box A soove s checked), tne 2 (Box B _oveis chased, othe 3 [PBX C above Is checked) Pe 12100) +4200] 2100) Note. f you chacked Bax A above but the bass reported tothe IRS was incorrect, enter column (eho bess 8 reported to the IRS, and enter an ‘adjustment column ig) to comect ha base, See Column (nthe soparato Reuucions for how to igure the amour of the echstment. For Paperwork Reduction Act Notice, ces your tax return instructions ‘Ga na TTR Far 8049 0015 From an49 2010) puachment Sewanee YA Page ‘Nanas roan on tr lane ara Svc spr enaahone, Rand show ahr sl) | Soda secuy amber or expayerieiiieation number GREGORY R. CLIFDEN 543-08.9756 ‘Mest brokers iseue te own substfutestalorert toad of valng Form 1099-B. They also may provide bass information (usualy your costo you oP the statement evan t's nt reported othe IRS. Before you check Box D, E, or F below, determine whats you received any statements) ard fo, ‘the transactions for mhich basis was reported othe IRS. Brokers are required to report bess to the RS for most stack yeu Bought in 2017 orate. Long-Term. Transactions involving capital assets you held more than one year are long term. For short-term ‘transactions, see page 1. Note. You may aggregate all lnng-term transactions reported on Form(s) 1099-8 showing basis was reported to the IRS and for which no adjustments or codes are required. Enter the total directly on Schedule D, line Ba; ____you are not required to report these transactions on Form 8949 (see instructions). ‘You must check Box D, E, or F below. Check only one box. if iore than one box applies for your long-fem transactions, complete ‘a separate Form 8949, page 2, for each applicable box. If you have more long-term transactions than wil ion this page for one or ‘more of the boxes, complete as many forms with the same box checked as you need. {0) Long-term transactions reported on Formie) 1099-B showing basis was reported to the IRS (see Note above) “](E) Long-term traneactions reported on Formis) 1099-8 showing basis was not reported to the IRS EF Long-term transactions not reported to you on Form 1099-8 amen aioe 1 o.teeeaaineer | oy @, 0 oomarkarsme| ewrscccnsaenh | oan. cnr corSais| sca | oan [Roem elses | Seep conc pcpeny || oueteund| OSS | etspecy [seer aur foam ee eee (Mow da¥7) | fc, day.y) | (see instructions) | inthe seperate o @ ‘combine the rest Risen” (cotten] aot | “Ghee! ‘rncioe| STS ‘onauise co, asia | stra sao 2800 1400 concen co. sorsv00s | oraors | __—_rs0o)_— soso 2 otal Ads be ana n cures (Gh andy fb rct Tooave arco) Er ech tah rind nour Soe hw 1 Box Dison echechdh ne 8 oxE Sol nese, on 10 Box shove ects) a0 s2s0)- sso Note f you checked Box O above but tha basis reported to tho IAS was ncorect, enter hcaluwn (2) te basis as reported to te IRS and ener an ‘sdsiment In column () to carrect the basis. S90 Column inthe separate istuctions fr how to figure the amount of the achakment Form 6849 2055) SCHEDULE SE conan usc074 fom ioe Self-Employment Tax Form 10), | rnemainate sca scadteepatenenscimistuncngencntin | 2018 Penta, Attach to For 140 or Frm 10h. Sree 17 Sean et RN TST Fo TOD Socal sey nab ol poser GGaegory CUFDEN wihaoterclomentbeore® | sesspenss Before you begin: To determine if you must fle Schedule SE, see the instructions. May I Use Short Schedule SE or Must I Use Long Schedule SE? Note, Use this flowchart only if you must fie Schedule SE. If unsure, see Who Must File Schedule SE in the instructions. ‘id you receive wages oF ip in 20137 No ¥ vee ¥ ‘Ro you 8 mine meToe of «valgus ec, or Gwstan ‘Scores sranatorer no ecaved ni apres nat ob are | Ye {n saninge fom tog euros bak you Sou mpoyment honor ewmege? asta total ot your napse and ts muito sci stezty yoy cr raroa retrart (o> 1 tx ps your net earings fom ‘Saareloymart mare tan BGO? to ¥ no ¥ ‘re yoo using one of the cptona matics to Fre your 28 |e ‘amg Go soon)? ‘Dd yu ects siect to anal sent o Mascwe tx [You thee os nat eer to your employ? ‘3 See eevee Wee Eee id you rosie church emaioyes ico (oo Rauch | Yes tepoed on Fam Wo 808.283 mowe? Da yo erent say wages on Fan 8918, Urccoaea Seas [Yoo Secu ance Tat on Wages? a ‘You may wae Sor Scheckle SE low "You must use Lang Schedule SE on page? Section A~Short Schedule SE. Caution. Read above to see if you can use Short Schedule SE. “1a Net farm profit or Qoss) from Schedule F, line 94, and farm partnerships, Schedule K-1 orm 41065), box 14, code A 1b you received social sacurty retirement or dsablty bent, entortho amount of Conservation Resone rogram payments included on Schedule F, ne 4b, orsted on Sched K-1 Form 1065), box 20, code Z 2 Net profit o- (oss) from Schedule G, line 31; Schedule C-E2, line 3; Schedule K-t (Form 1085), box 14, code A (other than farming); and Schedule K-1 (Form 1085-B), box 8, code Jt ‘Ministers and members of religious orders, see instructions for types of income to report on | this ine. See Instructions for ether income to report sees 9° Combine ines ta, 16, and 2 4 Mulipy line 3 by 92.3595 (9235). fess than $400, you do not owe setenplomest tax; do not fe this schedule unless you have an amount on ne 1b > 58765|_00 587651 00 54269, 00 Noe. I ine 4s leas than $400 de to Conservation Reserve Program payments on tne tb, ‘00 instructions. 5 Self-employment tax. Ifthe amount on ne 4 is: + $113,700 or ess, mutiply ne 4 by 15.3% (158) Enter the result here and on Form 1040, tine 68, (or Form 1040NR, ine 54 * More than $118,700, muttiply line 4 by 2.096 (029). Then, ald $14,088.80 to the result, Enter the total here and on Form 1049, line 86, or Form TO40NR, line 54. 6 Deduction for one-half of setf-employment tax. Muttipty lin § by $0% (50). Enter the result here and on Form 1040, line 27, or Form 1040NR, tine 27 7 6 1521 For Paperwork Reduction Act Notice, see your tax relum inaiructions. a TZ ‘Schedule SE Fm £040) 2013, See (erm 1002018, tact Sequence No. 17, Pane ‘ae of prson wt sat-employet neon is Sawn on Fam 100) ‘Soca secry number of person th sef-employment income Seaton B—Long Schedule SE ‘Self-Employment Tax Note your only came subject to sel-enploymert axe church employes income, sos ruts Alo eee ntvaons forthe dian of church employe income. 1A yeu ae a minster, menber ota alos ord, Crftn Scene prac nd ola Form 361, Ds Yeu tad $400 or more ef other net earings tom el-employmert check hee and cont wth Part ‘1a. Net am proft or os) om Sched Fine 4, and farm pater, Saedule K-1Ferm 1065), box 14, code A. Note. Skip lines 1a and Tb if you use the farm optional methad (se instuctions) [Fa you received socal seouiy retirement or csably benefits, ener the amount of Conserstion Reserve Program payments included on Schedule F, Ine 4b, or isted on Schedule Kt (Form 1055), box 20, code Z| tb | ) 2 Net profit or (loss) from Schedule C, line 31; Schedule C-EZ, line 3; Schedule K-1 (Form 1085), box 14, code A (other than faming) and Schedule K-1 (Form 1065-6), box 8, cave J Ainsters and members of religious orders, sea instructions for types of income to report on thse. See instructions for ther income to report. Note Skip ths ine f you Use the nonfarm optional method (98 instructions) 3 Combine ines 1a, 1b, and 2 4a ine is mor than zero, rly ine 8 by 92.26% ($295), Otterise, enter ammount rom ine 9 Note d's shan é00 ca to Conservation Reserve Progam pyres on ne 1b, eatin »byou elect one or both othe optional methods, eter the total of nes 15 and 17 here 4b {© Combino ins 4aand 4. less than $400, stop; you do nt ove so-orpioymant tx. Exoopton I loss than $400 ar you had church employee income, oter-O- and contin » | 4c 58 Enteryour church empleyee income trom Form W-2. Seo instructions tor definition of church employee income. 5a | 1 Muto fe Sa by 92.59% (9255) lea than $100, enter 0- ae 6 Ad ines 4 and 5 77 Maximum amount of combined wages and sot-ompoyment serings subject to soc secty tax or the 6.2% portion ofthe 76595 road etrement (ier 1) ox fr 2019 7 113,700] 00 {82 Total social securty wages and tips otal of boxes 8 nd 7 on Forms W-2) and ralroad rtrement er 1) compensation U1$118,700 or mere, ekip ines sb trough 10, and gototne 11 | 8a S Uneported tps subject oceleeurty tx rom Form 417, in 0) [8D © Wiagoseubject to eocial ecu tax kom Farm 6019, ine 10) Be Add tines Ba. 8b, and Bo 8d 8 Subtract ine 8d from ine 7 zero oes, enter-0- here and one 10 and gotoiine 11m [8 40 Multiply the smaltor of ne Gor ine 9 by 12.436 (124 11 Multiply line 6 by 2.9% (,029) 42 _Sofemplomant ax. Adé nee 10 archer anon Form 1040, ie 5, Form AON, 13 Deduction or oneal of sa-empoyment ax. ‘tip line 12 by 80% (0). Eto he result here and on Form 4040, 27, or Frm ‘O40NR, ine 27. Ls | ! ‘Optional Methods To Figure Net Earnings (see instructons) Farm Opiional Method. You may use tis method only i () your gross far Income! was nol moe ] {han $6,860, or () your nat ar profs? were less than 85,024 14. Maximum income fr optonal metnocs 15 Enc the amaler of: two-thirds (of gross farm incomat (net les than Zee) oF $8,540, Also include this amount online 4b above... 15 osfarm Optional Method. Yu ay use ths matiod only fa your et vf prois'were ls han $5024 {nd eo les tan 72.69% of your gross novfam eam and (3) Jou had net earings ron mpm ‘fet eost $4002 ofthe pcr 9 years. Cation, You may tse tis ethos no more tan fe re. 46 Subtract ne 15 from ne 14 16 47 Enter the smaller of to thirds) of gross nonfarm income notes than zero} or the amount on ine 16. Also Include this amount on ne fb above 7 “am eh sl 8 dh on 185,06 + om 8 cr i: 8,087 to: Sch Kt Fa TO ETE, cade * From Sch. F, line 34, and Sch. K-1 (Form 1055), Dax 14, code A—minus the Ree en reer eee Sr you wouidnaveertavdcnine Ohad yn sud fusopons | “Fam Sch. rm Se. CZ fe Soh Fam 085, box 4 code aos, (Coan Se (Pam 10891 Boe 8 ase lBle|w baka 4640| 00 ‘Sheaute SE (Frm £040) 2013 Parents’ Election To Report om 8814 Child's Interest and Dividends ‘ome ne 1546076 2013 Depatnet tt Teas > information about Form 8814 and ite instructions is at www ie. govlTormsB1& exhort ema Rewsum Sac >> Attach to parents’ Form 1040 or Form ‘040NR. Begonae No. AO Ramey wown on you etre ‘Yourseca Sse rambor GREGORY R. CUFDEN 593.98.9758 ‘Caution. The federal income tax on your chid's Income, Inloding quéllfed dividends and capital gain distributions, may be less if you ‘ile a separate tax retur for the child instead of making this election. This is because you cannot take certain tax benefits that your chil could take on his or her own return. For details, see Tax benefits you cannot take inthe instructions. ‘A Child's name first, initial, and last) 8 Child's social security number any. curDen asernay5 _itmore than one Form 8614 i attached, checichere >i Child's Interest and Dividends To Report on Your Return “fa Ertar your chid’s taxablo eres. tie amounts aiferant om the amounts shown on The chia’ Pome 1030-INT and 1000-019, see the instructions 10 suoa|_00 Enter your chil’ tax-exempt interest. Do not include this amount | | oninetas = [4p : 2a Enter yourchia's owinary dividends including any Alaska Permanent Fund NN FOOT hid recved any ordinary dividends asa nominee, see the ntucions | ow 1b Ente your ci quai cividends included on line 28. Sea the | ination | 2p a ‘3 Enter your cies capital gain detrbution. Ht your chi receved any capil gain ABPbaIONS 8 « nomines, ee the instructions 3 4 Add nes ta, 2a. and 3 fhe tla $2,000 ores, sip ines trough 12 and got line 12. the total f $10,000 or mare, do not fie thi form. Your chi must fle his or he own rtura to repor the ncome 4 s4vo) oo 5 Base amount 3 700 [0 6 Subtracting 5 tom ine 4 6 00] 0 IF both tines 2b and 3 are zero or blank, skip tines 7 through 10, enter -0-on line 11, and go toline 12. Otherwise, goto ne 7. : 7 Dido ine 20 bye & Enter to result asa cecimal (ound to at least three places) . nd - a 8 Divide ine 3 byline 4 Ee the rest a a dacinel (rounded to at feast thee places) 8 Muti the 6 by tne 7. Enter the resut here, See the hstuctions for hereto report this mount on your return ° | 10 Mutily the 6 by line 8. Enter he reauit ner. See the netrctons forhereto report his amount on your return 10 41 Adgtines 9and 10. lo 42 Subtract line 11 fom ine 6. tole this amour nthe total on For 1040, tine 21, or Frm {O40NR, ne 2. Inthe space next to line 21, enter “Form 8644" and show the amount. H you checked the box on ine G above ee tha isttuctons. Goto ne 13 below 2 400] 00 Tax on the First $2,000 of Child's Interest and Dividends 4 Amounirottwxed . 8 Taso] ao 44° Suotractine 19 rom line. the reais zr or isa, eter -0- 18 200] 08 45 Tax. Isthe amount online 1 less than $1,000? No. Ent $100 here an ee the Note betow. 15 100] _c0 Ci Yes. Muttiply line 14 by 10% (10). Enter the result here and see the Note below. Note. you checked the box online C above, see the Instructions. Othervise, clue the amour from in 19 the tax you enter {on Form O40, ne 4, or Farm TO4ONR, line 42. Bo sure to check box a an Form 104, tne 4 or Form OSONR, ine £2 Far Paperwork Reduction Act Notice, se your taxretum instructions. ia. roe Fon 814 wom

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