Tax Return Transcript 432-35-1624 1040 2005 GODW Page 2 of 8 This Product Contains Sensitive Taxpayer Data Tax Return Transcript SS Provided: 432-xx-xxxx Tax Period Ending: Dec. 31, 2005 Request Date: 10-05-2006 Response Date: 10-05-2006 IRS Employee umber: HM6KB Tracking umber: 100009532168 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. SS: 432-xx-xxxx SPOUSE SS: 477-xx-xxxx AME(S) SHOW O RETUR: DAMO M & MELISSA ADDRESS: 200 SAMPLE RD HOT SPRIGS, AR 33XXX FILIG STATUS: Married Filing Joint FORM UMBER: 1040 CYCLE POSTED: 20062508 RECEIVED DATE: Apr.15, 2006 REMITTACE: 0.00 EXEMPTIO UMBER: 4 DEPEDET 1 AME CTRL: GODW DEPEDET 1 SS: 429-XX-XXXX DEPEDET 2 AME CTRL: GODW DEPEDET 2 SS: 432-XX-XXXX DEPEDET 3 AME CTRL: DEPEDET 3 SS: DEPEDET 4 AME CTRL: DEPEDET 4 SS: PREPARER SS: P00-59-XXXX PREPARER EI: 71-XXXXXXX Income WAGES, SALARIES, TIPS, ETC: $ 24,847.00 TAXABLE ITEREST ICOME: SCH B: $ 0.00 TAX-EXEMPT ITEREST: $ 0.00 ORDIARY DIVIDED ICOME: SCH B: $ 0.00 QUALIFIED DIVIDEDS: $ 0.00 REFUDS OF STATE/LOCAL TAXES: $ 0.00 ALIMOY RECEIVED: $ 0.00
Page 3 of 8 BUSIESS ICOME OR LOSS (Schedule C): $ 46,577.00 BUSIESS ICOME OR LOSS: SCH C PER COMPUTER: $ 46,577.00 CAPITAL GAI OR LOSS: (Schedule D): $ 0.00 CAPITAL GAIS OR LOSS: SCH D PER COMPUTER: $ 0.00 OTHER GAIS OR LOSSES (Form 4797): $ 0.00 TOTAL IRA DISTRIBUTIOS: $ 3,000.00 TAXABLE IRA DISTRIBUTIOS: $ 0.00 TOTAL PESIOS AD AUITIES: $ 0.00 TAXABLE PESIO/AUITY AMOUT: $ 0.00 RET/ROYALTY/PARTERSHIP/ESTATE (Schedule E): $ 0.00 RET/ROYALTY/PARTERSHIP/ESTATE (Schedule E) PER COMPUTER: $ 0.00 RET/ROYALTY ICOME/LOSS PER COMPUTER: $ 0.00 ESTATE/TRUST ICOME/LOSS PER COMPUTER: $ 0.00 PARTERSHIP/S-CORP ICOME/LOSS PER COMPUTER: $ 0.00 FARM ICOME OR LOSS (Schedule F): $ -3,743.00 FARM ICOME OR LOSS (Schedule F) PER COMPUTER: $ -3,743.00 UEMPLOYMET COMPESATIO: $ 0.00 TOTAL SOCIAL SECURITY BEEFITS: $ 0.00 TAXABLE SOCIAL SECURITY BEEFITS: $ 0.00 TAXABLE SOCIAL SECURITY BEEFITS PER COMPUTER: $ 0.00 OTHER ICOME: $ 0.00 SCHEDULE EIC SE ICOME PER COMPUTER: $ 0.00 SCHEDULE EIC EARED ICOME PER COMPUTER: $ 0.00 SCH EIC DISQUALIFIED IC COMPUTER: $ 0.00 TOTAL ICOME: $ 67,681.00 TOTAL ICOME PER COMPUTER: $ 67,681.00 Adjustments to Income EDUCATOR EXPESES: $ 0.00 EDUCATOR EXPESES PER COMPUTER: $ 0.00 RESERVIST AD OTHR BUS EXPS: $ 0.00 HEALTH SAVIGS ACCT DEDUCTIO: $ 0.00 HEALTH SAVIGS ACCT DEDUCTIO PER COMPTR: $ 0.00 MOVIG EXPESES: F3903: $ 0.00 SELF EMPLOYMET TAX DEDUCTIO: $ 3,026.00 SELF EMPLOYMET TAX DEDUCTIO PER COMPUTER: $ 3,026.00 KEOGH/SEP COTRIBUTIO DEDUCTIO: $ 0.00 SELF-EMP HEALTH IS DEDUCTIO: $ 0.00 EARLY WTHDRAWL OF SAVIGS PEALTY: $ 0.00 ALIMOY PAID SS: ALIMOY PAID: $ 0.00 IRA DEDUCTIO: $ 1,150.00 IRA DEDUCTIO PER COMPUTER: $ 1,150.00 STUDET LOA ITEREST DEDUCTIO: $ 0.00 STUDET LOA ITEREST DEDUCTIO PER COMPUTER: $ 0.00 TUITIO AD FEES DEDUCTIO: $ 0.00 TUITIO AD FEES DEDUCTIO PER COMPUTER: $ 0.00 DOMESTIC PRODUCTIO ACTIVITIES DEDUCTIO: $ 0.00 OTHER ADJUSTMETS: $ 0.00
Page 4 of 8 MEDICAL SAVIGS ACCT DEDUCTIO: $ 0.00 MEDICAL SAVIGS ACCT DEDUCTIO PER COMPUTER: $ 0.00 TOTAL ADJUSTMETS: $ 4,176.00 TOTAL ADJUSTMETS PER COMPUTER: $ 4,176.00 ADJUSTED GROSS ICOME: $ 63,505.00 ADJUSTED GROSS ICOME PER COMPUTER: $ 63,505.00 Tax and Credits 65-OR-OVER: BLID: SPOUSE 65-OR-OVER: SPOUSE BLID: STADARD DEDUCTIO PER COMPUTER: $ 10,000.00 ADDITIOAL STADARD DEDUCTIO PER COMPUTER: $ 0.00 TAX TABLE ICOME PER COMPUTER: $ 53,505.00 EXEMPTIO AMOUT PER COMPUTER: $ 12,800.00 TAXABLE ICOME: $ 40,705.00 TAXABLE ICOME PER COMPUTER: $ 40,705.00 TOTAL POSITIVE ICOME PER COMPUTER: $ 71,424.00 TETATIVE TAX: $ 5,379.00 TETATIVE TAX PER COMPUTER: $ 5,379.00 FORM 8814 ADDITIOAL TAX AMOUT: $ 0.00 TAX O ICOME LESS SOC SEC ICOME PER COMPUTER: $ 0.00 FORM 6251 ALTERATIVE MIIMUM TAX: $ 0.00 FORM 6251 ALTERATIVE MIIMUM TAX PER COMPUTER: $ 0.00 FOREIG TAX CREDIT: $ 0.00 FOREIG TAX CREDIT PER COMPUTER: $ 0.00 CHILD & DEPEDET CARE CREDIT: $ 0.00 CHILD & DEPEDET CARE CREDIT PER COMPUTER: $ 0.00 CREDIT FOR ELDERLY AD DISABLED: $ 0.00 CREDIT FOR ELDERLY AD DISABLED PER COMPUTER: $ 0.00 EDUCATIO CREDIT: $ 0.00 EDUCATIO CREDIT PER COMPUTER: $ 0.00 GROSS EDUCATIO CREDIT PER COMPUTER: $ 0.00 RETIREMET SAVIGS CTRB CREDIT: $ 0.00 RETIREMET SAVIGS CTRB CREDIT PER COMPUTER: $ 0.00 PRIM RET SAV CTRB: F8880 L6A: $ 0.00 SEC RET SAV CTRB: F8880 L6B: $ 0.00 TOTAL RETIREMET SAVIGS COTRIBUTIO: F8880 CMPTR: $ 0.00 CHILD TAX CREDIT: $ 2,000.00 CHILD TAX CREDIT PER COMPUTER: $ 2,000.00 ADOPTIO CREDIT: F8839: $ 0.00 ADOPTIO CREDIT PER COMPUTER: $ 0.00 DC 1ST TIME HOMEBUYERS CREDIT: $ 0.00 DC 1ST TIME HOMEBUYERS CREDIT PER COMPUTER: $ 0.00 FORM 8396 MORTGAGE CERTIFICATE CREDIT: $ 0.00 FORM 8396 MORTGAGE CERTIFICATE CREDIT PER COMPUTER: $ 0.00 F8396 AD F8859 CREDITS: $ 0.00 FORM 3800 GEERAL BUSIESS CREDITS: $ 0.00
Tax Return Transcript 432-XX-XXXX4 1040 2005 Page 5 of 8 FORM 3800 GEERAL BUSIESS CREDITS PER COMPUTER: $ 0.00 FORM 1040C CREDIT: $ 0.00 PRIOR YR MI TAX CREDIT: F8801: $ 0.00 PRIOR YR MI TAX CREDIT: F8801 PER COMPUTER: $ 0.00 TETATIVE EMPOWERMET ZOE CREDIT: F8844: $ 0.00 EMPOWERMET ZOE CREDIT: F8844: $ 0.00 OTHER CREDITS: $ 0.00 TOTAL CREDITS: $ 2,000.00 TOTAL CREDITS PER COMPUTER: $ 2,000.00 ICOME TAX AFTER CREDITS PER COMPUTER: $ 3,379.00 Other Taxes SE TAX: $ 6,052.00 SE TAX PER COMPUTER: $ 6,052.00 SOCIAL SECURITY AD MEDICARE TAX O UREPORTED TIPS: $ 0.00 SOCIAL SECURITY AD MEDICARE TAX O UREPORTED TIPS PER COMPUTER: $ 0.00 TAX O QUALIFIED PLAS F5329 (PR): $ 0.00 TAX O QUALIFIED PLAS F5329 PER COMPUTER: $ 0.00 IRAF TAX PER COMPUTER: $ 0.00 TP TAX FIGURES (REDUCED BY IRAF) PER COMPUTER: $ 9,431.00 IMF TOTAL TAX (REDUCED BY IRAF) PER COMPUTER: $ 9,431.00 ADVACED EARED ICOME: $ 0.00 UPAID FICA O REPORTED TIPS: $ 0.00 FORM 4970 ACCUMULATED DISTRIBUTIO OF TRUSTS: $ 0.00 RECAPTURE TAX: F8611: $ 0.00 HOUSEHOLD EMPLOYMET TAXES: $ 0.00 HOUSEHOLD EMPLOYMET TAXES PER COMPUTER: $ 0.00 RECAPTURE TAXES: $ 0.00 TOTAL ASSESSMET PER COMPUTER: $ 9,431.00 TOTAL TAX LIABILITY TP FIGURES: $ 9,431.00 TOTAL TAX LIABILITY TP FIGURES PER COMPUTER: $ 9,431.00 Payments FEDERAL ICOME TAX WITHHELD: $ 3,139.00 ESTIMATED TAX PAYMETS: $ 3,870.00 EARED ICOME CREDIT: $ 0.00 EARED ICOME CREDIT PER COMPUTER: $ 0.00 PRIOR YEAR EARED ICOME: $ 0.00 FORM 8812 PRIOR YEAR EARED ICOME CREDIT ELECT ID: FORM 8812 PRIOR YEAR EARED ICOME CREDIT: $ 0.00 OTAXABLE COMBAT PAY ELECTIO: $ 0.00 FORM 8812 OTAXABLE COMBAT PAY: $ 0.00 EXCESS SOCIAL SECURITY & RRTA TAX WITHHELD: $ 0.00 TOT SS/MEDICARE WITHHELD: F8812: $ 0.00 FORM 8812 ADDITIOAL CHILD TAX CREDIT: $ 0.00 FORM 8812 ADDITIOAL CHILD TAX CREDIT PER COMPUTER: $ 0.00 FORM 8812 ADDITIOAL CHILD TAX CREDIT VERIFIED: $ 0.00 AMOUT PAID WITH FORM 4868: $ 0.00
Page 6 of 8 FORM 2439 REGULATED IVESTMET COMPAY CREDIT: $ 0.00 FORM 4136 CREDIT FOR FEDERAL TAX O FUELS: $ 0.00 FORM 4136 CREDIT FOR FEDERAL TAX O FUELS PER COMPUTER: $ 0.00 HEALTH COVERAGE TX CR: F8885: $ 0.00 TOTAL PAYMETS: $ 7,009.00 TOTAL PAYMETS PER COMPUTER: $ 7,009.00 Refund or Amount Owed AMOUT YOU OWE: $ 2,422.00 APPLIED TO EXT YEAR'S ESTIMATED TAX: $ 0.00 ESTIMATED TAX PEALTY: $ 0.00 TAX O ICOME LESS STATE REFUD PER COMPUTER: $ 0.00 BAL DUE/OVER PYMT USIG TP FIG PER COMPUTER: $ 2,422.00 BAL DUE/OVER PYMT USIG COMPUTER FIGURES: $ 2,422.00 Third Party Designee THIRD PARTY DESIGEE ID UMBER: AUTHORIZATIO IDICATOR: Authorized THIRD PARTY DESIGEE AME: Schedule C--Profit or Loss From Business EMPLOYER ID UMBER: DESCRIPTIO OF BUSIESS/PROFESSIO: AICS CODE: 235900 ACCT MTHD: Cash FIRST TIME SCHEDULE C FILED: 1 STATUTORY EMPLOYEE ID: ICOME GROSS RECEIPTS OR SALES: $ 109,876.00 RETURS AD ALLOWACES: $ 0.00 COST OF GOODS SOLD: $ 15,038.00 OTHER ICOME: $ 0.00 EXPESES CAR AD TRUCK EXPESES: $ 10,640.00 DEPRECIATIO: $ 2,930.00 ISURACE (OTHER THA HEALTH): $ 840.00 MORTGAGE ITEREST: $ 0.00 LEGAL AD PROFESSIOAL SERVICES: $ 748.00 REPAIRS AD MAITEACE: $ 1,641.00 TRAVEL: $ 1,271.00 MEALS-AD-ETERTAIMET: $ 1,004.00 WAGES: $ 17,453.00 OTHER EXPESES: $ 1,746.00 TOTAL EXPESES: $ 48,261.00 EXP FOR BUSIESS USE OF HOME: $ 0.00 SCH C ET PROFIT OR LOSS PER COMPUTER: $ 46,577.00 AT RISK CD: COST OF GOODS SOLD
Page 7 of 8 IVETORY AT BEGIIG OF YEAR: $ 0.00 IVETORY AT ED OF YEAR: $ 0.00 Schedule F--Profit or Loss From Farming FARM ICOME - CASH METHOD AICS CODE: 112900 EI: COST OR OTHER BASIS OF LIVESTOCK: $ 0.00 TOTAL COOPERATIVE DISTRIBUTIOS FORM 1099-PATR: $ 0.00 TOTAL AGRICULTURAL PROGRAMS PAYMETS: $ 0.00 AGRICULTURAL PAYMETS TAXABLE AMOUT: $ 0.00 GROSS CCC LOAS FORFEITED/REPAID: $ 0.00 GROSS CROP ISURACE/DISASTER PAYMETS: $ 0.00 TAXBLE CROP ISURACE/DISASTER PAYMETS: $ 0.00 CUSTOM HIRE ICOME: $ 0.00 GROSS FARM ICOME-CASH: $ 0.00 FARM EXPESES - CASH AD ACCRUAL METHOD CUSTOM HIRE - MACHIE WORK: $ 205.00 GASOLIE, FUEL, OIL DEDUCTIO: $ 0.00 MORTGAGE ITEREST: $ 0.00 REPAIRS & MAITEACE: $ 377.00 SUPPLIES PURCHASED: $ 197.00 TOTAL FARM EXPESES: $ 3,743.00 ET FARM PROFIT/LOSS PER COMPUTER: $ -3,743.00 AMOUTS OT AT RISK I FARM IDICATOR: All investment at risk FARM ICOME - ACCRUAL METHOD TOTAL COOPERATIVE DISTRIBUTIOS: $ 0.00 TAXABLE COOPERATIVE DISTRIBUTIO: $ 0.00 AGRICULTURAL PROGRAM PAYMETS: $ 0.00 CCC LOAS FORFEITED OR REPAID: $ 0.00 TOTAL FARM ICOME-ACCRUAL: $ 0.00 GROSS FARM ICOME-ACCRUAL: $ 0.00 Schedule SE--Self-Employment Tax SS OF SELF-EMPLOYED TAXPAYER: 432-XX-XXXX ET FARM PROFIT/LOSS: SCH F: $ -3,743.00 ET OFARM PROFIT/LOSS: $ 46,577.00 TOTAL SE ICOME: $ 42,834.00 SE QUARTERS COVERED: 4 TOTAL SE TAX PER COMPUTER: $ 6,052.21 SE ICOME PER COMPUTER: $ 39,557.00 TOTAL ET EARIGS PER COMPUTER: $ 39,557.00 LOG FORM OLY TETATIVE CHURCH EARIGS: $ 0.00 TOTAL SOC SEC & RR WAGES: $ 0.00 SE SS TAX COMPUTER: $ 4,905.06
Page 8 of 8 SE MEDICAL ICOME PER COMPUTER: $ 39,557.00 SE MEDICAL TAX PER COMPUTER: $ 1,147.15 SE FARM OPTIO METHOD USED: 0 SE OPTIOAL METHOD ICOME: $ 0.00 This Product Contains Sensitive Taxpayer Data