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Internal Revenue Service
United States Department of the Treasury
This Product Contains Sensitive Taxpayer Data
Tax Return Transcript
Request Date:
Response Date:
Tracking Number:
SSN Provided:
Tax Period Ending: Dec. 31, 2012
10-20-2014
10-20-2014
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.
SSN:
SPOUSE
NAME(S)
ADDRESS:
SSN:
FILING STATUS:
FORM NUMBER:
CYCLE POSTED:
Single
1040
2013430S
RECEIVED DATE:
Oct.15, 2013
REMITTANCE:
$0.00
1
DEPENDENT 1 NAME CTRL:
DEPENDENT 1 SSN:
DEPENDENT 2 NAME CTRL:
DEPENDENT 2 SSN:
DEPENDENT 3 NAME CTRL:
DEPENDENT 3 SSN:
DEPENDENT 4 NAME CTRL:
DEPENDENT 4 SSN:
000000
PREPARER SSN:
P00-44-4937
PREPARER EIN:
13-4008324
Income
BUSINESS INCOME OR LOSS (Schedule C):
CAPITAL GAIN OR LOSS: (Schedule D):
OTHER GAINS OR LOSSES (Form 4797):
TOTAL PENSIONS AND ANNUIT:E1(:‘,I:::l INFIDENTIAL
$500,000.00
$184,668.00
$104,201.00
$113,633.00
$62,933.00
$0.00
$0.00
$0.00
$0.00
$33,319.00
$33,319.00
$0.00
$0.00
$0.00
$0.00
SDNY_GM_00033072
EFTA_00143685
EFTA01280212
---PAGE BREAK---
RENT/ROYALTY/PARTNERSHIP/ESTATE (Schedule E):
RENT/ROYALTY/PARTNERSHIP/ESTATE (Schedule E) PER COMPUTER:
FARM INCOME OR LOSS (Schedule P):
FARM INCOME OR LOSS (Schedule F) PER COMPUTER:
OTHER INCOME:
TOTAL INCOME:
Adjustments to Income
MOVING EXPENSES: F3903:
ALIMONY PAID:
IRA DEDUCTION:
Tax and Credits
65-0R-OVER:
BLIND:
SPOUSE 65-OR-OVER:
SPOUSE BLIND:
TAXABLE INCOME:
TENTATIVE TAX:
$0.00
$-1,299,358.00
5-1,299,358.00
$1,846.00
$0.00
$-1,301,204.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$12,140.00
$0.00
$500,000.00
$436,787.00
S-455,598.00
5-455,598.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
80.00
$0.00
$0.00
$0.00
$0.00
$0.00
$-465,698.00
$-455,698.00
NO
NO
NO
NO
$0.00
$0.00
$0.00
$3,800.00
$0.00
$0.00
$918,316.00
$0.00
$0.00
CONFIDENTIAL
SDNY_GM_00033073
EFTA_00143686
EFTA01280213
---PAGE BREAK---
FORM 8814 ADDITIONAL TAX AMOUNT:
FORM 6251 ALTERNATIVE MINIMUM TAX:
FORM 6251 ALTERNATIVE M:N:MUM TAX PER COMPUTER:
CH:LD 6, DEPENDENT CARE CREDIT:
CHILD 6 DEPENDENT CARE CREDIT PER COMPUTER:
EDUCAT:0N CREDIT PER COMPUTER:
PRIM RET SAV CNTRB: P8680 LN6A:
SEC RET SAV CNTRB: P8880 1246B:
TOTAL RET:REMENT SAVINGS CONTR:BUTION: P8880 CMPTR:
ADOPTION CREDIT: F8839:
FORM 8839 REFUND ADOPT:ON CRED:T AMOUNT:
DC 1ST TIME HOMEBUYERS CREDIT:
DC 1ST TIME HOMEBUYERS CREDIT PER COMPUTER:
FORM 8396 MORTGAGE CERT:FICATE CREDIT:
FORM 8396 MORTGAGE CERTIFICATE CREDIT PER COMPUTER:
F3800, P8801 AND OTHER CREDIT AMOUNT:
FORM 3800 GENERAL BUSINESS CREDITS:
FORM 3800 GENERAL BUSINESS CREDITS PER COMPUTER:
PR:OR YR MIN TAX CREDIT: 98801:
PRIOR YR MIN TAX CREDIT: P8801 PER COMPUTER:
F8834 ELECTRIC VEHICLE CREDIT AMOUNT:
F8936 ELECTRIC MOTOR VEHICLE CREDIT AMOUNT:
F8910 ALTERNATIVE MOTOR VEHICLE CREDIT AMOUNT:
OTHER CREDITS:
TOTAL CREDITS:
Other Taxes
SE TAX:
TAX ON QUALIFIED PLANS P5329 (PR):
TAX ON QUALIFIED PLANS P5329 PER COMPUTER:
OTHER TAXES:
RECAPTURE TAX: P8611:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
80.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0 .
00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
CONFIDENTIAL
SDNY_GM_00033074
EF-EA_00143687
EFTA01280214
---PAGE BREAK---
$0.00
$0.00
Payments
MAKING WORK PAY AND GOV'T RET CREDIT VERIFIED:
SCHEDULE 8812 NONTAXABLE COMBAT PAY:
SCHEDULE 8812 TOT SS/MEDICARE WITHHELD:
SCHEDULE 8812 ADD:TIONAL CHILD TAX CREDIT:
SCHEDULE 8812 ADD:TIONAL CHILD TAX CREDIT PER COMPUTER:
SCHEDULE 8812 ADD:T:ONAL CHILD TAX CREDIT VERIFIED:
AMOUNT PAID WITH FORM 4868:
FORM 2439 REGULATED INVESTMENT COMPANY CREDIT:
FORM 4136 CREDIT FOR FEDERAL TAX ON FUELS:
FORM 4136 CREDIT FOR FEDERAL TAX ON FUELS PER COMPUTER:
HEALTH COVERAGE TX CR: P8885:
FORM 8801 REFUNDABLE CREDIT FOR PRIOR YEAR MIN. TAX:
FORM 2555 COMBINED EARNED INCOME AMOUNT PER COMPUTER:
FORM 5405 TOTAL HOMEBUYERS CREDIT REPAYMENT PER COMPUTER:
SMALL EMPLOYER HEALTH :NSURANCE PER COMPUTER (2S :
FORM 2439, 8801, and OTHER CREDIT TOTAL AMT:
TOTAL PAYMENTS:
Refund or Amount Owed
REFUND AMOUNT:
APPLIED TO NEXT YEAR'S ESTIMATED TAX:
FORM 8888 TOTAL REFUND PER COMPUTER:
Third Party Designee
44937
1
$153,899.00
$0.00
$0.00
$0.00
80.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$153,899.00
$153,899.00
6-153,899.00
$0.00
$0.00
$0.00
6-153,899.00
$-153,899.00
$0.00
Schedule A--Itemized Deductions
MEDICAL/DENTAL
$5,153.00
$0.00
$5,153.00
$5,153.00
TAXES PAID
CONFIDENTIAL
SDNY_GM_00033075
EFT/XJ*10143688
EFTA01280215
---PAGE BREAK---
INTEREST PAID
OTHER THAN CASH: Form 8283:
$7,100.00
Income Taxes
$25,932.00
$0.00
$0.00
$0.00
$33,032.00
$33,032.00
$37,034.00
$0.00
$3,065.00
$0.00
$46,499.00
$86,598.00
$86,598.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$63,253.00
$63,253.00
$63,253.00
$0.00
$42.00
$188,078.00
$188,078.00
$0.00
Interest and Dividends
$184,668.00
$184,668.00
$0.00
$113,633.00
$113,633.00
No
None
Schedule D--Capital Gains and Losses
SHORT TERM NO 1099E SALE AMOUNT:
$291,456.00
$295,100.00
$0.00
$0.00
$-9,581.00
$0.00
$0.00
$553,433.00
$9,923.00
$42,900.00
SONY_GM_00033076
EFTA_00143689
EFTA01280216
---PAGE BREAK---
284 RATE GAIN:
UNRECAPTURED SECT: 1250 GAIN:
SCH D 151 TAX CMPTR:
CAP GAINS TENTATIVE AMT PER COMPUTER (1):
CAP GAINS TAX AMT PER COMPUTER (1):
CAP GAINS TENTATIVE AMT PER COMPUTER (2):
CAP GAINS TAX AM? PER COMPUTER (5):
CAP GAINS TAX AMT PER COMPUTER (6):
Schedule S--Supplemental Income and Loss
SCHEDULE E FORM 1099 REQUIRED:
SCHEDULE E FORM 1099 FILED:
RENT fi ROYALTY LOSSES:
$0.00
$0.00
$0.00
$33,319.00
$96,252.00
$0.00
$0.00
$0.00
$0.00
$0.00
No box checked
Neither box checked
$0.00
$1,846.00
$0.00
$0.00
$0.00
$0.00
$1,846.00
$0.00
$0.00
$0.00
$0.00
$43.695.00
$19,434.00
$44,575.00
$1,319,758.00
$63,129.00
$1,364,333.00
$0.00
$0.00
$0.00
$0.00
PASSIVE LOSS NOT REPORTED ON P8582:
2
SCH K1 ES PAYMENT INDICATOR:
$0.00
SUMMARY
$0.00
GROSS FARMING 6 FISHING INCOME:
$0.00
Form 6251--Alternative Minimum Tax-Individuals
DEPLETION:
$0.00
$0.00
$0.00
$0.00
$0.00
$3,205.00
$0.00
$0.00
$0.00
$0.00
$-7.00
$-27,794.00
$7.00
CONFIDENTIAL
SDNY_GM_00033077
EFTA_00143690
EFTA01280217
---PAGE BREAK---
MINING COSTS:
OTHER:
Form 4797--Sales of Business Property
REAL ESTATE PROCEEDS: F1099-B OR P1099-5:
NONRECAPTURED 1231 LOSS PRIOR YRS:
OTHER GAINS OR LOSSES (Form 4797):
Form 8863 - Education Credits (Hope and Lifetime Learning Credits)
Form 4952 - Investment Interest Expense Deduction
:NVESTMENT PROP GA:N AMT:
$32,439.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$12.00
$0.00
$0.00
$0.00
$880.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
This Product Contains Sensitive Taxpayer Data
CONFIDENTIAL
SDNY_GM_00033078
EFTA_00143691
EFTA01280218