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7/25/2019 2015 Turbo Tax Return
http://slidepdf.com/reader/full/2015-turbo-tax-return 1/5
Form
1040EZ
Department of the Treasury—Internal Revenue Service
Income Tax Return for Single andJoint Filers With No Dependents (99) 2015 OMB No. 1545-0074
Your first name and initial Last name Your social security number
If a joint return, spouse’s first name and initial Last name Spouse’s social security number
Make sure the SSN(s)
above are correct.
Home address (number and street). If you have a P.O. box, see instructions. Apt. no.
City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).
Foreign country name Foreign province/state/county Foreign postal code
Presidential Election CampaignCheck here if you, or your spouse if filing jointly, want $3 to go to this fund. Checkina box below will not change your tax orrefund. You Spouse
Income
AttachForm(s) W-2here.
Enclose, but donot attach, anypayment.
1 Wages, salaries, and tips. This should be shown in box 1 of your Form(s) W-2.
Attach your Form(s) W-2. 1
2 Taxable interest. If the total is over $1,500, you cannot use Form 1040EZ. 2
3 Unemployment compensation and Alaska Permanent Fund dividends (see instructions). 3
4 Add lines 1, 2, and 3. This is your adjusted gross income. 4
5 If someone can claim you (or your spouse if a joint return) as a dependent, check
the applicable box(es) below and enter the amount from the worksheet on back.You Spouse
If no one can claim you (or your spouse if a joint return), enter $10,300 if single;
$20,600 if married filing jointly. See back for explanation. 5
6 Subtract line 5 from line 4. If line 5 is larger than line 4, enter -0-.
This is your taxable income. 6
Payments,Credits,and Tax
7 Federal income tax withheld from Form(s) W-2 and 1099. 7
8a Earned income credit (EIC) (see instructions) 8a
b Nontaxable combat pay election. 8b
9 Add lines 7 and 8a. These are your total payments and credits. 9
10 Tax. Use the amount on line 6 above to find your tax in the tax table in the
instructions. Then, enter the tax from the table on this line. 10
11 Health care: individual responsibility (see instructions) Full-year coverage 11
12 Add lines 10 and 11. This is your total tax. 12
Refund
Have it directlydeposited! Seeinstructions andfill in 13b, 13c,and 13d, orForm 8888.
13a If line 9 is larger than line 12, subtract line 12 from line 9. This is your refund.
If Form 8888 is attached, check here 13a
b Routing number c Type: Checking Savings
d Account number
AmountYou Owe
14 If line 12 is larger than line 9, subtract line 9 from line 12. This is
the amount you owe. For details on how to pay, see instructions. 14
Third PartyDesignee
Do you want to allow another person to discuss this return with the IRS (see instructions)? Yes. Complete below. No
Designee’sname
Phoneno.
Personal identificationnumber (PIN)
SignHere
Joint return? Seeinstructions.
Keep a copy foryour records.
Under penalties of perjury, I declare that I have examined this return and, to the best of my knowledge and belief, it is true, correct, and
accurately lists all amounts and sources of income I received during the tax year. Declaration of preparer (other than the taxpayer) is basedon all information of which the preparer has any knowledge.Your signature Date Your occupation Daytime phone number
Spouse’s signature. If a joint return, both must sign. Date Spouse’s occupation If the IRS sent you an Identity ProtectionPIN, enter ithere (see inst.)
Paid
Preparer
Use Only
Print/Type preparer’s name Preparer’s signature DateCheck ifself-employed
PTIN
Firm’s name
Firm’s address
Firm’s EIN
Phone no.
For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see instructions. Form 1040EZ (2015
Self-Prepared
Fodor
Dr. Mihail Petrini Galatzi, nr 6, bloc w2
Student (757)839-3644
6,056.
6,056.
462.
462.
10,300.
0.
0.
0.
462.
X X X X X X X X X X X X X X X X X
10
Romania 800546Galati
X X X X X X X X X
Sonia G 176 49 1513
Galati
BAA R E V 1 2 / 3 0 / 1 5 I n t u i t . c g .c f p . s p
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Form 8965 2015Health Coverage Exemptions
Department of the Treasury
Internal Revenue Service
Attach to Form 1040, Form 1040A, or Form 1040EZ.
Information about Form 8965 and its separate instructions is at www.irs.gov/form8965.
OMB No. 1545-0074
AttachmentSequence No. 75
Name as shown on return Your social security number
Complete this form if you have a Marketplace-granted coverage exemption or you are claiming a coverage exemption
on your return.
Part I Marketplace-Granted Coverage Exemptions for Individuals. If you and/or a member of your tax householdhave an exemption granted by the Marketplace, complete Part I.
(a)
Name of Individual
(b)
SSN
(c)
Exemption Certificate Number
1
2
3
4
5
6
Part II Coverage Exemptions Claimed on Your Return for Your Household
7a Are you claiming an exemption because your household income is below the filing threshold? . . . . . . Yes No
b Are you claiming a hardship exemption because your gross income is below the filing threshold? . . . . Yes No
Part IIICoverage Exemptions Claimed on Your Return for Individuals. If you and/or a member of your tax
household are claiming an exemption on your return, complete Part III.
(a)
Name of Individual
(b)
SSN
(c)
Exemption
Type
(d)
Full
Year
(e)
Jan
(f)
Feb
(g)
Mar
(h)
Apr
(i)
May
(j)
June
(k)
July
(l)
Aug
(m)
Sept
(n)
Oct
(o)
Nov
(p)
Dec
8
9
10
11
12
13
For Privacy Act and Paperwork Reduction Act Notice, see your tax return instructions. Form 8965 (2015
Sonia G Fodor 176-49-1513
Sonia Fodor 176-49-1513 G
BA REV 12/09/15 Intui
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Will Pay by Credit/Debit Card
2014 Overpayment
Credit for Political Contributions
Credits from CR
31.
32.VA College Savings Plan Contributions
Other Contributions from VAC 33.
21.
1.
2.
Age Deduction - You 4A.
Age Deduction - Spouse 4B.
5.
6.
7.
8.
10.
11.
12.
13.
18A.
14.
15.
16.
17.
18.
19.
Subtractions
Deductions
22.
23.
24.
25.
26.
27.
28.
30.
20B.
20A.
34. Addition to Tax, Penalty & Interest
Consumer’s Use Tax 35.
Vendor ID
Subtotal (Deductions & Exemptions)
VA Taxable Income
Amount of Tax
Spouse Tax Adjustment
VAGI - Spouse
Net Amount of Tax
9.Total VAGI
Fed Itemized Deductions
State/Local Income Tax
Standard/Itemized Deductions
Exemptions
Subtotal Subtractions
3.
FAGI
Additions
Subtotal
Soc Sec & Tier 1 Railroad
State Income Tax Overpayment
Withholding - You
Withholding - Spouse
Estimated Payments
Extension Payments
Credit for Low Income or EIC
Credit from OSC
29.
Total Payments/Credits
Tax You Owe
Tax Overpayment
Overpayment Credited to Next Year
Amount You Owe
Your Refund
Bank Routing #
Bank Account #
SSN - You
SSN - Spouse
2015 VA760CGIndividual Income Tax Return
[
]Page 1
Virg
iniaApprovedForm
LAR DLAR DTD LTD $
Page 1 of 2
199.6056.
6056.
1555 1555
SONIA G FODOR
FODO 176491513
DR. MIHAIL PETRINI GALAT APT 10
GALATI
6056.
3000.
930.
3930.
2126.
0.
0.
199.
199.
199.
R E V 1 2 / 1 0 / 1 5 IN T U I T . C G . C F P . S P
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Filing Status
Federal Head of Household
Name or Filing Change
Address Change
NOL
Federal EIC
You
Spouse
Dependents Blind - You
VA Return Not Filed Last Year
Locality
Dependent on Another’s Return
Farmer / Fisherman / Merchant Seaman
Overseas on Due Date
Exemptions (A)
Total (A)
65 & Over - You
65 & Over - Spouse
Blind - Spouse
Total (B)
DOB - You
DOB - Spouse
Last 5 Digits VA Driver’s License - You
Last 5 Digits VA Driver’s License - Spouse
Additional Filing Information
Deceased Indicator
Filing Status, Age & License Information
Exemptions (B)
Signature - Spouse _________________________________
Signature - You ____________________________________
Signature - Preparer ________________________________
Date
Date
Date
Phone - You
Phone - Spouse
Phone - Preparer
Spouse Name (Filing Status 3 Only)
Contact Information
I (We), the undersigned, declare under penalty of law that I (we) have examined this return & to the best of my (our) knowledge, it is a true, correct & complete return. If you are requesting direct
deposit of your refund by providing bank information on your return, you are certifying that the information provided is for a domestic account within the territorial jurisdiction of the United States.
The Tax Department may discuss my/our return with my/our preparer.
Obtain Electronic 1099G
Preparer Information
2015 VA760CG Page 2
VirginiaApprovedForm
Amended Ofce Use Only
Include Page 1, Page 2 and all
supporting 760CG documents. Page 2 of 2
File by May 2, 2016
Direct Bank Deposit
Refund Check
7578393644
11
1
176491513
X
SELF PREPARED
02031992
810
X
R E V 1 2 / 1 0 / 1 5 IN T U I T . C G . C F P . S P1555
7/25/2019 2015 Turbo Tax Return
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2015 Schedule INC/CGReport all W-2s, 1099s & VK-1s with VA Withholding
VA
Account Number
Employer
FEIN
Your/
Spouse SSN
VA
WithholdingVA Wages, tips,
other comp.
Total VA Withholding
You
Spouse
Total # of W-2s,1099s & VK-1s
SSN VA Withholding
Withholding
Type
V i r g i n i a A
p p r o v e d F o r m
199.176491513
02
SONIA G FODOR
176491513
176491513 W 99. 230771900 300771900F001 3286.
176491513 W 100. 541058016 541058016 2770.
1555 R E V 1 2 / 0 3 / 1 5 IN T U I T . C G . C F P . S P