Form
1040EZ
2013
Last name
Rajagobalan
Sankaranarayanan
869
Apt. no.
Home address (number and street). If you have a P.O. box, see instructions.
319
City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).
Foreign province/state/county
Income
Attach
Form(s) W-2
here.
Enclose, but do
not attach, any
payment.
Wages, salaries, and tips. This should be shown in box 1 of your Form(s) W-2.
Attach your Form(s) W-2.
Taxable interest. If the total is over $1,500, you cannot use Form 1040EZ.
4
5
42,329.
10,000.
6
7
8a
32,329.
7,717.
7,717.
10
4,403.
11a
3,314.
6
7
8a
b
9
10
Payments,
Credits,
and Tax
11a
Refund
Have it directly
deposited! See
instructions and
fill in 11b, 11c,
and 11d or
Form 8888.
You
Spouse
If no one can claim you (or your spouse if a joint return), enter $10,000 if single;
$20,000 if married filing jointly. See back for explanation.
Subtract line 5 from line 4. If line 5 is larger than line 4, enter -0-.
This is your taxable income.
Federal income tax withheld from Form(s) W-2 and 1099.
Earned income credit (EIC) (see instructions).
Nontaxable combat pay election.
8b
Add lines 7 and 8a. These are your total payments and credits.
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.
If line 9 is larger than line 10, subtract line 10 from line 9. This is your refund.
If Form 8888 is attached, check here a
Routing number
0 5 3 0 0 0 1 9 6
Account number
2 3 7 0 2 8 0 4 7 3 4 2
12
Amount
You Owe
Charlotte NC 28273
Foreign country name
34 3496
Last name
ac
Type:
Checking
42,329.
Savings
If line 10 is larger than line 9, subtract line 9 from line 10. This is
the amount you owe. For details on how to pay, see instructions.
12
Yes. Complete below.
Third Party
Designee
Do you want to allow another person to discuss this return with the IRS (see instructions)?
Sign
Here
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 based
on all information of which the preparer has any knowledge.
Daytime phone number
Your occupation
Your signature
Date
Designees
a
name
Paid
Preparer
Use Only
Phone
no.
Personal identification
number (PIN)
Consultant
Spouses signature. If a joint return, both must sign.
Firms name
Preparers signature
Self-Prepared
For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see instructions.
Date
Firm's EIN
Firms address a
(980)298-2636
Spouses occupation
Date
No
Phone no.
BAA
D-400 (59)
10-3-13
and ending
13
RAJAGOBALAN
SANKARANARAYA
Your SSN: 869343496
7926 FOREST PINE DRIVE
319
Spouses SSN:
CHARLOTTE
NC 28273 MECKL
X 1. Single
2. Married Filing Jointly
3. Married Filing Separately
4. Head of Household
Filing Status
You Spouse
Select box if you or your spouse were a nonresident of NC for the entire year.
Select box if you or your spouse moved into or out of NC during the year.
FS
SANK
EX
01
7926
PP
28273
RAJAGOBALAN
DT
OC
NRT N
PYT N
TD
DS
EA
NRS N
PYS N
SD
SANKARANARAYA
Date of death:
Date of death:
869343496
NC
319
28273
CHARLOTTE
42329
24A
31
45
07
24B
33
370
46A
09
24C
34
46B
11 S
3000
24D
35
46C
13
2500
25
36
46D
7020159015
06
01
16
00000
27A
37
46E
17
36829
27B
38
47A
2450
27C
40
47B
19
27D
41
47C
21
EU
42
48
51
23A
2820
28
43
49
53
23B
30
44
50
54
18
TN 9802982636
Sign Return Below
PN
PP
X Refund Due
370
I certify that, to the best of my knowledge, this return is accurate and complete.
Payment Due
If prepared by a person other than taxpayer, this certification is based on all information of
which the preparer has any knowledge.
Your Signature
Date
Date
SELF PREPARED
Paid Preparers Signature
Date
9802982636
Home Telephone Number (Include area code)
If you ARE NOT due a refund, mail return, any payment, and Form D-400V to: NCDOR, P.O. Box 25000, Raleigh, N.C. 27640-0640
If REFUND mail to: NCDOR, P.O. Box R, Raleigh, N.C. 27634-0001
REV 02/10/14 INTUIT.CG.CFP.SP
(59)
SANKARANAR
869343496
6.
7.
8.
9.
10.
11.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
42329
0
42329
0
42329
S
3000
0
39329
2500
36829
36829
0.0000
36829
2450
0
2450
0
2450
23b.
2820
0
24a.
24b.
24c.
24d. S Corporation
25. North Carolina Earned Income Tax Credit
26. Add Lines 23a through 25
24d.
25.
26.
27a.
27b.
27c. Interest
27c.
EU Exception to underpayment of
estimated tax
EU
27d.
28.
29.
0
0
0
0
0
2820
0
0
0
0
0
36.
37.
38.
39.
Total additions
34.
35.
36.
39.
0
0
0
40.
41.
42.
43.
0
0
0
0
42.
43.
44.
45.
Severance wages
44.
45.
46a.
46b.
46c. 2010
46c.
46d. 2011
46e. 2012
46f. Add Lines 46a, 46b, 46c
46d and 46e and enter on 46f
46d.
46e.
0
0
0
0
0
46f.
47a. 2010
47b. 2011
47a.
47b.
47c. 2012
47c.
0
0
0
0
47.
50.
51.
52.
30.
31.
32.
33.
47d. Add Lines 47a, 47b, and 47c and enter on 47d 47d.
48. Contributions to North Carolinas National
College Savings Program (NC 529 Plan)
(See instructions)
48.
49. Adjustment for absorbed NOL
added back in 2003, 2004, 2005, and 2006
49.
370
46.
34.
35.
50.
51.
0
0
52.
0
Part-Year Residents and Nonresidents
0
0
370
53.
54.
53.
54.
55.
55.
This page must be filed with the first page of this form.
Taxpayer:
Spouse:
Ending
0
0
0.0000