2008 Form 1040-V Department of the Treasury

Internal Revenue Service

Detach Here and Mail With Your Payment and Return Form 1040-V (2008)

1040-V Payment Voucher

OMB No. 1545-0074

Department of the Treasury

Internal Revenue Service
Do not staple or attach this voucher to your payment or return 2008
Amount you are
paying by check
or money order $ 5,053.00
UYA
Sally W Emanual
430 Rumsey Place
West Falls, usa
 Department of the Treasury - Internal Revenue Service
Form 1040 U.S. Individual Income Tax Return 2008 IRS Use Only - Do not write or staple in this space.
For the year Jan. 1-Dec. 31, 2008, or other tax year beginning , 2008, ending , 20 OMB No. 1545-0074
Label L
Your first name and initial Last name Your social security number
(See A
B
Sally W Emanual 123-45-4321
instructions)
E If a joint return, spouse's first name and initial Last name Spouse's social security number
L
Use the IRS
label. H Home address (number and street). If you have a P.O. box, see instructions. Apt. no. You must enter
Otherwise, E
R 430 Rumsey Place your SSN(s) above.
please print
E
or type. City, town or post office, state, and ZIP code. If you have a foreign address, see instructions. Checking a box below will not
West Falls, usa change your tax or refund.
Presidential
Election Campaign Check here if you, or your spouse if filing jointly, want $3 to go to this fund (see instructions) You Spouse
1 X Single 4 Head of household (with qualifying person). (See instructions) If
Filing Status 2 Married filing jointly (even if only one had income) the qualifying person is a child but not your dependent, enter
3 Married filing separately. Enter spouse's SSN above this child's name here.
Check only
one box. and full name here. 5 Qualifying widow(er) with dependent child (See instructions)
6a X Yourself. If someone can claim you as a dependent, do not check box 6a . . . . . . . . Boxes checked 1
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .}
on 6a and 6b
Exemptions b Spouse No. of children
(3) Dependent's (4) X if qual- on 6c who:
c Dependents: ifying child
(2) Dependent's relationship to for child
(1) First name Last name social security number you tax credit
lived with you 0
did not live with
you due to divorce
If more than four
dependents, see
or separation
(see instructions)
0
instructions.
Dependents on 6c
not entered above 0
Add numbers on
d Total number of exemptions claimed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . lines above 1
7 Wages, salaries, tips, etc. Attach Form(s) W-2 . . . . . . . . . . . . . . . . . . . . . . . 7 30,000.
Income 8a Taxable interest. Attach Schedule B if required . . . . . . . . . . . . . . . . . . . . . . 8a 2,950.
Attach Form(s) b Tax-exempt interest. Do not include on line 8a . . . . . . . 8b
W-2 here. Also 9a Ordinary dividends. Attach Schedule B if required . . . . . . . . . . . . . . . . . . . . . . 9a 1,700.
attach Forms b Qualified dividends (see instructions) . . . . . . . . . . . . 9b 1,450.
W-2G and
1099-R if tax 10 Taxable refunds, credits, or offsets of state and local income taxes (see instructions) . . . . . 10
was withheld. 11 Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 4,000.
If you did not 12 Business income or (loss). Attach Schedule C or C-EZ . . . . . . . . . . . . . . . . . . . 12
get a W-2, 13 Capital gain or (loss). Attach Schedule D if required. If not required, check here . . . X 13 100.
see instructions. 14 Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . . . . . . . . . . . . . . 14
15a IRA distributions . . . . . 15a b Taxable amount (see instructions) 15b
16a Pensions and annuities . . 16a 8,000. b Taxable amount (see instructions) 16b 7,000.
Enclose, but do 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E . . . 17 -2,000.
not attach, any 18 Farm income or (loss). Attach Schedule F . . . . . . . . . . . . . . . . . . . . . . . . . 18
payment. Also,
19 Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
please use
Form 1040-V. 20a Social security benefits . . 20a b Taxable amount (see instructions) 20b
21 Other income. List type and amount (see instructions) . . . . . . . . . . . . . . . . . . . . 21
22 Add the amounts in the far right column for lines 7 through 21. This is your total income 22 43,750.
23 Educator expenses (see instructions) . . . . . . . . . . . . 23
24 Certain business expenses of reservists, performing artists, and
fee-basis government officials. Attach Form 2106 or 2106-EZ . 24
Adjusted 25 Health savings account deduction. Attach Form 8889 . . . . . 25
Gross 26 Moving expenses. Attach Form 3903 . . . . . . . . . . . . 26
Income 27 One-half of self-employment tax. Attach Schedule SE . . . . . 27
28 Self-employed SEP, SIMPLE, and qualified plans . . . . . . . 28
29 Self-employed health insurance deduction (see instructions) . . 29
30 Penalty on early withdrawal of savings . . . . . . . . . . . . 30
31a Alimony paid b Recipient's SSN 31a
32 IRA deduction (see instructions) . . . . . . . . . . . . . . . 32
33 Student loan interest deduction (see instructions) . . . . . . . 33
34 Tuition and fees deduction. Attach Form 8917. . . . . . . . . 34
35 Domestic production activities deduction. Attach Form 8903 . . 35
36 Add lines 23 through 31a and 32 through 35 . . . . . . . . . . . . . . . . . . . . . . . . 36 0.
37 Subtract line 36 from line 22. This is your adjusted gross income . . . . . . . . . . . 37 43,750.
For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see instructions. Form 1040 (2008)
UYA
Form 1040 (2008) Sally W Emanual 123-45-4321 Page 2
Tax 38 Amount from line 37 (adjusted gross income) . . . . . . . . . . . . . . . . . . . . . . . . . 38 43,750.
and
Credits
39a Check
if: { You were born before January 2, 1944,
Spouse was born before January 2, 1944,
Blind.
Blind. } Total boxes
checked 39a 0
b If your spouse itemizes on a seperate return or you were a dual-status alien, see instr. and check here 39b
Standard c Check if standard deduction includes real estate taxes or disaster loss (see Instr.) . . . . . . . . 39c
Deduction
for -
40 Itemized deductions (from Schedule A) or your standard deduction (see left margin) . . . . . 40 5,450.
41 Subtract line 40 from line 38 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 38,300.
People who
checked any 42 If line 38 is over $119,975, or you provided housing to a Midwestern displaced individual, see
box on line instructions. Otherwise, multiply $3,500 by the total number of exemptions claimed on line 6d . . . 42 3,500.
39a or 39b, or
39c or who 43 Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- . . . . . 43 34,800.
can be
claimed as a
44 Tax (see instructions). Check if any tax is from: a Form(s) 8814 b Form 4972 . . . . . . . . . 44 4,896.
dependent, 45 Alternative minimum tax (see instructions). Attach Form 6251 . . . . . . . . . . . . . . . . 45
See instr.
46 Add lines 44 and 45 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 4,896.
All others: 47 Foreign tax credit. Attach Form 1116 if required . . . . . . . . . 47
Single or
Married filing 48 Credit for child and dependent care expenses. Attach Form 2441 . 48
separately, 49 Credit for the elderly or the disabled. Attach Schedule R . . . . . 49
$5,450
50 Education credits. Attach Form 8863 . . . . . . . . . . . . . . 50
Married filing
jointly or 51 Retirement savings contributions credit. Attach Form 8880 . . . . 51
Qualifying
widow(er),
52 Child tax credit (see instructions). Attach Form 8901 if required . . 52
$10,900 53 Credits from Form: a 8396 b 8839 c 5695 53
Head of 54 Other credits from Form: a 3800 b 8801
household,
$8,000 c 54
55 Add lines 47 through 54. These are your total credits . . . . . . . . . . . . . . . . . . . . 55 0.
56 Subtract line 55 from line 46. If line 55 is more than line 46, enter -0- . . . . . . . . . . . . 56 4,896.
57 Self-employment tax. Attach Schedule SE . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
58 Unreported social security and Medicare tax from Form: a 4137 b 8919 . . . . . 58
Other 59 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required . . . . 59
Taxes 60 Additional taxes: a AEIC payments b Household employment taxes. Attach Schedule H 60
61 Add lines 56 through 60. This is your total tax . . . . . . . . . . . . . . . . . . . . . . 61 4,896.
62 Federal income tax withheld from Forms W-2 and 1099 . . . . . 62
Payments
63 2008 estimated tax payments and amount applied from 2007 return . . . . 63
If you have a 64a Earned income credit (EIC) . . . . . . . . . . . . . . . . . . . 64a
qualifying
child, attach b Nontaxable combat pay election . . . 64b
Schedule EIC. 65 Excess social security and tier 1 RRTA tax withheld (see instr.) 65
66 Additional child tax credit. Attach Form 8812 . . . . . . . . . . . 66
67 Amount paid with request for extension to file (see instructions) 67
68 Credits from Form: a 2439 b 4136 c 8801 d 8885 68
69 First-time homebuyer credit. Attach Form 5405 . . . . . . . . . 69
70 Recovery rebate credit (see worksheet in instructions) . . . . . . 70
71 Add lines 62 through 70. These are your total payments . . . . . . . . . . . . . . . . . 71 0.
Refund 72 If line 71 is more than line 61, subtract line 61 from line 71. This is the amount you overpaid 72 0.
Direct deposit?
See instructions
73a Amount of line 72 you want refunded to you. If Form 8888 is attached, check here 73a 0.
and fill in 73b, b Routing number c Type: Checking Savings
73c, and 73d. b Account number
or Form 8888.
74 Amount of line 72 you want applied to your 2009 estimated tax 74
Amount 75 Amount you owe. Subtract line 71 from line 61. For details on how to pay, see instructions 75 5,053.
You Owe 76 Estimated tax penalty (see instructions) . . . . . . . . . . . . . 76 157.
Do you want to allow another person to discuss this return with the IRS (see instructions)? Yes. Complete the following. No
Third Party
Designee's Phone Personal identification
Designee name no. number (PIN)

Sign Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and
belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Here
Joint return? Your signature Date Your occupation Daytime phone number
See instructions
Keep a copy
Credit Manager
Spouse's signature. If a joint return, both must sign. Date Spouse's occupation
for your
records.
Preparer's Date Check if Preparer's SSN or PTIN
Paid signature self-employed
Preparer's EIN
Firm's name (or
Use Only yours if self-employed), Phone no.
address, and ZIP code

UYA Form 1040 (2008)

Schedules A&B (Form 1040) 2008 OMB No. 1545-0074 Page 2
Name(s) shown on Form 1040. Do not enter name and social security number if shown on page one. Your social security number

Sally W Emanual 123-45-4321

Attachment
Schedule B - Interest and Ordinary Dividends Sequence No. 08
Amount
1 List name of payer. If any interest is from a seller-financed mortgage and the
Part I buyer used the property as a personal residence, see instructions and list this
Interest interest first. Also, show that buyer's social security number and address

Acorn Corportation 700.

(See instructions
for Form 1040, City of Boston 1,000.
line 8a.) Camp Bank 1,250.
1

Note. If you
received a Form
1099-INT, Form
1099-OID, or
substitute
statement from
a brokerage firm,
list the firm's
name as the
payer and enter
the total interest
shown on that 2 Add the amounts on line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2,950.
form. 3 Excludable interest on series EE and I U.S. savings bonds issued after 1989.
Attach Form 8815 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4 Subtract line 3 from line 2. Enter the result here and on Form 1040, line 8a . . . . . . . . 4 2,950.
Note. If line 4 is over $1,500, you must complete Part III. Amount
5 List name of payer
Part II Jet Corportation 1,300.
Ordinary North Mutual Fund 150.
Dividends Blue Corportation 250.

(See instructions
for Form 1040,
line 9a.)

Note. If you 5
received a Form
1099-DIV or
substitute
statement from
a brokerage firm,
list the firm's
name as the
payer and enter
the ordinary
dividends shown
on that form.

6 Add the amounts on line 5. Enter the total here and on Form 1040, line 9a . . . . . . . . . 6 1,700.
Note. If line 6 is over $1,500, you must complete Part III.
You must complete this part if you (a) had over $1,500 of taxable interest or ordinary dividends; or (b) had
Yes No
Part III a foreign account; or (c) received a distribution from, or were a grantor of, or a transferor to, a foreign trust.
Foreign 7a At any time during 2008, did you have an interest in or a signature or other authority over a financial
Accounts account in a foreign country, such as a bank account, securities account, or other financial account?

and Trusts See instructions for exceptions and filing requirements for Form TD F 90-22.1 . . . . . . . . . . . . . . . . . . X
b If "Yes," enter the name of the foreign country
(See
8 During 2008, did you receive a distribution from, or were you the grantor of, or transferor to, a
instructions.)
foreign trust? If "Yes," you may have to file Form 3520. See instructions . . . . . . . . . . . . . . . . . . . . . X
For Paperwork Reduction Act Notice, see instructions. Schedule B (Form 1040) 2008
UYA
01/26/2010 08:46:25PM
 OMB No. 1545-0074
SCHEDULE E Supplemental Income and Loss
(Form 1040)
Department of the Treasury
(From rental real estate, royalties, partnerships,
S corporations, estates, trusts, REMICs, etc.)
2008
Attachment
Internal Revenue Service Attach to Form 1040, 1040NR, or Form 1041. See Instructions for Schedule E (Form 1040). Sequence No. 13
Name(s) shown on return Your social security number
Sally W Emanual 123-45-4321
Part I Income or Loss From Rental Real Estate and Royalties Note. If you are in the business of renting personal property, use
Schedule C or C-EZ (see instructions). If you are an individual, report farm rental income or loss from Form 4835 on page 2, line 40.
1 List the type and address of each rental real estate property: 2 For each rental real estate property Yes No
listed on line 1, did you or your family
A
use it during the tax year for personal
purposes for more than the greater of: A X
B 14 days or
10% of the total days rented at B
C fair rental value?
(See instructions.) C
Properties Totals
Income: A B C (Add columns A, B, and C.)

3 Rents received . . . . . . . . . . . . . . 3 12,000. 3 12,000.

4 Royalties received . . . . . . . . . . . . 4 4 0.
Expenses:
5 Advertising . . . . . . . . . . . . . . . 5
6 Auto and travel (see instructions) . . . . . 6
7 Cleaning and maintenance . . . . . . . . 7
8 Commissions . . . . . . . . . . . . . . 8
9 Insurance . . . . . . . . . . . . . . . . 9
10 Legal and other professional fees . . . . . 10
11 Management fees . . . . . . . . . . . . 11
12 Mortgage interest paid to banks,
etc. (see instructions) . . . . . . . . . . 12 12 0.
13 Other interest . . . . . . . . . . . . . . 13
14 Repairs . . . . . . . . . . . . . . . . . 14 14,000.
15 Supplies . . . . . . . . . . . . . . . . . 15
16 Taxes . . . . . . . . . . . . . . . . . . 16
17 Utilities . . . . . . . . . . . . . . . . . 17
18 Other (list)

18

19 Add lines 5 through 18 . . . . . . . . . . 19 14,000. 0. 0. 19 14,000.

20 Depreciation expense or depletion
(see instructions) . . . . . . . . . . . . 20 20 0.
21 Total expenses. Add lines 19 and 20 . . . 21 14,000. 0. 0.
22 Income or (loss) from rental real
estate or royalty properties.
Subtract line 21 from line 3 (rents)
or line 4 (royalties). If the result is a
(loss), see the instructions to find
out if you must file Form 6198 . . . . . . 22 -2,000. 0. 0.
23 Deductible rental real estate loss.
Caution. Your rental real estate loss on
line 22 may be limited. See the instructions
to find out if you must file Form 8582.
Real estate professionals must complete
line 43 on page 2 . . . . . . . . . . . . . 23 ( 2,000.)( 0.)( 0.)
24 Income. Add positive amounts shown on line 22. Do not include any losses . . . . . . . . . . . . . . . . . . . . 24 0.
25 Losses. Add royalty losses from line 22 and rental real estate losses from line 23. Enter total losses here . . . . . . . 25 ( 2,000.)
26 Total rental real estate and royalty income or (loss). Combine lines 24 and 25. Enter the result here.
If Parts II, III, IV, and line 40 on page 2 do not apply to you, also enter this amount on Form 1040,
line 17, or form 1040NR, line 18. Otherwise, include this amount in the total on line 41 on page 2 . . . . . . . . . . . 26 -2,000.
For Paperwork Reduction Act Notice, see instructions. Schedule E (Form 1040) 2008
UYA
01/26/2010 08:46:25PM