{
  "text": "2020\nDI\n\u25ba\n.\n.\n89\n19\nSCHEDULE C\nOMB No. 1545-0074\nProfit or Loss From Business\n(Form 1040)\n(Sole Proprietorship)\n\u25baGo to www.irs.gov/ScheduleC for instructions and the latest information.\nDepartment of the Treasury\nAttachment\nInternal Revenue Service (99) Attach to Form 1040, 1040-SR, 1040-NR, or 1041; partnerships generally must file Form 1065. Sequence No. 09\nName of proprietor\nSocial security number (SSN)\nweeks, joshua x.\n133-73-0885\nA Principal business or profession, including product or service (see instructions)\nB Enter code from instructions\nLearning disability nurse\nC Business name. If no separate business name, leave blank.\nD Employer ID number (EIN) (see instr.)\n5 La7gu5A\nE\nBusiness address (including suite or room no.) 367 Amanda Inlet\nCity, town or post office, state, and ZIP code North Anthonyland, CA, 89523\nF Accounting method: (1) \u2610 Cash (2) Accrual (3) \u2610 Other (specify)\nG\nYes No\nDid you \"materially participate\" in the operation of this business during 2020? If \"No,\" see instructions for limit on losses\nH If you started or acquired this business during 2020, check here\nYes No\nI Did you make any payments in 2020 that would require you to file Form(s) 1099? See instructions\nYes No\nJ If \"Yes,\" did you or will you file required Form(s) 1099?\nPart I Income\n1 Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on\nForm W-2 and the \"Statutory employee\" box on that form was checked\n1\n2 Returns and allowances\n2\n4,006,794\n3 Subtract line 2 from line 1\n3\n8,549,850\n4 Cost of goods sold (from line 42)\n4\n3,907\n5 Gross profit. Subtract line 4 from line 3\n5\n3,240,437\n6 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions)\n6\n2,963,434\n7 Gross income. Add lines 5 and 6\n7\nPart II Expenses. Enter expenses for business use of your home only on line 30.\nAdvertising\n8\n18 Office expense (see instructions) 18\n8,214,113\n9 Car and truck expenses (see\nPension and profit-sharing plans 19\n9,723,766\ninstructions).\n9\n2,825,901 20 Rent or lease (see instructions):\n10 Commissions and fees\n10\n6,606,643 a Vehicles, machinery, and equipment 20a\n396,056\n11 Contract labor (see instructions) 11\nb Other business property\n20b\n12 Depletion\n12\n2,806,983 21 Repairs and maintenance\n21\n795,330\n13 Depreciation and section 179\n22 Supplies (not included in Part III) 22\n71\nexpense deduction (not\n23 Taxes and licenses.\n23\nincluded in Part III) (see\ninstructions).\n24 Travel and meals:\nEmployee benefit programs\na\nTravel.\n24a\n7,132,997\n(other than on line 19).\n14\nb Deductible meals (see\n15 Insurance (other than health) 15\ninstructions)\n24b\n16 Interest (see instructions):\n25 Utilities\n25\n2,354,177\nMortgage (paid to banks, etc.) 16a\n26 Wages (less employment credits). 26\nb Other\n16b\n27a Other expenses (from line 48). 27a\n8,009,953\n17 Legal and professional services 17\nb Reserved for future use\n27b\n28 Total expenses before expenses for business use of home. Add lines 8 through 27a\n28\n29 Tentative profit or (loss). Subtract line 28 from line 7.\n29\n900,289\n30\nExpenses for business use of your home. Do not report these expenses elsewhere. Attach Form 8829\nunless using the simplified method. See instructions.\nSimplified method filers only: Enter the total square footage of (a) your home:\nand (b) the part of your home used for business:\n5,280,742\n. Use the Simplified\nMethod Worksheet in the instructions to figure the amount to enter on line 30\n30\n31 Net profit or (loss). Subtract line 30 from line 29.\n\u2022 If a profit, enter on both Schedule 1 (Form 1040), line 3, and on Schedule SE, line 2. (If you\nchecked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3.\n31\n\u2022 If a loss, you must go to line 32.\nIf you have a loss, check the box that describes your investment in this activity. See instructions.\nIf\nyou checked 32a, enter the loss on both Schedule 1 (Form 1040), line 3, and on Schedule\n32a All investment is at risk.\nSE, line 2. (If you checked the box on line 1, see the line 31 instructions). Estates and trusts, enter on\n32b\nSome investment is not\nForm 1041, line 3.\nat risk.\nIf you checked 32b, you must attach Form 6198. Your loss may be limited.\nFor Paperwork Reduction Act Notice, see the separate instructions.\nCat. No. 11334P\nSchedule C (Form 1040) 2020\n13\n14\na\n32\n.\nPage\nSchedule C (Form 1040) 2020\nPart III Cost of Goods Sold (see instructions)\n33\nC\nMethod(s) used to\nvalue closing inventory: a\nCost b Lower of cost or market\nOther (attach explanation)\nWas there any change in determining quantities, costs, or valuations between opening and closing inventory?\nYes\nIf \"Yes,\" attach explanation.\n34\nNo\n35\nInventory at beginning of year. If different from last year's closing inventory, attach explanation\n35\n36\nPurchases less cost of items withdrawn for personal use\n36\n3,094,095\n37\nCost of labor. Do not include any amounts paid to yourself.\n37\n38\nMaterials and supplies\n38\n39\nOther costs.\n39\n1,401,642\n40\nAdd lines 35 through 39\n40\n73\n41\nInventory at end of year\n41\n42\nCost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4.\n42\nPart IV\nInformation on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9\nand are not required to file Form 4562 for this business. See the instructions for line 13 to find out if you must\nfile Form 4562.\n43\nWhen did you place your vehicle in service for business purposes? (month/day/year)\n/\n/\n44\nOf the total number of miles you drove your vehicle during 2020, enter the number of miles you used your vehicle for:\na\nBusiness\nb Commuting (see instructions)\nc Other\n45\nWas your vehicle available for personal use during off-duty hours?\nYes\nNo\n\u2610\n46\nDo you (or your spouse) have another vehicle available for personal use?.\nYes\nNo\n47a\nDo you have evidence to support your deduction?\nYes\nNo\nYes\nNo\nb If \"Yes,\" is the evidence written?\nPart V Other Expenses. List below business expenses not included on lines 8-26 or line 30.\n48\nTotal other expenses. Enter here and on line 27a\n48\nSchedule C (Form 1040) 2020\n6,106 2020\nCORRECTED (if checked)\nPAYER'S name, street address, city or town, state or province, country, ZIP 1a Total ordinary dividends OMB No. 1545-0110\nor foreign postal code, and telephone no.\n$\nFox, Marks and Morgan\n1b Qualified dividends\n7511 Johnson Shores\nTorresland, WY 89904\n$\n3,580,082 Form 1099-DIV\n1-691-415-5804x91427\n2a Total capital gain distr. 2b Unrecap. Sec. 1250 gain\n$\n8,453,524 $\nPAYER'S TIN\nRECIPIENT'S TIN\n2c Section 1202 gain\n2d Collectibles (28%) gain\nDividends and\nDistributions\nCopy B\nFor Recipient\n030737491\n190-21-1685\nRECIPIENT'S name\nSteven, U., Mary-tony Long Thomas-hayes\n$\n$\n1,476,933\n3 Nondividend distributions 4 Federal income tax withheld\n$\n2$\n73,851\n5 Section 199A dividends 6 Investment expenses\n$\n549,729 $\n5,220\n7 Foreign tax paid\n8 Foreign country or U.S. possession\nStreet address (including apt. no.)\n84686 Emily Springs\nThis is important tax\ninformation and is\nbeing furnished to\nthe IRS. If you are\nrequired to file a\nreturn, a negligence\npenalty or other\nsanction may be\nimposed on you if\nthis income is taxable\nand the IRS\ndetermines that it has\nnot been reported.\nCity or town, state or province, country, and ZIP or foreign postal code $\nKelseyfurt, NE, 03477\n9 Cash liquidation distributions 10 Noncash liquidation distributions\n$\n2,167,354 $\n212,718\nFATCA filing 11 Exempt-interest dividends 12 Specified private activity\nrequirement\nbond interest dividends\nAccount number (see instructions)\n$\n$\n13 State 14 State identification no. 15 State tax withheld\nTX\n$\n$\n945202381\n2,168,214\nForm 1099-DIV\n(keep for your records)\nwww.irs.gov/Form1099DIV\nDepartment of the Treasury - Internal Revenue Service\nTEXAS\nHealth and Human\nServices\nTexas Department of State\nHealth Services\nImmTrac2 Immunization Registry\nDISASTER INFORMATION\nRETENTION CONSENT FORM\n3\n(Please print clearly)\nClient's Last Name\nClient's First Name\nClient's Middle Name\n*A parent, legal guardian or managing\nconservator must sign this form if the client\nClient's Gender: \u2610 Male\nis\nyounger\nthan 18\nyears\nof\nage.\n|Female\nClient's Date of Birth\nClient's Address\nApartment #\nClient's Telephone\nCity\nState\nZip Code\nCounty\nMother's First Name (if client is younger than 18 years\nMother's Maiden Name (if client is younger than 18\nof age)\nyears of age)\nImmTrac2, the Texas immunization registry, has been designated as the disaster-related reporting and tracking system for\nimmunizations, antivirals, and other medications administered to individuals in preparation for, or in response to, a disaster or\npublic health emergency. From the time the event is declared over, ImmTrac2 will retain disaster-related information received\nfrom health-care providers for a period of 5 years. At the end of the 5 year retention period, client-specific disaster-related\ninformation will be removed from the Registry unless consent is granted to retain the client information in ImmTrac2 beyond\nthe 5 year retention period.\nThe Texas Department of State Health Services (DSHS) encourages your\nvoluntary participation in the Texas immunization registry.\nConsent for Retention of Disaster-Related Information and Release of Information to Authorized Entities\nI understand that, by granting the consent below, I am authorizing retention of my (or my child's) disaster-related information\nby DSHS beyond the 5 year retention period. I further understand that DSHS will include this information in the state's\ncentral immunization registry (\u201cImmTrac2\u201d). Once in ImmTrac2, my (or my child's) disaster-related information may by law be\naccessed by:\n\u2022 a state agency, for the purpose of aiding and coordinating communicable disease prevention and control efforts, and/or\n\u2022 a physician or other health-care provider legally authorized to administer immunizations, antivirals, and other medications,\nfor treating the client as a patient;\nI understand that I may withdraw this consent to retain information in the ImmTrac2 Registry beyond the 5 year retention\nperiod and my consent to release information from the Registry, at any time by written communication to the Texas\nDepartment of State Health Services, ImmTrac2 Group - MC 1946, P. O. Box 149347, Austin, Texas 78714-9347.\nBy my signature below, I GRANT consent to retain my disaster-related information (or my child's information if\nyounger than age 18) in the Texas immunization registry beyond the 5 year retention period.\nClient (or parent, legal guardian, or managing conservator):\nPrinted Name:\nDate:\nSignature:\nPrivacy Notification: With few exceptions, you have the right to request and be informed about information that the State of\nTexas collects about you. You are entitled to receive and review the information upon request. You also have the right to ask the\nstate agency to correct any information that is determined to be incorrect. See http://www.dshs.texas.gov for more information on\nPrivacy Notification. (Reference: Government Code, Section 552.021, 552.023, 559.003, and 559.004)\nUpon completion, please fax or mail form to the DSHS ImmTrac2 Group or a registered Health-care provider.\nQuestions? (800) 252-9152 \u2022 (512) 776-7284 Fax: (866) 624-0180 www.ImmTrac.com ImmTrac2 DC\nTexas Department of State Health Services \u2022 ImmTrac2 Group - MC 1946 \u2022 P. O. Box 149347 \u2022 Austin, TX 78714-9347\nPROVIDERS REGISTERED WITH ImmTrac2\nPlease enter client information in ImmTrac2 and affirm that consent has been granted.\nDO NOT fax to ImmTrac2. Retain this form in client's record.\nyour\nStock No. F11-12956\nRevised 03/2017\nDATA GRAPHICS, INC.\n3800 PROGRESS BLVD\nMOUNT DORA FL 32757\nNNNN\nEMPLOYEE ID: UUUU\nDEPARTMENT: 7\nDD RECEIPT: CCCC\nPaycor\nMM\nPay Period\nPay Date\n01/20/2020 - 01/26/2020\n01/30/2020\nFITWH\nFL\nFiling Status: Exemptions: 0\nFiling Status: Exemptions: 0\nEarnings\nHourly\nOT\nHol\nTotal\nRATE\n12.00\n18.00\nHOUR/UNIT\n40.00\n1.2167\nCURRENT\n480.00\n21.90\nYTD HOUR/UNIT\n160.10\n7.7167\n16.00\n183.8167\nYTD\n1,921.20\n138.90\n192.00\n$2,252.10\n41.2167\n$501.90\nCURRENT\nYTD\nCURRENT\n5.68\nDeductions\nDental\nVision\nTotal\nYTD\n29.16\n1.26\n$30.42\nTaxes\nFITWH\nMED\nSOC\nTotal\n46.98\n7.20\n30.77\n$84.95\n203.76\n32.23\n137.75\n$373.74\n$5.68\nACCRUED\nTAKEN\nTime Off (hours)\nVacation\nAVAILABLE\n40.00\nNet Pay\nCCCC\n$411.27\nTHIS IS NOT A CHECK. THIS DOCUMENT IS TO BE USED FOR INFORMATIONAL PURPOSES ONLY.\nDATA GRAPHICS, INC.\n3800 PROGRESS BLVD\nMOUNT DORA FL 32757\nDirect Deposit # CCCC\nDate\n01/30/2020\nPay this Amount\n** NON-NEGOTIABLE** DIRECT DEPOSIT RECEIPT **\nVOID ** VOID **\n7\nDD\nDIRECT DEPOSIT $411.27\nTO ACCOUNT # CCCC\nBANK #\nCCCC\nPay to the\nOrder of\nNNNN\nAAAA\nNON-NEGOTIABLE\n2020\n\u2611 CORRECTED (if checked)\nPAYER'S name, street address, city or town, state or province, country, ZIP 1 Unemployment compensation OMB No. 1545-0120\nor foreign postal code, and telephone no.\nCertain\nVillanueva, Dudley and Burton\n6,739,397\n089 Felicia Mission\nGovernment\n2 State or local income tax\nOliviabury, NM 55897\nrefunds, credits, or offsets\nPayments\n163.061.1237x6072\nForm 1099-G\nPAYER'S TIN\nRECIPIENT'S TIN\n3 Box 2 amount is for tax year 4 Federal income tax withheld\nCopy B\n584837917\n714458944\n1995\n$\n7,399 For Recipient\nRECIPIENT'S name\n5 RTAA payments\n6 Taxable grants\nThis is important tax\n$\ninformation and is\n7,378,380$\nMelissa M. Dorsey-miller G.\nbeing furnished to the\n7 Agriculture payments\n8 If checked, box 2 is\nIRS. If you are required\ntrade or business\nStreet address (including apt. no.)\n$\n6,536,044\nto file a return, a\nincome\nnegligence penalty or\n41248 Marcus Road\n9 Market gain\nother sanction may be\nCity or town, state or province, country, and ZIP or foreign postal code $\nimposed on you if this\nincome is taxable and\nEast Tony, OH, 72965\n10a State\n11 State income tax withheld\n10b State identification no.\nthe IRS determines that\nAccount number (see instructions)\nVT\n$ 86,858 it has not been\n698424986897\nreported.\n$\nForm 1099-G\n(keep for your records)\nwww.irs.gov/Form1099G\nDepartment of the Treasury - Internal Revenue Service\nYes\n1\nSCHEDULE E\nSupplemental Income and Loss\nOMB No. 1545-0074\n(Form 1040)\n(From rental real estate, royalties, partnerships, S corporations, estates, trusts, REMICS, etc.)\n2020\nAttach to Form 1040, 1040-SR, 1040-NR, or 1041.\nDepartment of the Treasury\nAttachment\nInternal Revenue Service (99)\n\u25baGo to www.irs.gov/ScheduleE for instructions and the latest information.\nSequence No. 13\nName(s) shown on return\nYour social security number\nclark alexander, jodi-kayla u.\n673-60-9514\nPart I Income or Loss From Rental Real Estate and Royalties Note: If you are in the business of renting personal property, use\nSchedule C. See instructions. If you are an individual, report farm rental income or loss from Form 4835 on page 2, line 40.\nA Did you make any payments in 2020 that would require you to file Form(s) 1099? See instructions\nYes No\nB If \"Yes,\" did you or will you file required Form(s) 1099?\nNo\n1a Physical address of each property (street, city, state, ZIP code)\nA 30969 Rubio Brooks, Nguyenborough, AZ 90768\nB\nC\n1b Type of Property 2 For each rental real estate property listed\nFair Rental Personal Use\nQJV\n(from list below) above, report the number of fair rental and\nDays\nDays\npersonal use days. Check the QJV box only\nA\n6\nif you meet the requirements to file as a\nA\n1355\n6530\nB\nqualified joint venture. See instructions.\nB\nC\nC\n8235\nType of Property:\n1 Single Family Residence 3 Vacation/Short-Term Rental 5 Land\n7 Self-Rental\n2 Multi-Family Residence 4 Commercial\n6 Royalties 8 Other (describe)\nIncome:\nProperties:\nA\nB\n3 Rents received\n3\n4 Royalties received\n4\n8,983,636\n87,480\n59\nExpenses:\n5 Advertising\n5\n96,614\n6 Auto and travel (see instructions)\n6\n739\n8,724,638\n6\n7 Cleaning and maintenance\n7\n8\n4,473,318\n8 Commissions.\n8\n63,908\n9 Insurance.\n9\n10 Legal and other professional fees\n10\n4,030\n11 Management fees\n11\n12 Mortgage interest paid to banks, etc. (see instructions) 12\n8,692,165\n2,612,250\n13\nOther interest.\n13\n95\n78,383\n14 Repairs.\n14\n4,323\n406,235\n15 Supplies\n15\n16 Taxes\n16\n17 Utilities.\n17\n3,872,953\n4\n18 Depreciation expense or depletion\n18\n8,384,940\n19 Other (list)\n19\n6,082,328\n2,916,515\n20 Total expenses. Add lines 5 through 19\n20\n235,085\n9,968,885\n21 Subtract line 20 from line 3 (rents) and/or 4 (royalties). If\nresult is a (loss), see instructions to find out if you must\nfile Form 6198\n21\n8,640,761\n22\nDeductible rental real estate loss after limitation, if any,\non Form 8582 (see instructions)\n22\n) (\n23a Total of all amounts reported on line 3 for all rental properties\n23a\n2,334,640\nb Total of all amounts reported on line 4 for all royalty properties\n23b\n2,355,395\nC Total of all amounts reported on line 12 for all properties\n23c\nd Total of all amounts reported on line 18 for all properties\n23d\ne Total of all amounts reported on line 20 for all properties\n23e\n24 Income. Add positive amounts shown on line 21. Do not include any losses\n24\n25 Losses. Add royalty losses from line 21 and rental real estate losses from line 22. Enter total losses here 25\n26 Total rental real estate and royalty income or (loss). Combine lines 24 and 25. Enter the result\nhere. If Parts II, III, IV, and line 40 on page 2 do not apply to you, also enter this amount on\nSchedule 1 (Form 1040), line 5. Otherwise, include this amount in the total on line 41 on page 2 26\nFor Paperwork Reduction Act Notice, see the separate instructions.\nCat. No. 11344L\nSchedule E (Form 1040) 2020\n4\n.\nPage 2\nSchedule E (Form 1040) 2020\nName(s) shown on return. Do not enter name and social security number if shown on other side.\nAttachment Sequence No. 13\nYour social security number\nCaution: The IRS compares amounts reported on your tax return with amounts shown on Schedule(s) K-1.\nPart II Income or Loss From Partnerships and S Corporations - Note: If you report a loss, receive a distribution, dispose of\nstock, or receive a loan repayment from an S corporation, you must check the box in column (e) on line 28 and attach the required basis\ncomputation. If you report a loss from an at-risk activity for which any amount is not at risk, you must check the box in column (f) on\nline 28 and attach Form 6198. See instructions.\n27 Are you reporting any loss not allowed in a prior year due to the at-risk or basis limitations, a prior year unallowed loss from a\npassive activity (if that loss was not reported on Form 8582), or unreimbursed partnership expenses? If you answered \"Yes,\"\nsee instructions before completing this section.\nYes \u2610 No\n(b) Enter P for (c) Check if\n(d) Employer\n28\n(e) Check if (f) Check if\n(a) Name\npartnership; S foreign\nidentification basis computation\nany amount is\nfor S corporation partnership\nnumber\nis required\nnot at risk\nA Clayton, Price and Hernandez\nB\nC Shaw-Martin\nD\nPassive Income and Loss\nNonpassive Income and Loss\n(g) Passive loss allowed\n(h) Passive income (i) Nonpassive loss allowed (j) Section 179 expense (k) Nonpassive income\n(attach Form 8582 if required)\nfrom Schedule K-1\n(see Schedule K-1) deduction from Form 4562 from Schedule K-1\n2,153\n8\n2,156,912\n1,471,343\n6,519,642\n4\nA\n3\nB\n7,590,408\nC\n5,309,290\nD\n1,086,523\n9,262,387\n29a Totals\nb Totals\n30 Add columns (h) and (k) of line 29a.\n31 Add columns (g), (i), and (j) of line 29b.\n32 Total partnership and S corporation income or (loss). Combine lines 30 and 31\nPart III Income or Loss From Estates and Trusts\n3,762,712\n450,738\n30\n31\n32\n6,121\n407,561)\n33\n(a) Name\n(b) Employer\nidentification number\nA\nB\nPassive Income and Loss\nNonpassive Income and Loss\n(c) Passive deduction or loss allowed\n(attach Form 8582 if required)\n(d) Passive income\nfrom Schedule K-1\n(e) Deduction or loss\nfrom Schedule K-1\n(f) Other income from\nSchedule K-1\nA\n7,316,868\nB\n3,580,171\n4,303,603\n34a Totals\n4,962\n7,556,079\nb Totals\n5,013,930\n8,172,920\n35 Add columns (d) and (f) of line 34a\n35\n4,170,759\n36 Add columns (c) and (e) of line 34b\n36\n37 Total estate and trust income or (loss). Combine lines 35 and 36\n37\nPart IV Income or Loss From Real Estate Mortgage Investment Conduits (REMICs)-Residual Holder\n38\n(c) Excess inclusion from\n(b) Employer identification\n(d) Taxable income (net loss)\n(a) Name\n(e) Income from\number\nSchedules Q, line 2c\nfrom Schedules Q, line 1b\nSchedules Q, line 3b\n(see instructions)\n39\n9,565\n40\n41\n39 Combine columns (d) and (e) only. Enter the result here and include in the total on line 41 below\nPart V Summary\n40 Net farm rental income or (loss) from Form 4835. Also, complete line 42 below.\n41 Total income or (loss). Combine lines 26, 32, 37, 39, and 40. Enter the result here and on Schedule 1 (Form 1040), line 5\n42 Reconciliation of farming and fishing income. Enter your gross\nfarming and fishing income reported on Form 4835, line 7; Schedule K-1\n(Form 1065), box 14, code B; Schedule K-1 (Form 1120-S), box 17, code\nAD; and Schedule K-1 (Form 1041), box 14, code F. See instructions. 42\n43 Reconciliation for real estate professionals. If you were a real estate professional\n(see instructions), enter the net income or (loss) you reported anywhere on Form\n1040, Form 1040-SR, or Form 1040-NR from all rental real estate activities in which\nyou materially participated under the passive activity loss rules\n43\n9,429,301\nSchedule E (Form 1040) 2020\nUCF Payroll Services\nOffice of Human Resources, 3280 Progress Drive Ste\n100\nOrlando, FL 32826-3229\nPay Group:\nPay Begin Date:\nPay End Date:\nUNL-USPS Non-Exempt Law Enf\n04/17/2020\n04/30/2020\nBusiness Unit:\nAdvice #:\nAdvice Date:\nUCF01\nZZZZ\n05/08/2020\nFederal\nMMMM\nNNNN\nAAAA\nFL State\nN/A\n0\nXX\nEmployee ID:\nDepartment:\nLocation:\nJob Title:\nPay Rate:\nTAX DATA:\nMarital Status:\nAllowances:\nAddl Pct:\nAddl Amt:\nuuuu\n02302001-UN POL-PAYROLL\nMain Campus (Orlando)\nLaw Enforce Officer 1st Class\n$1,775 12 Biweekly\nTAXES\nHOURS AND EARNINGS\nCurrent\nRate\nHours\nYTD\nHours\n800 00\nCurrent\n109 78\n26 82\n114 70\nYTD\n2,001 89\n341 81\n1,461 55\n34 317909\n200\n42 25\nDescription\nRegular\nCriminal Justice Incentive Pay\nOvertime\nUniform/Tool Allowances\nAnnual leave payment\nSpecial Comp Payment\nSpecial Comp Payment - NR\nField Training Officer\nEarnings\n1,775 12\n120 00\n68 64\n0 00\n0 00\n0 00\n0 00\n0 00\nEarnings Description\n17,751 20 Fed Withholdng\n600 00 Fed MED/EE\n1,449 93 Fed OASDI/EE\n300 00\n887 56\n2,623 84\n3883\n945 00\n40 00\n118 25\n175\n21 00\nTOTAL:\n2.00\n1,963.76\n1,023.25\n24,596.36 TOTAL:\n251.30\n3,805.25\nAFTER-TAX DEDUCTIONS\nCurrent\n996\nYTD\n89 64\nBEFORE-TAX DEDUCTIONS\nDescription\nCurrent\nPretax Health Contribution\n90 00\nPretax Dental Contribution\n23 66\nDeferred Compensation (457)\n20 00\nAIG 403(b)\n30 00\nFlorida Retirement System\n58 91\nTOTAL:\n222.57\nYTD Description\n810 00 Optional Life Ins\n212 94\n200 00\n300 00\n727 71\n2,250.65 TOTAL:\nEMPLOYER PAID BENEFITS\nDescription\nCurrent\nPretax Health Contribution\n769 66\nState Life Pretax Contribution\n179\nPretax Assessment\n869\nFlorida Retirement System\n500 37\nYTD\n6,926 94\n1611\n7821\n6,180 82\n9.96\n89.64\n*TAXABLE\nCurrent\nYTD\nTOTAL GROSS\n1,963 76\n24,596 36\nFED TAXABLE GROSS\n1,741 19\n22,345 71\nTOTAL TAXES\n251 30\n3,805 25\nTOTAL DEDUCTIONS\n232 53\n2,340 29\nNET PAY\n1,479 93\n18,450 82\nNET PAY DISTRIBUTION\nAccount Type\nAccount Number\n******CCCC\nChecking\nAdvice #ZZZZ\nDeposit Amount\n1,479 93\nLEAVE BALANCES\nPlan Type\nBalance\nSick\n427 50\nAnnual\n134 25\nPersonal\n8.00\nSick Leave Pool\n0 00\nEmergency Sick Lv\n80 00\nSpecial Comp\n67.50\nKC Leave Share\n0 00\nOvertime Comp\n0 00\nEnd Balance\n717.25\nTOTAL:\n1,479.93\nMESSAGE:\nOMB No. 1545-0112\n\u2611 CORRECTED (if checked)\nPAYER'S name, street address, city or town, state or province, country, ZIP Payer's RTN (optional)\nor foreign postal code, and telephone no.\nOrtiz Ltd\n96693 Rodney Locks\n1 Interest income\nDerektown, AL 90304\n1-001-554-6203x480\n9,137\n2 Early withdrawal penalty\n2020\nInterest\nIncome\nForm 1099-INT\nCopy B\nPAYER'S TIN\nRECIPIENT'S TIN\n$\nFor Recipient\n3 Interest on U.S. Savings Bonds and Treas. obligations\n844106003\n242-75-3069\n818,493\nRECIPIENT'S name\n4 Federal income tax withheld 5 Investment expenses This is important tax\n$\n75$\ninformation and is\nNICHOLS, AMANDA MICHELLE S.\nbeing furnished to the\n6 Foreign tax paid\n7 Foreign country or U.S. possession IRS. If you are\nStreet address (including apt. no.)\nrequired to file a\n8 Tax-exempt interest 9 Specified private activity bond\nreturn, a negligence\n63170 Hartman Parkway\ninterest\npenalty or other\nsanction may be\nCity or town, state or province, country, and ZIP or foreign postal code\n$\n2,246,309 imposed on you if\n10 Market discount\n11 Bond premium\nthis income is\nShannonberg, MP, 87370\ntaxable and the IRS\ndetermines that it has\nFATCA filing $\n$\nnot been reported.\nrequirement\n12 Bond premium on Treasury obligations 13 Bond premium on tax-exempt bond\n$\n$\nAccount number (see instructions)\n14 Tax-exempt and tax credit 15 State 16 State identification no. 17 State tax withheld\nbond CUSIP no.\nOR\n$\n02246293253\n8,930\n$\nForm 1099-INT\n(keep for your records)\nwww.irs.gov/Form1099INT Department of the Treasury - Internal Revenue Service\n",
  "entities": [
    {
      "textAnchor": {
        "textSegments": [
          {
            "endIndex": "6068"
          }
        ]
      },
      "type": "1040sc_2020",
      "confidence": 0.2926647,
      "pageAnchor": {
        "pageRefs": [
          {},
          {
            "page": "1"
          }
        ]
      }
    },
    {
      "textAnchor": {
        "textSegments": [
          {
            "startIndex": "6068",
            "endIndex": "7721"
          }
        ]
      },
      "type": "1099div_2020",
      "confidence": 0.9999999,
      "pageAnchor": {
        "pageRefs": [
          {
            "page": "2"
          }
        ]
      }
    },
    {
      "textAnchor": {
        "textSegments": [
          {
            "startIndex": "7721",
            "endIndex": "11546"
          }
        ]
      },
      "type": "f11_12956_2017",
      "confidence": 0.99994576,
      "pageAnchor": {
        "pageRefs": [
          {
            "page": "3"
          }
        ]
      }
    },
    {
      "textAnchor": {
        "textSegments": [
          {
            "startIndex": "11546",
            "endIndex": "12576"
          }
        ]
      },
      "type": "payslip",
      "confidence": 0.9577282,
      "pageAnchor": {
        "pageRefs": [
          {
            "page": "4"
          }
        ]
      }
    },
    {
      "textAnchor": {
        "textSegments": [
          {
            "startIndex": "12576",
            "endIndex": "13936"
          }
        ]
      },
      "type": "1099g_2020",
      "confidence": 0.99999976,
      "pageAnchor": {
        "pageRefs": [
          {
            "page": "5"
          }
        ]
      }
    },
    {
      "textAnchor": {
        "textSegments": [
          {
            "startIndex": "13936",
            "endIndex": "21108"
          }
        ]
      },
      "type": "1040se_2020",
      "confidence": 0.76257163,
      "pageAnchor": {
        "pageRefs": [
          {
            "page": "6"
          },
          {
            "page": "7"
          }
        ]
      }
    },
    {
      "textAnchor": {
        "textSegments": [
          {
            "startIndex": "21108",
            "endIndex": "23235"
          }
        ]
      },
      "type": "payslip",
      "confidence": 0.9857405,
      "pageAnchor": {
        "pageRefs": [
          {
            "page": "8"
          }
        ]
      }
    },
    {
      "textAnchor": {
        "textSegments": [
          {
            "startIndex": "23235",
            "endIndex": "24769"
          }
        ]
      },
      "type": "1099int_2020",
      "confidence": 1.0,
      "pageAnchor": {
        "pageRefs": [
          {
            "page": "9"
          }
        ]
      }
    }
  ]
}