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HomeMy WebLinkAbout2017 _ Form 1040 _ Tax Returns Wesley C Brown & Shanon M Larimer US Individual Income Tax Return 2017 Form 1040   1040 OMB No. 1545-0074 , ending Last name Your first name and initial Your social security number Last name Spouse's social security numberIf a joint return, spouse's first name and initial 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). 1 SingleFiling Status Married filing jointly (even if only one had income)2 Check only one box. 3 Qualifying widow(er) (see instructions) 6a Yourself. If someone can claim you as a dependent, do not check box 6aExemptionsSpouseb (4) X if child qualifying for Dependents: c (2) Dependent's social security number (3) Dependent's (1) First name Last name If more than four dependents, see instructions and d Total number of exemptions claimed 7 Wages, salaries, tips, etc. Attach Form(s) W-27 8a8a Taxable interest. Attach Schedule B if required Income 8bb Tax-exempt interest. Do not include on line 8aAttach Form(s) W-2 here. Also attach Forms W-2G and 1099-R if tax was withheld. 9a9aOrdinary dividends. Attach Schedule B if required 1010Taxable refunds, credits, or offsets of state and local income taxes 1111Alimony received 1212Business income or (loss). Attach Schedule C or C-EZ 1313Capital gain or (loss). Attach Schedule D if required. If not required, check here 1414Other gains or (losses). Attach Form 4797 15a 15b IRA distributions b Taxable amount15a 16b 16a Pensions and annuities b Taxable amount16a 1717Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E 1818Farm income or (loss). Attach Schedule F 1919Unemployment compensation 20b 20a b Taxable amount20a Social security benefits 2121 22 Combine the amounts in the far right column for lines 7 through 21. This is your total income 22 25Health savings account deduction. Attach Form 8889 23 2727 29 IRA deduction 28 3030 Student loan interest deduction 31a31a 3232 Alimony paid b Recipient's SSN 36Add lines 23 through 35 33 Subtract line 36 from line 22. This is your adjusted gross income 34 Adjusted Gross Income 37 If you did not get a W-2, see instructions.FormMarried filing separately. Enter spouse's SSN above and full name here. Form 1040 (2017) IRS Use Only–Do not write or staple in this space. Head of household (with qualifying person). (See instructions.) If the qualifying person is a child but not your dependent, enter this child's name here. Other income. List type and amount Penalty on early withdrawal of savings 25 26 For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Boxes checked on 6a and 6b No. of children on 6c who: Dependents on 6c not entered above Add numbers on lines above lived with you did not live with you due to divorce or separation (see instructions) 35 34 Deductible part of self-employment tax. Attach Schedule SE 33 36 Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking Make sure the SSN(s) above and on line 6c are correct. SpouseYou Self-employed SEP, SIMPLE, and qualified plans 37 4 5 23Educator expenses 9bbQualified dividends 2017 24 Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 or 2106-EZ 24 29 Self-employed health insurance deduction 28 }. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UYA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Moving expenses. Attach Form 390326 Domestic production activities deduction. Attach Form 8903 35 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Department of the Treasury–Internal Revenue Service For the year Jan. 1-Dec. 31, 2017, or other tax year beginning check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . child tax credit under age 17 (see instr.) relationship to you (99) U.S. Individual Income Tax Return Presidential Election Campaign a box below will not change your tax or refund. Foreign country nameForeign country name Foreign province/state/county Foreign postal code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . See separate instructions. . . . . . . . . . . . . . . . . . . . . . Tuition and fees. Attach Form 8917 . . . . . . . . . . . . . Wesley C Brown 595-42-0794 Shanon M Larimer 302-86-8984 2911 Upper Park Road Orlando, FL 32814 X X X 2 Shawn Larimer-Brown 740-50-8372Son X 1 0 0 3 25,431. 296. 1,060. 766. 53,425. -3,000. 4,649. 81,861. 3,784. 10,111. 13,895. 67,966. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Itemized deductions (from Schedule A) or your standard deduction (see left margin) Add lines 64, 65, 66a, and 67 through 73. These are your total payments Page 2 Form 1040 (2017) Amount from line 37 (adjusted gross income) 38 38 Check if: 39a Tax and Credits 39a b 40 41Subtract line 40 from line 3841 4242 43Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- 43 44 44 49 55 48 53 52 58 Add lines 48 through 54. These are your total credits 52 Subtract line 55 from line 47. If line 55 is more than line 47, enter -0- Self-employment tax. Attach Schedule SE 58Other Taxes 59 76a Unreported social security and Medicare tax from Form: 62 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required Add lines 56 through 62. This is your total tax 63 64Federal income tax withheld from Forms W-2 and 1099 66a 65 66a 2017 estimated tax payments and amount applied from 2016 return Payments 68 70Amount paid with request for extension to file70 68 71 74 72 b 78 77 If line 74 is more than line 63, subtract line 63 from line 74. This is the amount you overpaid 79 78 Amount of line 75 you want refunded to you. Refund 79Estimated tax penalty (see instructions) You were born before January 2, 1953, Blind. Spouse was born before January 2, 1953, Blind. a 2439 b 62 71 Amount You Owe Sign Here DateYour signature Keep a copy for yourrecords. DateSpouse's signature. If a joint return, both must sign. PTINDateCheck self-employed Paid Preparer Use Only Firm's name Firm's address Firm's EIN Phone no. Your occupation (see instructions). Check if any from: Amount you owe. Subtract line 74 from line 63. For details on how to pay, see instructions b Direct deposit? See Routing number Account number c Checking Savings a Form(s) 8814 Form 4972 d 77 74 51 48 Child tax credit. Attach Schedule 8812, if required 59 60a 76a Residential energy credits. Attach Form 5695 51 55 53 Additional child tax credit. Attach Schedule 8812 69 69 Joint return? See instr. Daytime phone number Earned income credit (EIC) Credit for child and dependent care expenses. Attach Form 2441 45 47 49 Alternative minimum tax (see instructions). Attach Form 6251 Add lines 44, 45, and 46 Education credits from Form 8863, line 19 If you have a qualifying child, attach Schedule EIC. 45 47 Spouse's occupation Form 1040 (2017) Designee'sname Do you want to allow another person to discuss this return with the IRS (see instructions)?Third Party Designee Phone no. Yes.Complete below.No Personal identification number (PIN) 57 56 5454 64 Type: c Total boxes checked }{ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Retirement savings contributions credit. Attach Form 8880 Foreign tax credit. Attach Form 1116 if required Nontaxable combat pay election 66b 40 . . . . . . . . . . . . . . . . . . . . . . Amount of line 75 you want applied to your 2018 estimated tax 3800 8801 73 Net premium tax credit. Attach Form 8962 72 If Form 8888 is attached, check here . a b4137 8919 . . . . . . . . . . . . . . . . . . . 73 b . . If your spouse itemizes on a separate return or you were a dual-status alien, check here Household employment taxes from Schedule H 67 67 Excess social security and tier 1 RRTA tax withheld c . . . . . Exemptions. 50 56 57 65 American opportunity credit from Form 8863, line 8 . . . . . . . . . . . . . . . . 50 63 First-time homebuyer credit repayment. Attach Form 5405 if required Credit for federal tax on fuels. Attach Form 4136 . . . . . . . . . . 75 75 Preparer's signature ifPrint/Type preparer's name . . . . . . . . instructions. . . . . . . . . . . . . . . . . . . . . . . c 60a b Taxes from: 60b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Deduction for- People who Standard check any box on line 39a or 39b or who can be claimed as a dependent, see instructions. All others: Single or Married filing separately, $6,350 Married filingjointly orQualifying widow(er),$12,700 Head of household, $9,350 If the IRS sent you an Identity Protection PIN, enter it here (see inst.) . . . . . . . . . . . . . . . . . . . . . . d Form 8959 Form 8960 Instructions; enter code(s)a b c 61 Health care: individual responsibility (see instructions) Full-year coverage 61. . . . . . . . . . . 46 Excess advance premium tax credit repayment. Attach Form 8962 . . . . . . . . . . . . . . . . 46 Go to UYA www.irs.gov/Form1040 for instructions and the latest information. Wesley C Brown and Shanon M Larimer 595-42-0794 67,966. 0 16,993. 50,973. 12,150. 38,823. 4,779. 2,550. 7,329. 26. 1,000. 1,026. 6,303. 7,567. X 13,870. 4,450. 17,900. NO 22,350. 8,480. 8,480. 263181368 X 62578003 0. 3d animator (407)484-8751 Marketing Executive . . . . . . . . . . OMB No. 1545-0074SCHEDULE A (Form 1040) Department of the Treasury Internal Revenue Service Attach to Form 1040.Attachment Sequence No.07 Name(s) shown on Form 1040 Your social security number Caution: Do not include expenses reimbursed or paid by others. Medical and Dental Expenses 1Medical and dental expenses (see instructions)1 2 2 3Multiply line 2 by 7.5% (0.075)3 Subtract line 3 from line 1. If line 3 is more than line 1, enter -0- 4 4 5 5 Taxes You Paid 6Real estate taxes (see instructions)6 Other taxes. List type and amount 8 8 Add lines 5 through 8 9 9 Home mortgage interest and points reported to you on Form 109810Interest You Paid 10 Home mortgage interest not reported to you on Form 1098. If paid to the person from whom you bought the home, see instructions and show that person's name, identifying no., and address 11 11 1212 13 Investment interest. Attach Form 4952 if required. See instructions. 13 14 14 Add lines 10 through 14 Gifts to Charity 16 15 Gifts by cash or check. If you made any gift of $250 or more, see instructions 17 Other than by cash or check. If any gift of $250 or more, see instructions. You must attach Form 8283 if over $500 16 18Carryover from prior year 17 18 Add lines 16 through 18.19 Casualty or theft loss(es) other than net qualified disaster losses. Attach Form 4684 and20Casualty and Theft Losses 20 21 23 Other expenses – investment, safe deposit box, etc. List type and amount Add lines 21 through 2324 Enter amount from Form 1040, line 3825 Multiply line 25 by 2% (0.02)26 Subtract line 26 from line 24. If line 26 is more than line 24, enter -0- 27 27 Other – from list in instructions. List type and amount 28 28 29Total Itemized Deductions 29 Schedule A (Form 1040) 2017For Paperwork Reduction Act Notice, see the Instructions for Form 1040. 25 21 23 24 If you made a gift and got a benefit for it, see instructions. 26 Enter amount from Form 1040, line 38 Note: Your mortgage interest deduction may be limited (see 77 22Tax preparation fees22 Is Form 1040, line 38, over $156,900? Go to 2017Itemized Deductions Unreimbursed employee expenses – job travel, union dues, job education, etc. Attach Form 2106 or 2106-EZ if required. See instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UYA State and local 30 If you elect to itemize deductions even though they are less than your standard deduction, 15 19 (99) . . . . . . . . . . . . . . . . No. . . . . . . . check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . instructions). a b Income taxes, General sales taxes Personal property taxes . . . . . . . . . . . . . . . . . . . . . www.irs.gov/ScheduleA Mortgage insurance premiums (see instructions) Your deduction is not limited. Add the amounts in the far right column for lines 4 through 28. Also, enter this amount on Form 1040, line 40. Yes.Your deduction may be limited. See the Itemized Deductions Worksheet in the instructions to figure the amount to enter. (check only one box): or for instructions and the latest information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Caution:If you are claiming a net qualified disaster loss on Form 4684, see the instructions for line 28. enter the amount from line 18 of that form. See instructions Wesley C Brown and Shanon M Larimer 595-42-0794 10,111. 67,966. 5,097. 5,014. X 886. 3,163. 4,049. 7,275. 7,275. 200. 455. 655. 0. 0. 0. X 16,993. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OMB No. 1545-0074 SCHEDULE C (Form 1040) Profit or Loss From Business (Sole Proprietorship) Department of the Treasury Internal Revenue Service Attachment Sequence No. 09 Go to Name of proprietor Social security number (SSN) A Principal business or profession, including product or service (see instructions) B Enter code from instructions D Employer ID number (EIN),Business name. If no separate business name, leave blank. C Accounting method: E F Yes NoG H Did you "materially participate" in the operation of this business during 2017? If "No," see instructions for limit on losses If you started or acquired this business during 2017, check here Income 1 22 Returns and allowances 3 3 Subtract line 2 from line 1 4 4 Cost of goods sold (from line 42) 5 Gross profit. Subtract line 4 from line 3 5 6 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions)6 7 Gross income. Add lines 5 and 6 7 Expenses. 8 21Repairs and maintenance 21 Advertising 8 22Supplies22 23 9 Taxes and licenses23 10 Travel, meals, and entertainment: 24 instructions) 9 24a 11 Travela Commissions and fees10 12Depletion 12 Deductible meals and entertainment (see instructions) b 13 13 14 14 25 15 Utilities 25 Insurance (other than health) 15 2626 Interest: 16 16a Mortgage (paid to banks, etc.)a Other expenses (from line 48)27a16b Other b 1717 19Pension and profit-sharing plans19 Rent or lease (see instructions): 20 20a a b Other business property 20b Total expenses before expenses for business use of home. Add lines 8 through 27a28 28 31 31 All investment is at risk.32a 32 Some investment is not at risk. 32b Schedule C (Form 1040) 2017For Paperwork Reduction Act Notice, see the separate instructions. (1) Cash (2) Accrual (3) Other (specify) Business address (including suite or room no.) City, town or post office, state, and ZIP code 29 30 Tentative profit or (loss). Subtract line 28 from line 7 Expenses for business use of your home. 29 30 } Part I Part II 27a Net profit or (loss). Subtract line 30 from line 29. If a profit, enter on both Form 1040, line 12 Schedule SE, line 2.) and on (If you checked the box on line 1, see instructions). Estates and trusts, enter on If a loss, you must go to line 32. If you have a loss, check the box that describes your investment in this activity (see instructions). If you checked 32a, enter the loss on both Form 1040, line 12, (If you checked the box on line 1, see the line 31 instructions). If you checked 32b, you must attach Form 6198. } Contract labor (see instructions) 11 2017 UYA Car and truck expenses (see Depreciation and section 179 expense deduction (not included Employee benefit programs (other than on line 19) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Office expense (see instructions)18 24b Your loss may be limited. ) andForm 1040NR, line 13 Estates and trusts, enter on . . Form 1041, line 3. Form 1041, line 3. (99) I J Did you make any payments in 2017 that would require you to file Form(s) 1099? (see instructions) If "Yes," did you or will you file required Forms 1099? Yes No Yes No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on1 . Legal and professional services . (not included in Part III) b 27bReserved for future use . . . . in Part III) (see instructions) Form 1040NR, line 13(or (or on Schedule SE, line 2. (see instr.) Enter expenses for business use of your home on line 30. Attach to Form 1040, 1040NR, or 1041; partnerships generally must file Form 1065. . . www.irs.gov/ScheduleC Form W-2 and the “Statutory employee” box on that form was checked . . . . . . . . . . . . . . . Wages (less employment credits) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Do not report these expenses elsewhere. Attach Form 8829 unless using the simplified method (see instructions). Simplified method filers only:enter the total square footage of: (a) your home: and (b) the part of your home used for business:. Use the Simplified Method Worksheet in the instructions to figure the amount to enter on line 30 . . . . . . . . . . . . . . . . . . . . . . . . . only for instructions and the latest information. Wesley C Brown 595-42-0794 3d Animation 541800 Screamin 3d 2911 Upper Park Road Orlando, FL 32814 X X X 0. 0. 0. 85. 45. 130. -130. -130. X Part III Page 2 Schedule C (Form 1040) 2017 Cost of Goods Sold (see instructions) 35Inventory at beginning of year. If different from last year's closing inventory, attach explanation 33 36Purchases less cost of items withdrawn for personal use 34 37Cost of labor. Do not include any amounts paid to yourself 35 38Materials and supplies 36 39Other costs 37 40Add lines 35 through 39 38 41Inventory at end of year 39 Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4 40 42 Part IV Information on Your Vehicle. Complete this part if you are claiming car or truck expenses on line 9 and are not required to file Form 4562 for this business. See the instructions for line 13 to find out if you must file Form 4562. 41 When did you place your vehicle in service for business purposes? (month, day, year) 42 Of the total number of miles you drove your vehicle during 2017, enter the number of miles you used your vehicle for: a Business b Commuting (see instructions)c Other 45 Do you (or your spouse) have another vehicle available for personal use?46 Was your vehicle available for personal use during off-duty hours? 47a Do you have evidence to support your deduction? b If "Yes," is the evidence written? Yes No Other Expenses. List below business expenses not included on lines 8-26 or line 30. 48 Total other expenses. Enter here and on line 27a Yes No Yes No Yes No 48 Part V Method(s) used to value closing inventory: Cost b Other (attach explanation) Was there any change in determining quantities, costs, or valuations between opening and closing inventory? Lower of cost or market c a NoYes 43 44 Schedule C (Form 1040) 2017UYA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," attach explanation only Wesley C Brown 595-42-0794 0. 03/01/2014 159 0 0 X X X X Computer Software 45. 45. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OMB No. 1545-0074 SCHEDULE C (Form 1040) Profit or Loss From Business (Sole Proprietorship) Department of the Treasury Internal Revenue Service Attachment Sequence No. 09 Go to Name of proprietor Social security number (SSN) A Principal business or profession, including product or service (see instructions) B Enter code from instructions D Employer ID number (EIN),Business name. If no separate business name, leave blank. C Accounting method: E F Yes NoG H Did you "materially participate" in the operation of this business during 2017? If "No," see instructions for limit on losses If you started or acquired this business during 2017, check here Income 1 22 Returns and allowances 3 3 Subtract line 2 from line 1 4 4 Cost of goods sold (from line 42) 5 Gross profit. Subtract line 4 from line 3 5 6 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions)6 7 Gross income. Add lines 5 and 6 7 Expenses. 8 21Repairs and maintenance 21 Advertising 8 22Supplies22 23 9 Taxes and licenses23 10 Travel, meals, and entertainment: 24 instructions) 9 24a 11 Travela Commissions and fees10 12Depletion 12 Deductible meals and entertainment (see instructions) b 13 13 14 14 25 15 Utilities 25 Insurance (other than health) 15 2626 Interest: 16 16a Mortgage (paid to banks, etc.)a Other expenses (from line 48)27a16b Other b 1717 19Pension and profit-sharing plans19 Rent or lease (see instructions): 20 20a a b Other business property 20b Total expenses before expenses for business use of home. Add lines 8 through 27a28 28 31 31 All investment is at risk.32a 32 Some investment is not at risk. 32b Schedule C (Form 1040) 2017For Paperwork Reduction Act Notice, see the separate instructions. (1) Cash (2) Accrual (3) Other (specify) Business address (including suite or room no.) City, town or post office, state, and ZIP code 29 30 Tentative profit or (loss). Subtract line 28 from line 7 Expenses for business use of your home. 29 30 } Part I Part II 27a Net profit or (loss). Subtract line 30 from line 29. If a profit, enter on both Form 1040, line 12 Schedule SE, line 2.) and on (If you checked the box on line 1, see instructions). Estates and trusts, enter on If a loss, you must go to line 32. If you have a loss, check the box that describes your investment in this activity (see instructions). If you checked 32a, enter the loss on both Form 1040, line 12, (If you checked the box on line 1, see the line 31 instructions). If you checked 32b, you must attach Form 6198. } Contract labor (see instructions) 11 2017 UYA Car and truck expenses (see Depreciation and section 179 expense deduction (not included Employee benefit programs (other than on line 19) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Office expense (see instructions)18 24b Your loss may be limited. ) andForm 1040NR, line 13 Estates and trusts, enter on . . Form 1041, line 3. Form 1041, line 3. (99) I J Did you make any payments in 2017 that would require you to file Form(s) 1099? (see instructions) If "Yes," did you or will you file required Forms 1099? Yes No Yes No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on1 . Legal and professional services . (not included in Part III) b 27bReserved for future use . . . . in Part III) (see instructions) Form 1040NR, line 13(or (or on Schedule SE, line 2. (see instr.) Enter expenses for business use of your home on line 30. Attach to Form 1040, 1040NR, or 1041; partnerships generally must file Form 1065. . . www.irs.gov/ScheduleC Form W-2 and the “Statutory employee” box on that form was checked . . . . . . . . . . . . . . . Wages (less employment credits) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Do not report these expenses elsewhere. Attach Form 8829 unless using the simplified method (see instructions). Simplified method filers only:enter the total square footage of: (a) your home: and (b) the part of your home used for business:. Use the Simplified Method Worksheet in the instructions to figure the amount to enter on line 30 . . . . . . . . . . . . . . . . . . . . . . . . . only for instructions and the latest information. Shanon M Larimer 302-86-8984 Business or Marketing Consultant, Branding 541990 Larimer & Company, LLC 82-0667198 2911 Upper Park Road Orlando, FL 32814 X X X X X 118,301. 118,301. 118,301. 118,301. 1,846.4,331. 2,986. 34,117. 1,597. 10,181. 1,561. 2,599. 2,027. 160. 61,405. 56,896. 3,341. 53,555. Part III Page 2 Schedule C (Form 1040) 2017 Cost of Goods Sold (see instructions) 35Inventory at beginning of year. If different from last year's closing inventory, attach explanation 33 36Purchases less cost of items withdrawn for personal use 34 37Cost of labor. Do not include any amounts paid to yourself 35 38Materials and supplies 36 39Other costs 37 40Add lines 35 through 39 38 41Inventory at end of year 39 Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4 40 42 Part IV Information on Your Vehicle. Complete this part if you are claiming car or truck expenses on line 9 and are not required to file Form 4562 for this business. See the instructions for line 13 to find out if you must file Form 4562. 41 When did you place your vehicle in service for business purposes? (month, day, year) 42 Of the total number of miles you drove your vehicle during 2017, enter the number of miles you used your vehicle for: a Business b Commuting (see instructions)c Other 45 Do you (or your spouse) have another vehicle available for personal use?46 Was your vehicle available for personal use during off-duty hours? 47a Do you have evidence to support your deduction? b If "Yes," is the evidence written? Yes No Other Expenses. List below business expenses not included on lines 8-26 or line 30. 48 Total other expenses. Enter here and on line 27a Yes No Yes No Yes No 48 Part V Method(s) used to value closing inventory: Cost b Other (attach explanation) Was there any change in determining quantities, costs, or valuations between opening and closing inventory? Lower of cost or market c a NoYes 43 44 Schedule C (Form 1040) 2017UYA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," attach explanation only Shanon M Larimer 302-86-8984 0. 0 0 0 Bank Charges 95. Charitable contributions 187. Client Gifts 952. Dues and Subscriptions 673. Software Subscriptions 120. 2,027. Attach to Form 1040 or Form 1040NR. OMB No. 1545-0074 SCHEDULE D Capital Gains and Losses (Form 1040) Go toDepartment of the Treasury Internal Revenue Service Attachment Sequence No.12Use Form 8949 to list your transactions for lines 1b, 2, 3, 8b, 9, and 10. Your social security number Name(s) shown on return (h) Gain or (loss) Subtract column (e) (g) Adjustments to gain or loss from (e) Cost (d) Proceeds 5 Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684, 6781, and 8824 5 6 6 Short-term capital loss carryover. Enter the amount, if any, from line 8 of your Capital Loss Carryover Worksheet in the instructions Net short-term capital gain or (loss). Combine lines 1a through 6 in column (h). If you have any 11 Gain from Form 4797, Part I; long-term gain from Forms 2439 and 6252; and long-term gain or (loss) from Forms 4684, 6781, and 8824 11 12 12 13 14 Capital gain distributions. See the instructions 14 15 Long-term capital loss carryover. Enter the amount, if any, from line 13 of your Capital Loss Carryover Worksheet ( ) Net long-term capital gain or (loss). Combine lines 8a through 14 in column (h). Then go to Part III on page 2 15 For Paperwork Reduction Act Notice, see your tax return instructions.Schedule D (Form 1040) 2017 () 4 4 Part I Part II 13 2017 7 Short-Term Capital Gains and Losses - Assets Held One Year or Less Long-Term Capital Gains and Losses - Assets Held More Than One Year Net long-term gain or (loss) from partnerships, S corporations, estates, and trusts from Net short-term gain or (loss) from partnerships, S corporations, estates, and trusts from . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UYA in the instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Schedule(s) K-1 Schedule(s) K-1 (99) from column (d) and 1a Form(s) 8949, Part I, line 2, column (g) Totals for all short-term transactions reported on Form 1099-B for which basis was reported to the 1b checked 9 10 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . .Box A long-term capital gains or losses, go to Part II below. Otherwise, go to Part III on page 2 This form may be easier to complete if you round off cents to whole dollars. www.irs.gov/ScheduleD combine the result with instructions). However, if you choose to report all 8949 with Totals for all transactions reported on Form(s) 2 3 checkedBox B8949 with Totals for all transactions reported on Form(s) checkedBox C8949 with Totals for all transactions reported on Form(s) IRS and for which you have no adjustments (see these transactions on Form 8949, leave this line blank and go to line 1b . . . . . . . . . . . . . . . . . . . . . . . . . . See instructions for how to figure the amounts to enter on the lines below. 8a Totals for all long-term transactions reported on Form 1099-B for which basis was reported to the 8b checked . . . . . . . . . . . . . . . . . . . . . . . . . . . .Box D instructions). However, if you choose to report all 8949 with Totals for all transactions reported on Form(s) IRS and for which you have no adjustments (see these transactions on Form 8949, leave this line blank and go to line 8b Totals for all transactions reported on Form(s) Box E8949 with checked . . . . . . . . . . . . . Totals for all transactions reported on Form(s) Box F8949 with checked . . . . . . . . . . . . . column (g) (sales price) (or other basis)This form may be easier to complete if you round off cents to whole dollars. See instructions for how to figure the amounts to enter on the lines below. (h) Gain or (loss) Subtract column (e) (g) Adjustments to gain or loss from (e) Cost (d) Proceeds from column (d) and Form(s) 8949, Part II, line 2, column (g) combine the result with column (g) (sales price) (or other basis) for instructions and the latest information. Wesley C Brown and Shanon M Larimer 595-42-0794 0. 1. 34,243. -34,242. If line 16 is a Schedule D (Form 1040) 2017 Summary Combine lines 7 and 15 and enter the result16 16 18 Part III Page 2 18 If you are required to complete the 28% Rate Gain Worksheet Are lines 18 and 19 both zero or blank? 19 Schedule D (Form 1040) 2017 21 If you are required to complete the Unrecaptured Section 1250 Gain Worksheet instructions), enter the amount, if any, from line 18 of that worksheet 20 If line 16 is a loss, enter here and on Form 1040, line 13, or Form 1040NR, line 14, the smaller of: 21 19 The loss on line 16 or ($3,000), or if married filing separately, ($1,500) } Yes. Complete the in the instructions Don't No. Complete the Schedule D Tax Worksheet in the instructions. Do you have qualified dividends on Form 1040, line 9b, or Form 1040NR, line 10b?22 Yes. Complete the in the instructions No. Complete the rest of Form 1040 or Form 1040NR. ( ) Are lines 15 and 16 both gains?17 Yes. Go to line 18. No. Skip lines 18 through 21, and go to line 22. Note:When figuring which amount is smaller, treat both amounts as positive numbers. UYA Don't Qualified Dividends and Capital Gain Tax Worksheet completefor Form 1040, line 44 (or in the instructions for Form 1040NR, line 42). Qualified Dividends and Capital Gain Tax Worksheet for Form 1040, line 44 (or in the instructions for Form 1040NR, line 42). and 22 below. complete lines 21 gain,enter the amount from line 16 on Form 1040, line 13, or Form 1040NR, line 14. Then go to line 17 below. loss, zero, skip lines 17 through 20 below. Then go to line 21. Also be sure to skip lines 17 through 21 below and enter -0- on Form 1040, line 13, or Form 1040NR, line 14. Then go to line 22. If line 16 is a complete line 22. If line 16 is (see instructions), enter the lines 21 and 22 below. amount, if any, from line 7 of that worksheet (see Wesley C Brown and Shanon M Larimer 595-42-0794 -34,242. 0. 0. 3,000. X Capital Loss Carryover Worksheet Keep for Your Records Use this worksheet to figure your capital loss carryovers from 2017 to 2018 if Schedule D, line 21, is a loss and (a) that loss is a smaller loss than the loss on Schedule D, line 16, or (b) Form 1040, line 41, is less than zero. Otherwise, you do not have any carryovers. 1.Enter the amount from Form 1040, line 41. If a loss, enclose the amount in parentheses 1. 2.Enter the loss from Schedule D, line 21, as a positive amount 2. 3.Combine lines 1 and 2. If zero or less, enter -0-3. 4.Enter the smaller of line 2 or line 3 4. If line 7 of Schedule D is a loss, go to line 5; otherwise, enter -0- on line 5 and go to line 9. 5.Enter the loss from Schedule D, line 7, as a positive amount 5. 6.Enter any gain from Schedule D, line 15. If a loss, enter -0-6. 7.Add lines 4 and 6 7. 8. Short-term capital loss carryover to 2018.8.Subtract line 7 from line 5. If zero or less, enter -0- If line 15 of Schedule D is a loss, go to line 9; otherwise, skip lines 9 through 13. 9.Enter the loss from Schedule D, line 15, as a positive amount 9. 10.Enter any gain from Schedule D, line 7 10. 11.Subtract line 5 from line 4. If zero or less, enter -0-11. 12.Add lines 10 and 11 12. 13. Long-term capital loss carryover to 2018. 13.Subtract line 12 from line 9. If zero or less, enter -0- 50,973. 3,000. 53,973. 3,000. 3,000. 34,242. 3,000. 3,000. 31,242. Page 2 Attachment Sequence No. 13Schedule E (Form 1040) 2017 Your social security number Name(s) shown on return. Do not enter name and social security number if shown on Page 1. Income or Loss From Partnerships and S Corporations Note:If you report a loss from an at-risk activity for which any must check the box in column (e) on line 28 and attach Form 6198. See instructions. (b) Enter P for partnership; S for S corporation (c) Check if foreign partnership (d) Employer identification number (a) Name28 (e) Check if any amount is not at risk A B C D (h) Nonpassive loss from Schedule K-1 (g) Passive income from Schedule K-1 (j) Nonpassive income Schedule K-1 (f) Passive loss allowed (attach Form 8582 if required) (i) Section 179 expense deduction from Form 4562 A B C D 29a b 3030Add columns (g) and (j) of line 29a ) ( 3131Add columns (f), (h), and (i) of line 29b Total partnership and S corporation income or (loss). Combine lines 30 and 31. Enter the result here and include in the total on line 41 below 32 32 Income or Loss From Estates and Trusts (b) Employer identification number (a) Name33 A B (e) Deduction or loss from Schedule K-1 (d) Passive income from Schedule K-1 (f) Other income from Schedule K-1 (c) Passive deduction or loss allowed (attach Form 8582 if required) A B Totals34a b Totals 35Add columns (d) and (f) of line 34a 35 ) ( 3636Add columns (c) and (e) of line 34b 37 Total estate and trust income or (loss). Combine lines 35 and 36. Enter the result here and include in the total on line 41 below 37 (c) Excess inclusion from Schedules Q, line 2c (see instructions) (e) Income from Schedules Q, line 3b (d) Taxable income (net loss) from Schedules Q, line 1b (b) Employer identification number (a) Name38 39 Combine columns (d) and (e) only. Enter the result here and include in the total on line 41 below 39 Summary 40Net farm rental income or (loss) from Form 4835. Also, complete line 42 below40 41 41 Reconciliation of farming and fishing income. Enter your gross farming Schedule K-1 (Form 1041), box 14, code F (see instructions) 42 42 Part III Part V Part IV Part II Reconciliation for real estate professionals. If you were a real estate professional (see instructions), enter the net income or (loss) you reported anywhere on Form 1040 or Form 1040NR from all rental real estate activities in which you materially participated under the passive activity loss rules 43 43 Schedule E (Form 1040) 2017 27 Are you reporting any loss not allowed in a prior year due to the at-risk, excess farm loss, or basis limitations, a prior year unallowed loss from a passive activity (if that loss was not reported on Form 8582), or unreimbursed Yes No Caution:The IRS compares amounts reported on your tax return with amounts shown on Schedule(s) K-1. at risk, you partnership expenses? If you answered "Yes," see instructions before completing this section. Nonpassive Income and Loss Passive Income and Loss Passive Income and Loss Nonpassive Income and Loss Income or Loss From Real Estate Mortgage Investment Conduits (REMICs) - Residual Holder and fishing income reported on Form 4835, line 7; Schedule K-1 (Form 1065), box 14, code B; Schedule K-1 (Form 1120S), box 17, code V; and . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UYA notamount is from Wesley C Brown and Shanon M Larimer 595-42-0794 X Cicero Studios LLC S 47-2390815 4,649. 0.4,649. 0. 0. 0. 4,649. 0. 4,649. 0.0. 0.0. 0. 0. 0. 0. 0. 4,649. 0. 0. file this schedule unless you have an amount on line 1b Attach to Form 1040 or Form 1040NR. OMB No. 1545-0074SCHEDULE SE Self-Employment Tax (Form 1040) Department of the Treasury Internal Revenue Service Attachment Sequence No. 17 Go to Name of person with self-employment income (as shown on Form 1040 or Form 1040NR)Social security number of person with self-employment income Before you begin:To determine if you must file Schedule SE, see the instructions. Read above to see if you can use Short Schedule SE. Net farm profit or (loss) from Schedule F, line 34, and farm partnerships, Schedule K-1 (Form 1065), box 14, code A 1a 1a Net profit or (loss) from Schedule C, line 31; Schedule C-EZ, line 3; Schedule K-1 (Form 1065), box 14, code A (other than farming); and Schedule K-1 (Form 1065-B), box 9, code J1. Ministers and members of religious orders, see instructions for types of income to report on this line. See instructions for other income to report 2 3Combine lines 1a, 1b, and 2 4 Self-employment tax. If the amount on line 4 is: For Paperwork Reduction Act Notice, see your tax return instructions. Schedule SE (Form 1040) 2017 $127,200 or less, multiply line 4 by 15.3% (0.153). Enter the result here and on line 57, More than $127,200, multiply line 4 by 2.9% (0.029). Then, add $15,772.80 to the result. Enter the total here and on Form 1040, line 57, May I Use Short Schedule SE or Must I Use Long Schedule SE? Did you receive wages or tips in 2017? Was the total of your wages and tips subject to social security or railroad retirement (tier 1) tax plus self-employment more than $127,200? Did you receive tips subject to social security or Medicare tax that you didn't report to your employer? Are you using one of the optional methods to figure your net earnings (see instructions)? Are you a minister, member of a religious order, or Christian Science practitioner who received IRS approval not to be taxed on earnings from these sources, but you owe self-employment tax on other earnings? Did you receive church employee income (see instructions) reported on Form W-2 of $108.28 or more? You may use Short Schedule SE below You must use Long Schedule SE on page 2 Yes Yes No No No No Yes Yes Yes Yes No 5 2017 Section A - Short Schedule SE. Caution: your net earnings from . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UYA Note:Use this flowchart only if you must file Schedule SE. If unsure, see in the instructions. Did you report any wages on Form 8919, Uncollected Social Security and Medicare Tax on Wages? No No Yes Who Must File Schedule SE b . . .1b () (99) Form 1040NR, line 55 Note:If line 4 is less than $400 due to Conservation Reserve Program payments on line 1b, 4 or or Form 1040NR, line 55 Form 1040NR, line 27 6. . . . . . . . . . . . . . . . . 6 5 3 2 Multiply line 3 by 92.35% (0.9235). If less than $400, you don't owe self-employment tax; . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . don't see instructions. Form 1040, Deduction for one-half of self-employment tax. 1040, line 27,or Form Multiply line 5 by 50% (0.50). Enter the result here and on www.irs.gov/sScheduleSE for instructions and the latest information. Shanon M Larimer 302-86-8984 53,555. 53,555. 49,458. 7,567. 3,784. Form 8962 Department of the Treasury Internal Revenue Service Premium Tax Credit (PTC) Attach to Form 1040, 1040A, or 1040NR. Go to www.irs.gov/Form8962 for instructions and the latest information. OMB No. 1545-0074 Attachment Sequence No. 73 Name shown on your return Your social security number You cannot take the PTC if your filing status is married filing separately unless you qualify for an exception (see instructions). If you qualify, check the box Part I 1 Tax family size. Enter the number of exemptions from Form 1040 or Form 1040A, line 6d, or Form 1040NR, line 7d 1 2 a 2a b 2b 3 Household income. Add the amounts on lines 2a and 2b (see instructions)3 4 Federal poverty line. Enter the federal poverty line amount from Table 1-1, 1-2, or 1-3 (see instructions). Check the appropriate box for the federal poverty table used. a Alaska b Hawaii c Other 48 states and DC 4 5 Household income as a percentage of federal poverty line (see instructions)5 % 6 Did you enter 401% on line 5? (See instructions if you entered less than 100%.) No. Continue to line 7. Yes. You are not eligible to take the PTC. If advance payment of the PTC was made, see the instructions for how to report your excess advance PTC repayment amount. 7 Applicable Figure. Using your line 5 percentage, locate your "applicable figure" on the table in the instructions 7 8 a Annual contribution amount. Multiply line 3 8a b Monthly contribution amount. Divide line 8a by 12. Round to nearest whole dollar amount 8b Part II 9 Are you allocating policy amounts with another taxpayer or do you want to use the alternative calculation for year of marriage (see instructions)? Yes. No. 10 Yes. Continue to line 11. Compute your annual PTC. Then skip lines 12-23 and continue to line 24. No. Continue to lines 12-23. Compute your monthly PTC and continue to line 24. Annual Calculation (a) (b) Annual applicable SLCSP premium (Form(s) 1095-A, line 33B) (c) Annual contribution amount (line 8a) (d) Annual maximum premium assistance (subtract (c) from (b), if (e) Annual premium tax credit allowed (smaller of (a) or (d)) (f) Annual advance payment of PTC (Form(s) 1095-A, line 33C) 11 Annual Totals Monthly Calculation (a) (b) (c) Monthly contribution amount (amount from line 8b or alternative marriage monthly calculation) (d)(e)(f) Monthly advance payment of PTC (Form(s) 1095-A, lines 21-32, column C) 12 January 13 February 14 March 15 April 16 May 17 June 18 July 19 August 20 September 21 October 22 November 23 December 24 Total premium tax credit. Enter the amount from line 11(e) or add lines 12(e) through 23(e) and enter the total here 24 25 Advance payment of PTC. Enter the amount from line 11(f) or add lines 12(f) through 23(f) and enter the total here 25 26 Net premium tax credit. If line 24 is greater than line 25, subtract line 25 from line 24. Enter the difference here and on Form 1040, line 69; Form 1040A, line 45; or Form 1040NR, line 65. If line 24 equals line 25, enter -0-. Stop here. If line 25 is greater than line 24, leave this line blank and continue to line 27 26 Part III 27 Excess advance payment of PTC. If line 25 is greater than line 24, subtract line 24 from line 25. Enter the difference here 27 28 Repayment limitation (see instructions)28 29 Excess advance premium tax credit repayment. Enter the smaller of line 27 or line 28 here and on Form 1040, line 46; Form 1040A, line 29; or Form 1040NR, line 44 29 For Paperwork Reduction Act Notice, see your tax return instructions. Form 8962 (2017) 2017 UYA Premium Tax Credit Claim and Reconciliation of Advance Payment of Premium Tax Credit Annual and Monthly Contribution Amount zero or less, enter -0-) Repayment of Excess Advance Payment of the Premium Tax Credit Continue to line 10. Modified AGI. Enter your modified AGI (see instructions) Enter the total of your dependents' modified AGI (see instructions) Wesley C Brown and Shanon M Larimer 595-42-0794 3 67,966. 67,966. X 20,160. 337 X 0.0969 6,586.549. X X 12,913. 8,610. 6,586. 2,024. 2,024. 5,352. 2,024. 5,352. 3,328. 2,550. 2,550. Form 8962 (2017) Page 2 Part IV Complete the following information for up to four policy amount allocations. See instructions for allocation details. Allocation 1 30 (a) Policy Number (Form 1095-A, line 2)(b) SSN of other taxpayer (c) Allocation start month (d) Allocation stop month Allocation percentage applied to monthly amounts (e) Premium Percentage (f)SLCSP Percentage (g) Advance Payment of the PTC Percentage Allocation 2 31 Allocation 3 32 Allocation 4 33 34 Have you completed all policy amount allocations? Yes. Multiply the amounts on Form 1095-A by the allocation percentages entered by policy. Add all allocated policy amounts and non- allocated policy amounts from Forms 1095-A, if any, to compute a combined total for each month. Enter the combined total for each month on lines 12–23, columns (a), (b), and (f). Compute the amounts for lines 12–23, columns (c)–(e), and continue to line 24. No. See the instructions to report additional policy amount allocations. Complete line(s) 35 and/or 36 to elect the alternative calculation for year of marriage. For eligibility to make the election, see the instructions for line 9. To complete line(s) 35 and/or 36 and compute the amounts for lines 12-23, see the instructions for this Part V. 35 Alternative entries for your SSN (a) Alternative family size (b) (c) Alternative start month (d) Alternative stop month 36 Alternative entries for your spouse's SSN (a) Alternative family size (b) (c) Alternative start month (d) Alternative stop month Form 8962 (2017) (a) Policy Number (Form 1095-A, line 2)(b) SSN of other taxpayer (c) Allocation start month (d) Allocation stop month Allocation percentage applied to monthly amounts (e) Premium Percentage (f)SLCSP Percentage (g) Advance Payment of the PTC Percentage (a) Policy Number (Form 1095-A, line 2)(b) SSN of other taxpayer (c) Allocation start month (d) Allocation stop month Allocation percentage applied to monthly amounts (e) Premium Percentage (f)SLCSP Percentage (g) Advance Payment of the PTC Percentage (a) Policy Number (Form 1095-A, line 2)(b) SSN of other taxpayer (c) Allocation start month (d) Allocation stop month Allocation percentage applied to monthly amounts (e) Premium Percentage (f)SLCSP Percentage (g) Advance Payment of the PTC Percentage UYA Allocation of Policy Amounts Alternative Calculation for Year of MarriagePart V Wesley C Brown and Shanon M Larimer 595-42-0794 Expenses for Business Use of Your Home Part of Your Home Used for Business 1 Area used regularly and exclusively for business, regularly for daycare, or for storage of inventory or product samples (see instructions) 2 Total area of home 3 Divide line 1 by line 2. Enter the result as a percentage For daycare facilities not used exclusively for business, go to line 4. All others, go to line 7. 4 Multiply days used for daycare during year by hours used per day 5 6 Divide line 4 by line 5. Enter the result as a decimal amount 7 Business percentage. For daycare facilities not used exclusively for business, multiply line 6 by line 3 (enter the result as a percentage). All others, enter the amount from line 3 Figure Your Allowable Deduction 8 Enter the amount from Schedule C, line 29, plus any gain derived from the business use of your derived from the business use of your home 9 Casualty losses (see instructions) 10 Deductible mortgage interest (see instructions) 11 Real estate taxes (see instructions) 12 Add lines 9, 10, and 11 13 Multiply line 12, column (b) by line 7 14 Add line 12, column (a) and line 13 15 Subtract line 14 from line 8. If zero or less, enter -0- 16 Excess mortgage interest (see instructions) 17 Insurance 18 Repairs and maintenance File only with Schedule C (Form 1040). Use a separate Form 8829 for each home you used for business during the year. Go to OMB No. 1545-0074 Department of the Treasury Internal Revenue Service Attachment Sequence No. 176 Form 8829 Name(s) of proprietor(s) (a) Direct expenses (b) Indirect expenses 19 Utilities 20 Other expenses (see instructions) 21 Add lines 16 through 2122 Multiply line 22, column (b) by line 723 Carryover of prior year operating expenses (see instructions)24 Add line 22, column (a), line 23, and line 24 25 Allowable operating expenses. Enter the smaller of line 15 or line 2526 Limit on excess casualty losses and depreciation. Subtract line 26 from line 15 27 Excess casualty losses (see instructions) 28 Depreciation of your home from line 41 below 29 30 Add lines 28 through 3031 Allowable excess casualty losses and depreciation. Enter the smaller of line 27 or line 3132 Add lines 14, 26, and 3233 Casualty loss portion, if any, from lines 14 and 32. Carry amount to Form 4684 (see instructions)34 Allowable expenses for business use of your home. and on Schedule C, line 30. If your home was used for more than one business, see instructions 35 Enter the smaller of your home's adjusted basis or its fair market value (see instructions) 36 Value of land included on line 3637 Basis of building. Subtract line 37 from line 3638 Business basis of building. Multiply line 38 by line 7 Depreciation of Your Home 39 Depreciation percentage (see instructions)40 Depreciation allowable (see instr.). Multiply line 39 by line 40. Enter here and on line 29 above 41 Operating expenses. Subtract line 26 from line 25. If less than zero, enter -0- 42 Excess casualty losses and depreciation. Subtract line 32 from line 31. If less than zero, enter -0- Carryover of Unallowed Expenses to 2018 For Paperwork Reduction Act Notice, see your tax return instructions.Form 8829 (2017) 1 2 3 4 5 6 7 24 25 26 30 31 32 33 34 35 36 37 38 39 40 41 42 27 28 29 22 23 8 9 10 11 12 13 14 15 16 17 18 19 20 21 % Part IV Your social security number Part III 2017 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UYA hr. Rent . . . . . . . . . . . . . . . . . . . . . . . . . 43 43 hr. (99) Subtract line 34 from line 33. Enter here % % Part I Part II home, www.irs.gov/Form8829 . . any loss from the trade or business not minus (see instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . for instructions and the latest information. Shanon M Larimer 302-86-8984 250 1650 15.15 0 8760 15.15 56,896. 8,574. 3,728. 12,302. 1,864. 1,864. 55,032. 800. 2,623. 3,423. 519. 519. 519. 54,513. 958. 958. 958. 3,341. 3,341. 311,000. 311,000. 47,117. 2.033 958. 0. 0. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (2017) OMB No. 1545-0172Depreciation and Amortization 4562Form (Including Information on Listed Property) Department of the Treasury Internal Revenue Service Attachment Sequence No.179Go to Identifying numberName(s) shown on return Business or activity to which this form relates Election To Expense Certain Property Under Section 179 Note: If you have any listed property, complete Part V before you complete Part I. 1 Maximum amount (see instructions)1 2 Total cost of section 179 property placed in service (see instructions) 2 3 Threshold cost of section 179 property before reduction in limitation (see instructions)3 4 Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0-4 Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately, see instructions 5 5 (a) Description of property (b) Cost (business use only)(c) Elected cost6 7 Listed property. Enter the amount from line 297 8 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 9 Tentative deduction. Enter the smaller of line 5 or line 8 9 10Carryover of disallowed deduction from line 13 of your 2016 Form 4562 10 11Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instructions)11 12Section 179 expense deduction. Add lines 9 and 10, but don't enter more than line 11 12 13 13 Note: Don't use Part II or Part III below for listed property. Instead, use Part V. MACRS Depreciation (Don't include listed property.) (See instructions.) (b) Month and year placed in service (c) Basis for depreciation (business/investment use (d) Recovery period(a) (e) Convention (f) Method (g) Depreciation deduction Section B 3-year property 19a 5-year property b 7-year property c 10-year propertyd 15-year propertye 20-year propertyf S/L MM27.5 yrs. Residential rental property h S/L MM27.5 yrs. S/L MMNonresidential real property i S/L MM Section C S/L 20a Class life S/L b 12-year 40 yrs. MM S/L c 40-year Special Depreciation Allowance and Other Depreciation (Don't include listed property.) MACRS deductions for assets placed in service in tax years beginning before 201717 17 15Property subject to section 168(f)(1) election15 Other depreciation (including ACRS)16 16 Summary (See instructions) 2121Listed property. Enter amount from line 28 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter here and on the appropriate lines of your return. Partnerships and S corporations - see instructions 22 22 23 For assets shown above and placed in service during the current year, enter the portion of the basis attributable to section 263A costs 23 Form 4562For Paperwork Reduction Act Notice, see separate instructions. Part IV Part I Part II Part III Attach to your tax return. 39 yrs. Section A 18 If you are electing to group any assets placed in service during the tax year into one or more general asset accounts, check here Classification of property 25-year propertyg 25 yrs. S/L during the tax year (see instructions) 14 14 2017 only - see instructions) 12 yrs. Special depreciation allowance for qualified property (other than listed property) placed in service Carryover of disallowed deduction to 2018. Add lines 9 and 10, less line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UYA (See instructions.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (99) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Assets Placed in Service During 2017 Tax Year Using the General Depreciation System — Assets Placed in Service During 2017 Tax Year Using the Alternative Depreciation System — www.irs.gov/Form4562 for instructions and the latest information. Shanon M Larimer Form 8829 - Business or Market 302-86-8984 03/2017 47,117. 39 yrs. 958. 958. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (2017) OMB No. 1545-0172Depreciation and Amortization 4562Form (Including Information on Listed Property) Department of the Treasury Internal Revenue Service Attachment Sequence No.179Go to Identifying numberName(s) shown on return Business or activity to which this form relates Election To Expense Certain Property Under Section 179 Note: If you have any listed property, complete Part V before you complete Part I. 1 Maximum amount (see instructions)1 2 Total cost of section 179 property placed in service (see instructions) 2 3 Threshold cost of section 179 property before reduction in limitation (see instructions)3 4 Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0-4 Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately, see instructions 5 5 (a) Description of property (b) Cost (business use only)(c) Elected cost6 7 Listed property. Enter the amount from line 297 8 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 9 Tentative deduction. Enter the smaller of line 5 or line 8 9 10Carryover of disallowed deduction from line 13 of your 2016 Form 4562 10 11Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instructions)11 12Section 179 expense deduction. Add lines 9 and 10, but don't enter more than line 11 12 13 13 Note: Don't use Part II or Part III below for listed property. Instead, use Part V. MACRS Depreciation (Don't include listed property.) (See instructions.) (b) Month and year placed in service (c) Basis for depreciation (business/investment use (d) Recovery period(a) (e) Convention (f) Method (g) Depreciation deduction Section B 3-year property 19a 5-year property b 7-year property c 10-year propertyd 15-year propertye 20-year propertyf S/L MM27.5 yrs. Residential rental property h S/L MM27.5 yrs. S/L MMNonresidential real property i S/L MM Section C S/L 20a Class life S/L b 12-year 40 yrs. MM S/L c 40-year Special Depreciation Allowance and Other Depreciation (Don't include listed property.) MACRS deductions for assets placed in service in tax years beginning before 201717 17 15Property subject to section 168(f)(1) election15 Other depreciation (including ACRS)16 16 Summary (See instructions) 2121Listed property. Enter amount from line 28 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter here and on the appropriate lines of your return. Partnerships and S corporations - see instructions 22 22 23 For assets shown above and placed in service during the current year, enter the portion of the basis attributable to section 263A costs 23 Form 4562For Paperwork Reduction Act Notice, see separate instructions. Part IV Part I Part II Part III Attach to your tax return. 39 yrs. Section A 18 If you are electing to group any assets placed in service during the tax year into one or more general asset accounts, check here Classification of property 25-year propertyg 25 yrs. S/L during the tax year (see instructions) 14 14 2017 only - see instructions) 12 yrs. Special depreciation allowance for qualified property (other than listed property) placed in service Carryover of disallowed deduction to 2018. Add lines 9 and 10, less line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UYA (See instructions.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (99) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Assets Placed in Service During 2017 Tax Year Using the General Depreciation System — Assets Placed in Service During 2017 Tax Year Using the Alternative Depreciation System — www.irs.gov/Form4562 for instructions and the latest information. Shanon M Larimer Larimer & Company, LLC 302-86-8984 510,000. 47,652. 2,030,000. 0. 510,000. Dell Computer - Larimer & Company, LLC 1,597. 1,597. 1,597. 1,597. 85,102. 1,597. 8,584. 10,181. % (2017) Page 2 Form 4562 (2017) Listed Property (Include automobiles, certain other vehicles, certain aircraft, certain computers, and property used for entertainment, recreation, or amusement.) Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 24a, 24b, columns (a) through (c) of Section A, all of Section B, and Section C if applicable. Section A 24b 24a NoYes NoYes (i) Elected section 179 cost (h) Depreciation deduction (g) Method/ Convention (f) Recovery period (e) Basis for depreciation (business/investment use only) (d) Cost or other basis (c) Business/ investmentuse percentage (b) Date placed in service (a) Type of property (list vehicles first) Property used more than 50% in a qualified business use:26 % % % Property used 50% or less in a qualified business use:27 % S/L - % S/L - S/L - 28 Add amounts in column (h), lines 25 through 27. Enter here and on line 21, page 1 28 Add amounts in column (i), line 26. Enter here and on line 7, page 129 29 Section B (f) Vehicle 6 (e) Vehicle 5 (d) Vehicle 4 (c) Vehicle 3 (b) Vehicle 2 (a) Vehicle 1 the year ( don't 30 Total commuting miles driven during the year31 miles driven 32 33 NoYes NoYes NoYes NoYes NoYes NoYes Was the vehicle available for personal use during off-duty hours? 34 more than 5% owner or related person? 35 36 NoYes Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by your employees? 37 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your employees? See the instructions for vehicles used by corporate officers, directors, or 1% or more owners 38 Do you treat all use of vehicles by employees as personal use?39 Do you provide more than five vehicles to your employees, obtain information from your employees about the use of the vehicles, and retain the information received? 40 Do you meet the requirements concerning qualified automobile demonstration use? (See instructions.)41 Note: If your answer to 37, 38, 39, 40, or 41 is "Yes," don't complete Section B for the covered vehicles. Amortization (e) Amortization period or percentage (b) Date amortization begins (c) Amortizable amount (d) Code section (f) Amortization for this year (a) Description of costs 42 Amortization of costs that begins during your 2017 tax year (see instructions): 43 Amortization of costs that began before your 2017 tax year 43 44 Total. Add amounts in column (f). See the instructions for where to report 44 to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles. Part VI Part V Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who more than 5% owners or related persons (see instructions). Form 4562 Special depreciation allowance for qualified listed property placed in service during the tax year and used more than 50% in a qualified business use (see instructions) 25 25 Do you have evidence to support the business/investment use claimed? If "Yes," is the evidence written? See the instructions for limits for passenger automobiles.) Complete this section for vehicles used by a sole proprietor, partner, or other "more than 5% owner," or related person. If you provided vehicles Section C Total miles driven during the year. Total other personal (noncommuting) Total business/investment miles driven during Add lines 30 through 32 Was the vehicle used primarily by a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UYA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . aren't . . . . . . . . . . . . . . . include commuting miles) Is another vehicle available for personal use? Depreciation and Other Information (Caution: — Information on Use of Vehicles— Questions for Employers Who Provide Vehicles for Use by Their Employees — Shanon M Larimer Larimer & Company, LL 302-86-8984 X X 8,584. 2013 Audi S501/01/1776.92 59,876. 37,471.5 200 DBHY 8,584. 2013 Audi S5 4352 1306 5658 X X X Details for Schedule C, Line 22 Wesley C Brown and Shanon M Larimer 595-42-0794 - 302-86-8984 Date Description Amount ———————————————————————————————————————————————————————————————————————— Dell Computer 1,597.00 ———————————————————————————————————————————————————————————————————————— Total 1,597.00 Comments for Form 1099-MISC - Shanon Larimer - Old Town Kissimmee, Ltd., Care of Jones Lang Lasal - Larimer & Company, LLC ———————————————————————————————————————————————————————————————————————— Reciepient's name lists both Shanon LArimer and his Company, LArimer & Company LLC ———————————————————————————————————————————————————————————————————————— Comments for Form 1099-MISC - Shanon Larimer - Aspire Health Partners - Larimer & Company, LLC ———————————————————————————————————————————————————————————————————————— Larimer & Company AND Shanon Larimer are listed for the recipient's name. ————————————————————————————————————————————————————————————————————————