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Kelly and Chanelle Chambers, ages 47 and 45, are married and live at 584 Thoreau Drive. Boston, MA 59483. Kellys Social Secu

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Part Long-Term Capital Gains and Losses-Assets Held More Than One Year See instructions for how to figure the amounts to enteb Deductible meals and entertainment Insurance (other than health)... 15 16 Interest 700 15 (see instructions). 24 b 25 UtiliKelly Chambers f a oint return, spouses first name and ini tia |143-44-5687 Last reme Spouses social security number ChanelForm T040 (2013) Page 2 Kelly and ChaneIle Chambers 143-44-568 112,843. 38 Amount from line 37 (adjusted gross income) 38 Taxchid. aulaC Schedule EIC b Nontaxable combat pay election.... 65 Additional child tax credit. Attach Schedule 8812 64b 65 66Nashoxn cn Farm TUAU Your social security number 143-44-5687 Kellv and Chanelle Chambers Medical and Dental Expenses Cauton.more, see instructions. You must attach Form 8283 if gift and got a benefit for it. over $500 17 see instructions. 18 CarryovList name of payer. If any interest is from a seller-financed mortgage and the buyer used the property as a personal residenc(See instructions for Form 1040A, or Form 1040 line 9a.) Note, If youreceived a Fcrm 1099-DIV or substtute statemert from a bOf the total number of mi es you drove your vehicle during 2013, enter the number of miles you used your vehicle for 44 a Bus143-44-5687 B Enter code from instructions Kellv Chambers A P incipal business er crofession, inclucing product or erice (seettt (see instructions) 10 Commissions and fees 9 20 Rent or lease (see instructions): 10 20 a a Vehicles, machinery, and equiCost of Goods Sold (see instructions) Part III Other (attach explanation) b 33 Method(s) used to value closing inventory: CosYes No 46 Do you (or your spouse) have another vehicle available for personal use? YesNo 47 a Do you have evidence to supportNama(s) shown cn retrn Your social security number 143-44-5687 Kelly and Chanelle Chambers Short-Term Capital Gains and Losse16 Combine lines 7 and 15 and enter the result -1,000 16 If line 16 is a gain, enter the amount from line 16 on Form 1040, liSection A- Short Schedule SE. Caution. Reac above to see if you can use Short Schedule SE. 1 a Net farm profit or (loss) fromWage Schedule Federal W/H Medi- State Local W/H Taxpayer Employer Wages FICA W/H care 8,000 8,000 Small Airline 95,000 95,000

attach Form W-2G and 1099-R if tax mas mithheld. 10 Taxable refunds, credits, or offsets of state and local income taxes 11 A

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