2017 TAX RETURN CLIENT COPY Preparedfor: JOSHUA D re uh ner Prepared by: Date: SEPTEMBER 7, 2018 Comments: Route to: _ 5EVERS & COMPANY, CPA'S, LLC ee 520 DIX ROAD September 7, 2018 JEFFERSON CITY, MO 65109 (673) 635-0227 i JOS! HAWLEY FEDERAL FORMS Form 1040 2017 U.S. Individual Income Tax Return Form 1040-ES Estimated Tax Payment Vouchers Form 1040-V Payment Voucher ‘Schedule A Itemized Deductions Schedule B Interest and Dividend Income Schedule © Profit or Loss From Business Schedule D Capital Gains and Losses Schedule E p2 Supplemental Income and Loss ‘Schedule H Household Employment Taxes Schedule SE Self-Employment Tax Form 1116 Foreign Tax Credit Form 2441 Child and Dependent Care Credit Form 4797 Sale of Business Property Form 6251 Alternative Minimum Tax Form 8283 Noncash Charitable Contributions Form 8879 IRS e-file Signature Authorization Form 8949 Sales and Other Dispositions of Capital Assets Form 8959 Additional Medicare Tax Form 8960 Net Investment Income Tax MISSOURI FORMS Form MO-1040 2017 Missouri Individual Income Tax Return Form MO-A. Missouri Individual Income Tax Adjustments Form MO-TC Missouri Miscellaneous Income Tax Credits Form MO-2210 Missouri Underpayment of Estimated Tax Form MO-1040ES Missouri Estimated Tax Declaration for Individuals Form MO-1040V Missouri Individual Income Tax Payment VoucherEVERS & COMPANY, CPA'S, LLC Client 53046000 520 DIX ROAD September 7, 2018 JEFFERSON CITY, MO 65109 (673) 635-0227 ——_—_—_—_ Dand HAWLEY FEE SUMMARY Processing Charge Accountants’ Time Business Fee 1,150.00 Personal Fee "245.00 Amount Due Thank you for allowing us to be of service to you!Department of the Treasury FILE ONLY IF YOU ARE MAKING & PAYMENT WITH FORM 1040, RETURN THIS VOUCHER WITH CHECK OR MONEY ORDER Cee UTE THe “UNITED SUATES TREASURY.” PLEASE WRITE YOUR SOCIAL SECURITY NUMBER DAYTIME PHONE: RUMSER- AND "2017 FORM 1040" ON YOUR CHECK OR MONEY ORDER. PLEASE DO NOT SEND CASH. ENCLOSE, BUT 00 NOV STAPLE OR ATTACH, YOUR PAYMENT WITH THIS VOUCHER. MAKE YOUR CHECK PAYABLE TO THE "UNITED STATES TREASURY" AND MAIL FORM 1040-V PAYMENTS TO: INTERNAL REVENUE SERVICE P.O. BOX 37008 HARTFORD, CT 06176-7008 Foun 1040 (20) 7 Detach Hore and Mail With Your Payment and Return ¥ Department ote ree™ eo 2017 Form 1040-V Payment Voucher > Use tis vernon main 2 pert ih Ferm 108 ARS Scone a on yo ck mney oe etyour payments. 4554b | paseo oman JOSHUA Dig M HAWLEY INTERNAL REVENUE SERVICE P.O. BOX 37008 HARTFORD CT Ob17b-7008 492949267 WO HAUL 30 0 201722 610boi td rom 1040 Depart fe Tas — ra Rewrue Service (@8) 135 Ue Ory — Do U.S. Individual Income Tax Return |201 i ri Stale ns pe. os no. 1se5. 074 w Fortin yar a. 1-Dee. 1, 7, oti tar beg ATCT ; ‘See separate Instructions, Your et a Tet areca cy robot JOSHUA D HAWLEY Feta poses tran we aT Taare aa ERIN M HAWLEY ors eis (ree ans O00. Fyau Fae oF Tad Fas SBE a AS Vala sits tes SNe ‘and on line 6¢ are correct ca Tea 5TH a, Scape HS Gs TSO Presidential Election Campaign ay. wont Sogo ote a, Cheng EE a RTT ———Tonar aT — gt St LE reine [vou [ [Spouse Filing Status 1 [)Sinale 4 Tiremiclones ie enguarbin pean ee d 2 [Rl mart ig ty ont noe a ie) But ot your cepentn genase seen 3 [] ari i ea, ner spouses SV abe & tl name here one a ae 5D] cuativing wissntan Gee raractansy Exemptions 6a Brows lf someone can claim you as a dependent, do nt check box 6a owes cnc » [kl spouse eee Bapendens? @ dependents | “Sy Depenents pa Seaiafsecuniy’ | Presenchis che uber ‘you a CD Fist name Last name be 5 sone 11 more than four aa Soe Gexancin dependents, see beeen insructons an Secor chek here =] ie -d Total number of exemptions claimed. bores. >| 4] 7 Wages, salaries, tos, etc Altach Fomia) W2 7 126,142 Income Ba Taxable eres, tach Schede 8 eed aa] 2 DbTaxcexemptinterest.Do not include online a. SME 2 | ay 661. Atacnforis) 88 Ordinary cvdends.Atach Seheaie Ht vequred a 9,455. iaeko Qialied ddends 96 7,593. HRN, 10. Tenable refine, croits, f ois of sate and lava income a Haan iit, 11 Alimony receive 12. Business income o (oss). tach Schedule €or G2 SES" 18 capt qinr da. tach Sree i reqs nt tered ie =o Seimtieion, —14.-Otner gains or dosses). Attach Fon 4797, 15a A dstiutons 1a b Taxabie amount 16s Pensions and anmutics ia b Taxable amount 17 Rental ea esate, royalties, partnership, 5 Coporatons, wists, ets mach Scheie 38 Farm income or oss). tach Schedule F 19 Unemployment compensation 200 sc sry ein. 2a Taxable amount 21 Other income. List type and amount SRE_ STATEMENT 3_. as --—[ 21 1, 800 22_ Conia he snus inte roi cin ins 7 eg 2 Toul ae Br 323,620. %- Educator expenses 2 Adjusted (24 Certain business expenses of reservists, performing artist, and fe- basis Gross ‘government officials, Attach Form 2706 or 2106-82. 24 Income 25 Health savings account deduction. Attach Form 8889. 25 25. Moving expenses. Altach Form 3503 25 27 bette at cot erlreta. Mach Se SE 2 7,595 28. Selremplayed SEP, SIMPLE, and qualiedslane 2 20,000: 29 Seltemployed health insurance dedurton 2 30 Penalty on early withdrawal of savings, 30 la Amon pot fecpets SSN. ata 32° RA decuction. = 35_Sudent loan inievest deduction = Maem Tein and fees Atoeh Form 3847 3 ‘35. Donets poaicon ates ction. tach Farm = 36 fa ine 2 th 3 36 27,695. 37_Subrec line 36 rom ine 22, This is you adjusted gross Income tar 295,525; BAA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate Instruclonas--—- Tossa oe Form 040 017)38 Amount from line 37 (adjusted gross income} 295,925. Tax and s9acheck [| ]Youwere born betore January 21953, [etna |r Credits i [Spouse was born betore January 2, 1953, [] Bind Standard L._b ur sose ez on 2 separate retuen or you wee dasa al chk ee eduction “AO Itemized deuetions (rom Scot Aor your standard eduction (et mar) “0 38,610. for~ 1 Subtract line 40 from line 38 a1 57,315. People who | 42. Exempla. ine 38s $1500 oles, atl $00 by be sunbe ene 8 Obes seinsts.... [42 16,200. [Eneck‘any'box | 43 Tarable eae. subtract ne ro et ral lon tne 38a or Hfne tm than ne eter 43 241,115. 290 er who can | 44 Tax (eee instructions). Checkit any om: a [ |Formis) 8814 ependent, see Form 4972 4 46,030. (ehictons. | 45. Alternative minimum tx (se instructions). Attach Form 6251 5 3.763. fea overs: | 46 Excass advance premium tax credit repayment. Attach Form 8962 Single or AT Add lines 44, 45, and 46. » tay | 45,793. ated ina | 4g, Foreign tax cet. Atach Form 1116 #requres ra 38. $0,300 49, cred for ci ant depend care expenses. tach Farm 241 2 7,200 Maried fing | 50 Education credits from Form 8863, ine 12 50 jer 551 Retirement savings contributions credit. ltach Form 8880... [51 (aualtyns | 52. chi ax eri. Attach Schedule 8812, i required 52 $12,700 53 Residential enercy eed. Attach Form 5696. 33 54 oberon romFoe: a Jaa b[]am e [] 5a 155 Add lies 48 through 58, These are your total credits 56 1,538. 56 Subtract line 55 from ine 47. Ili 55 is more tran line 47, enter 0 [56 48,255. Other 57 sal arolorett Atach Sette SE 57 15,390. Taxes 58 Unread etl secnty and Metco Fr @ [Jaisrb [eta 38 59 Atel tron Rs, er quid erent plans, a tach Fm 528i ere [32 60a Household employment taxes ftom Schedule H. 0a 2,226. b First-time homebuyer eri repayment. Attach Form S406 if required [608] {61 Heath care: india! responsi (see instructions) Fullyear coverage 61 G2 Taos toms orn [Rl For 80 c [| nt etc) 2 B25 663A ies 8 ough 6. Ths su ola. = [es 67,696. A Federal income tax wield from Forms W-2 and 1039... [64 31,450. 52017 exited ax ants an aca pli ran 216 etun 6 31,300. ‘66a Eamed income credit (E1C) 66a b Nerauble cant pay een... * L665) 67 Additional eh tax ect. Attach Schedule BBT2 o 668 American opportunity credit from Form 8853, tine 8 a 69. Net premium tax credit. Altach Form 8962 a 70. Amount paid with request for extension fo fle 70 71. Excess social security and tier 1 RRTA tax withheld 7 72. Crit for federal tax on Tyo. Attach Form 4136 a 73. creat rom Form: a|_Joes b[_]reened e[ Jos L] 73 TA ies 65, 65, 67 teh 7. Tes you total payments | 7a 62,750. Refund Bin nt tan in, abate 6 om ne 7. Ts teat oa oer 7 76a Amount of line 75 you want refunded to you, I Form 8888 is attached, check here.” [ || 76a > BRaing marber Se tye: [checking] Sevings Diet depos? = d Account number =e ISYTUCVOMS. Fy" pot of yo want applied your DOE eatinaedia =. > 177_| ‘Bmmount [out you ave Sita: 4 Ho ine 63 Fx das owt py, bv stone w 4,946 You Owe 79. Estimate tax penalty (see instructions). a Third Party 0,00 wat alow ante person oss hs ren with te RS se ston), Yes. Complete below. [no Designee ou + 30 1 MOORE, CPA ed Sign Trad afd Scene ahemeans sores oe EEET Pe eae aso pee eae bah ogmres scone cha fee ELISES'F cath esos oy ome Here in? ewsuahe lowe fo itn coin tone renter Soelinstvctions. y ATTORNEY GENERAL Keep a copy aa pane Fa Be aR i frees oaton ere foryour recor. z LAN PROFESSOR aie ~ Tintin wpa ae [rome sire ose lows Te ET Paid JO _L. MOORE, CPA it nes iT Preparer, Sram * EVERS & COMPANY, CPA'S, UIE Hanssex® 520 DIX ROAD ins soso ozone JEFFERSON CITY, WO 65109 own. (573) 635-0227 Form ¥oa0 (2077)SCHEDULE B Interest and Ordinary Dividends | Roun kesveoos ee (Form 1040A or 1040) 2017 Depart tn Tsun Joditach to Form 10404 or 1040, starnnent ia hse (95) > Go to wwwirs gov/Schedule for instructions and the latest information. Sh, 08 Tae Se ST Tar ST ac JOSHUA D BigiggtaieadiANTLEY = ‘1 List name of payer. any ineresk fom a seller financed morgage and ie buyer ised “Amount Coal the mopery ass personal residence seein wsiuctons and 19 Res aioe We Me Interest show thal buyers cil secunty number and audess = (See instructions _ANE! INE is MBvucions foc ENTERPRISE PRODUCTS Pi a Form 1020 or 3. Ferm 1040, tine Ba) {—_____ fete: 08 ieaeer 1 fama tetera {+ 2 Add the amounts on line 7 2 27 3. Excludeble interest on series EE and | US. savings Bonds issued after 1969, altach Form 8815 3 suture rom 2 Entre est arc on Frm 1A, of Ferm 1, jin, fa 2 Note: if ine 4s over $1,500, you rust complete Part I ‘Amount Parl 3 Lstrame of payer” [ass ary aT Dividends (See instuctions [iia snd the a iFststions for Form | O80, or Fon 1040, eee line 3a) fp Sin TS! . Sth eran online 5 fal er nd an Fr 14, oF 10 i 6 9,455. Note: I ine 6 is over $1,500, you must complete Par il Part Ill ‘You must complete this part if you (a) had over $1,500 of taxable interest or ordinar dividends; (b) had 2 fovlgn aesuno (oecee a ara fest ower ane ah oe a eases] Ho Foreign 7a AL any tie during 2017, did you have a financial interest in or sgnatureauthory over a financial Accounts acount (ich as & bok accor, tutes occoun, Others SAN eS Ee a ty settee He aah oan teas ection gos es, ate you ieatied fo ie FinGEN Form 118, Report of Foreign Bari and Financial Accounts (BAP. ‘eport that fhaneial intrest oF signature authonty? See FinCEN Farm 114 and fe aeteehace eee Gee instructions.) fequrements and exceptions to Rose requremets, ° B Ifyou are required to file FintCEN Form 114, enter the name of the foreign country wire te financial accounts located» a nt ci 8 During 2017, di you receive a distibuon fom, or were you the rao fo barslarr ta orig baal? I "est you ry Have fof Porn ab, deo etre 2 x BAA For Paperwork Reduction Act Notice, se your tax relurninsirucions. rovoiai. Tear? ~~~ Schedule B Form 10408 or 102) Z017SCHEDULE A Itemized Deductions Form 1040) > Go to www.irs.gov/ScheduleA for instructions and the latest information. Daze of aay Attach to Form 1040. GEERT 09) | caution: you are claiming a net ald deste loss on Form 44 se the intrusion or ine 28 sh. 5450078 2017 Scgiecene, O7 Famata een onFarn our sl cy rabr JOSHUA D_AND ERIN M HAWLEY Fe ere ree an ; Benot > emma ton fo et |2 3 Multiply line 2 by 7.5% (0.075). 3 Fear Sar eo baad a [RJincome taxes, or 5 12,304. agin atom oar gece ‘ 4,250. ipa ee ate 5 Tae A 9 Add Ties § through 6. 9 17,672 Interest "TO Home mortgage interest and points reported to you on Form 1088 SER. ST. .4] 10 10, 638. en eine Merton ene oes ie si fom I near a a init leciatl AE rey 3 15 Add lines 10 through 14 15 10,638. See Ey ator cree oe ay BT TO Charity ‘more, see instructions STATEMENT. 5} 16. 9,700. iyoamade 9 7 Ober ten oe Sw Be cee 00 eee Carryover from prior year. 1B ieee % At Casualty and 20 Casually or theft Toss(es) other Than net qualified disaster losses. Milach Form 4664 and Speen aa ae ce a aoe clon 2 A a trarrbaaed emsgjn coarse te aves a ret cone mal 2 2 Ta nema z io. ovrsomy FEE 2 aa. a Maleas reo 38 a Sai SicLentistermdime (ai[ easeidss B Way ine 20y 26 00) A 5,919. Sg SS CTS men Some : 7] Fan a aT om Ee ee eae alte mm mete ein fem, Littering mia ears oa = ae Sf nee Lea ateh aerial Ceon -O TAA rrPipevo Reichl sethensrconsrFom 10. «rows. omns_—=—Shudo Aor 1082017SCHEDULE C Profit or Loss From Business Sante ws, (orm 1040) (Gole Proprietorship) [= 2017 = tga of he Tas » Goto wumir. for instructions and the latest information, reste Fc Rees ers" (99)| » Attach to Form 1040, TO40NR, or 1041; partnerships generally must ie Form 1065, | _%%!*"4_ gg Tare o pont Socal scary rb SE) ERIN M HAWLEY ‘A Prince bainess or HORS, Reina ROE oe as CAO IB Ere cove tom insructne CONSULTING TE Bie an. fn sapere, Te Han _._.. paey THE HAWLEY LAW FIRM LLC Epes er oc oon 8) hy es, at 2 ‘ecounting method: [X}Cash_@LJacoual @ [Jotrer Gpoaiy > F G Did you ‘materially participate’ in the operation of this business during 20177 If No, see instructions far mit on losses. TE] ves CU INo H 1 It you started or acquired this business during 2017, check here Did you make ary payments in 2017 that would require yout file Forms) 10992 (see instructions) [ves 41 Yes,’ id you or wil you fe required Forms 10987, Cves_[ino Partl] income 1 Gross receipts or sles, See instructions for line 1 and check the box if this income was reporied fo you on Form W-2 and the Statutory employee! box on thal form was checked 1 130,000. 2. Returns and allowances. 2 3. Subtract line 2 fom ine 1 3 130,000 4. Cost of goods sold trom line 42) 4 5 Gross profit Subizect ine 4 from line 3 5 130,000. 6 Otter income, including federal and state gasoline or uel tax crete refund (Gee intuctisns 6 7_ Gross income. At tines 5 and 6. 1 730,000, [Parti] Expenses. Enter exsenses for business use of your h me only an line 30. 8 Advertsing 3 1B Office expense Gee nstuclons).. [18] 9 Garand tek expenses 18 Pension and profit-sharing plan, 19 (Gee instructions) 2 20 Rent or lease (see instructions): eae 1 8 Vehicles, machinery, and equipment. ... [20a (Gee insrsetons), n b Other business property, 200) 12 Depletion 72 21. Repairs and maintenance. 2 13 Dgpeciaton ad secon 22. Supplies (not included in Part 2 3. pense deducton 23. Taxes and licenses. 2 fcotindidedinParty | 2 eee 14_ Employee benefit programs a Travel 24a 530, (ier an nine 4 ‘Deductible meals and entertainment 135 Insurance (other than healt)... Gee insttions 249 16 interest 25 Utities. 3 More (i ta ae) 16a 25 Wages (oss employment credis) 26 bother 160) Za Other expenses (tom line 48) Za 1826. 17_Legal and professional services| 77 1,000.| _b Reserved for future use 27 28 Total expenses before expenses for business use of home, Add nes 8 through 27a BE 3,451. 29 Tentative profit or (loss). Subtract line 28 from line 7. 29 126,549. 30 Expenses fr business use of your home. Do nat report these expenses elsewhere, Atlach Form 8829 Unless using the simplified method (eee intact. Simplifed method filers only: enter the total square footage of: (a) your home: 3,232 ‘and ©) the pat of you home used fr business: 176 Use the Simplifed ‘Method Worksheet in the instructions to figure the amount fo enter on Ine SO. 30 880. ‘31 Net profit or (loss). Subtract ine 30 from line 29, Saietenter on botn Form 1040 line 12 (oc Form 1040NR, line 13) and on Schedlle SE, tine 2:t you checked the Box of line Ty soe match Seeks adsl, etlor on Form 1aaiy ine 3 a 125,669 * Ifa loss, you must goto line 32. 532 It you have a loss, check the box that describes your investment inthis actviy (see instructions) Sf you ctigoked 32a, enter the loss on both Form 1040 line 12, (or Form 1O40NR, line 13) and on Schesule SE line 2. you checked the Box online 1, cee the line 3 istuctns), Estes ae oa Elan ear rusts, enter On Form 101, line Seer * Ifyou checked 32b, you must alach Form 6198, Your loss may be lintel 2 (enol ate BAA’ For Paperwork Reduction Act Notice, see the separate instructions. rpavaTaTaP ‘Schedule C (Form 1040) 2077Schedule © Form 1040 2017 ERIN M HAWLEY mye ee? Parti | Cost of Goods Sold (see instructions) 733 Method(e) used lo valve dosing inventory; a [[Cost b []lower of cost or market [Other (atach explanation) 34 Was there any change in determining quantities, costs, of valuations between opening and closing inventory? Wives, attach explanation [ves [No 35. Inventory at beginning of year If diferent from last year's closing inventory, och elena a Purchases less cost of items withdrawn for personal use Ccost of labor. Do not include any armounts paid to yourselt. Other costs. s je fe fe pe ie 36 7 ‘38. Materials and supplies, 39 “0 ‘Add lines 35 through 39, 41 Inventory at end of year. a 42_Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4, a PartIV_Jinformation on Your Vehicle. Complete tis art only # you ae daiming cat or ruck expansas on Ing 3 and ae not Tejated to fle Form £562 for this business, See the Instructions for line 13 to find outs you must file Form 4B62. 43 When did you place your vehicle in service for business purposes? (month, dey, year)» ‘44. OF te total number of miles you drove your vehicle during 2017, enter the number of miles you used your vehicle fr: a Business Commuting (See instructions) other 45. Was your vehicle available for personal use during off-duty hours? Dyes Ono {46 Do you (or your spouse) have another vehicle available for personal use? Oves Ono 447Do you have evidence to support your deduction? Lives Ono bit "Yes, isthe evidence written? Dives Ono [PAPE] Other Expenses. Let below business expenses not included on ines 6-26 or line 30) “@B_ Total other expenses. ter here and on line 27a Ts. 1,826. ‘Schedule C (Form 1040) 2017‘SCHEDULE D (Ma No. 1848-0078 (Form 1040) Capital Gains and Losses Attach to Form 1040 or Form 1040NR. 2017 spate te Te * Go to marnars govSeheduled for instructions and the atest information, . ‘nirna evens Sewn Use Form 8949 to list your transactions for lines 1b, 2, 3, 8, 9, and 10. Seen, 12 Toa JOSHUA D AND ERIN M HAWLEY [Part short-Term Capital Gains and Losses — Assets Held One Year or Less ur sah eeu ranbor Sammi See instructions for ow fo igure the amounts fo f, enter onthe ies below, Adiuslnents ‘ ‘a 2. ae to gain of loss from from column (@) and This form may be easier to compte if you round | —_,Pfaceeds Gan os Queer tee? coat Tis form may be easier | (sales price) (or other basis) | Form(s) 8945, Part |, | contine tie orth line 2, coluran @) ‘clu @) “a Toa fora shorten vansactonsrepored en Form 1086-8 for when basis was ‘eported to he RS and for which you have fo faire Gan race) However ir you choose to report all these | transactions on Form 8849, lave th Ine Blank aa go to lne 18 17,881. 20,733. =2, 852. ‘b Totals for al transactions reported on Forms) 8349 with Bax A checked 2 -Tolats forall transactions reported on Form(s) 8549 with Box B checked 3 Totals forall vansactons reported on Form) 8849 with Box € cneche ‘4 Short-term gain from Form 6252 and short-term gain or (less) from Forms 4684, 6781, and 8824 '5 Net short:term gain or (ass) rom partnerships, S corporations, estates, and trusts from Schedule(s) K-1 & Short-term capital loss careyover. Ente the amount, it any, from line & of your Capital Loss Carryover Worksheet inthe instructions 7_ Net short-term capital gain oF oss). Combine lines 1a tough 6 in column (tf you have any long-term capital gains or losses, go to Part Il below. Otherwise, go to Pat Il on the beck z =2, 852. [Pat Long-Term Capital Gains and Losses — Assets Held More Than ‘One Year See instructions for How to igure the arounls to Gain oF ons) attr an the ines below © © acisthons | Qyearnsitaes ‘This form may be easier to complete if you round core ert i So et ‘Subat aura @) from sau () an Tp form may be easier (sales price) (or other basis) |Forim(s) 8943, Part I, conbie te eset nth line 2, coluran @) cum {a Totals forall long-term Wansactions reported Form 1099-8 for which Basis was reported to the IRS and for wach you have no adjusiments (see instructions). However, You chase torpor a theve vaneacions ‘on Form 8949, laave iis line Blank arnd go farline 8 222,636. 165,805. 56, 831 {8 Totals for al ransactions reported on Form(s) 8849 with Box D checked 9 Totals forall ransactions reported on Form(s) 8849 with Box checked 18,159 14,751. 1,014. 2,394. 10 Tolas fo all transactions reported on Form(s) 8949 with Box F checked 1 Gain from Form 4797, Part; long-term gain from Forms 2439 and 6252; and long-term gain or (oss) from Forms 4684, 6781, and 8824 ‘12 Net long-term gain or doss) ftom partnerships, $ corporations, estates, and trusts from Schedule(s) K-1 13: Cont gun dstitutons Soe tenets... SEB, ST..6, 14 Long-term capital loss carnyover Enter the amount, it any, ftom line 13 of your Capital Lass Ganyover Worksheet in the instructions, " ‘18 Netlong-erm capital gain or (oss). Combine lines Ba through 14 in column (+). Then go to Pat I on the back n 2 3 394. “ 5 59,619. BAR For Paperwork Reduction Act Notice, see your tax return instructions. Fowosia. cane? schedule D (Form 1040) 2017Schedule orm 1040) 2017_JOSHUA D AND ERIN M HAWLEY =p: [FRR summary Hae ele ea canvass % 56,767. eee ves. Goto ine 18 [L)no. skip lines 18 through 21, and go to line 22. a tou oa ronal Oe aetna ca wonsteet os creer 19 If you are required to complete the Unrecaptured Section 1250 Gain Worksheet (see instructions), enter the amount, if ary, from line 18 ofthat worksheet Lis 20 Ave lines 18 and 19 both zero or blank? Yes: Complte te qualita Dividends and Capital Gln Tax Workehwetn Ye nce Fog fg ne doin eae foro TOAD, ne 42}. Bont compete nes Clo, cangletsne Schedule D Tax Worksheet ine stuns, Dont compete nes 21 If line 16 isa loss, enter here and on Form 1040, line 13, or Form TOAONER ine 14, the smaller of ©The loss on line 16 oF _ © (63,000), or if married fling separately, ($1,500) Note: Wen figuring which amount is smaller, treat bath amounts as positive numbers. 22 Do you have qualified dividends en Form 1040, line 9b, or Form 1O40NR, line 1067 yes. complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions Tor Form Todo, lise 44 (or inthe instructions for Form TO40NR, line 42), [)No. Complete the rest of Form 1040 or Form 1040NR. “Schedule D (Form 1040) 2017 rowoora. oanen?‘SCHEDULE D ALTERNATIVE MINIMUM TAX (Ms. 548.0078 (Form 1040) Capital Gains and Losses Altach to Form 1040 oF Form 1040NR. 2017 cate eee * Go to www.irs.gov/ScheduleD for instructions and the latest information. ioral Reem See) > Use Form 8949 to lst your transactions fr lines 1b, 2,3, 8,9, and 10 seetmthe, 12 Tenseh own ova JOSHUA D AND ERIN M HAWLEY [Part] shori-Term Capital Gains and Losses — Assets Held One Year or Less ars ecu rae ‘See instructions for how to igure the amounts to 7 Gain or oss) str on the ines below © ©, agustrons | Qacairar toss This form may be easier to complete if you round peo to gain'or loss from | from unm () sed st ales price) (or other basis) | Form(s) 8949, Part I, | camps terete off cents to whole dallas, Gales price) (or other basis) | Farms) 8949, re he rst ath line 2, colurhn (@) ‘aura @) 1a Tolls fo all short-term transactions repaied ‘on Form 1098-8 for which bas's wos repcried to the IRS and for which you have no adjustments (see instructions). However, if you choosa to report all these: transactions on Form 8949, leave ths line blank and go to line 1b 17,881. 20,733. =2, 852 1b Totals forall ransactions reported on Form(s) 8849 with Box A checked, 2 Tolals for all transactions reported on Form(s) 8849 with Box B checked, 3 Tolals forall vansactions reported on Form(s) 8849 with Bax C checked 4 Short-ferm gain from Form 6252 and short-term gain or (loss) from Faris 4684, 6781, and 8824 5 Net short-term gain or (oss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-1 © Short-term capital loss carryover. Enter the amount, if any, from line 8 of your Capital Loss Canyover Worksheet in the instructions 7. Net short-term capital gain or (oss). Combine lines 1a though 6 in column (. f you have ay long-term capital gains or losses, go to Part Il below. Otherwise, oo to Part il on ine back z 2,852. [Pact] Long-Term Capital Gains and Losses — Assets Held More Than One Year See instructions for how to igure the amounls To G enter on the ines below, © ©, Adjustments ‘This form may be easier to complete if you round Eon i, Ga or eet fo.ain orfoss from | fam coum (ds cost off cents to whole dollars, (Gales price) (or other basis) |Form(s) 8943, Partl,| cone tiereut nth Tine’, column (6) clu {a Tolals for along tem transactions reporied cn Form 1099.8 for whieh bas's wae reported fo the IRS and for which you have no. ‘qjusiments (soa instructions). However, you choose to report all these transactions on Form 8949, leave this ine biank and go tlie Bo. 222, 636. 165, 805 56,831. ‘8 Totals fr all transactions reported on Form(s) 8849 with Box D checked 9 Totals or all transactions reported on Form(s) 8849 with Box E checked 18,159. 14,751. =. ou 2,394. 10 Totals for all transactions reported on Form(s) 8849 with Box F checked. ‘11 Gain from Form 4787, Parti; long-term gain from Forms 2439 and 6252; and long-term gain or Goss) fom Forms 4684, 6781, and 6824 12 Net long-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedules) K-1 18. Coptal gin dstrtuions. Seth ints, . SEE. ST._7. 4 Long-term capital oss caryover. Enter the arount, if any, from lie 13 of your Capital Loss Carryover Worksheet in the instructions, ae " 15. Net long-term capital gan or Goss). Combine ines 8a through 14 in column (t). Then goto Paton the back u w 228. 13 394. 4 6 59,391. BAA For Paperwork Reduction Act Notice, see your tax relum Instructions: ‘Schedule (Form 1040) 2017Schedule orm 1040) 2017_JOSHUA D AND ERIN M HANLEY a: [Pat] summary ALTERNATIVE MINIMUM TAX 16 Combine lines 7 and 1 and enter the result © Fling 16 i.a gain, enter the amaunt ror line 16 on Form 1040, line 13, or Form 1O40NR, line 14, Then {90 fo line 17 Below fe Itfine 16 is a loss, skip lines 17 through 20 below, Then go ta line 21. Also be sure to complete line 22. © Ifline 16s zero, skp lines 17 through 21 below and enter -0- on Form 1040, line 13, or Form 1O40NR, line 14. Then goto ine 22 17 Axe lines 15 and 16 both gains? Yes. Goto in 18 [te skip eas 18 trough 21, and got ine 2 18 If you are required to complete the 28% Rate Gain Worksheet (see instructions), enter the ‘amount, if any, fom line 7 ofthat worksheet +118 19 | you are required to complete the Unracaplured Section 1250 Gain Worksheet (see instructions), enter the amount, if any, ftom line 18 ofthat worksheet. elas 20 Ae lines 18 and 19 both zero or blank? Bayes. complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions Te Form Yo, ne 4 orn enacts or or YOURE, ie 2), Bon compe nes BI and 22 below, (no. complete the Schedule D Tax Worksheet in the instructions, Don't complete lines 2 and 22 below 21 fling 16 is @ loss, enter here and on Form 1040, line 13, or Form TOAONR, line 14, the smaller of: ©The oss on line 16 or ‘© ($3,000), or if married fling separately, ($1,500) Note: When figuring which amount is smaller, treat both amounts as positive numbers. 22 Do you have qualified dividends on Form 1040, line 9b, or Form TO40NR, line 106? [lyes. compete the Qualified Dividends and Capital Gein Tax Worksheet n the instructions Xe%oren TORG, ne (orm tne structons for Form 1OAONR, line 42). [L)nio. complete the rest of For 1040 or Form 1O40NR. 16 56,539. 21 ‘Schedule D (Form 1040) 2017Form 8949 (2017) ALTERNATIVE MINIMUM TAX Atachmort Seosece No 12A_Page 2 eS rrerreaar arcane MINE ee JOSHOR D AND ERIM © aM qe Sober ee Be oa a RT Fam TEE as oc 7 eo en a creas Rae ay oa eA or Staines emai hep Parti Cong-Term. Transactions involving capital asses you held more than 1 year are long term. For short-term transactions, see page 1 Note: You may Aggregate all long-term transactions reported on Form(s) 1099-B showing basis was reported to the IRS and for which no adjustments or codes are required. Enter the totals directly on SEradie ine Bayou ret Tanared a eee Base se ene ent te oa drcty‘on Penn Boge See sect apa por yes ave ve an Paci than wil the page for one or rate ofthe bos, Complete as many farms mith fe same Bx cngeken se or [Jo>tong er ransocions reparteon Form(s) 10998 sowing basis was repated othe FS (eNotes) €) Long-term transactions reported on Form(s) 1099-8 showing basis wasn't reported to the IRS. |(F) Long-term transactions not reported to you on Farm 1099-8 Tao ® @ @ 0. === eWay | RES | ee, | ieee | Select | "sagen | Staten oe, | Game, | Sees | eee lege | ale Sears acrrcas parmens| varrous| _9/07/17| _7,244.| 5,497.1 0 raz] 2,408. SRTERERISE. PROD PS von sor _4,303.| ,000.| 0 | 1,756] _ -as3. GOLDMAN SACHS: VARIOUS| 9/07/17 6,593. 6,195. 398. SPOR GOLD TRUST GHD EE vanzoos| _vantous| 19 as a 2 laud ba sare BERET: oS {abt negative smoun)Enfar exch ral eee tad See rene ree onaear nes ee Sue ga tn BG Dare Box F above is checked). * 18,159. 14,751 -1,014.| 2,394. Note: Tf you checked Box D above but the basis reported Yo he IRS was incorrect, anlar iv colunin (e) the basis as reported to The Soa enler an adiustment in column (g) to correet the basis. See Column (@) inthe separate instructions for how to figure the amount of the adjustment FORTE TAT Form BSI OTTForm 8949 (2017) tacrnent Semience Ne Y2A_Page 2 Fant Sn 0 hat NTS Sad SEN a Hp HES TNL GAT Sa ov Sir tapyevicton nome JOSHUA _D AND ERIN M HAWLEY ‘Before you check Box 0. E, of F Below, see whathor you received any Form(s) 1008-8 or substitute Statamanl(s) rom your broker ‘Satement wil have ihe Same information ae Form 1089-8. Eitor wil show whedher your basis (ususlly your cast) was reported to tho IRS by your broker and may even ell you which box to check. Parti | Long-Term. Transactions involving capilal assets you held more than T year are Tong term. For short-term transactions, see page 1. Note: You may aggregate all long-term transactions reported on Form(s) 1099-8 showing basis was reported fo the IRS and for which no adjustments or codes are required. Enter the totals directly on Schedule D, line 8a; you aren't required to report these transactions on Form 8949 (see instructions). ‘You mast check Box), E, or F below, Check only one box ire Wan ove box apples Yor your ong-erm Wansaeins, comple & separate Fern $50page 5 fo enchsppicable Box ya. ave more fng-otm vaneachone ah wl ton fs Bage for one are ofthe bores, ‘Complete as'many forms with fre same box checked as you need (©) Long term transactions repered on Forms) 1099-8 showing basis was reprted to the IRS (see Note above) ©) Long-term transactions reported on Form(s) 1099-6 showing basis wasn't reported to the IRS JF) Long-term transactions not reported to you on Form 1099-8. 7 ara eRESES| — ty @ ®), 2, @, ©, ian amaunt fh column (@ PEN co) | Stas | ees | grey | | Seiten ao aie | sStittSeno) cGy | oly | HERES | oy Omen rovers” [OstSltom| — Amartot | Vancom AMERIGAS PARTNERS VARIOUS| 9/07/17) 7,244. 5,497.| 0 742. 2,489. ENTERPRISE PROD PNRS 1/20/16 9/07/17, 4,303. 3,040.| 0 -1,756. -493. GOLDMAN SACHS VARIOUS! 9/07/17, 6,593. 6,195. 398. SPDR GOLD TRUST GHOD ETF VARIOUS| VARIOUS| 19. 19. oO. 2 Totals, Add the amounts i corns (8, (=) @, and (Gubtract negative amounts) Enter each folal here anc Inolude on your Schedule D, line 6b (if Box D above is ‘heexed), ine 9 (f Box above is checked), or fine 10 Git Box F above ts checked). >| 18,159.| 14,751. -1,014.| 2,394. “Woter i you checked Box D above but the basis reported to he IRS was incorrect, erler in column (e) the Basis 65 reported to the IRS, and enter an adjustment in column () 10 corect the basis. See Column (g) in the separate instructions for how to figure the amount cof the adjustment Fora OTA Form BES OTT)Schedule E (Form 1040) 2017, Attachment Sequence No. 13. Page 2 a) showroa, o BAAS H SRT CY NDS TGR Go PRET our scl ei JOSHUA D AND ERIN M HAWLEY Gaution: The IRS compares amounts reported on your lax reurn with amounts shown on ScwGUe) Ret [Pati] Income or Loss From Partnerships and S Corporations Note: I you report alos fom an aisk activ for which any amount is no at rsk, you must check the box in columa (e online 23 acd aftach Form 6198. Seo Inston a a 27 ee you reporting any loss not allowed in a prior year due to the abvisk, excess farm loss, or basis imitations, @ riot year unallowed loss fram a passive activity (that loss was not reported on Form 8582), or unrelmbureee Bartnership expenses? it you answered "Yes, ee instutons before conpiainn We secon [ves fzino DQiaerP Tocreceis] «penne ©) Chock # . etene Peiraro!s |OGwert| @emeive | creckt consti |Partners] “number” |ttot seat ‘AIBMERIGAS PARTNERS, LP. P 23-2787918 BJENTERPRISE PRODUCTS PARTNERS IP > "76-0568219 ¢ D Passive income and Loss onpassive ncome and Loss Passive oss alowed Passive income | (ip Nonoassive ss | Sem | QName caungh Form 6682 eta) Arr Seneatie | Wa Sete ST | eerie douen | RARER APTE 366, 8) PTP 202. ¢ 2a Totals Totals 568, £30 Add columns (6) and () of ne 298 3 31 Ad columns (), (1), and () of line 290, H =568, ‘32 Total partnership and corporation income or oss). Combine lines 30 and 31. Enter te resut hee re inelae nthe folaron ine 41 elo 2 =568 [Partill income or Loss From Estates and Trusts 3 @Name Dena Dre A 3] Passive income and Loss Tonpassive income and Loss (© Pessve deduction or toss alowed Passive income | (eyDeducton o oss | _ () Othe income (0 Gtach Eotm BH Seeks Som Schoasie I | Queso RS | DOG aEeTe Al a Ba Teal Totals 35 Add coluras () and (9 of ine 340 s 35 Add columns (6 and () of ine 3b, 36 37 Tolalestateand rst income or oss). Comin ines 35 and 36. Enter the result here and ineude n the total on tne 41 below 2» [PIV [income or Loss From Real Estate Mortgage Investment Conduits (REMICs) — Residual Holder OS a | igi ” | Osa near | roe fan Qo Nee, ‘identification plumber bles Q ne (nat foss) rom”, | gef ine iderfeaton fees pedi guas | cokes on, | sceadioeG ie an 39 Combine columns @) and (any. Ener the res Fev and Inca ine Toa on Tne AV bal = (PatV_[ Summary 40 Net farm renial income or Goss) from Form A835. Aso, complete Ine @S below a 41 Tolalincome or oss). Combine ines 26, 32, 37,39, and 40. Enter the resut here and on Form 1040, ine 17, or Form 1040NR, Ine 18 ola -568. 42 Reconclation of farming and ishing income: er your gross lr {nd fishing income reported an Form 4855, lire 7; Shows Ret ort O65), box 14, code 8; Stedule Kt (Form 11208) box 19 Cove Ve and Sereda (Ferm 1081), box 14 code F (ee instructions) 2 | 43. Reconcition for realestate professionals you wore a veal estate ese gran tartans oe we gash, “nywhere on Farm YOU or Fotm TOAONR Yon al rental eal ecate Seaes inwhich you mately partispated under tho passa aclu loss nse a] BAK Foz. 102307 ‘Schedule E (Form 1040) 2017SCHEDULE SE (Form 1040) eee) Self-Employment Tax > Goto wuirs.gowScheduleSE for instructions andthe latest information. attach to Form 1040 or Form 1040NR. 2017 Sesiomathe. 17 Flo opm wih alate nant cars Ge Tun Fa TON Fea TORRY JOSHUA D HAWLEY [Social security number of person with sellemplayment income = Before you begin: To determine If you must file Schedule SE, see the instructions, May | Use Short Schedule SE or Must! Use Long Schedule SE? Note: Use this flowchart only if you must fle Schedule SE. If unsure, see Who Must File Schedule SE in the instructions. id you receive wages or lips in 20177 Fe you a minister member ofa religious oder or y Eten Science practioner who reseed IRS approval \Was the total of your wages and tins subject to social [YS not to be taxed on earings fay these sources, bul you Secu or rious retrement (Ue 1) tax plus your net She se-employment taxon other earrings? arming rom selt-emplayment more than $127 200 pe pe “a you using one ofthe optional methods to igure your Did you fovea ips subject fo social secur or Medicare [Yes het earnings (eee instructions)? Batt ou dha repo your emnioyer?” pee feo Did you recsve charch employes income (ee insur id you report ary wages on Form 8979, Uneoioced |Yes| tend) reported on Form W2 of $108.28 oF more? Soc5t Secuy and Wesicare Tax on Wages? pe You may use Short Schedule SE below ‘You must use Long Schedule SE on page 2 ‘Section A — Short Schedule SE. caution: Read above to see if you can use Short Schedule SE. “Taine farm profit or Goss) ftom Schedule F, ine 34, and farm parnerships, Schedule K-1 Form 1065), Dax 1 code 1a bbityou received social security rerement of dsabilty benef, enter the amount of Conservation Reserve fr pans nice on chee Fo a, fae oh Scale Kt arm FEE), box 2 | one 1 2. Net profi or Joss) from Schad C, line 31; Schedule C-£2, tne 3; Schedule K-1 (Farm 1065), box 14, code iran ae Shel OS, coe IT Mein and marae brates seo nshotore ar pes oF income to report on ts Ine. See stuns for oer Income Sreport on e 2 1,800. 3 Combine fines, 1B, nd 2 3 1,800 4. Multiply line 3 by 92.35% (0.9235). If less than $400, you dont owe se-mployment tax; dont fle this create Tiese you have an amount on fine 1 a 4 1,662. Noe: i ine 4is less than $400 due to Conservation Reserve Program payments on line 1b, see instructions 55 Seltemployment tax. if the amount on ine is 125127 200 Tasamuil line# by 15.3% (0.183). Ener the result here and on Form 1040, fine 87, tr Form 1040NR, line $5. nce than $127,200, util line by 29% (0.08). Then, ac $15,772.80 tthe rest Enlor the foal here and on Form 1040, tine 87, or Form 1040NR, line 5. 5 254 {6 Deduction for one-half of self-employment tax. Malpy line § by 50% (0.50). Enter the result here and on Form 1040 tine 27, 0: Form TOA0NR, line 27 6 121] BAR For Paperwork Reduction Act Notice, see your tax elurn Instructions. ‘Schedule SE (Form TO40) 2017Schedule SE (Form 1040) 2017 aachmont seaverce a 17 Page 2 Tes operas ih soFempoymel ncn Gr Peano Fae DE Fa AT See guyana ean ERIN M HAWLEY ith self-employment income » Section B — Long Schedule SE Part! _[ Self-Employment Tax Note: If your only income subject to self-employment tax is church employee Income, see instruclons. Also see insiuctions far the detinion of church employee income. ‘A’ If you are a minister, member ofa religious order, or Christian Science practioner and you filed Form 4361, but you had $400 a oF more of other nel earnings from seitemployment, check here and continue with Part > 1a Net frm profit or (os) from Schedule F line 34, and farm partershins, Schedule K-1 (Form 1065), box 14, code A. Note: Skip lines Ta and 1b if you use the farm oplional metiod (cee instruchone) 1a b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve Param paymant insuded on Schedule Fe 4a Wes On Seheaie ee a BS = code 2 Net proto (ass) trom Schedule C, line 31; Schedule C-EZ, line 3; Schedule K.1 oem 1065), box 14, code A (ther than farming); and Schedule K-1 (Form 1068-8), box'S, code II Minstere ancl aac of religous orders, see metructons for ypes of inoome fo report on ths ine. See Insuictons fo other income to repert. Nate: Skip ths line if you use the nonfarm optional mettod (eee nsinacons) 2 125, 669. 3 conte ines, 8 a2 3 125, 669. ‘4a line 3is mote than zero, mutiply line 3 by 92.35% (0.9235). Otherwise, enter amount from line 3. fa 126, 055. Not: 4 estan $100 eo Cnsevaton seve Pera payee ie I,m ntti, bifyou elect one or both of tho optional methods, ener the toal of ines 18 and 17 here 4b © Qombine lines 4a and bf ess than $400, stop: you don't owe selt-employment tax Exception: ifiess than $400 and you had chureh/employee income, ener Oar santinue +L ae 116, 055 5a Enter your church employee income from Form W-2, See instructions {or definition of ehurelertpoyee meame, | sa ‘Multiline Sa by 92.35% (0.9255). I less than $100, enter. 5b 0. Add lines de and 5. é 116, 055. 7. Maximum amount of combined wages and set-employment earings subject to social Seculy tax or the 6.2% porton ofthe 7.85% caoad retirement esr 1) tax for SOND 7 127,200. 8 Toa social socriy wages ap tps oll of boxes 3 ant 7 on Farms) He ze altond eirernent or compsntaton SIS1 ib ome Sp ies 8b through 10, and go to line 11 8a 32,284. bb Unreported tps subject to social security tax (om Form 4137, line 10). 8b ‘© Wages subject to social security tax (rom Form 8919, line 10) 8c: Add ines Ba, 8b, and Be 8d 32,284. 9 Subiract line 8d from line 7. If zero oF less, enter -0- here ard on line 10 and go to line 11 oe 94,916. 10 Muitiply the smaller of line 6 or line 9 by 12.4% (0.128) 70 11,770. 11 Multiply line 6 by 2.9% (0.029). 1 3,366. 12 Self-employment tax. Add lines 10 and 11, Enter here and on Form 1040, line 57, or Form 1040NR, line 5512 15,136. ‘18 Deduction for one-half of self-employment tax. Mutiny line 12 by 80% (0.50). Enter the result her and on Form 1040 ine 27,0: Form 1040NR, line 27. Las | 7,568. [Partil_[ Optional Methods To Figure Net Eamings (ee inciuctonsy Farm Optional Method. You may use this methed only if (@ your gross farm incomd wasn’t more than $87,800, oF () your net farm promt were less than $5,681 14 Maximum income fr optional methods 4 200 15. Ente he smaller of: twoxthids @3) of goss farm income” (rot ess than ze) or $5,200. Aso inlude his moun on ne 40 hove. © : so 15 Nonfarm Optional Method. You may use this method only if () your net nonfarm profits? were less hon Sees rca ear an BAR of your ae een aH Dal rato pts” were les han employment of atleast $400 in 2of tne prot 3 years. Caution, You may Use Wg Mating Sees fot five times. 16. Subiract line 15 from line 14 16 17 Enter the smaller of: two-thirds (213) of gross nonfarm income (not less than zero) oF the amount on line 16. Also include this amount on ine 4b above, v (© From Sch, line 9, and Sch, K-1 (Form 1065), (© From Sch, ©, line 31; Sch, C-EZ, line 3: Sch. K-1 (Form TOES), box 14, code & box 14, code’ A and Sch. K-1 (Form 1065-8), box 9, cade JT 1 from Sch. F line 34, and Sch. K-1 orm 105s), | «From Sch. ©, line 7: Sch, CEZ, line 1 Sch, Kel Form 1065), box 14, code A'™ minus the amount you would ox 16, code'C;'and Sch. K-T (Form 1065-8), bos 9, Code Have entered on ine tb had you not Used the optional method Ban FORTE SGOT ‘Schedule SE (Form 1040) 2077een 116 eT Con mae stance vies 2017 a » Attach to Form 1040, 1040NR, 1041, or 990-7. seein Rae seen) © Goto wwmirs.gov/Form!716 for instructions and the latest information. Science 19 = ete JOSHUA D AND ERIN M HAWLEY ‘aaa separate Fann T1T6 fr each clegoy af Cone Ted below. Ses Galego of Tice He wavacons. Oreck anyone Dox oh teach Form 1116. Report all amounts in US. dors except where specified n Par I blow Passive category income € | Secton 9016) income © [lump-sum distttions [General category income a [ ]Oetain income resourced by treaty Resident of (name of country) * Totes you pad tares to only one reg couTty of US. possesson, ase cokimn Ah Pat Tand ine Am Pat Wyou pad taxes fo more Wes seerear asiioy or 0 etalon se a separte clr and ine fr each county ar possession Part! [Taxable Income or Loss From Sources Outside the United States (for Category Checked Above) Foreign Country or US. Possession Total a B € dd columns A, B, and C.) 9 Enter the name of the foreign country or US. possession >|vaRtous ‘La Gross income from sources within country Shown above and ofthe type checked above (Gee instructions): 9,849. 1 9,849. ‘Gh in i's compensate for arsaal services | trample, your ol compeneatin fe al sues Is S200 o oe, arg yo ead an alternate ess errr ts sure (se stuns) Deductions and losses (Caution: See instructens 2. Expenses definitely elated to the income on line 12 (attach statement. 3. Prorata share of other deductions ‘ot definitely related: 1a Certain temized deductions or standard deduction (Gee instructions) 4,250 bot ducts (th statement) Ad lines 3a and 3h 7,250 a5 fre sauce nce (senso). 9,849 € roe near froma sources (seis) 331,884. £ Divie line 34 by line 3e (see instructions), 0.029676 ‘aMultiply line 3e by line 3t 126.1 4 Pro ata share of interest exponse (see instructions) ‘Home mortgage interest (use the Worksheet for Home Mortgage Interest in the instructions) 316. Other interest expense. 5. Losses from foreign sources. sierpananetas Ta f ee [Parill [Foreign Taxes Paid or Accrued (see nsiruciors) es Fasigr oar Torna 3) meen, Tr eeaTEMen RUS aa no [x}Paid faxes wit at source on: (n) Other ‘Taxes withheld at source on: MOther | (5) Tos tren #0 [Jacmes] Tree inelt et nes deat | Maifaues Date paid Rents & m™ ‘or accrued (0) (p) Rents &| @ or accrued — z sa 3a 5 g SeaTac o ees oleate ne qe ea BAA For Paperwork Reduction Act Notice, see instructions. rows 122207 Form 116 2017)Form 1116 @017) JOSHUA D AND ERIN M HAWLEY Gi Page 2 [P&H] Figuring the Credit 9 Enter the amount rom line &. These are your toll foreign taxes paid or aociued forthe eategory of income checked above Part | 9 338. 10 Carryback or carryover (attach detailed computation) 10 1 Add lines 9 and 10 u 338. 12 Reduction in foreign taxes (see instructions) 2 13 Taxes reclassified under high tax kickout (S00 instructions). 33 14 Combine lines 11, 12, and 13, This isthe lotal amount of foreign taxes available for crit 4 338. 15 Eres ota fle 7, Th is you xe income or oss tom sources Qutside the United States (before adjustments) forthe Cateyoy ef came checked above Part (see instructions) ee 15 9,407. 16 Adjustments to line 15 (Gee instructions) 16 ‘7 Combine the amounts on lines 15 and 16. This is your net foreign source taxable income. (ithe result is zo oF less, you have mo Yoreign tax eit for he ‘plegory of ncome you checked above Part |. Skip lines 18 trough 22. Flowever, if you af fling more than one Form 1116, you must Complete kee 205 wv 9,407. 18 Individuals: Enter the amount from Form 1040, line 41; or Form 1O40NR, lie 39, Estates and trusts: Enter your taxable Income without the ‘deduction for your exemption 18 257,315, Caution: Ifyou figured your tx using the lower rates on qualified dividends or capial gains, See inshuclons 19) Divide tine 17 by fine 18. If line 17 is more than line 18, ener" 19 366 20 Individuals: Enter the total of Form 1040, lines 44 and 46, If you are @ nonresident alien, enter the lotal ot FTG LOHONE, ngs 42 and 44, Estates and trusts: Enter the amount on Fonn TOal” Scoala et Po: or {hs (ao Form 990°, lines 36, 37, and 89, Foreign estates and trusts should ener thereat Foose TOAONA, fine 42 20 46,030. Caution: If you are completing line 20 for separate category © ump-sum disbibuions), see instructions 21 Multiply tine 20 by tine 19 (maximum amount of credit), 2 1,685. 2 Enter the smaller of line 14 or line 21. ths is th only Form 1116 you are fing, skip fines 23 tough 27 and enter this amount online 28° Otherwise) omplets ts sce vate ling in Part IV (Gee insiructions) >| 22 338, ‘Summary of Credits From Separate Parts Ill (0 instructions) 25 Grad for taxes on passive calegory eons a 24. Credit fr taxes on general category income. 2a 25. Credit for taxes on certain income re-sourced by treaty. B 25 Credit for taxes on lump-sum distributions, 28 | Groton aa 27 A lines 23 though 26 27 28 Enter the smaller of line 20 or lne 27. 28 338, 29. Reduction of credit for international boycott operations. See instructions for ling 12 2 30 Subtract line 29 trom line 28. This is your foreign tax erelit. Enter here and on Form 1040, line 48; Form 1040NR, line 46; Form 1061, Schedule G, line 2a: or Form 990-7. line Ate {30 338, Foo 16 2017ALTERNATIVE MINIMUM. TAK rom 1116 Foreign Tax Credit | oe Aodividual Estate, or Trust 2017 > attach fo Form 1040, 1O40NR, 1041, or 990-7. eae > Go to mw.irs.goviFormt716 for instructions and the latest information. Seah 19, sh. 18612 ‘raf Rend borer C8) JOSHUA D AND ERIN M HAWLEY TREE Seale Forin 1116 for each Category of carne Ted below. See Gafegoras oflnoome in the wastructons. Check only ane Box on teach Form 1116. Report all amounts in U.S. dollars except where specified in Part Il below, «¢ [ ]Seetion 9014) income ¢ [lump-sum distibutions 4d [certain income re-sourced by treaty T Resident of ame of county) © Tae yor paid tes only ane frsign con or US, possession use column An Par [and ine As Part T you pad taxes e more Tae Tacs pa tes 10 on are San aT tO Spats col a efor eath county oF posession. [Parél [Taxable Income or Loss From Sources Outside the United States (for Category Checked Above) Foreign Country or US. Possession Total x = € (Ada columns A, 8, and 6.) {9 Enter the name ofthe foreign country or US. possession VARIOUS “1 Gross income from sources within country Shown above and of the type checked above (Gee instructions): 9,849. ta 9,849. wag pein a pl pe Stati, youd nate fs Sine tise dn -o Teds andloses Caton: Se nto SP esperces stately slated tthe come one 18 tatoch stoner) 8 Provts sar of oer deiions rot defn alte aaa AES ine or standard deduction (ce neon be dtr sore) ¢ hin ead 3 4 ry see rt. 58s. © on one onal sen ono) Tatas {ie ne 34 by ne (es ston 9.028676 nbn ne by te 3 4 Pro rata share of interest expense (see instructions): ‘a Home morigage interest (use the Worksheet for Home Mortgage intorost inthe nstuctons) 316. Other intrest expense 5 Losses from foreign sources 6 Aad lnes 2, 3g, 4a, 4b, and 5 36. 6 316. J Subtract ine 6 for In To. Enter the result hore ra on ine 15, page @ sz 3533. [Pall [Foreign Taxes Paid or Accrued (ee instructions) | Gets camed Foreign taxes paid or accrued ee, Taran eureney US. wae Kn) [x] Paie 2 (Other ertdouere (Mother |S) Tet own Oa rerued | __ Tees wield at source on pp one Taxes withheld at otrer | ed teeleet ‘eed Sas taxes paid taxes paid | “pat a5" Woaiepad |W | MRentsa[ cm Dreeeniee | Dividends | “foyalties | _inerest Graccued | (@) | Ronis &) — (@_ | or acctuec Dwidends | “royalties | _ Interest 338. 338. a 5 c 8 Add lines A through C, column (3) Enter the total here and online 9, page 2 le 338. {BAA For Paperwork Reduction Act Notice, see instructions. rouatia Yama? Foam 116 2017)ALTERNATIVE MINIMUM TAX Form 1116 (2017) JOSHUA D AND ERIN M HAWLEY Figuring the Credit 9 Enter the amount from line 8. These are your total foreign taxes paid or accrued for the category of income checked above Part | 2 338. 10 Carryback or carryover (attach detailed computation) 10 11 Add tines 9 and 10 u 338. 12. Reduction in foreign taxes (eee instructions). 2 13, Taxes reclassified under high tax kickout (see instructions) 3 14 Combine lines 11, 12, and 13. This isthe total amount of foreign taxes available for credit 15 Enter the amount ftom line 7, This is you taxable income or (oss) from sources outside the United States (before adjustments) forthe categoyy oF income checked above Part | (see instructions) 5 9,533. “4 338. 16 Adjustments to line 15 (see instructions) 16 17. Combine the amounts on lines 15 and 16, This is your net foreign source taxable income, (ithe resull is zero or less, you have no foreign tax creck tr the category of income you checked above Part |. Skip lines 18 though 22, Flowever, Ifyou ate tiing more than one Form 1116, you must complete hing 205 v 9,533. 18 Individuals: Enter the amount from Form 1040, tine 41; or Form 1O40NR, line 38. Estates and trusts: Enter your taxable income without the ‘deduction for your exemption 1% 274, 695. Caution: If you figured your tax using the lower rates on qualified dividends or capifal gains, S66 Tnstractions. 19 Divide line 17 by line 18, If lina 17 is more than line 18, enter": Individuals: Enter the total of Form 1040, lines 44 and 46, If you are a nonresident lien, enter the total of GRIT AOHONR, lings 42 and #4, Estates and trusts: Enter the amount rom Form 1Odl- Sesedele G, ines oF {hg Jalal of Form 990-7, lines 36, 37, and 39. Foreign estates and ists shoud enter the amaust fom Fars TOAONR, ine 42 Caution: ityou are completing line 20 fr separate category e (uinp-sum distributions), see instructions Mutily line 20 by ine 19 (maximum amount of credit. Enter the smaller of line 14 oF line 21. f this isthe only Form 1116 you ae fing, skip lines 23 trough 27 and ener this amcunt on ine 28; Othewse, corte Uwe Sopsetriate line in Part Wee instructions) . RY 9 0.0347 49,793. 1,728. 338. Summary of Credits From Separate Pars Il ce insructons Crecit for taxes on passive calegory income. Creat for taxes on general eategory income ret for taxes on certain income re-scurced by treaty, 23] 2] Creal for taxes on lump-sum distributions. ‘Add lines 23 through 26, Enter the smaller of line 20 or line 27 Reduction of edit for international boycott operations. See instuctions for line 12 8 BERR ‘Subtract line 29 from line 28. This is your foreign tax credit. Enter here and on Form 1040, line 48; alls 338. Form 1O4QNR, line 46; Form 1041, Schedule Gling 2a: or Form 990-7, line 4a +t 30 338. Form 1176 2017)Foam 2441 Child and Dependent Care Expenses ™ Attach to Form 104, Form 10808, oF Frm 1040NR. Piper Rata son (99) > Go to wwmsirs.gov/Form2441 for instructions and the latest information. (MeN. 1e5.0078 2017 Saioncetin_ 21 aoecnes — eons ED Parl] Persons or Organizations Who Provided the Care — You must complete ths part ‘af you have moce than two care providers, see the instructions ) (Care ponders Adios Tdeuiving uanber | _ Armunt paid i ame rot stot PACE reco _ | OER | Senate) 3 FREED 4,006. JEAN 8 BRAZIL emer 12,314 PESTA No > compete only Part I boow dlependet care bones? Yes ———® Compt Par lon te back next Caution: I the care wos provided in your home, you may owe employment taxes. Ifyou do, you eat fle Form TOMA, F auton nsenons for Ferm 140. line 60a, or Porm TOAONFE, tne 98a, esas [Partil_| Credit for Child and Dependent Care Expenses Information about your qualifying person(s). If you have more than two qualifying persons, see the instructions. or details, @) Gualving persons name (i) Qualiying person's soc ‘ie Oe aeny numbae [o Qualifed expenses Gatiaured as paid Ir2019 or he petson ited mclurn @ First Last 3,167. 7,553 SBhdd the amounis in column (@) of line 2. Don't enter more than $3,000 for one qualifying person or $6,000 for two or more persons. if you competed Patt Il, enter the amount from line 31 3 6,000 4 Entor your earned income. See instructions 4 95,531. if married fling jointly, enter your spouse's earned income (f you or your spouse was a student ‘or was disabled, see the instructions) all others, enter the amount from line & 5 150,385. 6 Enter the smallest of line 3, 4, or 5 6 6,000. 7. Enter the amount fram Form 1040, ine 38; Form 1040A, line 22; or Form TOAONR, ine 37 z 295,925. {8 Enter online & the decimal amount shown below that applies to the amaunt on line 7 Hine 7 is: line 7 ist But not Decimal But not Over __ over amount is Over 3~ 15,000 35 $29,000 — 31,000 15,000 17,000 38 31,000 ~ 33,000 17,000 19,000 33, 33,000 ~ 35,000, me a 19,000 - 21,000 32 36,000 ~ 37,000, - 21,000 = 23,000 31 37,000 — 39,000, 23,000 - 25,000.30 39/000 ~ 47,000, 2,000 27,000 29 41,000 ~ 43,000 27,000 ~ 29,000 28 43,000 — No limit. 20 9 Multiply ine 6 by the decimel amount online 8. If you paid 2016 expenses in 2017, see the instructions... | 9 1,200. 10 Tax liability limit, Enter the amount from the Credit Limit Worksheet inthe instructions. 0 49,455. 11 Credit for child and dependent care expenses, Ener the smaller of line 9 or line 10 fire ard on Form 1049, ine 49; Form 1040A, line 31; or Form 1O40NR, line 47. u 1,200. ‘BAR For Paperwork Reduction Act Notice, see your tax return instructions, Form 2aat 2017)Sales of Business Pro rom 4797 (aso vir conve aad oe nuts Teese at eae 1s Ne. 1H6 018 2017 Deze tm Tenay > Allah 0 your tax turn octet ina Rear Sri > Go to wus. gov/Formé797 tor insictions and the latest information. Siete. 27 Raa a JOSHUA D AND ERIN M HAWLEY ‘TEnier the gross proceeds fom sales or exchanges reporied o you Tor DUTT on Form) 1055.6 ar TOs (or substitute statement that you are including online 2, 10, of 20. See instructions 4,348. [Part] Sales or Exchanges of Eroparty: Used in a Trade or Business and Involuntary Conversions From Other Than Casualty or Theft — Most Property Held More Than 1 Year (see instructions) (@)Descten (bose saint | (C) dams | (@)ovess | Denton | (ort aber Qesner cons essa bra] mcanind | es | as | alt | esi ter FROM K-1 =20, 3 Gain, any, tom Form 4684, Ine 58 3 4 Section 1231 gain from instalment sales frm Form 6252, tine 26 or 37 4 5 Section 1231 gain or (oss) trom ike-knd exchanges from Form 8324 5 6 Gain, if any, from line 32, from ater tran casually or thet 6 7. Combine lines 2 trough 6. Enter the gain o Goss) here and on the appropriate line a fllones i =20. Partnerships (except electing large partnerships) and S corporations. Report the gain or (oss) flowing the intone fo Form 1065, Sehedie Rho hr Fors Tee Sema a ss ating 12 below todividuals, partners, S corporation shareholders, and al others. {line 7s zero or a oss, ener the amount rom ine Tonite Plow an Sep ne Sand So Tha se 2 200 2 oss, els the aroun lesser ey wore recaptured in an earlier year, ener the gain fori) ass tone ern caval soit SchedleD fled wit your return and ship ns 8: $11 and ES beso 8 Nonrecaptured net section 1231 losses trom prior years. See instuctions 3 9 Subtract ine 8 rom ine 7. zero or less, enter 0. line 9s zero, enter the gin fam ine 7 online 12 bom, i line 9's more than zr, enter the amoun om ine Bon line 12 below snd one te gin hom tne Scie long-term capital gain on the Schedule D fled with your return, See instructors 2 (Parl [Ordinary Gains and Losses (see instructions) 10_Ordinary gains and o88es not included on tines 11 tough Té (nclade property hall 1 year or Tey BMERIGAS PARTNERS VaRIOUS| 9/07/17] 3, 699. 3,55, ENTERPRISE PROD PTWAS VARIOUS| 9/07/17 649. 649. TH _Loss, ary, Rom ine 7 a =207 2 Gain, ifany, rom line 7 or amount tom ine if applicable. 12 18 Gain, if any, rom line 31 13 14 Net gain or (oss) trom Form 4684, ines 31 and 3a 4 35 Ordinary gain from instalment sales rom Form 6252, tne 25 or 36 15 36 Ordinary gain or Goss) trom like-kind exchanges from Form 8828. 76 17 Combine lines 10 through 16 7 | _4,326. 18 For een inv retuas, enter the amount om ine 17 onthe appropriate Ine of you en and skp ince a and b below. For indivdal returns, complete Ines 4 ard Below 8 [te loss online 11 includes a loss trom For 468, tne 35, column (OX) enter ha prof te loss hee. Enter {Pe part ofthe loss rom income-produeing property en Sched A Farm TOS0), Tne 26 an te pox ne Roe {fom property used as an employee on Schedule A (Form 1040), line 23. ery ae hong Pate aeeT ene 18a. See inttuctions 8a] ' Radotermine the gain or (oss) online 17 excuting the loss, f any, online 1a. Enter here andl on Form 104, tne 1 veo] 4,328. ‘BAK For Paperwork Reduction Act Notice, see separate instructions Fowzioon can? Fonn 4787 O17)ALTERNATIVE MINIMUM TAX rom 4797 Sales of Business Property (Also Involuntary Conversions and Recapture Amounts ‘Under Sections 179 and 280F(OX2)) 2017 cape ttm Attach your lun, sme Fin Revere Seve = Go to wun.rs.gov/FormsTor tor instructions and the latest information. Soiensho. 27 ae aaa ae JOSHUA D AND ERIN M HAWLEY TS Ener th ass proceeds Vom sles XCHANGE pared io you Tx 2OVT Gn FATS) TOS or TOES Cre atiie store) tat you ere mudi on ine 2, 10, f 20, See instutons 1 4,348. Parl) | Sales or Exchanges of Property Used in a Trade or Business and Involuntary Conversions From Other ‘Than Casualty or Theft — Most Property Held More Than 1 Year (see instructions) q (@)pecigun Cownsrses] owes | oom | gman | Ossie | Greene tee, ee. Crevdas | meson | Stvoes | paces | merretea | "seve andet FRO RI =20. 3 Gann any, om For 468, line 38 3 {Section 1281 gan om installment sales fom For 6252, ne 26 of 37 4 5 Secon 1231 gain or oss) fame kr exchanges rm Form 824, 5 & Gain if ary, tom ine 32, fom othe han casualty o thet 6 2 Combine Ines 2 traugh 6, Enter the gino (oss) here and onthe appropriate line a flows: 7 = parnerships (except electing lage partnerships) and S corporations, port th gun or (oss allowing the irene LE eerie % ines Sup wns 89,1 and below Inavtual, prners, corporation shareholders and al others ine 7. 2700 a loss nt te amount or Ipdiduals, eaters See Be ines 6 and Sf ihe 7.9 gar and you didnt have any prior year section 1231 sac i eres mans yu st We patie? oa rare tl gn ne Ses BLE ee tek an Spine 8,81, n't blow 18. Nonrecoplred net secon 1231 losses rm prior yeas, See isictons . 9 Sttrect ne om ne 7. 260 or les, eter 0 ne 9 0, ere he ain om ie 7 on in 12a. Suber ie aru, ctr re orca tam re on ine 1 below an etre gin om tne Sas 3 Icngtr capt gan on fe Schedule Ded wth your rela, See nsutons 2 [Parti ]Ordinary Gains and Losses (see Instructions) Td ordinary gene rd Tues nol ncluded on lines 11 ough 16 Gneude property eld T year oT AMERIGAS PARTNERS VARIOUS] 9/07/17] __ 3,699. 33 ENTERPRISE PROD PTNRS vARTOUs| 9/07/17 619. 649 TT Loss, any, fom ne 7 a = 12. Gain, itary, fom line 7 or out or ine i sppieable 12 18. Gai, if ary, fom line 31 13 14 et gain or oss) fom Form 4654, nes 31 and 38 1 48. Ordnay gain fom instalment sales from Form 6252, ie 25 o 36, 15 16. Ordinary gain or os) rom tke tnd exchanges frm Form 8828 16 17 Combine ines 10 trough 16 a7 | 4,528 Je. Porat exept idol lus, enter he aroun om ne 17 on he epprort ne of your tu are skip ines rind below For nual reams, comple ines «anc b Below a tins excontne Tne loss fom Fam 494 ne 95, een QC) ere ta aro re os hee Enter I sta hom arn pedo propery on Schedule A (Pom 104), ine 28, ard re gar oe os Fa es a ax erpeyes on Snedueh or TOAD), ine 23, Hen a Hom Farm 477, ne Be Seo sections tsRdetermine the gain or Gos) online 17 excluding te as, any, online 18 Ener here and on Form 1040, tet res] __4,328. ‘BAK For Paperwork Reduction Act Notice, see separate instructions, rogiuon. ovzant Form A787 (2017)care tsar rom 6251 Alternative Minimum Tax — Individuals R017 * Goto vais gov/Formé25t for instructions andthe lates information, Frid Ren Set Boy > Attach to Form 1040 oF Form T1040NR. See, 32 Tata) sw 0 Farm TOR Fa TO aur sec cry ber JOSHUA D_AND ERIN M HAWLEY [Pat [Alternative Minimum Taxable Income (See instructions for how fo Complale each Ine 3 ar fonsteio sam 6 nc ee {teehee ey inci met nc ; 1 Semen ons sere sees ee at = 2 tna ieee tacey a ener eee es = 2 Lingo sre esa a = 2 aby a cate par a = B beore tort nape eee = 2 coer Sema aa peta Orsi al aes. Part it [Alternative Minimum Tax (AMT) 2 esien ty nie a PT Warragul ‘ot ten Theron Fire heat sei aes 4 sed ea ii EER ss tres ns et 8 a been Se Pecs ape Soe nasa Ses Toraa 4 BUS | zia.cu 31. ef you are filing Form 2555 or 2555-£2, see instructions for the amount to enter. lee ELS su re mins asia i i eaeestros "a SR eee oes te er, BS alae ars ng Soper tant esa ©” 2 ©. and subd 3 avon nto oy mn yom ceo 35 Mit in tons. ano eet, En na wen fa, es__ aw | a ns 'BAA For Paperwork Reduction Act Notice, see your tax return instructions. FouseraL_ ovine Fos 6251 (2077)Form 6251 2017) JOSHUA D AND ERIN M HAWLEY au Part lll] Tax Computation Using Maximum Capital Gains Rates Fae ator rein amet Sow ne Si ors te Foreign Earned Income Tx Workhee inthe insvuctons. "Erie; te amount om Form 6251, line 30, fyou ae filing Form 2555 or 2366-E2, enter the amount tom fine of tho worraoat ste rsructons fr tne 31 6 218,644. {7 Enlor ve amount rom line 6 of the Quaid Dividends and Capital Gain Tax Worshect in the instructions Fee au aD ie nmust ram ine Ta of fe Schedule D Tax Worksheet in he insucons or Teen a eae SoS whichis! sons Gs rehgures fr the AMT, frnecessay) (ee nsroctons). It Jol ate filing Form 2558 of 2555 £2, see metactons for he amount fo enle, 7 64,132. 8. Enter the amount from Schedule D (Form 1040), ine 19 (es fetqued forthe AMT, necessary (ee Fo ore ins ann 286 or SBS-E2, see natruios fo tne amon fo eter. A 459. IT you cel not complete 0 Schedule D Tax Worksheet fo he regular ax ofthe ANT, enter the aunt Hyon got corelte Saag ines 3 and San ener the emer of at result or the amount rom ne Tae oe tc vontcel (os refuted forthe AM i necessary). you ae Hing Farm 2555 o 2555-EZ, see instructions for the amount to enter, ES 64,132. 40. Enter the smaller of ine 36 olne 39 “0 64,132. {a1 Subtract ln 40 fom line 3. a 154,512. {2H iru 1 $187 800 oes (52,90 cr ese mari fling separate, mutiny ire Al by 26% (0.28). Mes Sg ei i by SB (O50) and subtract $3,706 (8 87S mae ng separately) Hom theresa a 40,173. 43 Enter # $75,900 if married fing joint ox quaiving widower, ¢ $37,250 if single or arred fling separately, or 43 75,900. # $50,300 nea of household {44 Enter the amount ram ne 7 ofthe Qualified Dividends and Capa Gain Tax Worksheet i he instructions Gale he aU aD eri wust am ine 1a 0 he Schedule D Tax Worksheet i he nstuction for LEGIT (pan toy whechever apo (a fared fore egular tan) you didnot complete ether saree ae epull tx ener the amount rom Form TOAD ne 43; # zo or less, enter -0~ you ‘Be ng For S868 or 2955 22 see insulins for the amour ener “a 176,755. 45. Subiract ine 44 rom line 43. Ize or less, enter 0 % 0 46 Enter the smaller of ine 36 or lne 37 6 64,132. 47 Enter te smaller of ine 5 o line 46, This amount is taxed at 0% a {43 Subitat Ine 47 fom line 46 a 64,132. 49. Enior ‘$418,200 singe * $235,350 marred fing separately (© $470,700 if married fling jointly oF qualifying widow(er) ey 470,700. # $444,550 hea of household S50 Entor the amount from ine 45 0 51 Enter the amount fom line 7 oft Qualifies Dnigends ond Capital Gain Tax Worksheet. the instructions Eat en a teat eat ine 19 ot te Schedule D tax Worksheet, whichever apptes eel te eguar tae you edna compet eter wortheet forthe regular tax enter Ihe (os Faure ote Ba ine 3: Yur or less enter 0 you a fing Fon 2936 or orm 2555-7, Seo instructions forte amount io ter. 31 116,755. S52 Ad line 50 and ine St 2 176,755. 58. Subtac line 52 from ine 4, it zero or less, ent 5 293,945. S54 Enfer he sale of ine 48 one 8. 36 64,132. 35 Multiply line 58 by 15% (.15) 5 9,620. 156 Add ines 47 and 54 36 64,132. {lines 36 and 36 are the same, skip ines 57 through 61 and go to line 62. Otherwise, got line 57. 57. Subtract ine 88 from ine 46 7 58 Multiply line 57 by 2% (0.20) 38 Mine 38 zero or blank, skp lines $9 through 61 and goto line 62 Otherwise, go to Tne $9. 59. Add lines 1,36, and 57 9 60. Subtract ne $9 from ine 36. 0 1. Multiply ne 60 by 25% ©.25) a 62 Add ines 42, 55,88, and 61 @ 49,793, 3 ie 36 $187 800 oss ($93.90 les if mars ling spat, lily ne 36 by 26% (0.28. ling 3. SI 00 oe 0) Sooke aT famed ty soars) om theron 6 57,464. yee smal of ine 620 ne 63 hove and on in 3, you gre fila Farm 2555 or 555-2, do not 64 Ente te smaller oe 6.) tert an ine 4 ofthe worksheet nthe ravens for ine 3. | 6 49,793. Fowanra 03017 Form 6281 (2017)SCHEDULE H Household Employment Taxes aS LOT orn icey ‘For Social Security, Medicare, Withheld Income, and Federal Unemployment (FUTA) Taxes) 201 7 attach to Form 1040, 1040NR, 1040S, or 1081. RRERTRRSLETLESES"” om] Go to wwnnirs goviSeheduleH for insiuctons oo he he information, geome ag Teneo ee ocala rambo per leetenar ERIN M HAWLEY aa Calendar year taxpayers having no household employees in 2017 don't have to complete this form for 2017, ‘Aa you pay any one household employe cash wage of $2,000 er more in 2017? (ay houssheld employee was your spouse, you! chun? 2, yur poet anyone snr aon 18, Sei ns nae ata omen as yo nue ) Yes. Skip nes 8 and Cand 90 tine 1 [] We. 010 ine Bid you wit fedeal income tx cing 2017 fr any household employe? Yes. stip tin © and go to tne 7 Tmo. Goo nec © Bid you pay toll cash wages of $1,000 or more in any calendar quarter of 2016 or 2017 to all household employees? (Don't count ash wages paid in 2016 or 2017 to your spause, your child under age, or your parent [J Wo. stop. Dont ie tis sched Yes. ski ines 19 and got ine 10. Social Security, Medicare, and Federal Income Taxes 1. Total cash wages subject to social security tax 1 12,314. 2 Social security tax. Mutply tine 1 by 12.4% (0.128). 2 1,527, 3 Total cash wages subject to Medicare tax. 3 12,314. 4 Medicare tax. Mutiny line 3 by 2.9% (0.025) 4 357. 5 Total cash wages subject to Adational Medicare Tax withholding 5 5 Additonal Medicare Tax withholding, Mul line § by 0.9% (0.009), 6 7. Federal income tax witheld if any z 300 8 Toa socal suri, Metco, and federal nae aes. es 2.46, nd 7. 8 2,184. 9 Bid you pay ttal cash wages of $1.000 of more in any calendar quarter of 2016 or 2017 to all household employees? Bont ah aah wages a 2M 207 fo ours sol ae ona al Nast era 11 Mo. stop, inde the amount rom ne 8 above on Frm TOE, line 6a. Ifyou not requie to fle Form 140, se he Bl] Yes. Goto ine 10 BAA For Privacy Act and Paperwork Reduction Act Notice, see the Instclions: ‘Schedule H (Form 1040) 2077Schedule H (Form 1040) 2017 ERIN M HAWLEY eee es? [Parti [Federal Unemployment (FUTA) Tax, Yes [No 10 Did you pay unemployment contributors to only on sat? (I you paid contibulon to credit reduction sate, see instutions and eneck 'NO-). | x 11. id you pay all state unemployment contributions for 2017 by April 17, 20187 Fiscal year flrs see instuctions..... [71 |X 12. Were all wages that are taxable for FUTA tax also taxable for your state's unemployment tax? wx Next: If you checked the “Yes’ box on all the lines above, complete Section A It You checked the -Ne* box on any Ofte ines above, kip Section A and complete Section 6 ‘Section A. "73" Name ofthe state where you paid unemployment contributions....... ” 14 Contributions paid to your state unemployment fund 74 RATES| 18 Total cesh wages subject to FUTA tax [1s | 16. FUTA tax. Multiply line 15 by 0.6% (0.006). Enter the result here, skip Section 8, and go 10 line 25 16 Section "77_Compiete al columns below thal apply Gyau need more space, see instructions) @ ® © @ © 0 @ @ Nape | Taatlenaate |S Baise fexpenence oy ae i | sun Oy Said tesa state | “State'acd rate 6. gal.) from. (9) a5 | unemployment From [To 2. 18 Total 18 19. Add colurms (@) and (1 of ine 18 19 20. Total cash wages subject to FUTA tax (ee the line 15 instuctions) 20 21 Multiply line 20 by 6.0% (0.060. a 22 Multiply ine 20 by 5.4% (0.054) 2 4 23 Enter the smaller of ine 19 or line 22 Tye ad te uname cnibns ie oe in etree st sittin and cece) | 25 2A FUTA tax, Subract line 23 from line 21, Enter the result here and goto line 25, 24 Partill_| Total Household Employment Taxes 25 Enter The amount from line 8 Ifyou checked the Yes" box on tine G of page T, enter 0- zs 2,184, 26 Aad ine 16 (or line 24) and line 25. a] 2,226. 27 fee you required to fle Form 10402 Yes, Stop. Include the amount from line 26 above an Form 1040, line 60a. Dont compote Part IV below, 1 no. You may have to complete Part IV. See instructions for details Par IV] Address and Signature — Complete tis part only i required. See the line 27 instructions "ess (umber ed ses) 0 PO, Dox al ered To desk aes to AL ey go oe ‘arr elie Rs teats mempioyen! fa clad 9s © cei mas, = tbe Gedleg Fem Be payments Ts Gauloyos,Dacaraon of freprer (we an anbaven EXMIMMEAMG a thick Rea’ os ay tone » » TTT oe Fai aT aan oo cow ™ pela | tera | eparer |fimeane Use |e rn aR = Schedule H (Form 1040) 2017. no. 8959 Additional Medicare Tax = Form > Hany ine does not apply to you leave it blank, See separate instructions. 2017 cee ‘Attach to Form 1040, 1040NR, 1040-PR, or 1040.55, ness tata Roane Sone > Go to wiirs govFormé359 or instrctions ard the latest information. Sate. 71 SRS GFT Foe So ay JOSHUA D AND ERIN M HAWLEY — [Parti] Additional Medicare Tax on Medicare Wages ‘1 Medicare wages and tis from Form W.2, box 5 Ifyou have mare than one Form W.2, enter the fll ofthe amounts Fom box So |__| 141,190 2. Unepocted tips ftom Form 4137, ire 6 2 3 Wages tom Form 8919, ine 6 3 4 Add ines 1 through & 4 Tai i90. 5. Enir the following amount for your fing stats Married fing joint $250,000 Maries sing separtely $125,000 Single, Head of household, or Qualivng widowed. $200,000 | 5 250,000. 6 Subtract ine 5 tom tine 4. zero oF less enter 6 0. 7 Additonal Medicare Tax on Medicare wages. Mullipy line 6 by 0.9% (0008). Enter here and go _ toPanti Parti] Additional Medicare Tax on Self-Employment Income 8 Self-employment income from Schedule SE (Form 1040), Section A, line 4, of Section B, line 6. Ifyou had a less, enter -0- Form 1040-PR'and Form 1040-SS filers, see instructions ) 8 117,717. 9. Enter the following amount for your fling status Martod fling joy $250,000 Married fling separately $125,000 ‘Single, Head of household, or Qualifying widow(er).... $200,000 | 9 250,000 10. Enter the amount from line 4 70 141,190 11 Subtract line 10 from line 9, If zero or less, enter 0. 7 108, 810 12. Subtract line 11 trom line 8. zer0 or less, enter 0. 2 8,907. 13, Adkstonal Medicare Tax on selt-employment income. Muliply ine 12 by 0.9% (0008), Enter here and 0 to Part I 13 80. (Part NT] Additional Medicare Tax on Railroad Retirement Tax Act (RRTA) Compensation 14 Rairoad retirement (RATA) compensation and tips Fom Form(s) W.2, box 14 (See instructions) 4 15 Enter the folowing amount for your fling status: Martied fling jointly. $250,000 Married fling separately $125,000 Single, Head of household, or Qualifying widow(er) $200,000 | 15 16 Subtract line 15 from line 14, I Zer0 or less, enter 0. 16 17 Additonal Medicare Tax on railroad retirement (RRTA) compensation, Multiply line 16 by 0.9% (0.008), Enter here and go to Pert IV. wv [ParEIV] Total Additional Medicare Tax 18 Add lines 7, 13, and 17. Also include this amount on Form 1040, line 62, (Form TOAONR, 10a0.PR ‘and 1040-SS filers, see instructions) and go to Part V. 8 80. [Pa&RV_ | Withholding Reconciliation 19 Medicare tax withheld from Form W-2, box 6, I you have ‘more than one Form W-2, enter the tstal ofthe Smounts ‘fom box 6 9 2,047. 20 Enter the amount from line 1 20 141, 130. 21 Multiply line 20 by 1.45% (0.0145). Ths is your reguler Medicare tax withholding on Medicare wages. 2 2,047. 22 Subtract line 21 from line 19, Hf zero or less, enter -0-, Ths is your Additional Medicare Tax withholding on Medicare wages. Ec} 23 Additional Medicare Tax withholding on railroad retirement (RATA) compensation from Forin Wed, box 14 (see instructions) 23 24 Total Additional Medicare Tax withholding, Add lines 22 and 23. Also include this amount with federal income tax withholding on Form 1040, line 64 (Form 1O4GNR, 1040-PR, and Tos0.Se ters, see instructions) Ey BAA For Paperwork Reduction Act Notice, see your tax return Instructions, Fousoor ore? Form 8885 (O17)Net Investment Income Tax — rom 8960 Individuals, Estates, and Trusts (aE Reen See (28) > Attach to your tax return. Tanai oo you JOSHUA D AND ERIN M HAWLEY (ome io. 85.2227 2017 seine 79 > Go to wrwairs.gow/Form8960 for instructions andthe latest information. See met Part | Investment Income | ] Sesion 6015) clecon (oe insructions) [Zsecton 60130 election (se instuctions) [[ Reawiations section 1.1411-10(9 election (ee insrutons) 7 Taxable mierest Gee instracions). 7 2 2 Ordinary dividends (see instructions) ret 35: 3 Annuities (Se instructions). 3 4a Ronal realestate, royates, partnerships, 8 corporations, uss, ete, (Gee instuetions) 4a 568. bb Adjustment for net income or los derived in the ordinary course of ‘2 non-section 1411 trade or business (see instructions). 4 € Combine ines 4a and ab 4c -568. 5a Net gan or los from disposition of property (see instructions). sa 61,095. bb Net gain or loss rom dispciton of property that isnot subject net investment income tax (ee instructions) sb «Adjustment rom dispesiton of partnership interest or S corporation stock (ee instructions 5c 4 Combine lines 5a through Be 5d 61,095. 66 Adjustments to investment income for certain CFCs ond PFICs (ee instructions) é 7 Other modifications to investment income (See instuctions) 7 8 Total investment income, Combine ines 1,2, 3, 4c, 5d, 6, and 7. = T0005: Partli| Investment Expenses Allocable to Investment Income ‘and Modifications 3a Investment ilerest expenses (see insructions) 32 B Sale, local, and foreign income tax (68 instructions) % 2,91. ¢ Miscellaneous investment expenses (see instructions). 9 4 Ad lines 92, 98, and 9 [od] 2,912. 410° Ackiional medications (se instructions) 70 11. Total deductions and modiieatons. Add lines 9d and 10 7m 7 oii. [Parilil|_Tax Computation 2 Netinvesiment nicome. Sublet Pert, ine 11 fom Par T, tne B, Individuals compete ines 13-17 Estates and busts complete ines 182-21. f zr0 or less, enter 0+ |12 | 67,098 Individuals: 13. Modified adusted gross income (se instructions) 13 295,925. 14 Threshold based on fling stat (se instructions). a 250,000. 48 Subvact ne 14 fom line 13. If 22 o less, enter 0 15 45,925. 16 Enter the sinale of tne 12 or fine 15 16 15,505. 17 Netinvestment income tax or individuals. Muti line 16 hy 38% (08). Enter here and Include on your tax return see insructions) 7 1,745. Estates and Trusts: 48a Net investment income (line 12 above) 88 bb Daductons for distibutons of net investment income and deductions under section 642) (See instructions) ne € Undistibuted net investment income. Subrac ne 180 ftom 18a Gee insirutions).H z6r0 or less, entor 0 ec 49a Adjusted ross income (ee instructions) rida Highest tax bracket for estates and rusts forthe year (see instructions) 196 «¢ Subtract line 19b trom ine 19a, If zero or less, enter 0. ie 20. Enter the smale of line 18 or line 19c 20 {21 Net investment neome tax for estates ond tts. Multiply ine 20 by 3.8% (088). Enter here and include on your tax rtur (see instructions) a {BAK For Paperwork Reduction Ack Notice, se your tax retum instructions. owseoit_ onan? Form 6960 GOT)rom 8283 Noncash Charitable Contributions ove Wo. ss80308 feared * Aitach to your tax return if you claimed a total deduction Drouin fu recon ‘of over $500 forall contributed propery. Steck. 155 sora err St” __+ Information about Form 8283 and its separate instructions is at wwnrs.govsorms26| Tae Sin ong Fo Te Sang ar JOSHUA D AND ERIN M HAWLEY Note. Figure the amount of your contribulion deduction before completing tis form. See your tax return Teulon, ‘Section A. Donated Property of $5,000 or Less and Publicly Traded Securilles — Uctm the seston om items (or groups of sia em) foc winch you clamed a daduction of $5,000 or less. Also, isl eutatr subheh pec secures ‘even i the deduction is more than $5,000 (eee mstraction®) Part] Information on Donated Property — if you need more space, alach a salenonl (2) Name and adress ofthe (@) if doneted property sa veicie axe | —(@) Deserbton of Gonaled POpETAy g (© Naanee cagabatn Inara) cecktnatn Avo neste rence | “Pu cwiris om pore eae eet erect ers Fam 8s sno, | nt an Pe et ane GOODWILL INDUSTRIES 4/1727 LOCUST STREET Oo _|st. tours, wo 63103 MEN'S CLOTHING 8/1727 LOCUST STREET ST. LOUIS, MO 63103 WOMEN'S CLOTHING o;o;o e oO Note the amourl you dlamed as « deducion Tor an lem is $800 or fess, you do not have o complete columns (and @osccive — | (e)oae seuresy | (Hon aenioe (deers coat or | (Fat raret abe Ws edo aera ‘nbn (enw io ‘yoo toused ens | ace ahve "hot merat he 10/27/17 _|~ VARIOUS [PURCHASE 4,000. 400, |THRIFT_SHOP_VALUE 10/05/17_|~VARTOUS — [PURCHASE 2,000. 200. [TARIFT_SHOP VALUE a 5 c D E Partial Interests and Restricted Use Properly — Compa jines 2a through 2e if you gave less than an enlire interest in ca ee ean Coe ue POY | OS es a LS Teraae he read statement (ese inst. 2a Enter the lelier from Part | that identifies the propery for which you gave Tess han an etre THSTeST |t Part applies to more than one property, altach a separate statement ‘Total amount claimed as a deduction for the property listed in Part I:(1) For this tox year > @ For any prior tax years, . ams and adress of each organization to which any such contioution was made ina prior year (complete ony i eierent fom the donee organization above): Nae fish paras ote) ‘ress Ganbo See rd am meno ry Tae oP ae For tril property, ener the place where the groper leat or eat > ‘© Name of any person, other than donee organization, having actual possession of We propery © 321s there a restriction, ether temporary or petmanent, on the donee's right lo use or dispose ofthe donated property? 'bDid you give to anyone (othe than the donee organization or anathe organization participating wth the donee organ lon io eeoperare rcp) te ight of rooms om he carted prope) or foe asoen ce ae ey, ‘Relating the ng to vote donated secuttes, te acaure the property by pulchace or Otimas ors eons besten having Such income, possession, or right to aeauire? CIs there a restriction limiting the donated property fora particular use? a BAA For Paperwork Reduction Act Notice, see separate instructions. Fouieia ranma Form 8283 Rev 122074)2017 FEDERAL STATEMENTS PAGE1 JOSHUA D AND ERIN M HAWLEY ——— STATEMENT 1 FORM 1040 WAGE SCHEDULE FEDERAL MEDI- STATE LOCAL ‘TAXPAYER = EMPLOYER wages _ __W/H___FICA CARE _W/H__ _WW/H__ STATE OF MISSOURI/ OFFICE OF ADMIN 93,858. 24,860. 6,752. 1,579. __4,768. TOTAL $3,858. — 24,860. 6,752. 1,579. 4,768. Ps FEDERAL MEDI- STATE LOCAL ____ SPOUSE - EMPLOYER _WAGES _/H___FICA_ _CARE_ __W/H}__ _W/H}__ KIRKLAND & ELLIS LLP 32,220 6,590. 1,998. 467. CURATORS OF UNIVERSITY OF MISSOURI " 4 4 TOTAL 32,284. 6,590. “2,002. 46 2,047 Bs Se GRAND TOTAL 126,142. __31,450. _8, 754 STATEMENT 2 FORM 1040, LINE 8 ‘TAX-EXEMPT INTEREST IN-STATE PRIVATE ‘TOTAL MUNICIPAL ACTIVITY MUNICIPAL PAYER BOND! BONDS BONDS LPL FINANCIAL 232 4. 661. TOTAL 3 ae aT STATEMENT 3 FORM 1040, LINE 21 OTHER INCOME ALLIANCE DEFENDING FREEDON 8 2,000. LESS EXPENSES +200: TOTAL $1,800. STATEMENT 4 SCHEDULE A, LINE 10 HOME MORTGAGE INTEREST REPORTED ON FORM 1098 $ 10, 638. ToraL ¢ "10,638. PENNYMAC LOAN SERVICES. la ea ou ceed caelFEDERAL STATEMENTS JOSHUA D AND ERIN M HAWLEY STATEMENT 5 SCHEDULE A, LINE 16 CONTRIBUTIONS BY CASH OR CHECK COYOTE HILL CHRISTIAN CHILDREN'S HOME, RELIANT RELIANT ‘THE CROSSING. STATEMENT 6 SCHEDULE D, LINE 13 CAPITAL GAIN DISTRIBUTIONS LPL FINANCIAL STATEMENT 7 SCHEDULE D LINE 13 CAPITAL GAIN DISTRIBUTIONS. LPL FINANCIAL, STATEMENT 8 FORM 1116, LINE 1A - PASSIVE INCOME GROSS INCOME FROM SOURCES OUTSIDE U.S. FOREIGN COUNTRY OR U.S. POSSESSION: VARIOUS DIVIDENDS, FOREIGN SOURCE QUALIFIED DIVIDENDS FOREIGN SOURCE CAPITAL GAIN DISTRIBUTIONS STATEMENT 9 FORM 1116, LINE 1A - PASSIVE INCOME (ANT) GROSS INCOME FROM SOURCES OUTSIDE U:s. FOREIGN COUNTRY OR U.S. POSSESSION: VARIOUS DIVIDENDS FOREIGN SOURCE QUALIFIED DIVIDENDS FOREIGN SOURCE CAPITAL GAIN DISTRIBUTIONSGENERAL ELECTIONS JOSHUA D AND ERIN M HAWLEY SECTION 1.263(A)-1(F) DE MINIMIS SAFE HARBOR ELECTION THE TAXPAYER HEREBY MAKES THE DE WINTHIS SAFE HARBOR ELECTION UNDER REGULATION 63 (A) -1 JOSHUA _D HAWLEY ERI EYFam 8879 IRS e-file Signature Authorization =" > Return competed Form 9979 to your ERO. (D0 not send to IRS.) 2017 Papartratt ne Tea "Go to www.irs.gov/Forms879 for the latest information. ‘Submission Identification Number (SID) eae D JOSHUA D HAWLEY Bouse nae cil sca DST ERIN M HAWLEY [Part [Tax Return Information — Tax Year Ending December 31, 2017 (Whole dollars oni ‘Adjusted gross ineome (Form 1040, ine 38; Form TO40A, line 22; Form TOA0EZ, line 4; Form TO4ONR, line 37) 1 295,925. 2 _ Total tax Form 1040, ine 63; Form 1040A, line 39; Form 1O40EZ, line 12: Form TOAONR, line 61) 2 67,696. 3 Federal income tax withheld from Forms W-2 and 1089 (Form 1040, line 64; Form 1040A, line 4; Form T0402, tine 7; Frm 1040NR, line 62a) 3 31,450. 4 Refund (Form 1040, tine 76a; Form 10408, line 48a; Form TOA0EZ, line 13a; For 1040-SS, Pat I, tine 13a; Form TOAONR, line 73a). 4 5 Amount you owe (Form 1040, line 78; Form 1040A, line 50; Form 1040E2, line 14; Form 1O40NR, line 75)... [ 5 4946. Partil__|Taxpayer Declaration and Signature Authorization (Be sure you get and keep a copy of your return) der peat of pry | dere at have examined copy of my eens inva nore ax return and acpanyn schees ard steven fre xy ending scribe 31,27, ad oe best cf my koulte ae ee ti tre coe and accra ts anc and sours of ner | receed dung Uw yrs acoore that the amin in Par | abe re re amour fom my electra inca tat elu onsen alla ry need ec raider, Uansmlte,o eecrn turn otgnoor (£0) sendy ern eS a ree ram he) n acto of ig reason free ef he arcmin, () hres ay ype {he etary refund and (c) the dt of any refs. Fapleal, athe the U.S. Treasury ad ts deste Finan! Age tonite an ACM cae fun nivel rect. ‘S210 ent tthe tne irsttuon acount inate te tak pesaranon stare fr parent of my feral tes owed en ther n/a pyro estimate os Sed ‘anil ntti to debt teeny tts eco. Tes auterzabon i to emai in ful force and eft nt Indi the US. Tresury Franca Aneto tera te ‘tenzaton, Ta eke (anc) «payment | must otc th US. Treasuy Francia Agent at -88-95-4527. Payment cance aust mst be rceied a ter tan 2 ‘nsinest dys pir othe payment (stern) date | asa ahr enc Insts melodie prcesig ote eeton payment fakes wre sce da sfloraton nectar to atswe inquest reste sues related othe pment | futher alnatae tat te peronl rican une (PN) blow my sg fo my ern income tax tun ad, if appa, y Eleconc Funds Wihava Conn ‘Taxpayer's PIN: check one box only authorize EVERS & COMPANY, CPA'S, LLC ta enter or generate my PIN Se TENG eet ‘8s my signature on my tax year 2017 electranealy filed income tax return. = CSRS a. so yk 07 leone ge ete, Ce or any #9 = ‘Spouse's PIN: check one box only authorize EVERS & COMPANY, CPA'S, LLC to enter or generate my PIN, Rg ‘98 my signature on my tax year 2017 electronically fled income tax return, CU 8 2 hs 2s ye 21 leche es geo te ey, st or oni mu Practitioner PIN Method Returns Only — continue below ification and Authentication — Practitioner PIN Method Only [Part tii [Cer ERO's EFINIPIN. Enter your six-digit FIN followed by your five-digit sell-selected PIN. Dore sewer { crtly that the above numeric enty is my PIN, which is my signature for the tx year 2017 electronically filed jncome tax ream for tne {axpayers)ncaled above. | conirm tal am submiting ts reurnm acarcance mire igaurertents te Precthnss ON ae and Pub. 1345, Handbook for Authorized IRS e-fle Providers of individual Income Tee Ruane EROS Sonate» ERO Must Retain This Form — See Instructions Don't Submit This Form tothe IRS Unless Requested To Do So. [BAA For Paperwork Reduction Act Notice, see your tax retam instructions, Form 8878 (2017)JOSHUA D AND ERIN M HAWLEY 5215 E HIGHWAY 163 COLUMBIA, MO 65201 Payment Voucher (Form MO-1040V) Pease pint. Make check payable to Missouri Departret of Revenue Mai Form 1MO-TDIOV and payment the Missouri Deparment of Revenue, P.0. Box 37, Jetesan City, MO 6105-071, HAWLEY, JOSHUA D HAWLEY, ERIN M MISSOURI DEPARTMENT OF REVENUE P.O, BOX 371 JEFFERSON CITY, MO 65105-0371 ‘social Secutly ‘Number ee | Name Control ‘Spouse's Social Security No a [Spouse's Name Control. Amount of Payment (US. funds only) | eas (HO ea [Sa [a oom Fl pment of aes mite sutra by A 17, ZIT wid nae ad aos fo th fare te py you pay By heck, ou atc the Department of Reeru ferent hy el hs yb pres 0 ecvonealy 17347011032 |_® en || Gm | [Hawt 4123],| 00 Department Use Only Department Use Only 1182 Ferm NOOO Peveed 12.2017) 055 032 OOOOOO 4929492675 080123129 S257LbbO7b 17 000422300 4iment of Revenue come For Calender Year January 1— December 31, 2017 |_J Select Here for Amended Return Select Here for Composite Return If filing a fiscal year return enter the beginning and ending dates here. 1032 I oy das sim ee ee soe “= per eee vourst [_] Spouse Yoursat [_] spouse Youset [_] spouse Youset [] spose [7] | vauset [] spouse i] Deceased Deceased Ae eee ee £) fosaua’ ] ) [nawcey au il ina | u [] Present Address (Include Apartment Number or Rural Route) i City, Town, or Post Office State ZIP Code 3 ae yet le a wrk) @ ly) se) 6 5 | a esr Qnitord | Mescutstizry| caret | casa Conor Trerrad | reiting | oneraigns | wires | Aime; | ein, | “SRS A amie | en ar N00 Hi a A WU wowaira, ovane For Privacy Notice, see Instructions. 10820-1040 PageJOSHUA D AND ERIN M HAWLEY CED ‘Yourself (¥) 1 Federal adjusted gross incare ftom your 2017 federal ] tun eee worksheet on page 7 ofthe instructions) hy 130, 534], 165, 391] [oo | SEE AGI WKSH 2 Total ations (rom Form MO-A, Part 1 Line 7) ky 235) 214], [00 || 3. Tote income Add Lines 1 and 2 by 130, 749], [oo] ss 165, 605] [oo] i Fa sat sectons tom Ferm MOA, Pt ne 17) lew 19] [oo] fs 18] foo | | 5 missouri adjusted gross income ~ Subtract Line 4 ftom Line 3... [BY 130, 730] [oo] [bs 165, 587] [00 6 Total Maso add gos income ~All column BY an 58. e]_296,317).[00 LI 7 Income percentages ~ Divide columns 5Y and 5S by total on Line 6. (ust equal 100%), by aa] * fs 56] * 8 Pension, Socal Secry, Social Secutly Disabiliy, and Miltary exemption (rom Farm MO-A, Part 5, Secton B) 3 |. 0 [7] 9 Select your filing status box below. Enter the appropriate exemption amount on Line 9 qj 4,200). 00 1K Sige ~ $00 (0 Box Before selecting) [J] & aris Fig Sesritepese NOT eg) — 4200 | Bcisivad as Deperder on Ante Pesons Fado Hoe — $3500 | Federal Tax Return — 3.00 me | X] © ares ing Ce ot eo) — $4200 [_] 6 austivins won wth Depend nid — 3.00 |] mar ina senate — 3,30 | 10 Adaitional personal exemption (se instructions on page 7). 10 dj. foo 1) 1 Tac tom federal turn ~ Do not ene feral income tax : withheld (ee instutions on page 7 and 8, n 44, 492] loo 3 12 Other tax from federal return — Attach copy of your federal tun BL Gases and’ en 2 4,103] [oo x t “otal tax rom federal return ~ Ad Lines 17 and 12 3 48,593], [oo Federal lax deduction — Enter the amount from Line 13 not to exceed $5,000 for individual Fier or $10,000 for combined fers 14 10, 009] [oo Missouri standard deduction or itemized deductions. «Single or Married Fling Separate — $6,350 + Head of Household — $8,360 ‘Married Fiing Combined or Qualifying Wisow(er) — $12,700 eaaeraacellal iv bge 65 or older, blind, claimed as 2 dependent, see page 8 If temizng, see Form MO-A, Pat 2. bs] 44, 082),|00 16 Number of dependents (trom Federal Form 10#0 oF TOADA, Line Se | Dermat incude yoursel orspouse 2] x91, 200-[16 2, 400], [00] | [7] sotet ox it daining sitio die (se instractions on page “17 Natbr of depends on Li 6 wi are 68 years tg lean do | rts Wei ost fu, Do ot nude our or reuse {J x81, 000=[17 oo oven annie NA HU rari 17322021032os JOSHUA D AND ERIN M HAWLEY 18 Longiteim care insurance deduction 19 Heath care sharing ministry deduction 9 . [00] 2 |20_ miter income deduction loo} E21 ira one soci, a bo 4 [22 Tanaporatontecies decuton, [ze foo a : 4 Port Cargo Expansion 2 tntemational Trade Fcity }C cuattied Trade Actes Fe tomcat atts 31004 2 a 1,483] foo 24 Subiotal — Subtract Line 23 from Line 6 za 234, 835] [oo 25 Multiply Line 24 by appropriate percentages (%) on Lines 7¥ and 78 2sy 103, 327] oo] ass. 131, 508], [oo 26. Enierrise zone or rural empowerment zone income at rmoaieation fasy foo] es | [oo (27 Texable income ~ Subtae Line 25 rom Line 25 zy 103, 327], foo] fers 131, 508], [oo 28 Tax (ee tax chart on page 20 ofthe instructions) y| 5,970] foo] fees 7, 661], foo 29 Resident credit — tach Form MO-ER and other sates feame tune e zy boo] fs boo 50 Masur nae pscnang — Err 10% ines you ae | | Gomolting Form MGM Aiach orm MSNA Secs Sopy of your eas fa floss than TOOK [soy + fas : | 21. Balance — subtract Line 29 tom Line 28; OR | multpiy Line 28 by percentage on Line 30, ny 5,970] oo] fais 7, 661], foo £32 Other taxes ~ Select box and attach federal form indicated Lump sum distbution Fm 4972) Fecapture of iow income housing erect Farm ait) (32 | loo] [ses 33 Sublotal — Add Lines 31 and 32 33 5,970] oo] [ass 7, 661 34 Tool Tax — Aa Lines 38Y and 335 34] 13, 631 ] 35 MISSOURI tax withheld — Attach Forms W-2 and 1098 35 4,168 | 36 2017 Missou estimate tax payments — Include overpayment rom 2016 applied to 2012 se 4,240] [oo] Wo mee triacs epee enisan senior [) > Moai ens tne [a7 A 0 A woworia. evens 17322031032 102201080 Page 3JOSHUA D AND ERIN M HAWLEY Fs 1 28 Nic ox poment forrest enerianers— Ath Fom MOZENT Bi oo] 39. Amount paid with Missouri extension of time to file (Form MO-60), 39 foo] 40 sceereus taxol fom Fem HOG, Lie 19 ~ Ach Form MO-TE [a 500] oo «Proper tax rat ~ Aah Form MO-PTS [a oo 42 Tota payments and rots ~ Ad Lines 35 rush 4 el 9,508], oo stipes tough you ae nt fing an amended eu. | 48 Arun ado ral tn s oo {4 oveoament a shown (rated on oral oan a bo Indicate Reason for Amending Enfordt ofS rept OO" A Foteralat j ea SST i | Net operating los carck | Enya of edt M9 € tnvesient x eet carck i Snare een fed. anoorey) (1) b corection oer than A, 8, oF | a8 Amended return total payments and credits - Add Line 43 to Line 42 or subtract Line 44 LI ® fone [a oo 16 Line farce ele, ie 45, eager han Lin 38, er ier Ici SuERPAMEN [oo n 4. evn of ine be solo you 2018 exe a fe fo 42. Enerte arr ye draenei Boe lo, Seinen earl ut ed ces yer poor an say Tate 0) ase Re oo hae BH post gy Bea bo) ar Bw 00 @ tens err ox, tag Met loo tan Bhan bol as Ba | |] gare —] pape ses ps | a am [oo an = To Denton Adé ants om Boxes 8 rough Akan ever te [le 49. Amount of Line 46 to be deposited into a Missouri 529 Colege Savings Plan (HOST) || Sah eaten arama . od {A 72 woworia, ovens 1820-080 PaoJOSHUA D AND ERIN M HAWLEY aes ‘50 REFUND — Subtract Lines 47, 48, and 49 from Line 46 and enter here, (50 +[00. t j i Reserved ie Coe Cu i 51 If Line 34 is larger than Line 42 or Line 45, enter the difference. Amount of UNSERSAYMENT foe the nstracons os Une $2) st 4,123].[00 i ‘52 _Underpayment of estimated tax penalty — Attach Form MO-2210. Enter Penalty amount here. 52 -|00) [[] setet tis tox it you area farmer exempt tom the underpayment of etimate tax penalty ‘53 AMOUNT DUE ~ Ads Lines 81 and 52 you pay by check, you authorize the Department of Revenue to process the check electronically. Any check retumed unpaid may be presented again electronically 53] 4,123]. [00 Under penalties of perjury, | declare that | have examined this retum, including accompanying schedules and statements, and tothe best of Ity knowledge and belie itis tru, coret, and complete. Declaration of preparer (ather than taxpayer) is based on all information at ater he or she has any knowledge. As provided in Chapter 143, RSMo, a penalty of up to $500 shall be imposed on an incivcual ale; files a fia return. ase deca under penales af Renay tak etply ro Neon ore an under federal law and {that | am not eligible for any tax exemption, credit, of abatement if | employ such aliens. Signature Date @amvooryy) | Seouses Sionature O fing combines, BOTH must ind Date (MMDDIYY) | Ema Adress Daytime Telephone Preparer's Signature Date @MIDDIYY) }JO_L. MOORE, CPA Preparers FEIN, SSN, or PTIN Preparers Telephone ita tanec: Preparer's Address | a ZP Code Ll | mato te Dect of Revere deg to sus my tun and each th pepe cr ary mone fhe popu’ rt Aves 1 No Deparment Use Ony Os Or Oe toe ete _] ovens aT Mail To: Balance Due: Refund or No Amount Due: Phone (Balance Due): (673) 751-7200 sour Deputnentof Revenue Mien Dapartortc Revenue Phone (Reundar Ne Scat Done o7) 761-2505 P.O. Bon 33, P.O Box 800 Foe '9) 31 ~eleson Cy, Mo 65105-0829 _Jeferson Cy, MO 651050500 Erma intme@dor mo gov CA 0 A Monona, omens azz0s1032 10321080 Page SJOSHUA D AND ERIN M HAWLEY ete usted Gross Income Works reales | Ban] fee [Y= Yours Spouse Adios Combines Reta Teas | denen] temas | Yo Yourell Bie Twas, sais, ts ot 7 7 [7 35 Esa] wo [T|32, 209 00 2 Taxable reat ince Zope Ts[00 [2 T2000 $3 Divdend income ona ae Tiza[00 [3 T1270 A Sate and local coro tx ors, ane asl op ETO oo fa 00 S Alon received ironman ST o0-[5 00 Business income or (04) rane re wo [6 | 325,669) 00 Cepia ganar fos) a FEaea] 0 [7 | 28,305 00 other gars oF (osses) Fora [wooo 2162] 00 [8 2.166 00 9 Tatoble RA dstibutons a 0 [3 0 1 Tecate ponies and ants. Tone [ab | Te 010 00 So eng spas 2 | ve [ne 7 =a 00 [1 =Zail 00 12 Farm income or Coss) a 0 [12 ‘0 3 Unemployment compensation zee 0013 ‘0 a Toxble social socurty benefits ‘ere | 6 [ae [14 0 15 Otter income rene [tne [al 7,800) 00 [15 20 6 Total (add Lines 1 through 15). a 15 22 130, 661] 00 [16 192, 959| 00 Less: feerlacustents to income rr ee T2700 [17] 27,568 00 18 Fete ace is hereon on Lines 1Y and 18, Form MO-1040. 4 2 7 130,534] 00 [18 165, 391] 00 pons o1nssy Form My Missouri Department of Revenue 2017 Individual Income Tax Adjustments MO-A yore ne Aclustments, Deparment Use Only [aver] euwoorr LC ‘Aach to Form MO-1040, Attach your federal return. See instructions to assist you in completing this form, Socal Security Number ouse's Social Security Number Part 1 - Missourt Modifications to Federal Adjusted Gross Income wowosta. oven Fest Name MIL Last Nome sur i 7 =) [JOSHUA D | [HAWLEY J Spouse's First Name MA. Spouse's Last Name Sutx [serw u] [nawney ] ‘Additions Yourself (Y) Spouse (S) ais) fol Ls CH 72HO01 1032 For Privacy Notice, see instructions. 1 Interest on state and local olgations other than Missouri source L1Y aid, 2 C1 Pernerstin (2) eticiay [1 8 corporation 7 et operating Loss (CorybaclCaryfonar) Toler dessin 2y bod [as bg 3 Nonaulifedcstibuton received rom a qualified 59 plan (higher ‘education savings program) not used for quaifed expenses... L3Y. .loo) Las . oo ) 4 Foe Panty contributions included on Federal Schedule A. ay 0) Las 00) 5 Nonresident Property Tax sY | bod [ss © Nani dstbton esi ore aid Aching eter Lie [ {seers Pagan (ABLE) nt sed fr ue epeaes sy lool Les 7 Total Aton ~ Ada Lines | trough 6, Enter here and on Form MO-1040, Line 2 7 215} loo) [zs 214] foo] ‘Subtractions | ett fom xp feeb ine in eel aust gas ce ‘Atcha detailed listo at Federal Form(s) 10g9, .. STATEMENT 1 Sy 19] 00) [ss 9 Ary slatname tx und ioe in erated gos ice oy 0} [9s loo C1 Padrestio 1) rstuory 2) s corporation [1 aioedRetremert Santis TF witiary oneesiterty C1 comtst Pay — 2] suis éneviea ane Recovery Zone Bond Interest C2 woribicrrivate Tenspotaton act [Z] Net operating toss 1 other cdoserition| | oY loo} [10s loo] 11. Exempt conribuitons made toa qualified 529 plan Qigher ma exducaon savings program) ny «lool [ns boo 2 Quaied Heath Isuanee Premiums-Atech re Qsied Heath Insurance Premiums Worksheet (Form 5696) and supporting documentation wy “| oa) [res boolJOSHUA D AND ERIN M HAWLEY =, 13. Missouri deprecation aden Section 143.121, RSMo) 12 Missouri tlemized Deductions — Subtract Line 1 rm Line & En hare arden For M0140 Line 15 Sold or disposed property previously taken as z zxkton moiaton. 13y| 138 lod Elia Home Energy Aust Expenses - Attach the Home Eneray Aust | Expense (Form MO-HEA), vay |-loo} {14s} Loo] 315. cxemot contributions made toa qualified Achieving a Better Lite =| Experience Program (ABLE) 157 loo} [ass [oo] = ]16 Aariculture Disaster Reliet 16. 16s ool 17 Total Subvacions ~ Add Lines 8 trough 16. Enter here and on Form MO-1040, Line 4, 17 | 19}.[00) [175 18 |.|00] lets Ws section ny Tyo Tei alone on yur fell eur, ach your eee Form 1040 (pas Yared and Fer! Sees A ] 1 Total federal itemized deductions from Federal Form 1040, Line 40. 2 38, 610 |.|00| 2 2017 Social security tax — (Yourself). 2 6, 752 |.(00) 8) 5 2017 Soci! security tox ~ (Spouse) 3 2, 002] 00) 3) «corr reiroa erent tr Tern Te Yosh lod | 5 2017 Raitoad retirement tax ~Tie | and Tir (Spouse) 8 -loo} © | 6 2017 Medicare tax — Yourself and Spouse (see instructions). 6 2,047].|00) 3| 7 2017 Self-employment tax — (see instructions). 7 1,775 |.[00] ©) Total Add Lines 1 though Z 8 57,166] lod 41] 9 state and loca income taxes ~ fom Federal Schedule A Line 6 of ¢ ‘see the worksheet below. 2 12, 304].|90) 110 Earnings taxes included in Line 9. 10) +10 1 Not state income taxes ~ Subtract Line 10 from Line 9 or ener Lie 8 fiom worksheet Below u 12,304| lod 2 44, 682 | oo fimg combined or qualying widow er), $287,650 if head of houschold, $261,500 if sinale or claimed Compete this worksheet only f your federal adjusied gross income fom Federal Form 1040, Line 37 is more than $313,800 if maried as a dependent, or $156,900 if fnavied Ting separate. Atach your Federal Remized Deduction Worksheet (page A-12 of Federal Schedule A instructions), 11 Enter amount from Federal itemized Deduction Worksheet, Line 3 see page A-12 of Federal ‘Schedule A instructions) I $0 or les, enter‘! 2 Enter amount ftom Federal terized Deduction Worksheet, Line 9 (se Federal Scale ists) 13 State and local income taxes from Federal Form 1040, Schedule A, Line 5 4 Eamings taxes included on Federal Form 1040, Schedule A, Line 5 5 Subtract Line 4 from Line 3. 6 Divide Line 5 by Line 7 7 Multiply Line 2 by Line 6. Fart 2 Worksheet = Wet State Incone Taxes, Line 1 8 Subtract Line 7 from Line 5. Enter here and on Form MO-A, Part 2, Line 11 wovosia. omens {NW A 17340021082 1 Lod 2 od 3 od ‘ Lod A [od ¢ : 7 [oo ° odDepartment Use Only ] ] Missouri Department of Revenue oumooryy) 2017 Miscellaneous Income Tax Credits (Stree [HANLEY, JOSHUA D cos [coralam) [anja] ieenge amex, ERD i a | ip | oo fete ] desta fate mon tenner I ‘sce? I I * Benefit Numbor = The number i the lst ix (6) dis ofthe number ected on your Certiicat a Eloy Example: For bene, ABC-201812345-12345, enter 12486, on ants MO-TG ‘Alpha cade — The tres character code located onthe bac of stor. Each cel is assigned an aie coe to ensure proper processing of te cre clarmed «fou are claiming more than 10 ces, tach atonal MO-TC() sme al it xe Credit Name aera Soret mae | rt) Each coat wil pply aginst your tox i y lab inthe oder they appea below cm Connie 1 T || cec_|cHAMPTON FOR CHILDREN CREDIT o 25010) 25000] 1 i 2 2 oo too 1 1 3 3 ‘od too t 1 4 a too oo t ' | ' Fi 5 loa too 1 t t | 6 6 ‘09 oo | | > z tog ‘00 | 1 8 8 too loo | 1 A 2 ool loo | | he ho tog ‘oo | | 17 subtotals ~ a Lines 1 trough 10 bs 2s0'00) 250100 2 Entre aur of th ta aly fo Form W010 Lin 337 yore an ine 398 T T MBSE e omromnetias Cw tometer lesen mortem — Lal, srolacl 7, geuo 13 el ag aan am ne, Ces ad 2. treed Frm MO Fm O10, ne t er Fai iw) Lie eer ea a on Le 1 a a a hs 50000 AFPORTIONED TAX CREDITS HAVE A FUNDING LIMIT FACH FISCAL YEAR, IN THE EVENT THE TOTAL AMOUNT OF AN APPORTIONED TAX CREDIT EXCEEDS THE AMOUNT AVATLABLE FOR THE YEAR, THE CREDIT WILL BE APPORTIONED EQUALLY AMONG ALL ELIGIBLE TAXPAYERS CLAIMING THE CREDIT. IF AN APPORTIONMENT OCCURS, THE TAX CREDIT AMOUNT CLAIMED ON YOUR RETURN WILL BE REDUCED, eee nes a tO. Ath Fr WOT, M12 MO 1e32Fem mo.T Pevens 02201)i i 3 3 i E \ Missouri Department of Revenue Department Use om ] Form ¥y 2017 Underpayment of Estimated usao0rY) __ |mo.2210% Tex By Individuals {Attach this form to Form MO-1040. Social Security Number Spouse's Socal Security Number _ Sa Spouse's Name Texpayer Name HAWLEY, JOSHUA D HAWLEY, ERIN M Actress, City, State, and ZIP Code ‘You may qualify forthe Short Metrod to calculate your penalty, You may use the Shert Method i ‘a You quality to use the Short Method on the Federal Form 2210 oF b All withholding and estimated tax payments were made equally throughout the year and © You do not annualize your income. f @) applies or both (6) and (¢) apply to you, complete Part |, Required Annual Payment and Part Il, Short Method. Otverwise, complete Part, Required Anrwal Payment and Part Ill, Regular Method. Cel 11 Enter your 2017 tax after crecits (orm MO-1040, Line 34 less approve credits from Line 40; Propety Tax Credit kom Line 4), 1 13,131. 2 Mulply Line 1 by 90% (6 28% for qualified farmers) 2 11,818. 3 witnolding Taxes ~ Do not inci any estimated tx payments on this ine 3 4,768. 4 Surat Lin 3 fom Lin less han $500, stop here; dont complete o fe hs orm You do nt owe the pena 4 8,363. '5 Enter the tax shown on you 2016 tax relum youd not flea 2016 Missourretum or ony fed a Property ‘Tax Credt Clam, sk Ine 5 and ener the amount om Line 2on Line & 5 7,123. {6 Required Annual Payment ~ Enter the smaller of ine 2 o Line 5 (NotI Line 3 equal oor more han Line 6, slop here you donot owe the pena. Do nt fle Form MO-2210,) 6 7,123. 7 Enter the amount, if any, rom Line 3 obove. 7 8 Enter the total amount, if any, of estimated tax payments you made 8 9 Add Lines 7 and 8 2 40 Total Underayment for Year ~ Stat Line 9 fom Line 6. zero or ls, stop bere: you do nat me the penally: Do not fle Form MO-2210, 10 11 Mulpy Line 10 by 02682. n 12 ithe amount on Line 10 was pat on or after 04/15/18, enter 0 (zeta. Ifthe amount ap Line 10 was paid etbee SAYSH make the folowing computation to fnd the amount to enter on Line V2 ‘Amount on ‘Number of days paid Tete” x BetereaartSis” =x oonr096 2 ° 43 Penalty, Subtract Line 12 from Line 11. Enter result hee end on Farm MO-1040, Line 52 13 Part Il Instructions — Short Method ‘A. Purpose of the Form ~ Use ths form to determine whether your income tax was suficiently paid throughout the year by witolding or by estimated tax payments, If is not, You may owe a penalty on the underpaid amount 1 Short Method ~ You may use the Short Method i you qualify to use the Shot Method on the Federal Ferm 2210 cr, al witholing tnd estimated fax payments were made equally thoughout the year and you do not annualize your income. It you do not qualify o use the Short Method, you must use the Regular Method. CIN A owas cine 17316011032 1022 Foem 02210 Poe 1= Regular Method Pot JOSHUA D AND ERIN M HAWLEY Section A — Figure Your Underpayment Complete Lines 14 through 19. you meet any of the exceptions ‘90 directly to Line 20. (see instruction D) tothe penalty fr all quarters, omit Lines 14 through 14 Required annual payment Enter payment as computed on Part |, Line € 6 16 v % 19 198 195 We 194 Required instliment payments, Estimated tax paid Overpayment of previous installments Total payments Ucoayrat of aren insta. mrpyart of cart ital. Underpayment of previous installments Total overpayment Total underpayment. Segtion B ~ Exceptions To The Penalty ‘See insbucton D — For special exceptions see instruction | fr se 20 Total amount paid and withheld from January 1 through a 2 4 the installment date indicated Apr. 15, 2017 Due Dates of installments Jun. 18, 2017 4 7,123, Sept. 15,2017 Jan. 16, 2018 ice in a‘combat 20ne and instruction J fr farmers rates and exemptions. 3,312. 4,504 7,816,| Exception No. 1 ~ prior years tax BwotaoisTox | sokermeT8r | koaieTee | Team 2016 tx U1 1,781. 3,562. 5,342. 7,123. Beaton St oe Tt wit Te Exception No.2 ~ taxon pir yea’ income using 2017 inate ae oanat Exception No.3 — taxon annualized 2017 income Exception No. 4 ~ tax on 2017 income over 3, 5, and 8 ‘month periods, Section ¢ — Figure The Penalty Complete Lines 25 through 29 3 Fy ae 2 2b 28c ‘Amount of underpayment Date of payment, due date of insaliment, or Apri 16, 2018, whichever is earlier Number of days between the due date of instalment, and either date of payment, the due date of the nex! instalment, or December 31,2017, whichever is earlier ‘Numer of days from January 1, 2018 or instatient date to date of payment or April 15, 2018, ‘Multiply the 4% annual interest rate times the amount ‘on Line 25 forthe number of daye shown on Line 27a Multiply the 436 annual interest rate times the amount (on Line 25 for the number of days shown on Line 27 ‘otal Penalty (Line 28a plus Line 28) “Total amount on Line 28. Show this amount on Line 52 of Form MO-1040 86 Penal. f you have an underpayment an Line 5t of Form MO-1040, enclose the amount equal tothe total of Line 51 andthe penalty amount on Line 62. Deparment of Revenue wil reduce your overpayment by the amount ofthe panaty "Underpayment of Estimated Tax your check or money order for payment in YOU have an overpayment on Line 50, the Note: his form isnot fed with Form MO-1040, attach check or money order payable to Department of Revenue and mail Taxation Division P.0. Box 329) Jefferson City, MO 65107-0329 E-mail: [email protected] CIN 0 00 ‘7aietzi0se Fo Mo-zzio Page 2 Renee 122017)2017 MISSOURI STATEMENTS JOSHUA D AND ERIN M HAWLEY PAGE 1 STATEMENT 1 FORM MO - A, LINE 8 INTEREST FROM EXEMPT FED, OBLIGATIONS INCLUDED IN FED. AGI - SELF LPL FINANCIAL. INTEREST FROM EXEMPT FED. OBLIGATIONS INCLUDED IN FED. AGI - SPOUSE LPL FINANCIAL. 8 19 ‘TOTAL $1 § 18. ‘TOTAL Sumemmenn eeINTERNAL REVENUE SERVICE ae P.0. BOX 37007 HARTFORD, CT 06176-7007 iaialRovnsesewes” Ssassig 2018 Form 1040-ES Payment Voucher 1 {etna ie soe ct ct cna enone [Gogg OP SOUOSG TS SRE ae Se arene oe. [ae ree cn | 33550. FDMISOIL ov 18 a HAWLEY ERIN M HAWLEY INTERNAL REVENUE SERVICE Po Box 37007 HARTFORD CT Ob47b-7007 452949267 WO HAUL 30 0 201812 430Mail to: Department of he Treasury Cal Internal Revenue Service 3 i ‘iggy ae neh pment. ssa te sna rawr au. SESS EO athe your onten we vous JOSHUA D HAWLEY ii INTERNAL REVENUE SERVICE P.O. BOX 37007 HARTFORD, CT 06176-7007 betach Here and Mail With Your Payment caeatecrses 2018 Form 1040-ES Payment Voucher 2 ‘Amount of estimated tax you sre paying by check Srmoney order +| Foavora. over? 3,550. Toa INTERNAL REVENUE SERVICE Po BOX 37007 HARTFORD CT Ob17b-7007 492949267 UO HAUL 30 0 201822 430Mail to: INTERNAL REVENUE SERVICE P.O. BOX 37007 HARTFORD, CT 06176-7007 Department of the Treasury Cale inginalRevende Sovee”” Bue SH986i8 ©2018 Form 1040-ES Payment Voucher 3 Sieh at erst stra Mt, [Arn of etre ay SES i se ere Gas pes ey i, | fear texted Sin Erne MIS aaa a Brmoney oroge. cnn >| 3,550. FDuisoa ovo 7030 JOSHUA D re, ERIN M HAWLEY INTERNAL REVENUE SERVICE Po BOX 37007 HARTFORD CT 06176-7007 492949267 WO HAUL 30 0 202822 430Mail to: Department of the Treasury Pabmal Revenuc'Suvice” Baw" — ERIN M_HAULEY Detach Here and Mail With Your Payment ¥ INTERNAL REVENUE SERVICE P.O. BOX 37007 HARTFORD, CT 06176-7007 cateneerye.s 2018 Form 1040-ES Payment Voucher 4 ‘Amount of estimated tax jaro paying by check br money odet | 3,550- FoRIsSL ovine TO INTERNAL REVENUE SERVICE PO BOX 37007 HARTFORD CT ObL7b-7007 uq29492b7 WO HAUL 30 0 202822 430MAIL MO-1040ES PAYMENTS WITH YOUR CHECK TO: MISSOURI DEPARTMENT OF REVENUE P.O. BOX 55: JEFFERSON CITY, MO 65105-0555 Missa Departmen of Revenue owaso1L oinane ; 2018 Declaration of Estimated Tax aay aus Core ene) CIC 0 A A 18852011032 de mercer Nave Cnt we Dine, lari om lem ame fs) Ses So Seat er ane Cone aoe fe) am | fan ] Amour Pais $ 224i Iminnttenam snr etn nn [Sirsa ena case oor Rane at Fra ta Lae peated aparece Soo.es Name as Ft na Department HAWLEY, ERIN M Use Only [ S [Aires Ober ana Stow Cy at and BP Ca ] (eve 28017) 250 032 OO0000 4929492675 OAOLEILE S2S7ILEO7E 18 OODL24OOD 8MAIL MO-1040ES PAYMENTS WITH YOUR CHECK TO: MISSOURI DEPARTMENT OF REVENUE 5 SEPEERSON CITY, MO 65105-0555 scout Deparment of Revenue 2018 Declaration of Estimated Tax for Individuals (Form MO-1040ES) Dy _ mam | ronan or tane Garay fume vosum HAWLEY, ERIN M eer ‘Titra See, CW, Sa, an Oe aan T| 0 0 A i TO snow ED ons, sar, Claman Amount Paid $ 1240), Euro sor nemo nn penn Dent we tseeun ly MO stooosee yu poy eo YO Sika ne epee gorse uh sen yes ky Department | .C_] Use Only 7 al | Pevaas BI 250 032 OO0000 4929492675 080223129 S257bbbO7b 28 OOOL4O00 &MAIL MO-1040ES PAYMENTS WITH YOUR CHECK TO: MISSOURI DEPARTMENT OF REVENUE P.O. BOX 555, JEFFERSON CITY, MO 65105-0555 Mssout Deparment of Revenue None ovwans 2018 Declaration of Estimated Tax 0 1 0 18352011082 — 3} for individuals Form MO-1040E8) Socal Sey Nuner fence [eles llr (eke py (hen Lam | @ | me) fan ia ed Say Noor None Coe " moun Pais $ 1240], [ 00 Lew a) fen] etn smth tke ery ace payee Mis Ceprrent t even P.bae Se itor Cy MO BE OStEes Tyson op ee Fear Rae Ca Fa iy shots he Onparnt iprctn te check econ Ai etrne ee ny HAWLEY, JOSHUA D Sterid pen cnorncay ] Sree ms a Fe nay Sasser. HAWLEY, ERIN M Department Use Only i sees RR espe ove aaa) 250 032 O 4929492675 080123129 Se57Lbb07 18 OOOLZ4O00 8MATL MO-1040ES PAYMENTS WITH YOUR CHECK TO: Misout Departmen ot Revenue 5 2018 Declaration of Estimated Tax 3 for Individuals (Form MO-1040ES) Social Seourty Number MISSOURI DEPARTMENT OF REVENUE SEPEERSON CLTY, Mo 65105-0555 A Oeace 1249), [ 00 SOT Rcbocsinet tesa ne cre secroneay Ary etaree omy Name Contol = D1 ior 0 anon. (eae. ‘Spouse's Social Sec Number Name Contol mount Paid $ [HAW [freccarmmay SSOSC*~*~*~CSCSC*Y Cnc \HAWLEY, JOSHUA D a = a eaes Rose (as Fis, lad Deparment HAWLEY, ERIN W Use Only 250 032 OODDOO 4929492675 080223129 S257LbLO7 18 OOO1ZHOO0 &