. . .., . . (ml) Ho lib. "on" I1 I lit" liim Nitrif- lmiiul Wiif?m urnriln irrlIrm airmen . . .. .. . . me ?our 30331;? tiil?liib?AN'OWUltflI it?ll. its ?c theta: I. inst name and initial last name ?dirt?; ?rd-:7 AMY x. S'i?ltli?ANOWEiK'l'. inn :1 l?.ti. box, son Instr notions. Apt. no. How Nana: comm Mn'm mm thou Willie; min/n Mir] or. film are rx/rrJJ Chad! Lam if you, In your r4104)? II ,vanbi'J'1': Deb: CT 0 64 4 . hLioI?w Assign codename l-orolpu loreipn postal code ?mermaidSpouse Filing Status 1 Single 4 I I Head of household (with qualifying person). lithe qualifying 2 Mar tied lding ]ointly(o\ien it out one had lucolnn person In a child but not your dependent, enter this child's on;- 8 :1 Married filing separately. Enter spouse's SSN otiovo name here. one and lull name here. D- 5 I I Qualifying widow(er) (see instructions) Exemptions Ba Xi Yourselt. it someone can claim you as a dependent, do not check box 6a 3335533?? 2? EX Spouse on .w 02 Dependents: (2) Dopendonl'a uocrul (2335;223:129 . lived with you 2 name Last name you 0 did not live with you due to divorce . STEFANOWSKI DAUGHTER . attestation.) it 3713:3351 feet a STEFANOWSKI DAUGHTER STEFANOWSKI Jig?- DAUGHTER assesses: 33* has Add?numbers at Total number of exemptions claimed 7 7. 3333'? 5 income 7 Wages salaries tins, eic. Attach FormlsTaxable interest. Attach Schedule an required 8a 24 . 23 6- Tax-exempt interest. Do not include on line 8a I I @132}: 9a Ordinary dividends. Attach Schedule it required maufomis Qualified dividends reg-nuggm 10 Taxable refunds, credits, or offsets ot state and local income taxes 10 ?5 ?mm 11 Alimony received 11 12 Business income or (loss). Attach Schedule or C-Capital gain or (loss). Attach Schedule it required. It not required, check here w-z, 14 Other gains or (losses). Attach Form 4797 14 - 5 8 - seemstmabns. 15a lFtA distributions 15a ii Taxable amount 7 15b . 16a Pensions and annuities 16a Taxable amount 16b 17 Rental real estate, royalties, partnerships, corporations, trusts, etc. Attach Schedule Farm income or (loss). Attach Schedule 18 19 Unemployment compensation 19 20a Social security benefits 20a I Taxable amount 20b 21 Other income. List type and amount SEE STATEMENT 1 21 3 - 22 Combine the amounts in the far right column?liiemh 21. This is our trial income Educator menses . 2 3 Adjusted 24 maintenance 2i 79.1577}? .. 24 Gross 25 Health savings account deduction. Attach Form 8889 25 Income 26 Moving expenses. Attach Form 3903 26 27 Deductible part of self-employment tax. Attach Schedule Salt?employed SEP, SIMPLE, and qualified plans 28 29 health insurance deduction 29 30 Penalty on early withdrawal of savings 30 31a Alimony paid it Recipient's see i i 31a 32 IRA deduction 32 33 Student loan interest deduction 33 34 Tuition and fees. Attach Form 8917 34 35 Domestic production activities deduction. Attach Form 8903 35 35 Add ??93 23 through 710001 02432-18 37 Subtract line 36 from line 92. This is your adlusted gross income LHA For Privacy Act, and Paperwork Reduction Act Notice, 990 separate instructions. Form 1040 1201?) Scanned by CamScanner ROBERT V. STEFANOWSKI JR Sc AMY K. STEFA Wand 55 37(adlustnduross lItcoIItn) . ., 33 9 706 1352 Cmdits 39, Clutch You were born 1958, iliinti. Totalboxes I . m?fmkw- it: Spouse was born hotoIannuary2. 1953. Blind. checked 39a Rap? or.? L__p it your spouse iionttzos on a separate return or you were a dual-status ailon, chock hero 398 Itemized deductions ttrom Schedule A) or your standard deduction (soc loll marginBaal-mom F1 Subtract tine 40 item line :3:th Exemptions. It line 38 is $156,900 or less, multiply $4,050 by the number on line 6d. Otherwise, see inst. 42 0 . 43 Taxable Income. Subtract line 42 item line 41. it line 42 is more than line 41, enter Tax. Checkit anytrom: Form(s) 8814 Form 4972 Atternatlve minimum tax. Attach Form 6251 45 0 - 46 Excess advance premium tax credit repayment. Attach Form 8962 46 tum am 47 Add lines 44Foreign tax credit. Attach Form 1116 it required tomb-I the 49 Credit for child and dependent care expenses. Attach Form 2441 49 3238:; 50 Education credits trom Form 8863, line 19 50 51 Retirement savings contributions credit. Attach Form 8880 51 mg? 52 Child tax credit. Attach Schedule 8812, it required 52 53 Residential energy credits. Attach Form 5695 53 54 Other credits from Form: a 3800 8801 8 CI 54 55 Add lines 48 through 54- These are your total credits Subtract line 55 from line 47. ll line 55 is more than line 47, enter -Self-employment tax Attach Schedule Other 58 Unreported social security and Medicare tax from Form: a El 4137 8919 58 Taxes 59 Additional tax on iFtAs, other qualified retirement plans, etc. Attach Form 5329 it required 59 60a Household employmeuttaxos from Schedule 60a First-time homebuyer credit repayment. Attach Form 5405 if required 608 61 Health care: individual responsibility(see instructions) Foil-year coverage 61 62 Taxes from: a Form 8959 Form 8960 inst. enter code(s) STATEMENT Add lines 56 through 62. This iS your total tax Payments 64 Federal Income tax withheld trom Forms 2 and 1099 STATEMENT 5 65 2017 estimated tax payments and amount applied item 2016 return STATEMENT 9 668 Earned income credit (EIG) 66a child, man I Nontaxable comhat pay election I 66ng . 67 Additional child tax credit. Attach Schedule 8812 87 88 American opportunity credit from Form 8863, line 8 68 69 Net premium tax credit. Attach Form 8962 69 70 Amount paid with request for extension to tile Excess social security and tier 1 RRTA tax withheld 71 72 Credit for federal tax on fuels. Attach Form 4136 72 73 Credits from Form: a 2439 EIIReservedC El 8885 73 74 Add lines 64, 65, 88a, and 67 through 73. These are your total payments Refund 75 It 5:18 74 is more than line 63, subtract line 63 from line 74. This is the amount you overpaid 75 0mm 0? r? 768 Arututount of line 75 cu wart refunded to you. It Form 8888 Is attachedmcheck here 76a See ea I Type. Checking Sayings >d ?W?m 77 Amount of line 75 you want applied to your 2018 estimated tax I 77 I Amount 78 Amount you owe. Subtract line 74 from line 63. For details on how to pay, see instructions Estimated tax penalty (see instructions) 79 I I Third Party 00 you want to allow another person to discuss this return with the (see Pinstructions)? CI Yes. Complete below. No Dzintoncea >1 - - "none 7 a??ggelid?ntitication Sign aUrtderpertaittrte of pottery, idectara that have anminod this return and accompanying schedules and statements, and to the best at my knowledge and deet they are true correct and Here accurately lialail amount: and sources at income Irecettred during the tax year. Declaration oi preparer (other than taxpayer)? I: based on all at which preparer hasany knowledge Your Date Your occupation Daytime phone number Jointrotum Boo Inlvuotiona. I NANC K009 I 0091] spam-g gigngtug_ a loin! ?Mm both must sign. Data Spouse's occupation t1 the IRS sent you an identity Protection PIN, record. REALTOR enter it here I I Priniflypo proporor' a name l'pmparer a signature Date Check it PTIN reteeter 0/15/18 Ian?- Use Only SEE STMT FOR INT AND PEN NOT INCLUDED. TOTAL DUE $174591 ?mm Phone no. 710002 02.72."; mm lddtou Scanned by CamScanner EL DomtsendW?Zcr?lOSB ?41101 ti'l? 1? 781246 uns Hun UNLY El: El mega kl. I 10401217v011019 531711? Form CT-104O -2017 I ?it Connecticut Resident income Tax Return (iiov. 19/1 I) Pace 1 of 4 Other taxeb?e year, beginning: and ending: FJ FS HH ow ROBERT STEFANOWSKI JR I Doc. AMY STEFANOWSKI Dec. ?3 CT-8379 CT-2210 MADISON CT 06443 - 0. 1 Federal adjusted gross income (from federal Form 1040, Line 37; Form 1040/1, Line 21; or Line4) 1. 9706151 2. Additions to federal adjusted gross income (from Scheduie 1 Line 38) 2. 0 3. AddLine1andUne2 3, 9706151 4. Subtractions from federal adjusted gross income (from Schedule 1 Line 50) 4. 0 5. Connecticut adjusted gross income. Line 4 subtracted from Line income tax Credit for income taxes paid to qualifying junsdictions (from Schedule 2 Line 59) 7. 0 2 9 8. Line 7 subtracted from Line 6. If Line 7 is greater than Line 6, is entered Connecticut atternative minimum tax (from Form 9. 0 10. Add Lineeand 1o. 66 8141 11. Credit for property taxes paid on your primary residence, motor vehicle or both (from Schedule 3. Line 68) 11. 0 12. Line 11 subtracted from Line 10. If less than zero is entered13. Total allowable credits (from Schedule CT lT Credit Part 1 Line 11) 13. 0 14. Connecticut income tax: Line 13 subtracted from Line 12 if less than zero is entered. 14. 6 6 8 4 15. Individual use tax (from Schedule 4, Line 69entered. 15. 0 1e. 1011;11:1szch Lln914 and Line 15. I 16. 668141 . i. Jr 10401217V011019 Scanned by CamScanner