1040 U.S. individuat Income Tax Return

(99)

Department of the Treasury—Internal Revenue Service

Filing status:

❑Single

~O ~ A
x

~

❑Married filing separately

~ Married filing jointly

OMB No. 1545-0074

❑Head of household

IRS Use Only—Do not write or staple in this space.

❑Qualifying widower)
ber

Last name

Your first name and initial
Bernard

Sanders

Your standard deduction:

~C You were born before January 2, 1954

n Someone can claim you as a degendent

n You are blind
Spouse's social security number

Last name

If joint return, spouse's first name and initial

Sanders

Jane O

Spouse standard deduction: ❑Someone can claim your spouse as a dependent
❑ Spouse is blind

~ Spouse was born before January 2, 1954

~ Full-year health care coverage
or exempt(see inst.)

❑Spouse itemizes on a separate return or you were dual-status alien
Apt. no.

Home address (number and street). If you have a P.O. box, see instructions.
Cit ,town or ost office, state, and ZIP code. If you have a foreign address, attach Schedule 6.
Dependents (see instructions):

(2) Social security number

If more than four dependents,
see inst. and ✓here ►
(4) ✓ if qualifies for(see inst.):
Credit far other dependents
Child tax credit

(3) Relationship to you

Last name

(7) First name

Presidential Election Campaign
(see inst.)
~ You ~ Spouse

❑

❑

❑

❑

❑

❑

❑
❑
S
'i~~
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true,
correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Here
If the IRS sent you an Identity Protection
Date
Your occupation
Your signature
PIN, enter it
Joint return?
'
Government Service
here (seeinst.)
See instructions.
If the IRS sent you an Identity Protection
Spouse's occupation
Spouse's signature. If a joint return, both must sign. Date
Keep a copy for
PIN, enter it
your records.
WY i ter
here see inst.
PTIN
Preparer's name
Firm's EIN
Preparer's signature
Check if:

Paid

❑ 3rd Party Designee

PYepaY6P
Firm's name ►

USe on~y

❑Self-employed

Phone no.

Self -Pre ared

Firm's address ►
Form '1 ~4~ (2ota)

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions.

Page 2

Form 1040 (2018)

Attach Forms)
w-2. Also attach
Forms) W-2G and
1099-R if tax was
withheld.

standard
seduction for—
• Single or married
filing separately,
$12,000
• Married filing
jointly or Qualifying
widow(er),
$24,000
• Head of
household,
$ta,000
• If you checked
any box under
Standard
deduction,
see instructions.

direct deposit?
See instructions.

2a

b Taxable interest

2b

3 81.

3b

1

Wages, salaries, tips, etc. Attach Forms) W-2

2a

Tax-exempt interest .

3a

Qualified dividends

3a

b Ordinary dividends

4a

IRAs, pensions, and annuities

4a

b Taxable amount

4b

Social security benefits

5a

b Taxable amount

5b

44, 005.

5a

51, 7 71.

1
5 , 2 41.

6
7
_
g

3 S 2 , 92 0 .
Total income. Add lines 1 through 5. Add any amount from Schedule 1, line 22
Adjusted gross income. If you have no adjustments to income, enter the amount from line 6; otherwise,
subtract Schedule 1, line 36, from line 6

6

5 6 6 , 4 21.

7

5 61 2 9 3 .

Standard deduction or itemized deductions (from Schedule A)

8

41, 7 64 .

9
y0

Qualified business income deduction (see instructions) .

9

Taxable income. Subtract lines 8 and 9 from line 7. If zero or less, enter -0-

11

a Tax (see inst.) 133 , 214. (check if any from: 1 ❑ Form(s) 8814

0.

10

519 , 52 9 .

► ❑

11

133 214.

b Add any amount from Schedule 3 and check here ► ❑

12

2 ❑Form 4972

3 ❑

)

b Add any amount from Schedule 2 and check here
12

a Child tax cretliUcredit for other dependents

13

Subtract line 12 from line 11. If zero or less, enter -0-

14

Other taxes. Attach Schedule 4 .

14

12,626 .

15

Total tax. Add lines 13 and 14

15

145,840 .

16

22,573.

~6

Federal income tax withheld from Forms W-2 and 1099

77

Refundable credits: a EIC (see inst.)

18

Add lines 16 and 17. These are your total payments

Add any amount from Schedule 5

Refund

1

133 , 873 .

13

b Sch. 8812

c Form 8863

115,000.

~9

If line 18 is more than line 75, subtract line 15 from line 18. This is the amount you overpaid

20a
►b

Amount of line 19 you want refunded to you. If Form 8888 is attached, check here

►d

Account number

21

Amount of line 19 you want applied to your 2019 estimated tax

Amount You Owe 22
23

Routing number

?X iX
X X

X
X

X iX X
X X 'X

X~ X ~ X' ► c Type:
X X X X X X

❑Checking
X

X

X

Go to www.irs.gov/Form1040 for instructions and the latest information.

17

115,000.

18

137,573 .

19
► ❑

20a

❑Savings
X

X

► I 21
►

Amount you owe. Subtract line 18 from line 15. For details on how to pay, see instructions
Estimated tax penalty (see instructions) .

133,214 .

►

23

22

~
gqq

8, 267 .
T ~T -

REV 03/13/19 TTO

Form 1040 (tots)

 SCHEDULE 1
(Form 1040)
Department of the Treasury
Internal Revenue Service

Additional Income and Adjustments to Income
►Attach to FOYm 1040.
► Go to www.irs.gov/Form1040 for instYUCtions and the latest information.

Names) shown on Form 1040

FMB No. 1545-0074
~O ~ Q
Attachment ~
Sequence No. 01
Your social security number

O Sanders
1-9b .... .—_ _ ____
Reserved
10
Taxable refunds, credits, or offsets of state and local income taxes
11
Alimony received
12
382 , 920 .
Business income or (loss). Attach Schedule C or C-EZ
check
here
►
❑
13
If
not
required,
Capital gain or (loss). Attach Schedule D if required.
14
Other gains or (losses). Attach Form 4797.
15b
Reserved
16b
Reserved
17
Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E
18
Farm income or (loss). Attach Schedule F
19
Unemployment compensation
20b'
Reserved
-- -__
_____________________________________________ 21
Other income. List type and amount ►
Combine the amounts in the far right column. If you don't have any adjustments to
382, 920 .
22
income, enter here and include on Form 1040, line 6. Otherwise, go to line 23
23
expenses
Adjustments 23 Educator
Certain business expenses of reservists, performing artists,
24
to Income
24
and fee-basis government officials. Attach Form 2106 .
25
Health savings account deduction. Attach Form 8889
25
Moving expenses for members of the Armed Forces.
26
26
Attach Form 3903
Deductible part of self-employment tax. Attach Schedule SE 27
5 12 8 .
27
28
28
Self-employed SEP, SIMPLE, and qualified plans
29
29
Self-employed health insurance deduction
30
savings
withdrawal
of
on
early
30
Penalty
31a
31a Alimony paid b Recipient's SSN ►
32
32 IRA deduction
33
Student loan interest deduction
33
34
34
Reserved
35
35
Reserved
5 , 12 8 .
36
Add lines 23 throu h 35
36
(Form
1040) 2018
Schedule
1
For Paperwork Reduction Act Notice, see your tax return instructions.

Bernard & Jane
ACIC~It10IlaI 1-9b
10
income
11
12
13
14
15a
16a
17
18
19
20a
21
22

REV 12/21/18 TT0

 SCHEDULE 4
(Form 1040)

Other Taxes

OMB No. 1545-0074
nO
~'
Attachment
Sequence No. ~4
Your social securit number

►Attach to Form 1040.
Department of the Treasury
►
1040 for instructions and the latest information.
www.irs,
ov/Form
Go
to
Internal Revenue Service
g
Names) shown on Form 7040
Bernard & Jane O Sanders
57
10, 255 .
Self-employment tax. Attach Schedule SE
57
Other
58
58
Unreported social security and Medicare tax from: Forma ❑ 4137 b ❑ 8919
Taxes
59 Additional tax on IRAs, other qualified retirement plans, and other tax-favored
59
accounts. Attach Form 5329 if required
60a
60a Household employment taxes. Attach Schedule H
b Repayment of first-time homebuyer credit from Form 5405. Attach Form 5405 if
60b
required
0.
instructions)
.
61
individual
responsibility
(see
Health
care:
6'1
62 Taxes from: a D Form 8959 b ~ Form 8960
2, 371.
62_
c ❑ Instructions; enter codes)
installment
from
Form
net
tax
liability
Section
965
63
L63
965-A
64 Add the amounts in the far right column. These are your total other taxes. Enter
12,626 .
64
here and on Form 1040, line 14
Schedule 4(Form 1040)2018
For Paperwork Reduction Act Notice, see your tax return instructions.
REv ~ziztns rro

 SCHEDULE 5
(Form 1040)
Department of the Treasury
Internal Revenue Service
Names)shown on Form 1040

OMB No. 1545-0074

Other Payments and Refundable Credits
Attach to Form 1040.
~ Go to www.irs.gov/Form 1040 for instructions and the latest information.

Bernard &Jane O Sanders
.
65
Reserved....
Other
66
2018 estimated tax payments and amount applied from 2017 return
Paytll@IItS
67a
Reserved .
and
.
b
Reserved
Refundable 68-69 Reserved .
Net premium tax credit. Attach Form 8962 .
Credits
70
.
71
Amount paid with request for extension to file (see instructions)
.
72
Excess social security and tier 1 RRTA tax withheld
73
Credit for federal tax on fuels. Attach Form 4136 .
d ❑
Reserved c ❑ 8885
74
Credits from Form: a ❑ 2439 b
--------------75
Add the amounts in the far right column. These are your total other payments
and refundable credits. Enter here and include on Form 1040, line 17.
For Paperwork Reduction Act Notice, see your tax return instructions.

REV 02/14/19 TTO

n0
Attachment
Sequence No.05
Your social securit number

65 ~
67a
67b =
.8-69

75

~

115,000.

Schedule5(Form 1040)2018

 2210

Underpayment of Estimated Tax by
Individuals, Estates, and 3rusts

Form

OMB No. 1545-0074

~01S

~ Go to www.irs.gov/Form2210 for instructions and the latest infoYmation.
►Attach to Form 1040, 1040NR, 1040NR-EZ, or 1041.

Department of the Treasury
Internal Revenue Service
Names) shown on tax return
Bernard & Jane O Sanders

Attachment
Sequence No. 06
Identif in number

Do You Have To File Form 2210?
Complete lines 1 through 7 below. Is line 7 less than $1,000?

Yes

Don't file Form 2210. You don't owe a penalty.

Yes

You don't owe a penalty. Don't file Form 2210
(but if box E in Part II applies, you must file page 1 of
Form 2210).

Yes

You must file Form 2210. Does box B, C, or D in Part II
app~y~

No
Complete lines 8 and 9 below. Is line 6 equal to or more than
line 9?
No
You may owe a penalty. Does any box in Part II below apply?
No
Don't file Form 2210. You aren't required to figure
your penalty because the IRS will figure it and send
you a bill for any unpaid amount. If you want to figure
it, you may use Part III or Part IV as a worksheet and
enter your penalty amount on your tax return, but
don't file Form 2210.

No

Yes

You must figure your penalty.

You aren't required to figure your penalty because the IRS
will figure it and send you a bill for any unpaid amount. If you
want to figure it, you may use Part III or Part IV as a
worksheet and enter your penalty amount on your tax return,
but file only page 1 of Form 2210.

red Annual P
133,214.
Enter your 2018 tax after credits from Form 1040, line 13 (see instructions if not filing Form 1040)
Other taxes, including self-employment tax and, if applicable, Additional Medicare Tax and/or Net
.
12,626.
Investment Income Tax (see instructions)
3 (
1
3 Refundable credits, including the premium tax credit (see instructions)
stop;
you
don't
owe
a
penalty.
4 Current year tax. Combine lines 1, 2, and 3. If less than $1,000,
145, 840 .
4
Don't file Form 2210.
131, 256.
5
5 Multiply line 4 by 90% (0.90)
22 , 573 .
6
6 Withholding taxes. Don't include estimated tax payments (see instructions)
123 , 267 .
7
7 Subtract line 6 from line 4. If less than $1,000, stop; you don't owe a penalty. Don't file Form 2210
378 , 270 .
8
8 Maximum required annual payment based on 'prior year's tax (see instructions)
131, 2 56 .
9
9 Required annual payment. Enter the smaller of line 5 or line 8
Next: Is line 9 more than line 6?
❑ No. You don't owe a penalty. Don't file Form 2210 unless box E below applies.
~ Yes. You may owe a penalty, but don't file Form 2210 unless one or more boxes in Part II below applies.
• If box B, C, or D applies, you must figure your penalty and file Form 2210.
• If box A or E applies (but not B, C, or D) file only page 1 of Form 2210. You aren't required to figure your penalty; the IRS
will figure it and send you a bill for any unpaid amount. If you want to figure your penalty, you may use Part III or IV as a
worksheet and enter your penalty on your tax return, but file only page 1 of Form 2210.
Reasons for Filing. Check applicable boxes. If none apply, don't file Form 2210.
A ~X You request a vuaiver (see instructions) of your entire penalty due to tax reform or other reasons. You must check this box
and file page 1 of Form 2210, but you aren't required to figure your penalty. 80% Waiver
B ❑You request a waiver(see instructions) of part of your penalty. You must figure your penalty and waiver amount and file Form
2210.
C ~X Your income varied during the year and your penalty is reduced or eliminated when figured using the annualized income
installment method. You must figure the penalty using Schedule AI and file Form 2210.
D ❑Your penalty is lower when figured by treating the federal income tax withheld from your income as paid on the dates it was
actually withheld, instead of in equal amounts on the payment due dates. You must figure your penalty and file Form 2210.
E ❑You filed or are filing a joint return for either 2017 or 2018, but not for both years, and line 8 above is smaller than line 5
above. You must file page 1 of Form 2210, but you aren't required to figure your penalty (unless box B, C, or D applies).
Form 2210(2018)
BAA
For Paperwork Reduction Act Notice, see separate instructions.
REV 02/05/19 TT0

 Page 2

Form 2210(2018)

Short Method
Can You Use the
Short Method?

You can use the short method if:
•You made no estimated tax payments (or your only payments were withheld
federal income tax), or
• You paid the same amount of estimated tax on each of the four payment
due dates.

You must use the regular method (Part I~ instead of the short method if:
•You made any estimated tax payments late,
• You checked box C or D in Part II, or
• You are filing Form 1040NR or 1040NR-EZ and you didn't receive wages as
an employee subject to U.S. income tax withholding.
Note: If any payment was made earlier than the due date, you can use the short method, but using it may cause you to pay a
larger penalty than the regular method. If the payment was only a few days early, the difference is likely to be small.
Must You Use the
Regular Method?

10

10 Enter the amount from Form 2210, line 9
11 Enter the amount, if any, from Form 2210, line 6 .

11

12 Enter the total amount, if any, of estimated tax payments you made.

12

_

13 Add lines 11 and 12

13

14 Total underpayment for year. Subtract line 13 from line 10. If zero or less, stop; you don't owe a
penalty. Don't file Form 2210 unless you checked box E in Part II

14

15 Multiply line 14 by 0.03603.

15

16 • If the amount on line 14 was paid on or after 4/15/19, enter -0-.
• If the amount on line 14 was paid before 4/15/19, make the following computation to find the
amount to enter on line 16.
Number of days paid
Amount on
x 0.00016
x
before 4/15/19
line 14

16

'17 Penalty. Subtract line 16 from line 15. Enter the result here and on Form 1040, line 23;
Form 1040NR, line 76; Form 1040NR-EZ, line 26; or Form 1041, line 27.
Don't file Form 2210 unless ou checked a box in Part II

17

►

REV 02/05/19 TTO

Form 221~ (2018)

 Page 3

Form 2210(2018)

Regular Method (See the instructions if you are filing Form 1040NR or 1040NR-EZ.)
Payment Due Dates
Section A —Figure Your Underpayment
(b)
(c)
(a)
4/15/18
6/15/18
9/15/18

(d)
1/15/19

18 Required installments. If box C in Part II applies,
enter the amounts from Schedule AI, line 27.
Otherwise, enter 25% (0.25) of line 9, Form 2210, in
each column

18

2,227.

5,160.

5,035.

118,834.

19

5,643.

5,643.

5,643.

120,644 .

3,416.

3,899.

4,507.

9,059.

9,542.

125,151.

0.

0.

o.

9,059.

9, 542.

19 Estimated tax paid and tax withheld (see the
instructions). For column (a) only, also enter the
amount from line 19 on line 23. If line 19 is equal to
or more than line 18 for all 'payment periods, stop
here; you don't owe a penalty. Don't file Form
2210 unless you checked a box in Part II
Complete lines 20 through 26 of one column
before going to line 20 of the next column.

20 Enter the amount, if any, from line 26 in the previous
20
21

column
21 Add lines 19 and 20

22 Add the amounts on lines 24 and 25 in the previous
22
column

23 Subtract line 22 from line 21. If zero or less, enter
-0-. For column (a) only, enter the amount from line
23
19
24 If line 23 is zero, subtract line 21 from line 22
24
Otherwise, enter -0-

5,643.

125,151.
~

0.

0.

3,899.

4,507.

25 Underpayment. If line 18 is equal to or more than
line 23, subtract line 23 from line 18. Then go to line
20 of the next column. Otherwise, go to line 26 ► 25
26 Overpayment. If line 23 is more than line 18,
subtract line 18 from line 23. Then go to line 20 of
26

the next column

3,416.

Section B—Figure the Penalty (Use the Worksheet for Form 2210. Part IV. Section B —Figure the Penalty in the
instructions.)
27 Penalty. Enter the total penalty from line 14 of the Worksheet for Form 2210, Part IV, Section B —Figure
the Penalty. Also include this amount on Form 1040, line 23; Form 1040NR, line 76; Form 1040NR-EZ,
►
line 26; or Form 1041, line 27. Don't file Form 2210 unless ou checked a box in Part II ,
REV 02/05/19TT0

AMOUNT WAIVED

0.

27

SEE STMT

0.
Form221O(2018)

 Page 4

Form 2210 (2018)

Schedule AI —Annualized Income Installment Method (See the instructions.)
(a)
(b)
Estates and trusts, don't use the period ending dates shown to the right. (
1/1/18-3/31/18
1/1/18-5/31/18
G
Instead, use the following: 2/28/18, 4/30/18, 7/31/18, and 11/30/18.

(c)
1/1/18-8/31/18

(d)
1/1/18-12/31/18

Annualized Income Installments
1 Enter your adjusted gross income for each period (see
instructions).(Estates and trusts, enter your taxable
1
income without your exemption for each period.)
2 Annualization amounts.(Estates and trusts, see instructions.) 2
3
3 Annualized income. Multiply line 1 by line 2
4 If you itemize, enter itemized deductions for the period shown in
each column. All others enter -0-, and skip to line 7. Exception:
Estates and trusts, skip to line 11 and enter amount from line 3
5 Annualization amounts
6 Multiply line 4 by line 5

4
5
6

33 , 910.
4
135, 640.

66 , 010.
2.4
158, 424.

98 , 110.
1.5
147, 165.

561, 2 93 .
1
561, 293 .

13 , 6 5 0 .
4
54, 600.

19 , 5 4 0 .
2.4
46, 896.

7, 9 3 0 .
1.5
11, 895.

41, 7 64 .
1
41, 764 .

2 6, 6 0 0.
26, 600.
26, 600.
120 565.

2 6, 6 0 0.
41, 764 .
0.
41, 764 .
519 529.

0.
120 565.
18 4 03 .
0.

0.
519 529 .
13 3 214 .
10 , 255 .

0.
18, 403.

2 , 371.
145, 840.

18 , 4 03 .
67.5%
12,422.

14 5 , 84 0 .
90%
131,256.

7, 3 87 .
5, 035.
3 2 , 814.

12 , 4 2 2 .
118, 834 .
3 2 , 814 .

58, 241.
91,055.

86, 020 .
118,834.

5, 035.

118, 834 .

0.

353, 627 .
$128,400

7 In each column, enter the full amount of your standard
deduction from Form 1040, line 8. (Form 1040NR or
1040NR-EZ filers, enter -0-. Exception: Indian students
2 6, 6 0 0.
2 6, 6 0 0.
7
and business apprentices, see instructions.)
54, 600.
46, 896.
8
8 Enter the larger of line 6 or line 7.
9
9 Deduction for qualified business income
54, 600.
46, 896.
10
10 Add lines 8 and 9
11
11 Subtract line 10 from line 3.
81, 040.
111 528.
12 Form 1040, 1040NR, or 1040NR-EZ filers, enter -00.
0.
in each column.(Estates and trusts, see instructions.) 12
13 Subtract line 12 from line 11. If zero or less, enter -0- 13
81 040.
111 528.
14 Figure your tax on the amount on line 13(see instructions) 14
g 7 05 .
16 415.
15 Self-employment tax from line 36(complete Part II below) 15
194.
0.
16 Enter other taxes for each payment period including,
if applicable, Additional Medicare Tax and/or Net
Investment Income Tax (see instructions)
16
0.
0.
17
16, 415.
17 Total tax. Add lines 14, 15, and 16
9, 899.
18 For each period, enter the same type of credits as allowed
18
on Form 2210, Part I, lines 1 and 3(ses instructions)
'19
19 Subtract line 18 from line 17. If zero or less, enter -016 , 415.
9, 8 9 9 .
22.5%
45%
20
20 Applicable percentage
7,387.
21 _ _ __2_,227.__
21 Multiply line l9 by line 20
Complete lines 22-27 of one column before
going to line 22 of the next column.
2, 227 .
22 Enter the total of the amounts in all previous columns of line 27 22
2 , 227.
5, 160..
23 Subtract line 22 from line 21. If zero or less, enter -0- 23
3 2 , 814.
3 2 , 814.
24 Enter 25% (0.25) of line 9 on page 1 of Form 2210 in each column 24
25 Subtract line 27 of the previous column from line 26
30, 587.
25
of that column
26
32,814.
63,401.
26 Add lines 24 and 25
27 Enter the smaller of line 23 or line 26 here and on
► 27
Form 2210, Part IV, line 18 .
2, 227.
5, 160.
Form
1040NR
filers
only)
Tax
(Form
1040
and
Self-Employment
Annualized
28 Net earnings from self-employment for the period
1, 672.
0.
28
(see instructions)
29
$ 32,100
$ 53,500
29 Prorated social security tax limit

$ 85,600

30 Enter actual wages for the period subject to social security tax
or the 6.2% portion of the 7.65% railroad retirement (tier 1) tax.
Exception: If you filed Form 4137 or Form 8919, see instructions
31 Subtract line 30 from line 29. If zero or less, enter -032 Annualization amounts
33 Multiply line 32 by the smaller of line 28 or line 31
34 Annualization amounts
35 Multiply line 28 by line 34
36 Add lines 33 and 35. Enter here and on line 15 above ►

96, 300 .
0.
0.186
0.
0.0435
0.
0.

30
31
32
33
34
35
36

3 2 , 10 0 .
0.
0.496
0.
0.116
194.
194.

64,200 .
0.
0.2976
0.
0.0696
0.
0.

REV 02/05/19 TTO

12 8 , 4 0 0 .
0.
0.1240.
0,029
10, 255 .
10 , 2 55 .
Form 2210 (207 a)

 SCHEDULE A
(FoYm 1040)

OMB No. 1545-0074

Itemized Deductions

► Go to www.irs.gov/ScheduleA for instructions and the latest information.
~O18
►Attach to FoYm 1040.
Department of the Treasury
Attachment
Internal Revenue Service (99) Caution: If you are claiming a net qualified disaster loss on Form 4684, see the instructions for line 16.
Sequence rvo. 07
Your social security number
Names) shown on Form 1040

Bernard & Jane O Sanders
Caution: Do not include expenses reimbursed or paid by others.
Medical
1
1 Medical and dental expenses (see instructions)
and
561, 293 .
2
2 Enter amount from Form 1040, line 7
Dental
3
3 Multiply line 2 by 7.5% (0.075) .
Expenses
4 Subtract line 3 from line 1. If line 3 is more than line 1, enter -0- .
5 State and local taxes.
Taxes You
Paid
a State and local income taxes or general sales taxes. You may
include either income taxes or general sales taxes on line 5a,
but not both. If you elect to include general sales taxes instead
► ❑
of income taxes, check this box
b State and local real estate taxes(see instructions) .
c State and local personal property taxes
d Add lines 5a through 5c
e Enter the smaller of line 5d or $10,000 ($5,000 if married filing
separately)
6 Other taxes. List type and amount ► ---------------------------------- ----------------------------------------------------------------------------------. . . . . . . . . . . . . .
7 Add lines 5e and 6
Interest You g Home mortgage interest and points. If you didn't use all of your
Paid
home mortgage loans) to buy, build, or improve your home,
caution: your
►❑
see instructions and check this box
mortgage interest
deduction may be
a Home mortgage interest and points reported to you on Form
limited (see
1098
instructions).
b Home mortgage interest not reported to you on Form 1098. If
paid to the person from whom you bought the home, see
instructions and show that person's name, identifying no., and
address ►
---------------------------------------------------------------------------------------------------------------------------c Points not reported to you on Form 1098. See instructions for
special rules .
d Reserved .
e Add lines 8a through 8c
9 Investment interest. Attach Form 4952 if required. See
instructions
. . . . . . . . . . . . . .
10 Add lines 8e and 9
Gifts to
'1'1 Gifts by cash or check. If you made any gift of $250 or more,
see instructions
Charity
12 Other than by cash or check. If any gift of $250 or more, see
if you made a
instructions. You must attach Form 8283 if over $500 .
gift and got a
benefit for it,
Carryover from prior year
13
see instructions.
. . . . . . . . . . .
14 Add lines 11 through 13
Casualty and
Theft Losses

2, 250 .
42 , 097 .
4

0.

7

10, 000 .

10

12 , 814 .

14

18 , 9 5 0 .

5a
5b
5c
5d

~
65,086. 4

5e

10,000.

6
. .

53,482.
11,604 .

.

. . . .

8a
_

.

12,814.

8b
—
8c
8d
---------------------------8e
12 , 814 .

.

9
.

.

. . . .

11
12
13
. . . . .

.

18, 500 .
450 .
.

. .

15 Casualty and theft losses) from a federally declared disaster (other than net qualified
disaster losses). Attach Form 4684 and enter the amount from line 18 of that form. See
15
. . . . . . . . . . . . . . . . . . . . . . . .
instructions
16 Other —from list in instructions. List type and amount ► ----------------------------------------Other
Itemized
---------------------------------------------------------------------------------------------------Deductions
16
Total
17 Add the amounts in the far right column for lines 4 through 16. Also, enter this amount on
41, 764 .
17
Form 1040, line 8
Itemized
Deductions 18 If you elect to itemize deductions even though they are less than your standard
► ❑
deduction, check here
REV 03/18/19 TTO
gqq
Schedule A (Form 1040)208
For Paperwork Reduction Act Notice, see the Instructions for Form 1040.

 SCHEDULE C
(Form 1040)
Department of the Treasury
Internal Revenue Service (99)
Name of proprietor
Bernard Sanders

OMB No. 1545-0074

Profit or Loss From Business

X018

(Sole Proprietorship)
►Go to www.irs.gov/ScheduleC for instructions and the latest information.
Attachment
►Attach to Form 1040, 1040NR, or 1041; partnerships generally must file Form 1065.
Sequence No. 09
Social securi number (SSN)
B Enter code from instructions
► 7 1 1 5 1 0
D Employer ID number (EIN) (see instr.)

Principal business or profession, including product or service (see instructions)
Book Royalties Verso
~
Business name. If no separate business name, leave blank.

A
C

Business address (including suite or room no.) ►
---------------------------------------------------------City, town or post office, state, and ZIP code
(3) ❑Other (specify) ►
(1) ❑X Cash
(2) ❑Accrual
Accounting method:
----------------------Q Yes ~ No
Did you "materially participate" in the operation of this business during 2018? If "No," see instructions for limit on losses
► ❑
If you started or acquired this business during 2018, check here
~ Yes ~ No
Did you make any payments in 2018 that would require you to file Forms) 1099? (see instructions)
~ Yes ~ No
If "Yes," did ou or will ou file re uired Forms 1099?
Income

E
F
G
H
J
1
2
3
4
5
6
7
8
9
10
11
12
13

14
15
16
a
b
17
28
29
30

Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on
.► ❑
Form W-2 and the "Statutory employee" box on that form was checked
Returns and allowances
Subtract line 2 from Tine 7
Cost of goods sold (from line 42)
Gross profit. Subtract Tine 4 from line 3
Other income, including federal and state gasoline or fuel tax credit or refund (see instructions)
►
Gross income. Add lines 5 and 6
ExnQnses_ FntPr expenses for business use of your home only on line 30.
Office expense (see instructions)
18
8
Advertising .
19
Pension and profit-sharing plans
Car and truck expenses (see
20
Rent or lease (see instructions):
9
instructions).
a Vehicles, machinery, and equipment
10
Commissions and fees
b Other business property
11
Contract labor (see instructions)
21
Repairs and maintenance
12
Depletion
Depreciation and section 179
22
Supplies (not included in Part III)
expense deduction (not
23
Taxes
and licenses .
included in Part III) (see
Travel and meals:
24
13
instructions).
a Travel .
Employee benefit programs
14
(other than on line 19) .
b Deductible meals (see
15
instructions)
Insurance (other than health)
25
Utilities
Interest (see instructions):
26
Wages (less employment credits) .
16a
Mortgage (paid to banks, etc.)
27a Other expenses (from line 48) .
16b
Other
Legal and professional services
b Reserved for future use
17
►
Total expenses before expenses for business use of home. Add lines 8 through 27a
Tentative profit or (loss). Subtract line 28 from line 7 .

31

Expenses for business use of your home. Do not report these expenses elsewhere. Attach Form 8829
unless using the simplified method (see instructions).
Simplified method filers only: enter the total square footage of: (a) your home:
.Use the Simplified
and (b) the part of your home used for business:
Method Worksheet in the instructions to figure the amount to enter on line 30
Net profit or (loss). Subtract line 30 from line 29.

32

• If a profit, enter on both Schedule 1 (Form 1040), line 12 (or Form 1040NR, line 13) and on Schedule SE,
line 2. (If you checked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3.
• If a Toss, you must go to line 32.
If you have a loss, check the box that describes your investment in this activity (see instructions).

• If you checked 32a, enter the loss on both Schedule 1 (Form 1040), line 12 (or Form 1040NR,
line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see the line 31 instructions).
Estates and trusts, enter on Form 1041, line 3.
• If you checked 32b, you must attach Form 6198. Your loss may be limited.
gqq
For Paperwork Reduction Act Notice, see the separate instructions.
REV 12/21/18 TTO

1
2
3
4
5
6
7

1, 810 .
1, 810 .
1, 810 .
1, 810 .

18
19
20a
20b
21
22
23
24a
24b
25
26
27a
27b
28
29

1, 810 .

30

31

1, 810 .

~

32a ❑All investment is at risk.
32p ❑Some investment is not
at risk.
Schedule C(Form 1040)2018

 Page 2

Schedule C(Form 1040)2018

Cost of Goods Sold (see instructions)
33

Methods) used to
value closing inventory:

34

Was there any change in determining quantities, costs, or valuations between opening and closing inventory?
If "Yes," attach explanation

a

❑ Cost

b

❑Lower of cost or market

c

❑ Other (attach explanation)

35

Inventory at beginning of year. If different from last year's closing inventory, attach explanation

35

36

Purchases less cost of items withdrawn for personal use

36

37

Cost of labor. Do not include any amounts paid to yourself .

38

Materials and supplies

39

Other costs .

40

Add lines 35 through 39

40

41

Inventory at end of year

41

42

Cost of goods sold. Subtract line 47 from line 40. Enter the result here and on line 4 .

42

~ Yes

~ No

Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9
and are not required to file Form 4562 for this business. See the instructions for line 13 to find out if you must
file Form 4562.
43

When did you place your vehicle in service for business purposes?(month, day, year)

44

Of the total number of miles you drove your vehicle during 2018, enter the number of miles you used your vehicle for:

a

Business

---------------------------------

b Commuting (see instructions)

~ ____________________

-------------------------------

c Other

------------------------------------

45

Was your vehicle available for personal use during off-duty hours?

~ Yes

~ No

46

Do you (or your spouse) have another vehicle available for personal use?.

~ Yes

~ No

47a

Do you have evidence to support your deduction?

~ Yes

~ No

~ Yes

~ No

b

If "Yes," is the evidence written?

.

.

Other Expenses. List below business expenses not included on lines 8-26 or line 30.

----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------48

Total other expenses. Enter here and on line 27a

48
REV 12/21/18 TTO

Schedule C (Form 1040)2018

 SCHEDULE C
(FoYm 1040)
Department of the Treasury
Internal Revenue Service (99)
Name of proprietor
Bernard Sanders

OMB No. 1545-0074
(Sole Proprietorship)
~O ~ Q
~ Go to www.irs.gOv/SChedu/eC for instructions and the latest information.
Attachment "
►Attach to Form 1040, 1040NR, or 1041; partnerships generally must file Form 1065.
Sequence No. U9
Social security number (SSN)

Profit or Loss From Business

B Enter code from instructions
► 7 1 1 5 1 0
D Employer ID number (EIN) (see instr.)

Principal business or profession, including product or service (see instructions)
Music Royalties
Business name. If no separate business name, leave blank.

A
C

Business address (including suite or room no.) ►
------------------------------------------------------------------City, town or post office, state, and ZIP code
(2) ❑Accrual
(3) ❑Other (specify) ►
Accounting method:
(1) ❑X Cash
❑X Yes ~ No
Did you "materially participate" in the operation of this business during 2018? If "No," see instructions for Iimit on losses
► ❑
If you started oracquired this business during 2018, check here
❑Yes ~ No
Did you make any payments in 2018 that would require you to file Forms) 1099? (see instructions)
Yes ~ No
~
If "Yes," did ou or will ou file required Forms 7 099? . . . . . . . . . . . . . . . . . . . .
Income

E
F
G
H
J
1
2
3
4
5
6
7
8
9
10
11
12
13

14
15
16
a
b
17
28
29
30

Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on
.► ❑
Form W-2 and the "Statutory employee" box on that form was checked
Returns and allowances
Subtract line 2 from line 1
Cost of goods sold (from line 42)
Gross profit. Subtract line 4 from line 3
Other income, including federal and state gasoline or fuel tax credit or refund (see instructions)
►
Gross income. Add lines 5 and 6
Expenses_ FntPr PxnPnses fir business use of vour home only on line 30.
Office expense (see instructions)
18
8
19
Pension and profit-sharing plans
Car and truck expenses (see
20
Rent or lease (see instructions):
instructions).
9
a Vehicles, machinery, and equipment
10
Commissions and fees
b Other business property
11
Contract labor (see instructions)
21
Repairs and maintenance
12
Depletion
Depreciation and section 179
22
Supplies (not included in Part III)
expense deduction (not
23
Taxes
and licenses .
included in Part III) (see
Travel and meals:
24
13
instructions).
a Travel .
Employee benefit programs
(other than on line 19) .
14
b Deductible meals (see
instructions)
15
Insurance (other than health)
25
Utilities
Interest (see instructions):
26
Wages (less employment credits) .
16a
Mortgage (paid to banks, etc.)
27a Other expenses (from line 48) .
16b
Other
Legal and professional services
17
b Reserved for future use
►
Total expenses before expenses for business use of home. Add lines 8 through 27a
Tentative profit or (loss). Subtract line 28 from line 7 .
Advertising .

31

Expenses for business use of your home. Do not report these expenses elsewhere. Attach Form 8829
unless using the simplified method (see instructions).
Simplified method filers only: enter the total square footage of: (a) your home:
.Use the Simplified
and (b) the part of your home used for business:
Method Worksheet in the instructions to figure the amount to enter on line 30
Net profit or (loss). Subtract line 30 from line 29.

32

• If a profit, enter on both Schedule 1 (Form 1040), line 12 (or Form 1040NR, line 13) and on Schedule SE,
line 2. (If you checked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3.
• If a loss, you must go to line 32.
If you have a loss, check the box that describes your investment in this activity (see instructions).

If you checked 32a, enter the loss on both Schedule 1 (Form 1040), line 12 (or Form ~1040NR,
line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see the line 31 instructions).
Estates and trusts, enter on Form 1041, line 3.
• If you checked 32b, you must attach Form 6198. Your loss may be limited.
gqq
Fol~ Paperwork Reduction Act Notice, see the separate instructions.
REV 12/21/18 TTO

110 .

1
2
3
4
5
6
7
18
19

110 .
110 .
110 .

_

20a
20b
21
22
23_
24a
24b
25
26
27a
27b
28
29

110 .

30

31

110 .

~

32a Q All investment is at risk.
32b ❑Some investment is not
at risk.
Schedule C(Form X040) 2018

 Page 2

Schedule C(Form 1040)2018

Cast of Goods Sold (see instructions)
33

Methods) used to
value closing inventory:

34

Was there any change in determining quantities, costs, or valuations between opening and closing inventory?
If "Yes," attach explanation

a

❑ Cost

❑Lower of cost or market

b

c

❑ Other (attach explanation)

35

Inventory at beginning of year. If different from last year's closing inventory, attach explanation

35

36

Purchases Tess cost of items withdrawn for personal use

36

37

Cost of labor. Do not include any amounts paid to yourself .

38

Materials and supplies

39

Other costs.

40

Add lines 35 through 39

41

Inventory at end of year

42

Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4 .

~
,~~

~ Yes

.

Information on Your Vehicle. c;omp~ete this part onry it you are claiming car or trucK expenses on nne y
and are not required to file Form 4562 for this business. See the instructions for line 13 to find out if you must
file Form 4562.
► ____________________

43

When did you place your vehicle in service for business purposes? (month, day, year)

44

Of the total number of miles you drove your vehicle during 2018, enter the number of miles you used your vehicle for:

a

~ No

Business

b Commuting (see instructions)

---------------------------------

-------------------------------

c Other

------------------------------------

45

Was your vehicle available for personal use during off-duty hours?

~ Yes

~ No

46

Do you (or your spouse) have another vehicle available for personal use?.

~ Yes

~ No

47a

Do you have evidence to support your deduction?

~ Yes

~ No

~ Yes

~ No

b

If "Yes," is the evidence written?

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

Other Expenses. List below business expenses not included on lines 8-26 or line 30.

48

Total other expenses. Enter here and on line 27a

48
REV 12/21/18 TTO

Schedule C (Form 1040) 2018

 SCHEDULE C
(Form 1040)
Department of the Treasury
Internal Revenue Service (99)
Name of proprietor
Bernard Sanders

OMB No. 1545-0074
nj
r O~ Q
(Sole Proprietorship)
«
~
►Go to www.irs.gov/ScheduleC for instructions and the latest information.
Attachment
►Attach to Form 1040, 1040NR, or 1041; partnerships generally must file Form 1065.
Sequence No. 09
Social security number (SSN)

Profit or Loss From Business

C

Principal business or profession, including product or service (see instructions)
Book Royalties Macmillan
Business name. If no separate business name, leave blank.

E

Business address (including suite or room no.) ►

A

B Enter code from instructions
► 7 1 1 5 1 0
D Employer ID number (EIN) (see instr.)

-----------------------------------------------------------------City, town or post office, state, and ZIP code
_______
(3) ❑Other (specify) ►
(1) ❑X Cash
(2) ❑Accrual
Accounting method:
❑X Yes ~ No
Did you "materially participate" in the operation of this business during 2018? If "No," see instructions for limit on losses
► ❑
If you started or acquired this business during 201 S, check here
~ Yes ~ No
Did you make any payments in 2018 that would require you to file Forms) 1099? (see instructions)
~ Yes ~ No
If "Yes," did ou or will ou file required Forms 1099? . . . . . . . . . . . . . . . . . . . .

F
G
H
J

Income
1
2
3
4
5
6
7
8
9
10
11
12
13

14
15
16
a
b
17
28
29
30

Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on
.► ❑
Form W-2 and the "Statutory employee" box on that form was checked
Returns and allowances
Subtract line 2 from line 1
Cost of goods sold (from line 42)
Gross profit. Subtract line 4 from line 3
Other income, including federal and state gasoline or fuel tax credit or refund (see instructions)
. . . . . . . . . . . . . . . . . . .
►
Gross income. Add lines 5 and 6
Expenses. Enter expenses for business use of your home only on line 30.
18
Office expense (see instructions)
8
Advertising .
19
Pension and profit-sharing plans
Car and truck expenses (see
20
Rent or lease (see instructions):
9
instructions).
a Vehicles, machinery, and equipment
10
Commissions and fees
b Other business property
11
Contract labor (see instructions)
21
Repairs and maintenance
12
Depletion
Depreciation and section 179
22
Supplies (not included in Part III)
expense deduction (not
23
Taxes
and licenses .
included in Part III) (see
Travel and meals:
24
13
instructions).
a Travel .
Employee benefit programs
14
(other than on line 79) .
b Deductible meals (see
instructions)
15
Insurance (other than health)
25
Utilities
Interest (see instructions):
26
Wages (less employment credits) .
16a
Mortgage (paid to banks, etc.)
27a Other expenses (from line 48) .
16b
Other
b Reserved for future use
Legal and professional services
17
►
Total expenses before expenses for business use of home. Add lines 8 through 27a
Tentative profit or (loss). Subtract line 28 from line 7 .

31

Expenses for business use of your home. Do not report these expenses elsewhere. Attach Form 8829
unless using the simplified method (see instructions).
Simplified method filers only: enter the total square footage of: (a) your home:
.Use the Simplified
and (b) the part of your home used for business:
Method Worksheet in the instructions to figure the amount to enter on line 30
Net profit or (loss). Subtract line 30 from line 29.

32

• If a profit, enter on both Schedule 1 (Form 1040), line 12 (or Form 1040NR, line 13) and on Schedule SE,
line 2. (If you checked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3.
• If a loss, you must go to line 32.
If you have a loss, check the box that describes your investment in this activity (see instructions).

If you checked 32a, enter the loss on both Schedule 1 (Form 1040), line 12 (or Form 1040NR,
line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see the line 31 instructions).
Estates and trusts, enter on Form 1041, line 3.
~
• If you checked 32b, you must attach Form 6198. Your loss may be limited.
gqq
For Paperwork Reduction Act Notice, see the separate instructions.
REV 12/21/18 TTO

1
2
3
4
5
6
7

391,000.
391,000.
3 91,000.
391,000.

18
19
20a
20b
21
22
23
24a
24b
25
26
27a
27b
28
29

10 , 000 .
10, 000 .
3 81, 0 0 0 .

30

31

3 81, 0 0 0 .

32a ❑All investment is at risk.
32b ❑Some investment is not
at risk.
Schedule C(Form 1040)2018

 Page 2

Schedule C (Form 1040)2018

Cost of Goods Sold (see instructions)
33

Methods) used to
value closing inventory:

34

Was there any change in determining quantities, costs, or valuations between opening and closing inventory?
If "Yes," attach explanation

a

❑ Cost

b

❑Lower of cost or market

c

❑ Other (attach explanation)

35

Inventory at beginning of year. If different from Iast year's closing inventory, attach explanation

35

36

Purchases less cost of items withdrawn for personal use

36

37

Cost of Iabor. Do not include any amounts paid to yourself .

37

38

Materials and supplies

38

39

Other costs .

39

40

Add lines 35 through 39

40

41

Inventory at end of year

41

42

Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4 .

42

~ Yes

~ No

Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9
and are not required to file Form 4562 for this business. See the instructions for line 13 to find out if you must
file Form 4562.
► ____________________

43

When did you place your vehicle in service for business purposes? (month, day, year)

44

Of the total number of miles you drove your vehicle during 2018, enter the number of miles you used your vehicle for:

a

Business

---------------------------------

b Commuting (see instructions)

-------------------------------

c Other

------------------------------------

45

Was your vehicle available for personal use during off-duty hours?

~ Yes

~ No

46

Do you (or your spouse) have another vehicle available for personal use?.

~ Yes

~ No

47a

Do you have evidence to support your deduction?

~ Yes

~ No

~ Yes

~ No

b

If "Yes," is the evidence written?

.

.

Other Expenses. List below business expenses not included on lines 8-26 or line 30.
Editing Fees
------------------ -- - --- - - - - - -- ------ -------------- ---------- ------ - ---- ------------------ --- ----- ------- ---------------- ------------- -- - -----

10,000.

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

--------- - - --------------------- -------------- --- - - ---------- ------ --- -- ------------------ ------ - -------- ------- - ------------------- - - ------ - -

48

Total other expenses. Enter here and on line 27a

1 48 ~
REV 12/21/18 TTO

10 , 0 0 0 .
Schedule C (Form 1040) 2018

 Schedule SE (Form 1040)2018

Attachment Sequence No. 17

Name of person with self-employment income (as shown on Form 1040 or Form 1040NR)

Social security number of person
with self-employment income ►

Bernard Sanders

Page 2

Section B-Long Schedule SE
Self-Employment Tax
Note: If your only income subject to self-employment tax is church employee income, see instructions. Also see instructions for the
definition of church employee income.
A
If you are a minister, member of a religious order, or Christian Science practitioner and you filed Form 4361, but you
had $400 or more of other net earnings from self-employment, check here and continue with Part I
► ❑
is Net farm profit or (loss) from Schedule F, line 34, and farm partnerships, Schedule K-1 (Form 1065),
box 14, code A. Note: Skip lines 1 a and 1 b if you use the farm optional method (see instructions)
1a
b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve
Program payments included on Schedule F, line 4b, or listed on Schedule K-1 (Form 1065), box 20, code AH 1 b (
)
2

3
4a

Net profit or (loss) from Schedule C, line 31; Schedule C-EZ, line 3; Schedule K-1 (Form 1065),
box 14, code A (other than farming); and Schedule K-1 (Form 1065-B), box 9, code J1.
Ministers and members of religious orders, see instructions for types of income to report on
this line. See instructions for other income to report. Note: Skip this line if you use the nonfarm
optional method (see instructions) .

Combine lines 1a, 1b, and 2.
If line 3 is more than zero, multiply line 3 by 92,35% (0.9235). Otherwise, enter amount from line 3
Note: If line 4a is less than $400 due to Conservation Reserve Program payments on line 1 b, see instructions.
b If you elect one or both of the optional methods, enter the total of lines 15 and 17 here
c Combine lines 4a and 4b. If less than $400, stop; you don't owe self-employment tax.
Exception: If less than $400 and you had church employee income, enter -0- and continue ►
5a Enter your church employee income from Form W-2. See
instructions for definition of church employee income
5a
b Multiply line 5a by 92.35% (0.9235). If less than $100, enter -06
Add lines 4c and 5b
7
Maximum amount of combined wages and self-employment earnings subject to social security
tax or the 6.2% portion of the 7.65% railroad retirement (tier 1) tax for 2018 .
8a Total social security wages and tips (total of boxes 3 and 7 on
Forms) W-2) and railroad retirement (tier 1) compensation.
If $128,400 or more, skip lines 8b through 10, and go to line 11
8a
128 , 400.
b Unreported tips subject to social security tax (from Form 4137, line 10)
8b
c Wages subject to social security tax (from Form 8919, line 10)
Sc
d Add lines 8a, 8b, and 8c
9
Subtract line Sd from line 7. If zero or less, enter -0- here and on line 10 and go to line 11
►
10
Multiply the smaller of line 6 or line 9 by 12.4% (0.124) .
11
Multiply line 6 by 2.9% (0.029)
12
Self-employment tax. Add lines 10 and 11. Enter here and on Schedule 4 (Form 1040), line
57, or Form 1040NR, line 55
13
Deduction for one-half ofself-employment tax.
Multiply line 12 by 50% (0.50). Enter the result here and on
Schedule 1 (Form 1040), line 27, or Form 1040NR, line 27
13
5 , 12 8 .
Optional Methods To Figure Net Earnings (see instructions)
Farm Optional Method. You may use this method only if (a) your gross farm income' wasn't more
than $7,920, or (b) your net farm profits2 were less than $5,717.
14
Maximum income for optional methods
15
Enter the smaller of: two-thirds (2/s) of gross farm income' (not less than zero) or $5,280. Also
include this amount on line 4b above . . . . . . . . . . . . . . . . . . .
Nonfarm Optional Method. You may use this method only if (a) your net nonfarm profits3 were less than $5,717
and also less than 72.189% of your gross nonfarm income,^ and (b) you had net earnings from self-employment
of at least $400 in 2 of the prior 3 years. Caution: You may use this method no more than five times.
16
Subtract line 15 from line 14 .
17
Enter the smaller of: two-thirds (2/s) of gross nonfarm income' (not less than zero) or the
amount on line 16. Also include this amount on line 4b above .

2
3
4a

382, 920.
382,920.
353,627.

4b
4c

353 , 627 .

5b
6

0.
353 , 627 .

7

128,400

00

8d
9
10
11

10, 255 .

'12

10, 255 .

14

5,280

00

15

16
17

From Sch. F, line 9, and Sch. K-1 (Form 1065), box 14, code B.
3 From Sch. C, line 31; Sch. C-EZ, line 3; Sch. K-1 (Form 1065), box 14, code
A; and Sch. K-1 (Form 1065-B), box 9, code J1.
2 From Sch. F, line 34, and Sch. K-1 (Form 1065), box 14, code A-minus the
amount you would have entered on line 1b had you not used the optional
'From Sch. C, line 7; Sch. C-EZ, line 1; Sch. K-1 (Form 1065), box 14, code
C; and Sch. K-1 (Form 1065-B), box 9, code J2.
method.
REV 12/22/18 TTO
Schedule SE (Form 7040) 2018

 Form

8959

Department of the Treasury
Internal Revenue Service
Names) shown on return
Bernard & Jane O Sanders
Additional Medicare Tax on Medicare Wages
1

2
3
4
5

6
7

8

9

10
11
12
13

14
15

16
17

18

19

20
21
22
23

OM8 No. 1545-0074

Additional Medicare Tax
► If any line does not apply to you, leave it blank. See separate instructions.
►Attach to Form 1040, 1040NR' 1040-PR, or 1040-SS.
► Go to www.irs.gov/Form8959 for instructions and the latest information.

Medicare wages and tips from Form W-2, box 5. If you have
more than one Form W-2, enter the total of the amounts
1
from box 5
158, 373 .
2
Unreported tips from Form 4137, line 6
3
Wages from Form 8919, line 6
4
158 , 373 .
Add lines 1 through 3
Enter the following amount for your filing status:
Married filing jointly
. $250,000
Married filing separately
. $125,000
250, 000 .
5
Single, Head of household, or Qualifying widower) $200,000
or
enter
-0Subtract line 5 from line 4. If zero
less,
Additional Medicare Tax on Medicare wages. Multiply line 6 by 0.9% (0.009). Enter here and
go to Part II
. . . . . . . . . . . . . . . . . . . . . . . . . .
Additional Medicare Tax on Self-Employment Income

Cn~ 0 ~ O
C
~
~
Attachment
Sequence No. 71
Your social securit number

6

0.

7

0.

Self-employment income from Schedule SE (Form 1040),
Section A, line 4, or Section B, line 6. If you had a loss, enter
3 53 , 62 7 .
8
-0- (Form 1040-PR and Form 1040-SS filers, see instructions.)
Enter the following amount for your filing status:
. $250,000
Married filing jointly.
. $125,000
Married filing separately
250, 000 .
9
Single, Head of household, or Qualifying widower) $200,000
158 , 373 .
Enter the amount from line 4
'10
11
91, 627 .
Subtract line 10 from line 9. If zero or less, enter -0- .
12
Subtract line 11 from line 8. If zero or less, enter -0- .
Additional Medicare Tax on self-employment income. Multiply line 12 by 0.9% (0.009). Enter
here and go to Part III
. . . . . . . . . . . . . . . . . . . . . .
'13
Additional Medicare Tax on Railroad Retirement Tax Act (RRTA) Compensation
Railroad retirement (RRTA) compensation and tips from
Forms) W-2, box 14 (see instructions)
14
Enter the following amount for your filing status:
Married filing jointly.
. $250,000
Married filing separately
. $125,000
15
Single, Head of household, or Qualifying widower) $200,000
16
Subtract line 15 from line 14. If zero or less, enter -0Additional Medicare Tax on railroad retirement (RRTA) compensation. Multiply line 16 by
0.9% (0.009). Enter here and go to Part IV
. . . . . . . . . . . . . . . .
17
Total Additional Medicare Tax
Add lines 7, 13, and 17. Also include this amount on Schedule 4 (Form 1040), line 62 (check
box a) (Form 1040NR, 1040-PR, and 1040-SS filers, see instructions), and go to Part V
18
Withholding Reconciliation
Medicare tax withheld from Form W-2, box 6. If you have
more than one Form W-2, enter the total of the amounts
2, 2 9 6.
19
from box 6
Enter the amount from line 1
20
158 , 373 .
Multiply line 20 by 1.45% (0.0145). This is your regular
2 , 2 96 .
21
Medicare tax withholding on Medicare wages
Subtract line 21 from line 19. If zero or less, enter -0-. This is your Additional Medicare Tax
withholding on Medicare wages
Additional Medicare Tax withholding on railroad retirement (RRTA) compensation from Form
W-2, box 14 (see instructions)

22

262 , 000 .
2 , 358 .

2 , 358 .

0.

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 16 (Form 1040NR, 1040-PR, and
1040-SS filers, see instructions)
For Paperwork Reduction Act Notice, see your tax return instructions.
BAA
REV 12/26/18 TTO

24

0.
Form 8959 (2018)

 Form

Net Investment Income Taxes—
Individuals, Estates, and Trusts

8960

Department of the Treasury
Internal Revenue Service (99)
Names) shown on your tax return

►Attach to your tax return.
► Go to www.irs.gov/Form8960 for instructions and the latest information,

OMB No 1545-2227

~O

Attachmer~t
Sequence No. 72
Your social securit number or EIN

Bernard & Jane O Sanders
Investment Income

1
2
3
4a
b
c
5a
b
~
d
6
7
8
9a
b
c
d
10
11
12

13
14
15
16
17

18a
b
~
19a
b
c
20
21

❑Section 6013(g) election (see instructions)
❑ Section 6013(h) election (see instructions)

❑ Regulations section 1.1411-10(g) election (see instructions)
1
Taxable interest (see instructions)
2
Ordinary dividends(see instructions)
3
Annuities (see instructions)
Rental real estate, royalties, partnerships, S corporations, trusts,
4a
etc.(see instructions)
Adjustment for net income or loss derived in the ordinary course of
4b
a non-section 1411 trade or business (see instructions).
4c
Combine lines 4a and 4b .
5a
Net gain or loss from disposition of property (see instructions)
Net gain or loss from disposition of property that is not subject to
5b
net investment income tax (see instructions)
corporation
disposition
of
partnership
interest
or
S
Adjustment from
5c
stock (see instructions)
5d
Combine lines 5a through 5c
6
Adjustments to investment income for certain CFCs and PFICs (see instructions)
7
Other modifications to investment income (see instructions)
8
Total investment income. Combine lines 1, 2, 3, 4c, 5d, 6, and 7 .
Investment Expenses Allocable to Investment Income and Modifications
9a
Investment interest expenses (see instructions)
9b
State, local, and foreign income tax (see instructions)
37.
9c
Miscellaneous investment expenses (see instructions)
9d
Add lines 9a, 9b, and 9c
10
Additional modifications (see instructions)
11
Total deductions and modifications. Add lines 9d and 10
Tax Computation
Net investment income. Subtract Part II, line 11, from Part I, line 8. Individuals, complete lines
12
13-17. Estates and trusts, complete lines 18a-21. If zero or less, enter -0Individuals:
13
561,293.
Modified adjusted gross income (see instructions)
14
250,000.
Threshold based on filing status (see instructions)
311,293.
15
Subtract line 14 from line 13. If zero or less, enter -016
Enter the smaller of line 12 or line 15
Net investment income tax for individuals. Multiply line 16 by 3.8% (0.038). Enter here and
17
include on your tax return (see instructions)
Estates and Trusts:
y8a
Net investment income (line 12 above)
Deductions for distributions of net investment income and
18b
deductions under section 642(c)(see instructions)
Undistributed net investment income. Subtract line 18b from 18a (see
18c
instructions). If zero or less, enter -019a
Adjusted gross income (see instructions)
Highest tax bracket for estates and trusts for the year (see
19b
instructions)
19c
Subtract line 19b from line 19a. If zero or less, enter -020
Enter the smaller of line 18c or line 19c
Net investment income tax for estates and trusts. Multiply line 20 by 3.8% (0.038). Enter here
21
and include on your tax return (see instructions

For Paperwork Reduction Act Notice, see your tax return instructions.

BqA

REv o1/~5i~s rTo

381.
1.

382.

37
37.

345.

345.
13.

Form H960 (2018)