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MGPTaxReturn 2020
MGPTaxReturn 2020
2020
Form
U.S. Individual Income Tax Return OMB No. 1545-0074 IRS Use Only–Do not write or staple in this space.
Filing Status Single X Married filing jointly Married filing separately (MFS) Head of household (HOH) Qualifying widow(er) (QW)
Check only If you checked the MFS box, enter the name of your spouse. If you checked the HOH or QW box, enter the child's name if the qualifying
one box.
person is a child but not your dependent.
Your first name and middle initial Last name Your social security number
Dean A Gluesenkamp
If joint return, spouse's first name and middle initial Last name Spouse's social security number
Kristina M Perez
Home address (number and street). If you have a P.O box, see instructions. Apt. no.
Check here if you, or your
spouse if filing jointly, want $3
City, town or post office .If you have a foreign address, also complete spaces below. State ZIP code to go to this fund.Checking a
box below will not change
Washougal WA 98671 your tax or refund.
Foreign country name Foreign province/state/county Foreign postal code
You Spouse
At anytime during 2020, did you receive, sell, send, exchange, or otherwise acquire financial interest in any virtual currency? Yes X No
Standard Someone can claim: You as a dependent Your spouse as a dependent
Deduction Spouse itemizes on a separate return or you were a dual-status alien
Age/Blindness You: Were born before January 2, 1956 Are blind Spouse: Was born before January 2, 1956 Is blind
Dependents (see instructions): (2) Social security (3) Relationship (4) if qualifies for (see instructions):
number to you
(1) First name Last name Child tax credit Credit for other dependents
If more
than four
dependents,
see instructions
and check
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Attach
2a
Tax-exempt interest . . 2a b Taxable interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b 92
Sch.B if
3a
Qualified dividends . . . 3a b Ordinary dividends . . . . . . . . . . . . . . . . . . . . . . . . . 3b
required.
4a
IRA distributions . . . . . 4a b Taxable amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4b
5a Pensions and annuities 5a b Taxable amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5b
6a Soc. sec. ben. ........ 6a b Taxable amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6b
7 Capital gain or (loss). Attach Schedule D if required. If not required, check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
• Single or
Married filing
8 Other income from Schedule 1, line 9 ...................................................................... 8 19,143
separately, 9 Add lines 1, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 87,768
$12,400
• Married filing
10 Adjustments to income:
jointly or
Qualifying
a From Schedule 1, line 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10a 0
widow(er), b Charitable contributions if you take the standard deduction. See instructions 10b 187
$24,800
• Head of
c Add line 10a and 10b. These are your total adjustments to income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10c 187
household,
$18,650
11 Subtract line 10c from line 9. This is your adjusted gross income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 87,581
• If you checked 12 Standard deduction or itemized deductions (from Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 24,800
any box under
13 Qualified business income deduction. Attach Form 8995 or Form 8995-A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 3,829
14 Add lines 12 and 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 28,629
see instructions.
15 Subtract line 14 from line 11. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 58,952
For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Form 1040 (2020)
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d Account number
36 Amount of line 34 y estimated tax 36
Amount 37 Subtract line 33 from l u owe now . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
You Owe Note: Schedule H an , ay not represent all of the taxes you owe for
For details on 2020. See Schedule 3, line 12e, and its instructions for details.
how to pay, see
instructions. 38 Estimated tax penalty (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Third Party Do you want to allow another person to discuss this return with the IRS? See
Designee instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Yes. Complete below. No
Designee’s Phone Personal identification number
name Holly McCall no. 503-477-4396 (PIN)
Sign 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
Your signature Date Your occupation Protection PIN, enter it here
Joint return?
See instructions. Business Owner (see inst.)
Keep a copy for If the IRS sent your spouse an
Spouse's signature. If a joint return, both must sign. Date Spouse's occupation Identity Protection PIN, enter it here
your records.
Director (see inst.)
Go to www.irs.gov/Form1040 for instructions and the latest information. Form 1040 (2020)
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(Form 1040)
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16 Self-employed health insurance deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
17 Penalty on early withdrawal of savings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
18a Alimony paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18a
b Recipient's SSN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c Date of original divorce or separation agreement (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19 IRA deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
20 Student loan interest deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
21 Tuition and fees deduction. Attach Form 8917 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
22 Add lines 10 through 21. These are your adjustments to income. Enter here and
on Form 1040, 1040-SR, or 1040-NR, line 10a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
For Paperwork Reduction Act Notice, see your tax return instructions. Schedule 1 (Form 1040) 2020
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(Form 1040)
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5 Advertising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6 Auto and travel (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7 Cleaning and maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Commissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
9 Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
10 Legal and other professional fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
11 Management fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
12 Mortgage interest paid to banks, etc. (see instructions) . . . . . . . . . . . . . . . . . . . . 12 21,656
13 Other interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 12,983
14 Repairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
15 Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
16 Taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 5,498
17 Utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
18 Depreciation expense or depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 13,008
19 Other (list) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
20 Total expenses. Add lines 5 through 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 53,145
21 Subtract line 20 from line 3 (rents) and/or 4 (royalties). If
result is a (loss), see instructions to find out if you must
file Form 6198 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 -3,246
22 Deductible rental real estate loss after limitation, if any,
on Form 8582 (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 ( 3,246)( )( )
23a Total of all amounts reported on line 3 for all rental properties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23a 49,899
b Total of all amounts reported on line 4 for all royalty properties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23b
c Total of all amounts reported on line 12 for all properties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23c 21,656
d Total of all amounts reported on line 18 for all properties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23d 13,008
e Total of all amounts reported on line 20 for all properties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23e 53,145
24 Income. Add positive amounts shown on line 21. Do not include any losses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 0
25 Losses. Add royalty losses from line 21 and rental real estate losses from line 22. Enter total losses here . . . . . . . . . . . . . . 25 ( 3,246)
26 Total rental real estate and royalty income or (loss). Combine lines 24 and 25. Enter the result
here. If Parts II, III, IV, and line 40 on page 2 do not apply to you, also enter this amount on
Schedule 1 (Form 1040), line 5. Otherwise, include this amount in the total on line 41 on page 2 ........................ 26 -3,246
For Paperwork Reduction Act Notice, see the separate instructions. Schedule E (Form 1040) 2020
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A 0 11,002
B 0 11,387
C
D
29a Totals 22,389
b Totals
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30 Add columns (h) and (k) of line 29a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 22,389
31 Add columns (g), (i), and (j) of line 29b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 ( 0)
32 Total partnership and S corporation income or (loss). Combine lines 30 and 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 22,389
Part III Income or Loss From Estates and Trusts
(b) Employer
33 (a) Name
identification number
A
B
Passive Income and Loss Nonpassive Income and Loss
(c) Passive deduction or loss allowed (d) Passive income (e) Deduction or loss (f) Other income from
(attach Form 8582 if required) from Schedule K-1 from Schedule K-1 Schedule K-1
A
B
34a Totals
b Totals
35 Add columns (d) and (f) of line 34a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
36 Add columns (c) and (e) of line 34b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 ( )
37 Combine lines 35 and 36 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Part IV Income or Loss From Real Estate Mortgage Investment Conduits (REMICs)—Residual Holder
(c) Excess inclusion from
(b) Employer (d) Taxable income (net loss) (e) Income from
38 (a) Name
identification number
Schedules Q, line 2c
from Schedules Q, line 1b Schedules Q, line 3b
(see instructions)
39 Combine columns (d) and (e) only. Enter the result here and include in the total on line 41 below . . . . . . . . . . . . . . . . . . . . . . 39
Part V Summary
40 Net farm rental income or (loss) from Form 4835. Also, complete line 42 below . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
41 Combine lines 26, 32, 37, 39, and 40. Enter the result here and on Schedule 1 (Form 1040), line 5 . . . . . . . . . . . . . . . . . 41 19,143
42 Reconciliation of farming and fishing income. Enter your gross
farming and fishing income reported on Form 4835, line 7; Schedule K-1
(Form 1065), box 14, code B; Schedule K-1 (Form 1120-S), box 17, code
AD; and Schedule K-1 (Form 1041), box 14, code F. See instructions . . . . . . . . . . . . . . . . 42
43 If you were a real estate professional
(see instructions), enter the net income or (loss) you reported anywhere on Form
1040, Form 1040-SR, or Form 1040-NR from all rental real estate activities in which
you materially participated under the passive activity loss rules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
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i Lombard St -3,246
ii Deans Car Care Inc 11,002
iii Deans Car Care Inc 11,387
iv
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column (c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 19,143
3 Qualified business net (loss) carryforward from the prior year . . . . . . . . . . . . . . . . . . . . . . . 3 ( )
4 Total qualified business income. Combine lines 2 and 3. If zero or less, enter -0- . . 4 19,143
5 Qualified business income component. Multiply line 4 by 20% (0.20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 3,829
6 Qualified REIT dividends and publicly traded partnership (PTP) income or (loss)
(see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7 Qualified REIT dividends and qualified PTP (loss) carryforward from the prior
year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 ( )
8 Total qualified REIT dividends and PTP income. Combine lines 6 and 7. If zero
or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 0
9 REIT and PTP component. Multiply line 8 by 20% (0.20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
10 Qualified business income deduction before the income limitation. Add lines 5 and 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 3,829
11 Taxable income before qualified business income deduction . . . . . . . . . . . . . . . . . . . . . . . . 11 62,781
12 Net capital gain (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
13 Subtract line 12 from line 11. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 62,781
14 Income limitation. Multiply line 13 by 20% (0.20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 12,556
15 Qualified business income deduction. Enter the lesser of line 10 or line 14. Also enter this amount on
the applicable line of your return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 3,829
16 Total qualified business (loss) carryforward. Combine lines 2 and 3. If greater than zero, enter -0- . . . . . . . . . . . . . . . . . . . 16 ( 0)
17 Total qualified REIT dividends and PTP (loss) carryforward. Combine lines 6 and 7. If greater than
zero, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 ( )
For Privacy Act and Paperwork Reduction Act Notice, see instructions. Form 8995 (2020)
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MFS spouse name: *Qualifying person that is a child but not a dependent:
Taxpayer first name and initial Last name Taxpayer social security number
Dean A Gluesenkamp
If a joint return, spouse's first name and initial Last name Spouse's social security number
Kristina M Perez
Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Presidential Election Campaign
Taxpayer Spouse
At anytime during 2020, did you receive, sell, send, exchange, or otherwise acquire financial interest in any virtual currency? Yes X No
6a X Taxpayer. If someone can claim you as a dependent, do not check box 6a Boxes checked on 6a and 6b . . . . . . . . . . . . . 2
b X Spouse Children on 6c who lived with you . . . . . . . . . .
Children on 6c who did not live with you . . . . .
dependents,
here
7 7 68,533
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Wages, salaries, tips, etc. Attach Form(s) W-2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Income 8a Taxable interest. Attach Schedule B if required ...................................................... 8a 92
(Schedule 1) b Tax-exempt interest. Do not include on line 8a . . . . . . . . . . . . . . . . . . . . 8b
9a Ordinary dividends. Attach Schedule B if required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9a
b Qualified dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9b
10 Taxable refunds, credits, or offsets of state and local income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
11 Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
12 Business income or (loss). Attach Schedule C or C-EZ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
13 Capital gain or (loss). Attach Schedule D if required. If not required, check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
14 Other gains or (losses). Attach Form 4797 ........................................................... 14
15a IRA distributions . . . . . . . . . . . . . . 15a b Taxable amount . . . . . . . . . . . . . 15b
16a Pensions and annuities . . . . . . 16a b Taxable amount . . . . . . . . . . . . . 16b
17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E . . . . . . . . . . . 17 19,143
18 Farm income or (loss). Attach Schedule F . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
19 Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
20a Social security benefits . . . . . . . . . . 20a b Taxable amount . . . . . . . . . . . . . 20b
21 Other income. List type and amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
22 Combine the amounts in the far right column for lines 7 through 21. This is your total income . . 22 87,768
23 Educator expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Adjusted 24 Certain business expenses of reservists, performing artists, and
Gross fee-basis government officials. Attach Form 2106 or 2106-EZ . . . . . 24
Income 25 Health savings account deduction. Attach Form 8889 . . . . . . . . . . . . . . 25
(Schedule 1) 26 Moving expenses. Attach Form 3903 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
27 Deductible part of self-employment tax. Attach Schedule SE . . . . . . 27
28 Self-employed SEP, SIMPLE, and qualified plans . . . . . . . . . . . . . . . . . . 28
29 Self-employed health insurance deduction . . . . . . . . . . . . . . . . . . . . . . . . . 29
30 Penalty on early withdrawal of savings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
31a Alimony paid b Recipient's SSN 31a
32 IRA deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
33 Student loan interest deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
34 Tuition and fees. Attach Form 8917 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
35 Charitable contributions if you take the standard deduction . . . . . . . . 35 187
36 Add lines 23 through 35 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 187
37 Subtract line 36 from line 22. This is your adjusted gross income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 87,581
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Client Copy
b First-time homebuyer credit repayment. Attach Form 5405 if required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60b
61 Taxes from: Form 8959 Form 8960 Instructions; enter code(s) 61
62 Section 965 net tax liability installment from Form 965-A . . . . . . . . . . . . . . . . . . . 62
63 Add lines 56 through 61. This is your .......................................................... 63 6,682
64 Federal income tax withheld from: 64
a Form(s) W-2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64a 14,463
b Form(s) 1099 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64b
c Other forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64c
65 2020 estimated tax payments and amount applied from 2019 return . . . . . . . . . 65
Payments 66a Earned income credit (EIC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66a
(Schedule 3) b Nontaxable combat pay election . . 66b
67 Additional child tax credit. Attach Schedule 8812 . . . . . . . . . . . . . . . . . . . . . . 67
68 American opportunity credit from Form 8863, line 8 . . . . . . . . . . . . . . . . 68
69 Recovery rebate credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69 0
70 Net premium tax credit. Attach Form 8962 . . . . . . . . . . . . . . . . . . . . . . . . . . 70
71 Amount paid with request for extension to file . . . . . . . . . . . . . . . . . . . . . . 71
72 Excess social security and tier 1 RRTA tax withheld . . . . . . . . . . . . . . . . 72
73 Credit for federal tax on fuels. Attach Form 4136 . . . . . . . . . . . . . . . . . . . 73
74 Credits: Form 2439 8885
Sch H & Form 7202 Sch H & SE Filers 74
Other
75 Add lines 64 (a-c), 65, 66a, 67 through 74. These are your 75 14,463
Refund 76 If line 75 is more than line 63, subtract line 63 from line 75. This is the amount you overpaid . . . . . . 76 7,781
77a Amount of line 76 you want refunded to you. If Form 8888 is attached, check here . . . . . . . . 77a 7,781
b Routing numbe c Type: X Checking Savings
d Account number
78 Amount of line 76 you want applied to your 2021 estimated tax 78
Amount 79 Amount you owe. Subtract line 75 from line 63. For details on how to pay, see instructions ... 79
You Owe 80 Estimated tax penalty (see instructions) 80
Int/Pen Date filed Int Fail to file Fail to pay Total
Third Party Do you want to allow another person to discuss this return with the IRS (see instructions)? X Yes. Complete below. No Personal identification no. (PIN)
Client Copy
19. Amount used to restore loan basis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19.
20. Total decreases (other than distributions) to stock basis. Combine lines 17 through 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20. 672
21. (Subtract line 20 from line 16). Per IRC 1367(a)(2) do not enter an amount below zero . . . . . . . 21. 65,560
Shareholder Loan Basis
22. Beginning of year loan basis. Per IRC 1367(b)(2)(A) do not enter an amount below zero ........ 22.
23. Loans to corporation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23.
24. Loan basis restored from line 19 above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24.
25. Other increases to loan basis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25.
26. Loan repayments from line 40 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26.
27. Combine lines 22 through 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27. 0
28. Losses and deductions applied against loan basis. (See Shareholder Basis Worksheet Page 2) . 28.
29. Other decreases to loan basis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29.
30. Total decreases to loan basis. Add lines 28 and 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30. 0
31. (Subtract line 30 from line 27). Per IRC 1367(b)(2)(A) do not enter an amount below zero . . . . . 31. 0
32. (Add lines 21 and line 31) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32. 65,560
Gain Recognized on Excess Distributions
33. Property distributions reported in Box 16, Code D, Schedule K-1 (1120S) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33. 55,739
34. Stock basis before distributions and loss items (line 14) less gain from the entire disposition of stock reported on line 18. . . 34. 121,971
35. (Subtract line 34 from line 33) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35. 0
Sch D/8949, short-term capital gain Sch D/8949, long-term capital gain
Client Copy
19. Amount used to restore loan basis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19.
20. Total decreases (other than distributions) to stock basis. Combine lines 17 through 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20. 695
21. (Subtract line 20 from line 16). Per IRC 1367(a)(2) do not enter an amount below zero . . . . . . . 21. 61,402
Shareholder Loan Basis
22. Beginning of year loan basis. Per IRC 1367(b)(2)(A) do not enter an amount below zero ........ 22.
23. Loans to corporation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23.
24. Loan basis restored from line 19 above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24.
25. Other increases to loan basis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25.
26. Loan repayments from line 40 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26.
27. Combine lines 22 through 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27. 0
28. Losses and deductions applied against loan basis. (See Shareholder Basis Worksheet Page 2) . 28.
29. Other decreases to loan basis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29.
30. Total decreases to loan basis. Add lines 28 and 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30. 0
31. (Subtract line 30 from line 27). Per IRC 1367(b)(2)(A) do not enter an amount below zero . . . . . 31. 0
32. (Add lines 21 and line 31) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32. 61,402
Gain Recognized on Excess Distributions
33. Property distributions reported in Box 16, Code D, Schedule K-1 (1120S) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33. 57,692
34. Stock basis before distributions and loss items (line 14) less gain from the entire disposition of stock reported on line 18. . . 34. 119,789
35. (Subtract line 34 from line 33) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35. 0
Sch D/8949, short-term capital gain Sch D/8949, long-term capital gain
11,002 11,002
Royalties
Deductions-royalty income
Depletion
Interest Income
Tax-exempt interest income
Dividend Income
Qualified dividends (1040, Page 2)
4797 Part I
4797 Part II
Section 179/280F recapture
18014 10/28/2022 3:22 PM
Form 1040 K-1 Reconciliation Worksheet - Form 1040, Sch A, Form 4952 2020
Name Dean A Gluesenkamp Taxpayer Identification Number
Entity Name Deans Car Care Inc EIN Entity Type S Corporation Screen K1 K1 Unit 1
Activity Passive Activity Type Not Passive Entire disposition of activity
Current Year PY Suspended Disallowed PY Suspended Disallowed PY Suspended Disallowed Tax
Amount Basis Loss Basis Limitation At-risk Loss At-risk Limitation Passive Loss Loss Limitation Return
Cash contributions 92 92
Cash contributions (30%)
Noncash contributions (50%)
Noncash contributions (30%)
Cap gain prop 50% org (30%)
Cap gain prop (20%)
Portfolio deductions (other)
Real estate taxes
State and local tax withheld paid
Foreign taxes
Investment int from 4952
Form 1040 K-1 Reconciliation Worksheet - Form 4684, Sch SE, Misc, Credits 2020
Name Dean A Gluesenkamp Taxpayer Identification Number
Entity Name Deans Car Care Inc EIN Entity Type S Corporation Screen K1 K1 Unit 1
Activity Passive Activity Type Not Passive Entire disposition of activity
Current Year PY Suspended Disallowed PY Suspended Disallowed PY Suspended Disallowed Tax
Amount Basis Loss Basis Limitation At-risk Loss At-risk Limitation Passive Loss Loss Limitation Return
11,387 11,387
Royalties
Deductions-royalty income
Depletion
Interest Income
Tax-exempt interest income
Dividend Income
Qualified dividends (1040, Page 2)
4797 Part I
4797 Part II
Section 179/280F recapture
18014 10/28/2022 3:22 PM
Form 1040 K-1 Reconciliation Worksheet - Form 1040, Sch A, Form 4952 2020
Name Kristina M Perez Taxpayer Identification Number
Entity Name Deans Car Care Inc EIN Entity Type S Corporation Screen K1 K1 Unit 2
Activity Passive Activity Type Not Passive Entire disposition of activity
Current Year PY Suspended Disallowed PY Suspended Disallowed PY Suspended Disallowed Tax
Amount Basis Loss Basis Limitation At-risk Loss At-risk Limitation Passive Loss Loss Limitation Return
Cash contributions 95 95
Cash contributions (30%)
Noncash contributions (50%)
Noncash contributions (30%)
Cap gain prop 50% org (30%)
Cap gain prop (20%)
Portfolio deductions (other)
Real estate taxes
State and local tax withheld paid
Foreign taxes
Investment int from 4952
Form 1040 K-1 Reconciliation Worksheet - Form 4684, Sch SE, Misc, Credits 2020
Name Kristina M Perez Taxpayer Identification Number
Entity Name Deans Car Care Inc EIN Entity Type S Corporation Screen K1 K1 Unit 2
Activity Passive Activity Type Not Passive Entire disposition of activity
Current Year PY Suspended Disallowed PY Suspended Disallowed PY Suspended Disallowed Tax
Amount Basis Loss Basis Limitation At-risk Loss At-risk Limitation Passive Loss Loss Limitation Return
Client Copy
Section 1231 loss
Ordinary business loss
Other Losses - 1040 Schedule 1
Commercial revitalization
18014 10/28/2022 3:22 PM
11. Qualified business income for this activity. Line 1 plus line 6 less line 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. -3,246
Client Copy
Beginning of Year End of Year
Carryovers: Pre -2018 After 2017 Allowed loss Pre -2018 After 2017 QBI Portion of
Passive activity: (A) (B) (C) (D) (E) Allowed Losses
Operating
Form 4797, Part II
Section 1231 loss
At-Risk:
Operating
Form 4797, Part II
Section 1231 loss
Section 179 expense
Other:
Section 179 expense
Amount to Form 8995, line 3 or Schedule C (Form 8995-A), line 2 qualified business loss carryforward
18014 10/28/2022 3:22 PM
Pre -TCJA Post- TCJA Pre -TCJA Post - TCJA Pre -TCJA Post- TCJA
Suspended Loss Carryforwards Passive Passive Basis Basis At-Risk At-Risk Other carryovers
Ordinary business loss
Net rental real estate loss
Other net rental loss
Section 179 expense
Depletion
Section 59(e)(2) expenditure
Preproductive period exp
Reforestation expense ded
Other deductions
Other losses - Schedule E
Dependent care expense
4797 - Ordinary loss
Other losses - 1040 Sch 1
Section 1231 loss
18014 10/28/2022 3:22 PM
Pre -TCJA Post- TCJA Pre -TCJA Post - TCJA Pre -TCJA Post- TCJA
Suspended Loss Carryforwards Passive Passive Basis Basis At-Risk At-Risk Other carryovers
Ordinary business loss
Net rental real estate loss
Other net rental loss
Section 179 expense
Depletion
Section 59(e)(2) expenditure
Preproductive period exp
Reforestation expense ded
Other deductions
Other losses - Schedule E
Dependent care expense
4797 - Ordinary loss
Other losses - 1040 Sch 1
Section 1231 loss
18014 10/28/2022 3:22 PM
Client Copy
Mortgage interest from 1098 . . . . . . . . . . . . . . . . 21,656
Refinancing points on 1098 . . . . . . . . . . . . . . . . .
12. Mortgage interest paid to banks, etc. . . . . . . . . 21,656 21,656
Other mortgage interest . . . . . . . . . . . . . . . . . . . . .
Other interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12,983
Refinancing points . . . . . . . . . . . . . . . . . . . . . . . . . . .
Qualified mortgage insurance . . . . . . . . . . . . . . .
13. Other interest (total) . . . . . . . . . . . . . . . . . . . . . . . . . 12,983 12,983
14. Repairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15. Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Real estate taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . .
All other taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,498
16. Taxes (total) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,498 5,498
17. Utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18. Depreciation expense or depletion . . . . . . . . . . 13,008 13,008
19. Other (list)
Description Amount
Statewide Transit Tax: OR $ 41
Total $ 41
Client Copy
18014 Gluesenkamp, Dean A & Kristina M 10/28/2022 3:21 PM
Federal Statements
Description Amount
Statewide Transit Tax: OR $ 28
Total $ 28
Client Copy
18014 Gluesenkamp, Dean A & Kristina M 10/28/2022 3:21 PM
Federal Asset Report
FYE: 12/31/2020 Lombard St
Prior MACRS:
1 Building 2/28/18 474,884 474,884 39 MM S/L 22,831 12,176
3 Improvements 2/28/18 32,450 32,450 39 MM S/L 1,560 832
507,334 507,334 24,391 13,008
Other Depreciation:
2 Land 2/28/18 344,685 344,685 0 -- Land 0 0
Total Other Depreciation 344,685 344,685 0 0
Client Copy
18014 Gluesenkamp, Dean A & Kristina M 10/28/2022 3:21 PM
Bonus Depreciation Report
FYE: 12/31/2020 Lombard St
Client Copy
18014 Gluesenkamp, Dean A & Kristina M 10/28/2022 3:21 PM
AMT Asset Report
FYE: 12/31/2020 Lombard St
Prior MACRS:
1 Building 2/28/18 474,884 474,884 39 MM S/L 22,831 12,176
3 Improvements 2/28/18 32,450 32,450 39 MM S/L 1,560 832
507,334 507,334 24,391 13,008
Other Depreciation:
2 Land 2/28/18 0 0 0 HY 0 0
Total Other Depreciation 0 0 0 0
Client Copy
18014 Gluesenkamp, Dean A & Kristina M 10/28/2022 3:21 PM
Depreciation Adjustment Report
FYE: 12/31/2020 All Business Activities
AMT
Adjustments/
Form Unit Asset Description Tax AMT Preferences
MACRS Adjustments:
E 1 1 Building 12,176 12,176 0
E 1 3 Improvements 832 832 0
13,008 13,008 0
Client Copy
18014 Gluesenkamp, Dean A & Kristina M 10/28/2022 3:21 PM
Future Depreciation Report FYE: 12/31/21
FYE: 12/31/2020 Lombard St
Date In
Asset Description Service Cost Tax AMT
Prior MACRS:
1 Building 2/28/18 474,884 12,177 12,177
3 Improvements 2/28/18 32,450 832 832
507,334 13,009 13,009
Other Depreciation:
2 Land 2/28/18 344,685 0 0
Total Other Depreciation 344,685 0 0
Client Copy
18014 10/28/2022 3:22 PM
Client Copy
SE Health Ins Ded Wrk, Line 1
Penalty for early withdrawal of savings:
Penalty for early withdrawal Form 1040, Sch 1, Line 17
Miscellaneous Items:
Section 179 exp ded allow in PY Form 4797, Part IV, Line 33
Form
1040 K1 Detail Summary Report, Page 3 2020
Name Taxpayer identification number
Dean A Gluesenkamp & Kristina M Perez
Passthrough Entity Name EIN Entity Type Passive Activity Type Disposed
A Deans Car Care Inc S Corporation Not Passive
B Deans Car Care Inc S Corporation Not Passive
C
D
Form / Schedule / Worksheet A B C D
Schedule B: Totals:
Interest Schedule B, Line 1
Schedule A:
Medical and dental:
Shareholder medical ins - no W2 Schedule A, line 1
Taxes:
State/local withholding taxes Schedule A, line 5a
Client Copy
Schedule A, line 6
Gifts to Charity:
Cash contributions 92 95 187 Schedule A, line 11
Soc Sec Withheld Medicare Wages Medicare Withheld Soc Sec Tips Allocated Tips Dep Care Ben Other, Box 14
A 2,610 42,100 610 41
B 2,020 32,583 472 28
Client Copy
C
D
E
F
G
H
I
J
K
L
M
Form 1040 Two Year Comparison Report - Schedule E Page 1 2019 & 2020
Name Taxpayer identification number
Dean A Gluesenkamp & Kristina M Perez
Property description Unit
Lombard St 1
Client Copy
Profit/(loss)
18. Income or (loss) from rental real estate or royalty properties . . 18. -191 -3,246 -3,055
19. Deductible rental real estate loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. -191 -3,246 -3,055
Carryover
20. Vacation home operating expenses carryover to next year . . . . . . . . 20.
21. Vacation home excess casualty & depreciation carryover to next yr 21.
18014 10/28/2022 3:22 PM
Form 1040 TPW - EIP 3 and Recovery Rebate Credit Worksheet 2020 & 2021
Name Tax a er Identification Number
Dean A Gluesenkamp & Kristina M Perez
2019 2020 2021
A. Filing Status MFJ MFJ
B. Adjusted gross income (AGI) 87,581 87,581
C. Is AGI on line B greater or equal to $80,000 ($160,000 MFJ/QW;
$120,000 HH)? Yes Stop here. No go to D No Yes X No Yes X No Yes
D. Can taxpayer or spouse, if filing a joint return, be claimed as a
dependent on another person's return? No go to E. Yes Stop here No Yes X No Yes X No Yes
E. Does the taxpayer, and spouse if filing jointly, have a valid social
security number? Yes skip line F and go to line 1. No, go to line F Yes No X Yes No X Yes No
F. Were either taxpayer or spouse a member of the U.S. Armed Forces
at any time during the tax year? Yes go to line 1. No, Stop here Yes No Yes No Yes No
Client Copy
number. Multiply line 4 by line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.
6. Total EIP before AGI limits. Add line 2 and 5 . . . . . . . . . . . . . . . 6. 2,800 2,800
7. Phaseout limit based upon filing status. Enter
$75,000 ($150,000 MF/QWJ; $112,500 HH) . . . . . . . . . . . . . . . . . 7. 150,000 150,000
8. Subtract line 7 from line 1. If less than zero, enter -0- . . . . . . 8. 0 0
9. Enter $80,000 ($160,000 MFJ/QW; $120,000 HH) . . . . . . . . . . . 9. 160,000 160,000
10. Subtract line 7 from line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. 10,000 10,000
11. EIP reduction percentage. Divide line 8 by line 10 . . . . . . . . . 11. 0.00 0.00
12. EIP reduction amount. Multiply line 6 by line 11 . . . . . . . . . . . 12.
13. Projected EIP. Subtract line 12 from line 6. If less
than zero, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. 2,800 2,800
14. Enter the amount from line 13 of the year used to calculate . 14. 2,800
15. Recovery rebate credit for 2021. Subtract line 14 from 2020 Tax Return
line 13. If zero or less, enter -0-. Enter the result here
and on Tax Projection Worksheet line 82 . . . . . . . . . . . . . . . . . . . . 15. 0
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Farm income/loss . . . . . . . . . . . . . . . . . . . . .
Other income/loss . . . . . . . . . . . . . . . . . . . . . 478
Total income . . . . . . . . . . . . . . . . . . . . . . . . 121,837 96,091 87,768 87,768
Total adjustments . . . . . . . . . . . . . . . . . . . . . 1,183 ** 187 ** 187
Adjusted gross income . . . . . . . . . . . . . . 120,654 96,091 87,581 87,581
Allowable itemized deductions . . . . 24,137 23,649 23,117 23,117
Standard deduction . . . . . . . . . . . . . . . . . . . . 24,000 24,400 24,800 25,100
Itemized or standard deduction taken 24,137 24,400 24,800 25,100
Exemptions . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Taxable income before Qual Bus Inc Ded 96,517 71,691 62,781 62,481
Qual Bus Inc Ded 16,411 11,342 3,829
Taxable income . . . . . . . . . . . . . . . . . . . . . . 80,106 60,349 58,952 62,481
* Amts in the projected col generate from the federal Tax Projection Wrk (TPW); this field is incl in the total Sch E income/loss amt on the TPW. ** Incl Charitable Contribution w/standard deduction.
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Tax brackets are rates applied to specific levels of taxable income. Various rates apply to different portions of the total taxable income. Type of income,
further determines the rate applied. Marginal Tax Rate is the tax paid on the highest level of taxable income. This worksheet details how tax is calculated on
ordinary income and capital gain income, the percentage of taxable income, marginal tax rate and the tax method used.
Filing Status Married filing jointly Tax Pct Total Tax (ln 27) divided Total Taxable Income (ln 19) 11.0 %
Tax Method Tax tables
Tax using ordinary and capital gains rates exceeds tax using only ordinary rates. Taxable income is taxed only using ordinary rates:
Tax using capital gains rates Tax using Ordinary rates Tax savings
*Tax on taxable ordinary income under $100,000 is determined using IRS Tax Tables that impose the same amount of tax on taxable income within $50
intervals. Therefore, the column (b) Tax may not be calculated as column (a) times the applicable line tax rate.
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. . . . . . . . .taxable
. . . . . . .income
. . . . . . per
. . . .this
. . . .bracket:
. . . . . . .$19,750
............................................
2. 12% rate . . . Maximum
. . . . . . . . .taxable
. . . . . . .income
. . . . . . per
. . . .this
. . . .bracket:
. . . . . . .$60,500
............................................ 2a. 39,202 2b. 4,704
3. 22% rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a. 3b.
4. 24% rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4a. 4b.
5. 32% rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5a. 5b.
6. 35% rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6a. 6b.
7. 37% rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a. 7b.
8. Total ordinary taxable income and ordinary tax. Add lines 1 through 7 . . . . . . . . . . . . . . . . 8a. 58,952 8b. 6,682
Income taxed at capital gains rates
9. 0% capital gains rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9a. 9b.
10. 15% capital gains rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10a. 10b.
11. 20% capital gains rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11a. 11b.
12. 25% capital gains rate . . . . . . . . . . . . . . . . . . . . .Unrecaptured
. . . . . . . . . . .Section
. . . . . . .1250
. . . . Gain
........................... 12a. 12b.
13. 28% capital gains rate . . . . . . . . . . . . . . . . . . . . .Small business stock, collectibles
................................................. 13a. 13b.
14. Total taxable capital gains and capital gains tax. Add lines 9 through 13 14a. 14b.
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Overpayment applied to 2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Contributions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Oregon 529 plan deposit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0
Net amt due/-refund before int/pen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -2,231
Amount Due /-Refund
Underpayment of estimates penalty ............................................................................................
Late filing interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Failure to file penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Failure to pay penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net amount due/-refund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -2,231
Client C
Deceased
instructions)
KRISTINA M PEREZ
Current mailing address Date of birth (mm/dd/yyyy) Spouse’s date of birth
**/**/1985 **/**/1988
City State ZIP code Country Phone
WASHOUGAL WA 98671
Filing status (check only one box)
Exemptions Total
1. Single. 6a. Credits for yourself: X Regular Severely disabled .. 6a. 1
2. X Married filing jointly. Check box if someone else can claim you as a dependent.
3. Married filing separately (enter spouse’s information ). 6b. Credits for spouse: X Regular Severely disabled .. 6b. 1
4. Head of household (with qualifying dependent). Check box if someone else can claim your spouse as a dependent.
Dependents. List your dependents in order from youngest to oldest. If more than four, check this box and include Schedule OR-ADD-DEP
with your return.
Dependent's date Check if child with
First name Last name Code* Dependent's SSN of birth (mm/dd/yyyy) qualifying disability
Adjustments
21. IRA or SEP and SIMPLE contributions, from federal Schedule 1,
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lines 15 and 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22. Education deductions from federal Schedule 1, lines 10, 20, and 21 . . . . .
21F.
22F.
21S.
22S.
23. Moving expenses from federal Schedule 1, line 13 . . . . . . . . . . . . . . . . . . . . . . . 23F. 0.00 23S. 0.00
24. Deduction for self-employment tax from federal Schedule 1, line 14 . . . . . 24F. 24S.
25. Self-employed health insurance deduction from federal
Schedule 1, line 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25F. 0.00 25S. 0.00
26. Alimony paid from federal Schedule 1, line 18a . . . . . . . . . . . . . . . . . . . . . . . . . . 26F. 26S.
27. Total adjustments from Schedule OR-ASC-NP, section 1 . . . . . . . . . . . . . . . . 27F. 187.00 27S. 0.00
28. Total adjustments. Add lines 21 through 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28F. 187.00 28S.
29. Income after adjustments. Line 20 minus line 28 . . . . . . . . . . . . . . . . . . . . . . . . . 29F. 87,581.00 29S. 76,674.00
Additions
30. Total additions from Schedule OR-ASC-NP, section 2 . . . . . . . . . . . . . . . . . . . 30F. 30S.
31. Income after additions. Add lines 29 and 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31F. 87,581.00 31S. 76,674.00
Subtractions
32. Social Security and tier 1 Railroad Retirement Board benefits included
on line 19F . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32F.
33. Total subtractions from Schedule OR-ASC-NP, section 3 . . . . . . . . . . . . . . . . 33F. 33S.
34. Income after subtractions. Line 31 minus lines 32 and 33 . . . . . . . . . . . . . . . . 34F. 87,581.00 34S. 76,674.00
35. Oregon percentage (see instructions; not more than 100.0%) . . . . . . . . . . 35. 87.5 %
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You were: 38a. 65 or older 38b. Blind Your spouse was: 38c. 65 or older 38d. Blind
Oregon tax
4,352.00
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46. Tax. Check the appropriate box if you’re using an alternative method to calculate your tax (see instructions). ... 46.
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DEAN A GLUESENKAMP
Note: Reprint page 1 if you make changes to this page.
Exception number from Form OR-10, line 1: 66a. Check box if you annualized: 66b.
67. Total penalty and interest due. Add lines 65 and 66. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67.
68. Net tax including penalty and interest. Line 64 plus line 67 . . . . . . . . . . . . . . . . . . . . This is the amount you owe. 68. 0.00
69. Overpayment less penalty and interest. Line 63 minus line 67 . . . . . . . . . . . . . . . . . . . . . . . . . . This is your refund. 69. 2,231.00
70. Estimated tax. Fill in the portion of line 69 you want applied to your open estimated tax account . . . . . . . . . . . . . . . . . 70.
71. Charitable checkoff donations from Schedule OR-DONATE, line 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71.
72. Oregon 529 college savings plan deposits from Schedule OR-529 (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72.
73. Total. Add lines 70 through 72. The total can’t be more than your refund on line 69 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73.
74. Net refund. Line 69 minus line 73 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . This is your net refund. 74. 2,231.00
Direct deposit
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75. For direct deposit of your refund, see instructions. Check the box if the final deposit destination is outside the United States:
Routing number:
Account number:
Reserved
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Sign here. Under penalty of false swearing, I declare that the information in this return is true, correct, and complete.
Your signature Date
X
Spouse’s signature (if filing jointly, both must sign) Date
X
Signature of preparer other than taxpayer Preparer phone Preparer license number, if professionally prepared
Important: Include a copy of your federal Form 1040, 1040-SR, 1040-X, 1040-NR, or 1040-NR-EZ. Without this information, we may adjust your
return.
Make your payment (if you have an amount due on line 68)
• Online payments: Visit our website at www.oregon.gov/dor.
• Mailing your payment: Make your check or money order payable to the Oregon Department of Revenue. Write “2020 Oregon Form OR-40-N”
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and the last four digits of your SSN or ITIN on your check or money order. Include your payment with this return. Don’t use the Form OR-40-V
payment voucher unless you’re sending us a separate payment.
Amended statement. Complete this section only if you’re amending your 2020 return or filing with a new SSN.
If filing an amended return, use this space to explain what you’re changing. Include the return line numbers and the reason for each change. If your
filing status has changed, explain why. Include all supporting forms and schedules when you file your amended return, even if you haven’t changed
anything on them.
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income tax! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.
6. Real estate taxes (see instructions) . . . . . . . . . . . . . . . . . . . . 6. 5,564.00
7. Personal property taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7.
8. Reserved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8.
9. Total income and property taxes. Add lines 5 through 8.
Don’t enter more than $10,000 ($5,000 if married filing separately) ............. 9. 5,564.00
10. Other taxes. List type and amount:
10.
11. Taxes paid deduction. Add lines 9 and 10 ....................................................................... 11. 5,564.00
Gifts to charity
18. Gifts by cash or check (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18.
19. Gifts other than by cash or check, (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19.
20. Carryover from prior year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20.
21. Total gifts to charity. Add lines 18 through 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21.
—You must include this schedule with your Oregon income tax return—
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Identify the code you’re claiming and enter the information requested in the corresponding section. Enter the total from each section
on the line indicated for Form OR-40-N or OR-40-P.
For more information, refer to the instructions, Publication OR-CODES, or Publication OR-17.
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1g. 1h. 1i.
1j. 1k. 1l.
Enter totals
1m. 1n. 1o. on Form OR-40-N or
Total 187.00 Total OR-40-P, lines 27F and 27S.
–You must include this schedule with your Oregon income tax return–
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4a. 4b.
4c. 4d.
4e. 4f.
4g. 4h.
4i. 4j.
Enter total
on Form OR-40-N or
OR-40-P, line 41
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or OR-40-P, line 49
—You must include this schedule with your Oregon income tax return—
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To qualify for the reduced tax rate, you must complete both sections and submit this form with your Oregon Form OR-40-N.
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Entity type: a. Nonpassive loss ense c. Nonpassive income
SC (SP, SC, or P only)
Qualifying business name FEIN Business code no. No. of qualifying employees
4.
6. Total for each column a. Nonpassive loss total b. Section 179 expense total c. Nonpassive income total
(a), (b), and (c): 11,387.00
If line 9 is 0 or less, you can’t use the reduced tax rate. Return to the Form OR-40-N, line 46, and complete the rest of the form. If
line 9 is more than 0, enter this amount on line 2b of the Tax worksheet in Section B on page 2.
–You must include this schedule with your Oregon Form OR-40-N–
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DEAN A GLUESENKAMP KRISTINA M PEREZ
Use the following worksheet to calculate your tax. See the instructions for information on completing the worksheet.
1. Enter Oregon taxable income from Form OR-40-N, line 45 . . . . . 1a. 57,795.00
2. Enter the total qualifying income from line 9 of Section A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b. 11,387.00
3. Line 1a minus line 2b. Don’t enter less than 0 . . . . . . . . . . . . . . . . . . 3a. 46,408.00
4. Enter the amount of the depreciation addition from
Form OR-40-N, line 30S, that is attributable to qualifying
businesses on lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4a. 4b.
5. Line 3a minus line 4a. Don’t enter less than 0 . . . . . . . . . . . . . . . . . . 5a. 46,408.00
6. Line 2b plus line 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6b. 11,387.00
7. Enter the amount of the depreciation subtraction from
Form OR-40-N, line 33S, that is attributable to qualifying
businesses on lines 7a and 7b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a. 7b.
8. Line 5a plus line 7a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8a. 46,408.00
9. Line 6b minus line 7b. Don’t enter less than 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9b. 11,387.00
10. Tax for income on line 8a (see instructions).
This is your tax on nonqualifying income. . . . . . . . . . . . . . . . . . . . . . 10a. 3,555.00
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11. Tax for income on line 9b using tax rate chart B in the instructions.
This is your tax on qualifying income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11b. 797.00
12. Line 10a plus line 11b.
This is your total tax with the reduced rate for
qualifying income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12a. 4,352.00
13. Tax for income on line 1a (see instructions) . . . . . . . . . . . . . . . . . . 13a. 4,551.00
14. Enter the lesser of line 12a or line 13a . . . . . . . . . . . . . . . . . . . . . . . . 14a. 4,352.00
If line 12a is less than 13a, enter the amount from line 14a on line 46 of Form OR-40-N and check box 46c. If line 13a is less than 12a,
it isn't more beneficial for you to use the reduced tax rate. Enter the amount from line 13a on line 46 of Form OR-40-N and complete
the rest of the return.
Note: You can’t amend to revoke or make the election after your original return is filed unless you file an amended return on or before
the original due date of April 15, 2021, or if filing on extension, October 15, 2021. If you amend after the due date for the return,
including extensions, you must use the tax on line 12a of the Tax worksheet even if line 13a is less.
–You must include this schedule with your Oregon Form OR-40-N–
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4. Federal tax paid in 2020 for a prior year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.
5. Enter the smaller of line 3 or 4 here and on Form OR-ASC (subtraction code 309) or
Form OR-ASC-NP (modification code 602) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. 0
Part C: Foreign tax subtraction
11,387 11,387
Royalties
Deductions-royalty income
Depletion
Interest Income
Tax-exempt interest income
Dividend Income
Qualified dividends (1040, Page 2)
Form 40 Oregon K-1 Reconciliation Worksheet - Form 1040, Schedule A, Form 4952, 8903
(For part-year and nonresident taxpayers)
2020
Name Kristina M Perez Taxpayer Identification Number
Entity Name Deans Car Care Inc EIN Entity Type S Corporation Screen K1 K1 Unit 2
Activity Passive Activity Type Not Passive Entire disposition of activity
Current Year PY Suspended Disallowed PY Suspended Disallowed PY Suspended Disallowed Tax
Amount Basis Loss Basis Limitation At-risk Loss At-risk Limitation Passive Loss Loss Limitation Return
Form 40 Oregon K-1 Reconciliation Worksheet - Form 4684, Schedule SE, Misc, Credits
(For part-year and nonresident taxpayers)
2020
Name Kristina M Perez Taxpayer Identification Number
Entity Name Deans Car Care Inc EIN Entity Type S Corporation Screen K1 K1 Unit 2
Activity Passive Activity Type Not Passive Entire disposition of activity
Current Year PY Suspended Disallowed PY Suspended Disallowed PY Suspended Disallowed Tax
Amount Basis Loss Basis Limitation At-risk Loss At-risk Limitation Passive Loss Loss Limitation Return
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column (b)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3b ( )
c Prior years unallowed losses (enter the amount from Worksheet 3,
column (c)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3c ( )
d Combine lines 3a, 3b, and 3c 3d
4 Combine lines 1d, 2c, and 3d. If this line is zero or more, stop here and include this form with
your return; all losses are allowed, including any prior year unallowed losses entered on line 1c,
2b, or 3c. Report the losses on the forms and schedules normally used . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 -3,246
If line 4 is a loss and: • Line 1d is a loss, go to Part II.
•
Line 2c is a loss (and line 1d is zero or more), skip Part II and go to Part III.
•
Line 3d is a loss (and lines 1d and 2c are zero or more), skip Parts II and III and go to line 15.
Caution: If your filing status is married filing separately and you lived with your spouse at any time during the year, do not complete
Part II or Part III. Instead, go to line 15.
Part II Special Allowance for Rental Real Estate Activities With Active Participation
Note: Enter all numbers in Part II as positive amounts. See page 8 of the instructions for an example.
5 Enter the smaller of the loss on line 1d or the loss on line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 3,246
6 Enter $150,000. If married filing separately, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . 6 150,000
7 Enter modified adjusted gross income, but not less than zero (see instructions) . . . . . . 7 90,827
Note: If line 7 is greater than or equal to line 6, skip lines 8 and
9, enter -0- on line 10. Otherwise, go to line 8.
8 Subtract line 7 from line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 59,173
9 Multiply line 8 by 50% (.5). Do not enter more that $25,000. If married filing separately, see page 8 . . . . . . . . . . . . . . . . . . . 9 25,000
10 Enter the smaller of line 5 or line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 3,246
If line 2c is a loss, go to Part III. Otherwise, go to line 15.
Part III Special Allowance for Commercial Revitalization Deductions From Rental Real Estate Activities
Note: Enter all numbers in Part III as positive amounts. See the example for Part II on page 8 of the instructions.
11 Enter $25,000 reduced the amount, if any, online 10. If married filing separately, see instructions. . . . . . . . . . . . . . . . . . . . . . 11
12 Enter the loss from line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
13 Reduce line 12 by the amount on line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
14 Enter the smallest of line 2c (treated as a positive amount), line 11, or line 13 14
Part IV Total Losses Allowed
15 Add the income, if any, on lines 1a and 3a and enter the total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
16 Total losses allowed from all passive activities for 2020. Add lines 10, 14, and 15. See
instructions to find out how to report the losses on your tax return 16 3,246
For Paperwork Reduction Act Notice, see instructions. Form 8582 (2020)
DAA
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Worksheet 3—For Form 8582, Lines 3a, 3b, and 3c
Current year Prior years Overall gain or loss
Name of activity
(a) Net income (b) Net loss (c) Unallowed
(d) Gain (e) Loss
(line 3a) (line 3b) loss (line 3c)
Name of activity
(a) Loss (b) Ratio (c) Unallowed loss
Name of activity
(a) Loss (b) Unallowed loss (c) Allowed loss
Total
Worksheet 7—Activities With Losses Reported on Two or More Forms or Schedules
Name of activity: (a) (b) (c) Ratio (d) Unallowed (e) Allowed loss
loss
Form or schedule and line number
to be reported on (see
instructions): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1a Net loss plus prior year unallowed
loss from form or schedule . . . . . . . . . . . . . . . . . .
b Net income from form or
schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
instructions): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1a Net loss plus prior year unallowed
loss from form or schedule . . . . . . . . . . . . . . . . . .
b Net income from form or
schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total 1.00
18014 Gluesenkamp, Dean A & Kristina M 10/28/2022 3:21 PM
Oregon Statements
Federal Oregon
Code Description Amount Amount
007 Standard deduction charitable cont $ 187 $ 0
Total $ 187 $ 0
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18014 Gluesenkamp, Dean A & Kristina M 10/28/2022 3:21 PM
OR Asset Report
FYE: 12/31/2020 Lombard St
Prior MACRS:
1 Building 2/28/18 474,884 474,884 22,831 12,176 12,176 0
3 Improvements 2/28/18 32,450 32,450 1,560 832 832 0
507,334 507,334 24,391 13,008 13,008 0
Other Depreciation:
2 Land 2/28/18 344,685 344,685 0 0 0 0
Total Other Depreciation 344,685 344,685 0 0 0 0
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18014 Gluesenkamp, Dean A & Kristina M 10/28/2022 3:21 PM
OR Future Depreciation Report FYE: 12/31/21
FYE: 12/31/2020 Lombard St
Date In
Asset Description Service Cost OR
Prior MACRS:
1 Building 2/28/18 474,884 12,177
3 Improvements 2/28/18 32,450 832
507,334 13,009
Other Depreciation:
2 Land 2/28/18 344,685 0
Total Other Depreciation 344,685 0
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DEAN A GLUESENKAMP
Description Resident Amount PY/NR Amount
TAXABLE INTEREST INCOME
ADVANTIS CREDIT UNION 11 0
CONSOLIDATED FEDERAL CREDIT UNION 81 0
TOTAL TAXABLE INTEREST INCOME.................. 92 0
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Page 1 Of 1
Summary Resident Amount PY/NR Amount
TOTAL TAXABLE INTEREST INCOME 92 0
Note: Report does not include income from Form 8814 or allocated instate amounts from Form 8621.
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Form 40N Oregon Nonresident Two Year Comparison Report 2019 & 2020
Name Taxpayer Identification Number
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21. Contributions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21.
22. Penalties and interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22.
23. Net tax due/-refund 23. -4,961 -2,231 2,730
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Exempt - Multnomah County Only Exempt - City of Portland Only X Exempt - Both Jurisdictions
Total Gross Business Income: 49,899 If over $50,000 attach statement with explanation
For lines 1 through 5 below, the same number will generally be entered in both columns. Multnomah County City of Portland
1. Net Income or (Loss) from Federal Schedule C (Attach Schedule Cs) . . . . . . . . . . . . . 1M 1P
2. Taxes Based On or Measured by Net Income Add-Back . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2M 2P
3. Net Income or (Loss) from Federal Schedule E, D, etc. (Attach E, D, etc.) . . . . . . . . . 3M 3P
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4. Subtract Deductible SE Tax (see instructions for additions & subtractions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4M 4P
5. Adjusted Net Income (sum of lines 1 through 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5M 5P
6. Owner's Compensation Deduction (see instructions) (# owners ) ........... 6M ( ) 6P ( )
7. Subject Net Income (line 5 minus line 6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7M 7P
27. If the sum of line 16 and line 26 is negative, this is the amount you overpaid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 ( 200 )
27a. Amount from line 27 you want refunded to you . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27a ( 200 )
For direct deposit of your refund, file your tax return online at PRO.Portland.gov.
27b. Amount from line 27 you want applied to tax year 2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . 27b ( )
28. If the sum of line 16 and line 26 is positive, this is the amount you owe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
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Make check payable to City of Portland. Check #
PART V - SIGNATURE
The undersigned declares that the information given on this report is true. The undersigned is authorized to act as a representative of
the filer. Filers of incomplete returns may be subject to civil penalties of up to $500.
Mail completed tax return (with supporting tax pages and payment, if applicable) to:
Revenue Division
111 SW Columbia St. Suite 600
Portland, OR 97201-5840
Phone (503) 823-5157 FAX (503) 823-5192 TDD (503) 823-6868
Portland Multnomah
Total income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Income subject to tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 100
Late filing interest and penalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Balance due/ -overpayment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -100 -100
Total balance due/ -refund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -200
Overpayment applied to 2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net amount due/-refund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -200
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2021 Estimates
1st qtr . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2nd qtr . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3rd qtr . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4th qtr . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .