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Sanogo 2019 TF

The document is a consent form for LD BUSINESS SOLUTIONS to use the taxpayer's tax return information for the purpose of determining eligibility and applying for tax refund products like a refund advance or refund transfer. It states that the taxpayer is not required to sign to have their taxes prepared. The taxpayer's signature authorizes LD BUSINESS SOLUTIONS to use their tax return information for one year unless another duration is specified. It also provides contact information for reporting any unauthorized disclosure of tax return information.
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© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
467 views40 pages

Sanogo 2019 TF

The document is a consent form for LD BUSINESS SOLUTIONS to use the taxpayer's tax return information for the purpose of determining eligibility and applying for tax refund products like a refund advance or refund transfer. It states that the taxpayer is not required to sign to have their taxes prepared. The taxpayer's signature authorizes LD BUSINESS SOLUTIONS to use their tax return information for one year unless another duration is specified. It also provides contact information for reporting any unauthorized disclosure of tax return information.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 40

Consent to Use of Tax Return Information

2019 Tax Year

This form is provided to you by LD BUSINESS SOLUTIONS (Tax Preparer).

Federal law requires this consent form be provided to you. Unless authorized by law, we, as your Tax
Preparer, cannot use your tax return information for purposes other than the preparation and filing of
your tax return without your consent.

You are not required to complete this form to engage our tax return preparation services. If we obtain
your signature on this form by conditioning our tax return preparation services on your consent, your
consent will not be valid. Your consent is valid for the amount of time that you specify. If you do not
specify the duration of your consent, your consent is valid for one year from the date of signature.

If you would like us to use your tax return information to determine your eligibility for the following
product(s), please choose the particular product and check the appropriate box below:

X - Tax Refund - Refund Advance

X - Tax Refund - Refund Transfer

Printed Name of Taxpayer: Printed Name of Joint Taxpayer:

BASSOMASSI SANOGO
Taxpayer Signature: Joint Taxpayer Signature:

Date: Date:

If you believe your tax return information has been disclosed or used improperly in a manner
unauthorized by law or without your permission, you may contact the Treasury Inspector General for
Tax Administration (TIGTA) by telephone at 1-800-366-4484, or by email at complaints@tigta.treas.gov.
9USCON1
This Page was Printed on: 11/18/20 at 02:43:22 PM
OMB No. 1545-0074
IRS e-file Signature Authorization
Form 8879 ) ERO must obtain and retain completed Form 8879.
Department of the Treasury
Internal Revenue Service ) Go to www.irs.gov/Form8879 for the latest information.
2019
Submission Identification Number (SID) )
Taxpayer's name Social security number
BASSOMASSI SANOGO 125-84-2731
Spouse's name Spouse’s social security number

Part I Tax Return Information - Tax Year Ending December 31, 2019 (Whole dollars only)
1 Adjusted gross income (Form 1040 or 1040-SR, line 8b; Form 1040-NR, line 35) . . . . . . . 1 12,684
2 Total tax (Form 1040 or 1040-SR, line 16; Form 1040-NR, line 61) . . . . . . . . . . . . . . 2 1,929
3 Federal income tax withheld from Forms W-2 and 1099 (Form 1040 or 1040-SR, line 17; Form
1040-NR, line 62a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4 Refund (Form 1040 or 1040-SR, line 21a; Form 1040-NR, line 73a; Form 1040-SS, Part I, line 13a) . 4 2,597
5 Amount you owe (Form 1040 or 1040-SR, line 23; Form 1040-NR, line 75) . . . . . . . . . . . 5
Part II Taxpayer Declaration and Signature Authorization (Be sure you get and keep a copy of your return)
Under penalties of perjury, I declare that I have examined a copy of my electronic individual income tax return and accompanying schedules and statements for
the tax year ending December 31, 2019, and to the best of my knowledge and belief, they are true, correct, and complete. I further declare that the amounts in
Part I above are the amounts from my electronic income tax return. I consent to allow my intermediate service provider, transmitter, or electronic return originator
(ERO) to send my return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for
any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to
initiate an ACH electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of my
federal taxes owed on this return and/or a payment of estimated tax, and the financial institution to debit the entry to this account. This authorization is to remain
in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a payment, I must contact the U.S.
Treasury Financial Agent at 1-888-353-4537. Payment cancellation requests must be received no later than 2 business days prior to the payment (settlement)
date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer
inquiries and resolve issues related to the payment. I further acknowledge that the personal identification number (PIN) below is my signature for my electronic
income tax return and, if applicable, my Electronic Funds Withdrawal Consent.

Taxpayer’s PIN: check one box only


X I authorize LD BUSINESS SOLUTIONS to enter or generate my PIN 12345
ERO firm name Enter five digits, but
as my signature on my tax year 2019 electronically filed income tax return. don’t enter all zeros

I will enter my PIN as my signature on my tax year 2019 electronically filed income tax return. Check this box only if you are
entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.

Your signature ) Date )

Spouse’s PIN: check one box only


I authorize to enter or generate my PIN
ERO firm name Enter five digits, but
as my signature on my tax year 2019 electronically filed income tax return. don’t enter all zeros

I will enter my PIN as my signature on my tax year 2019 electronically filed income tax return. Check this box only if you are
entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.

Spouse's signature ) Date )


Practitioner PIN Method Returns Only - continue below
Part III Certification and Authentication - Practitioner PIN Method Only

ERO’s EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN. 13977626551
Don’t enter all zeros

I certify that the above numeric entry is my PIN, which is my signature for the tax year 2019 electronically filed income tax return for
the taxpayer(s) indicated above. I confirm that I am submitting this return in accordance with the requirements of the Practitioner PIN
method and Pub. 1345, Handbook for Authorized IRS e-file Providers of Individual Income Tax Returns.

ERO's signature ) Date )


ERO Must Retain This Form - See Instructions
Don’t Submit This Form to the IRS Unless Requested To Do So
SPA For Paperwork Reduction Act Notice, see your tax return instructions. 1037 CPTS 9USPA1 Form 8879 (2019)
Page 01
Department of Taxation and Finance

New York State E-File Signature Authorization for Tax Year 2019
For Forms IT-201, IT-201-X, IT-203, IT-203-X, IT-214, NYC-208, and NYC-210
Electronic return originator (ERO): Do not mail this form to the Tax Department. Keep it for your records.
Taxpayer's name: 125842731 Spouse's name: (jointly filed return only)

BASSOMASSI SANOGO
Purpose EROs must complete Part C prior to transmitting electronically filed
Form TR-579-IT must be completed to authorize an ERO to e-file a income tax returns (Forms IT-201, IT-201-X, IT-203, IT-203-X, IT-214,
personal income tax return and to transmit bank account information for NYC-208, and NYC-210).
the electronic funds withdrawal. Both the paid preparer and the ERO are required to sign Part C.
However, if an individual performs as both the paid preparer and the
General Instructions ERO, he or she is only required to sign as the paid preparer. It is not
Taxpayers must complete Part B before the ERO transmits the necessary to include the ERO signature in this case. Please note that
taxpayer’s electronically filed Forms IT-201, Resident Income Tax Return, IT-201-X, an alternative signature can be used as described in Publication 58,
Amended Resident Income Tax Return, IT-203,Nonresident and Part- Information for Income Tax Return Preparers, available on our
Year Resident Income Tax Return, IT-203-X, Amended Nonresident and website.
Part-Year Resident Income Tax Return, IT-214, Claim for Real Property This form is not required for electronically filed Form IT-370, Application
Tax Credit, NYC-208, Claim for New York City Enhanced Real Property Tax for Automatic Six-Month Extension of Time to File for Individuals.
Credit, or NYC-210, Claim for New York City School Tax Credit.
See Form TR-579.1-IT, New York State Taxpayer Authorization for
Electronic Funds Withdrawal for Tax Year 2019 Form IT-370 and Tax
For returns filed jointly, both spouses must complete and sign
Year 2020 Form IT-2105.
Form TR-579-IT.

Part A - Tax return information


1 Federal adjusted gross income (from applicable line) .......................................................................................... 1. 12684
2 Refund .................................................................................................................................................................. 2. 1679
3 Amount you owe .............................................................................................................................................. 3.
4 Financial institution routing number ............................................................................................................ 4. 021001088
5 Financial institution account number .......................................................................................................... 5. 076752852
6 Account type: X Personal checking Personal savings Business checking Business savings

Part B Declaration of taxpayer and authorizations for Forms IT-201, IT-201-X, IT-203, IT-203-X, IT-214, NYC-208, and NYC-210
Under penalty of perjury, I declare that I have examined the information on serve as the electronic signature for the return and any authorized payment
my 2019 New York State electronic personal income tax return, including transaction. If I am paying my New York State personal income taxes
any accompanying schedules, attachments, and statements, and certify due by electronic funds withdrawal, I certify that the account holder has
that my electronic return is true, correct, and complete. The ERO has authorized the New York State Tax Department and its designated financial
my consent to send my 2019 New York State electronic return to New agents to initiate an electronic funds withdrawal from the financial institution
York State through the Internal Revenue Service (IRS). In addition, by account indicated on my 2019 electronic return, and authorized the financial
using a computer system and software to prepare and transmit my form institution to withdraw the amount from that account. As New York does not
electronically, I consent to the disclosure to New York State of all information support International ACH Transactions (IAT), I attest the source for these
pertaining to the transmission of my tax form electronically. I understand funds is within the United States. I understand and agree that I may revoke
that by executing this Form TR-579-IT, I am authorizing the ERO to sign this authorization for payment only by contacting the Tax Department no
and file this return on my behalf and agree that the ERO’s submission of my later than two (2) business days prior to the payment date.
personal income tax return to the IRS, together with this authorization, will

Taxpayer’s signature Date

Spouse’s signature (jointly filed return only) Date

Part C Declaration of electronic return originator (ERO) and paid preparer


Under penalty of perjury, I declare that the information contained in the return. If I am the paid preparer, under penalty of perjury I declare that
this 2019 New York State electronic personal income tax return is the I have examined this 2019 New York State electronic personal income
information furnished to me by the taxpayer. If the taxpayer furnished me tax return, and, to the best of my knowledge and belief, the return is true,
a completed paper 2019 New York State return signed by a paid preparer, correct, and complete. I have based this declaration on all information
I declare that the information contained in the taxpayer’s 2019 New York available to me.
State electronic return is identical to that contained in the paper copy of

Do not mail Form TR-579-IT to the Tax Department:


EROs must keep this form for three years and present it to the Tax Department upon request.

ERO’s signature Print name Date


LD BUSINESS SOLUTIONS
Paid preparer’s signature Print name Date
MAWA KOROMA LD BUSINESS SOLUTIONS

TR-579-IT (9/19) www.tax.ny.gov


Page 021037
Department of the Treasury—Internal Revenue Service (99)
1040 U.S. Individual Income Tax Return 2019 OMB No. 1545-0074 IRS Use Only—Do not write or staple in this space.

Filing Status Single Married filing jointly Married filing separately (MFS) X Head of household (HOH) Qualifying widow(er) (QW)
Check only If you checked the MFS box, enter the name of spouse. If you checked the HOH or QW box, enter the child’s name if the qualifying person is
one box. a child but not your dependent.
Your first name and middle initial Last name Your social security number
BASSOMASSI SANOGO 125-84-2731
If joint return, spouse’s first name and middle initial Last name Spouse’s social security number

Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Presidential Election Campaign
Check here if you, or your spouse if filing
88 WEST 188TH STREET APT 2B 2B jointly, want $3 to go to this fund.
City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).
Checking a box below will not change your
BRONX NY 10468 tax or refund. You Spouse

Foreign country name Foreign province/state/county Foreign postal code If more than four dependents,
see instructions and ! here

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, 1955 Are blind Spouse: Was born before January 2, 1955 Is blind
Dependents (see instructions): (2) Social security number (3) Relationship to you :
(4) ! if qualifies for (see instructions)
(1) First name Last name Child tax credit Credit for other dependents

FANTISHA SANOGO 093-88-9527 DAUGHTER X

1 Wages, salaries, tips, etc. Attach Form(s) W-2 . . . . . . . . . . . . . . . . . . 1


2a Tax-exempt interest . . . . 2a b Taxable interest. Attach Sch. B if required 2b
3a Qualified dividends . . . . 3a b Ordinary dividends. Attach Sch. B if required 3b
Standard
Deduction for— 4a IRA distributions . . . . . 4a b Taxable amount . . . . . . 4b
8 Single or Married
c Pensions and annuities . . . 4c d Taxable amount . . . . . . 4d
filing separately,
$12,200 5a Social security benefits . . . 5a b Taxable amount . . . . . . 5b
8 Married filing
jointly or Qualifying
6 Capital gain or (loss). Attach Schedule D if required. If not required, check here . . . . . . . 6
widow(er), 7a Other income from Schedule 1, line 9 . . . . . . . . . . . . . . . . . . . . 13,649
7a
$24,400
8 Head of b Add lines 1, 2b, 3b, 4b, 4d, 5b, 6, and 7a. This is your total income . . . . . . . . . . . 7b 13,649
household,
$18,350
8a Adjustments to income from Schedule 1, line 22 . . . . . . . . . . . . . . . . . 8a 965
8 If you checked b Subtract line 8a from line 7b. This is your adjusted gross income . . . . . . . . . . . 8b 12,684
any box under
Standard 9 Standard deduction or itemized deductions (from Schedule A) . . . . . 9 18,350
Deduction, 10 Qualified business income deduction. Attach Form 8995 or Form 8995-A . . . 10
see instructions.
11a Add lines 9 and 10 . . . . . . . . . . . . . . . . . . . . . . . . . 11a 18,350
b Taxable income. Subtract line 11a from line 8b. If zero or less, enter -0- . . . . . . . . . . . 11b
SPA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. 1037 CPTS 9US011 Form 1040 (2019)

Page 03
Form 1040 (2019) Page 2
12a Tax (see inst.) Check if any from Form(s): 1 8814 2 4972 3 12a
b Add Schedule 2, line 3, and line 12a and enter the total . . . . . . . . . . . . . . 12b
13a Child tax credit or credit for other dependents . . . . . . . . . . 13a
b Add Schedule 3, line 7, and line 13a and enter the total . . . . . . . . . . . . . . 13b
14 Subtract line 13b from line 12b. If zero or less, enter -0- . . . . . . . . . . . . . . . 14
15 Other taxes, including self-employment tax, from Schedule 2, line 10 . . . . . . . . . . . . 15 1,929
16 Add lines 14 and 15. This is your total tax . . . . . . . . . . . . . . . . . . 16 1,929
17 Federal income tax withheld from Forms W-2 and 1099 . . . . . . . . . . . . . . . 17

8 If
18 Other payments and refundable credits:
you have a
qualifying child,
attach Sch. EIC.
a Earned income credit (EIC) . . . . . . . . . . . . . . . 18a 3,526
8 Ifyou have b Additional child tax credit. Attach Schedule 8812 . . . . . . . . . 18b
nontaxable c American opportunity credit from Form 8863, line 8 . . . . . . . . 1,000
18c
combat pay, see
instructions. d Schedule 3, line 14 . . . . . . . . . . . . . . . . . 18d
e Add lines 18a through 18d. These are your total other payments and refundable credits . . . . . 18e 4,526
19 Add lines 17 and 18e. These are your total payments . . . . . . . . . . . . . . . 19 4,526
Refund 20 If line 19 is more than line 16, subtract line 16 from line 19. This is the amount you overpaid . . . . . . 20 2,597
21a Amount of line 20 you want refunded to you. If Form 8888 is attached, check here . . . . . . 21a 2,597
Direct deposit? b Routing number 021001088 c Type: X Checking Savings
See instructions.
d Account number 076752852
22 Amount of line 20 you want applied to your 2020 estimated tax . . . . 22
Amount 23 Amount you owe. Subtract line 19 from line 16. For details on how to pay, see instructions . . . . . 23
You Owe 24 Estimated tax penalty (see instructions) . . . . . . . . . . 24.
Third Party Do you want to allow another person (other than your paid preparer) to discuss this return with the IRS? See instructions. Yes. Complete below.
Designee No
(Other than Designee’s Phone Personal identification
paid preparer) name no. number (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 Your signature Date Your occupation If the IRS sent you an Identity
Protection PIN, enter it here
(see inst.)
Joint return? TAXI DRIVER
See instructions. Spouse’s signature. If a joint return, both must sign. Date Spouse’s occupation If the IRS sent your spouse an
Keep a copy for Identity Protection PIN, enter it here
your records. (see inst.)

Phone no. Email address


Preparer’s name Preparer’s signature Date PTIN Check if:
Paid
Preparer MAWA KOROMA P01618756 3rd Party Designee

Use Only
Firm’s name LD BUSINESS SOLUTIONS Phone no. 212-283-5200 X Self-employed
Firm’s address 2797 FREDERICK DOUGLAS BLVD NEW YORK NY 10039Firm’s EIN 27-4563832
SPA Go to www.irs.gov/Form1040 for instructions and the latest information. 1037 CPTS 9US012 Form 1040 (2019)

Page 04
US RET 1040
Qualified Business Income Activities
Name(s) Tax Identification Number
BASSOMASSI SANOGO 125-84-2731

Trade or Business Name: UBER


Taxpayer Identification Number: 45-2647441
Business Income........................................... 13,649
Allocated Deduction for One-Half of Self-Employment Tax... (965)
Qualified Business Income....................... 12,684

2019 {) CPTS 8us01k_1 04/03/2019

Page 05
US RET 1040
Earned Income Credit Wks
Name(s) Tax Identification Number
BASSOMASSI SANOGO 125-84-2731

1. Amount from Form 1040, line 1 ........................ 1. _________


2. Taxable scholarships or fellowship grants, deferred
compensation amounts, prisoner income and Medicaid
......................
waiver payments to care providers 2. _________
3. ..........................
Subtract line 2 from line 1 3. _________
4. Self-employment income .......................... 4. _________
12,684
5a. Earned Income (Excluding combat pay) .................. 5a. _________
12,684
5b. Nontaxable Combat pay ........................................ 5b. _________
6. Earned Income (Including combat pay) ................................ 6. _________
12,684
7. EIC based on lines 5a and 6 ......................... 7a. _________
3,526 7b. _________
8. Adjusted gross income ............................ 8a. _________
12,684 8b. _________
12,684
9. EIC on lines 8A and 8B if different from 7A & 7B ................ 9a. _________ 9b. _________
Filing status allows credit? Y_
Within Investment Income Limit? Y_
10. Earned income credit ......................................... 10. _________
3,526
Disqualified Investment Income ($3,600 Limit)
1. Interest (including tax-exempt) ........................ 1. _________
2. Dividends .................................. 2. _________
3. Net rental and royalty income ......................... 3. _________
4. Net capital gain income ............................ 4. _________
5. Net passive income .............................. 5. _________
6. Total disqualified income ........................................ 6. _________

Line 4 Worksheet - Self Employment Income


1. If filing Schedule SE:
a. Amount from Sch SE, Sec A or B, line 3 .................... a. _________
13,649
b. Amount from Sch SE, Section B, line 4b .................... b. _________
c. Add lines 1a and 1b ............................. c. _________
13,649
d. Amount from Schedule 1 (Form 1040), line 14 ................. d. _________
965
e. Subtract line 1d from line 1c ...................................... e. _________
12,684
2. If not required to file Schedule SE:
a. Net farm profit or loss ............................. a. _________
b. Net profit or loss ............................... b. _________
c. Add lines 2a and 2b .......................................... c. _________
3. Statutory employee ........................................... 3. _________
4. Add lines 1e, 2c, and 3 ......................................... 4. _________
12,684

2019 {) CPTS 9us01t1 12/04/2019

Page 06
SCHEDULE 1 OMB No. 1545-0074
Additional Income and Adjustments to Income
Department of the Treasury Attach to Form 1040 or 1040-SR. 2019
Attachment
Internal Revenue Service Go to www.irs.gov/Form1040 for instructions and the latest information. Sequence No. 01
Name(s) shown on Form 1040 or 1040-SR Your social security number
BASSOMASSI SANOGO 125-84-2731
At any time during 2019, did you receive, sell, send, exchange, or otherwise acquire any financial interest in any
virtual currency? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No
Part I Additional Income
1 Taxable refunds, credits, or offsets of state and local income taxes . . . . . . . . . . . . 1
2a Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a
b Date of original divorce or separation agreement (see instructions)
3 Business income or (loss). Attach Schedule C . . . . . . . . . . . . . . . . . . . 3 13,649
4 Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . . . . . . . . . 4
5 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E . . . . . 5
6 Farm income or (loss). Attach Schedule F . . . . . . . . . . . . . . . . . . . . 6
7 Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Other income. List type and amount
8
9 Combine lines 1 through 8. Enter here and on Form 1040 or 1040-SR, line 7a . . . . . . . . 9 13,649
Part II Adjustments to Income
10 Educator expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
11 Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach
Form 2106 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
12 Health savings account deduction. Attach Form 8889 . . . . . . . . . . . . . . . . 12
13 Moving expenses for members of the Armed Forces. Attach Form 3903 . . . . . . . . . . 13
14 Deductible part of self-employment tax. Attach Schedule SE . . . . . . . . . . . . . . 14 965
15 Self-employed SEP, SIMPLE, and qualified plans . . . . . . . . . . . . . . . . . . 15
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. Attach Form 8917 . . . . . . . . . . . . . . . . . . . . . . 21
22 Add lines 10 through 21. These are your adjustments to income. Enter here and on Form 1040 or
1040-SR, line 8a . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 965
SPA For Paperwork Reduction Act Notice, see your tax return instructions. 1037 CPTS 9US0A1 Schedule 1 (Form 1040 or 1040-SR) 2019

Page 07
SCHEDULE 2 OMB No. 1545-0074
(Form 1040 or 1040-SR)
Additional Taxes
+ Attach to Form 1040 or 1040-SR. 2019
Department of the Treasury Attachment
Internal Revenue Service + Go to www.irs.gov/Form1040 for instructions and the latest information. Sequence No. 02
Name(s) shown on Form 1040 or 1040-SR Your social security number

BASSOMASSI SANOGO 125-84-2731


Part I Tax
1 Alternative minimum tax. Attach Form 6251 . . . . . . . . . . . . . . . . . . . 1
2 Excess advance premium tax credit repayment. Attach Form 8962 . . . . . . . . . . . . 2
3 Add lines 1 and 2. Enter here and include on Form 1040 or 1040-SR, line 12b . . . . . . . . 3
Part II Other Taxes
4 Self-employment tax. Attach Schedule SE . . . . . . . . . . . . . . . . . . . . 4 1,929
5 Unreported social security and Medicare tax from Form: a 4137 b 8919 . . . . . 5
6 Additional tax on IRAs, other qualified retirement plans, and other tax-favored accounts. Attach Form
5329 if required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7a Household employment taxes. Attach Schedule H . . . . . . . . . . . . . . . . . 7a
b Repayment of first-time homebuyer credit from Form 5405. Attach Form 5405 if required . . . . 7b
8 Taxes from: a Form 8959 b Form 8960
c Instructions; enter code(s) 8
9 Section 965 net tax liability installment from Form 965-A . . . . . . . 9
10 Add lines 4 through 8. These are your total other taxes. Enter here and on Form 1040 or 1040-SR,
line 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 1,929
SPA For Paperwork Reduction Act Notice, see your tax return instructions. 1037 CPTS 9US0B1 Schedule 2 (Form 1040 or 1040-SR) 2019

Page 08
SCHEDULE A OMB No. 1545-0074
Itemized Deductions
(Form 1040 or 1040-SR)
+ Go to www.irs.gov/ScheduleA for instructions and the latest information.
(Rev. January 2020)
Department of the Treasury
+ Attach to Form 1040 or 1040-SR. 2019
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 No. 07
Name(s) shown on Form 1040 or 1040-SR Your social security number
BASSOMASSI SANOGO 125-84-2731
Medical Caution: Do not include expenses reimbursed or paid by others.
and 1 Medical and dental expenses (see instructions) . . . . . 1
Dental 2 Enter amount from Form 1040 or
Expenses 1040-SR, line 8b . . . . . . . 2
3 Multiply line 2 by 7.5% (0.075) . . . . . . . . . . . 3
4 Subtract line 3 from line 1. If line 3 is more than line 1, enter -0- . . . . . . . . 4
Taxes You 5 State and local taxes.
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 . . . . . . + X 5a
b State and local real estate taxes (see instructions) . . . . 5b
c State and local personal property taxes . . . . . . . . 5c
d Add lines 5a through 5c . . . . . . . . . . . . . 5d
e Enter the smaller of line 5d or $10,000 ($5,000 if married filing
separately) . . . . . . . . . . . . . . . . . 5e
6 Other taxes. List type and amount +
6
7 Add lines 5e and 6 . . . . . . . . . . . . . . . . . . . . . . 7
Interest You 8 Home mortgage interest and points. If you didn't use all of your
Paid home mortgage loan(s) to buy, build, or improve your home,
see instructions and check this box . . . . . . .
Caution: Your
mortgage interest a Home mortgage interest and points reported to you on Form
deduction may be
limited (see 1098. See instructions if limited . . . . . . . . . . . 8a
instructions).
b Home mortgage interest not reported to you on Form 1098. See
instructions if limited. If paid to the person from whom you bought the
home, see instructions and show that person's name, identifying no.,
and address +
8b
c Points not reported to you on Form 1098. See instructions for
special rules . . . . . . . . . . . . . . . . . 8c
d Mortgage insurance premiums (see instructions) . . . . . 8d
e Add lines 8a through 8d . . . . . . . . . . . . . 8e
9 Investment interest. Attach Form 4952 if required. See instructions 9
10 Add lines 8e and 9 . . . . . . . . . . . . . . . . . . . . . . 10
Gifts to 11 Gifts by cash or check. If you made any gift of $250 or more,
Charity see instructions . . . . . . . . . . . . . . . 11
12 Other than by cash or check. If you made any gift of $250 or
Caution: If you
made a gift and more, see instructions. You must attach Form 8283 if over $500 12
got a benefit for it,
13 Carryover from prior year . . . . . . . . . . . . 13
see instructions.
14 Add lines 11 through 13 . . . . . . . . . . . . . . . . . . . . . 14
Casualty and 15 Casualty and theft loss(es) from a federally declared disaster (other than net qualified
Theft Losses disaster losses). Attach Form 4684 and enter the amount from line 18 of that form. See
instructions . . . . . . . . . . . . . . . . . . . . . . . . . 15
Other 16 Other—from list in instructions. List type and amount +
Itemized
Deductions 16
Total 17 Add the amounts in the far right column for lines 4 through 16. Also, enter this amount on
Itemized Form 1040 or 1040-SR, line 9 . . . . . . . . . . . . . . . . . . . 17
Deductions 18 If you elect to itemize deductions even though they are less than your standard
deduction, check this box . . . . . . . . . . . . . . . . . . +
SPA For Paperwork Reduction Act Notice, see the Instructions for Forms 1040 and 1040-SR. 1037 CPTS 9US071 Schedule A (Form 1040 or 1040-SR) 2019

Page 09
OMB No. 1545-0074
SCHEDULE C Profit or Loss From Business
(Form 1040 or 1040-SR) (Sole Proprietorship)
Department of the Treasury j Go to www.irs.gov/ScheduleC for instructions and the latest information. 2019
Attachment
Internal Revenue Service (99) j Attach to Form 1040, 1040-SR, 1040-NR, or 1041; partnerships generally must file Form 1065. Sequence No. 09
Name of proprietor Social security number (SSN)
BASSOMASSI SANOGO 125-84-2731
A Principal business or profession, including product or service (see instructions) B Enter code from instructions
TAXI DRIVER j 999999
C Business name. If no separate business name, leave blank. D Employer ID number (EIN), (see instr.)
UBER 45-2647441
E Business address (including suite or room no.) j 1455 MARKET ST SUITE 400
City, town or post office, state, and ZIP code SAN FRANCISCO CA 94103
F Accounting method: (1) X Cash (2) Accrual (3) Other (specify) j
G Did you "materially participate" in the operation of this business during 2019? If "No," see instructions for limit on losses X Yes No
H If you started or acquired this business during 2019, check here . . . . . . . . . . . . . . . . . j
I Did you make any payments in 2019 that would require you to file Form(s) 1099? (see instructions) . . . . . . . . Yes No
J If "Yes," did you or will you file required Forms 1099? . . . . . . . . . . . . . . . . . . . . . Yes No
Part I Income
1 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 . . . . . . . . j 1 116,164
2 Returns and allowances . . . . . .
. . . . . . . . . . . . . . . . . . . 2
3 Subtract line 2 from line 1 . . . . .
. . . . . . . . . . . . . . . . . . . 3 116,164
4 Cost of goods sold (from line 42) . . .
. . . . . . . . . . . . . . . . . . . 4
5 Gross profit. Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . . . . 5 116,164
6 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) . . . . 6
7 Gross income. Add lines 5 and 6 . . . . . . . . . . . . . . . . . . . . . j 7 116,164
Part II Expenses. Enter expenses for business use of your home only on line 30.
8 Advertising . . . . 8 18 Office expense (see instructions) 18
9 Car and truck expenses (see 19 Pension and profit-sharing plans . 19
instructions) . . . . 9 20,889 20 Rent or lease (see instructions):
10 Commissions and fees . 10 a Vehicles, machinery, and equipment 20a
11 Contract labor (see instructions) 11 b Other business property . . . 20b 23,000
12 Depletion . . . . . 12 21 Repairs and maintenance . . . 21
13 Depreciation and section 179 22 Supplies (not included in Part III) . 22 524
expense deduction (not
23 Taxes and licenses . . . . .
included in Part III) (see 23
instructions) . . . . . 13 24 Travel and meals:
14 Employee benefit programs a Travel . . . . . . . . . 24a
(other than on line 19) . . 14 b Deductible meals (see
15 Insurance (other than health) 15 3,777 instructions) . . . . . . . 24b
16 Interest: (see instructions): 25 Utilities . . . . . . . . 25
a Mortgage (paid to banks, etc.) 16a 26 Wages (less employment credits) . 26
b Other . . . . . . 16b 27a Other expenses (from line 48) . . 27a 54,325
17 Legal and professional services 17 b Reserved for future use . . . 27b
28 Total expenses before expenses for business use of home. Add lines 8 through 27a . . . . . j 28 102,515
29 Tentative profit or (loss). Subtract line 28 from line 7 . . . . . . . . . . . . . . . . . 29 13,649
30 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:
and (b) the part of your home used for business: . Use the Simplified
Method Worksheet in the instructions to figure the amount to enter on line 30 . . . . . . . . . 30
31 Net profit or (loss). Subtract line 30 from line 29.
8 If a profit, enter on both Schedule 1 (Form 1040 or 10404-SR), line 3 (or Form 1040-NR, line 13) and on
Schedule SE, line 2. (If you checked the box on line 1, see instructions). Estates and trusts, enter on Form 31 13,649
1041, line 3.
8 If a loss, you must go to line 32.
32 If you have a loss, check the box that describes your investment in this activity (see instructions).
8 If you checked 32a, enter the loss on both Schedule 1 (Form 1040 or 1040-SR), line 3 (or
Form 1040-NR, line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see the 32a X All investment is at risk.
line 31 instructions). Estates and trusts, enter on Form 1041, line 3. 32b Some investment is not
at risk.
8 If you checked 32b, you must attach Form 6198. Your loss may be limited.
SPA For Paperwork Reduction Act Notice, see the separate instructions. 1037 CPTS 9US091 Schedule C (Form 1040 or 1040-SR) 2019

Page 10
BASSOMASSI SANOGO 125-84-2731
Schedule C (Form 1040 or 1040-SR) 2019 Page 2
Part III Cost of Goods Sold (see instructions)

33 Method(s) used to
value closing inventory: a Cost b Lower of cost or market c Other (attach explanation)
34 Was there any change in determining quantities, costs, or valuations between opening and closing inventory?
If "Yes," attach explanation . . . . . . . . . . . . . . . . . . . . . . . . . Yes No

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 . . . . . . . . . . . . . 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
Part IV 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) j 01/01/2019
44 Of the total number of miles you drove your vehicle during 2019, enter the number of miles you used your vehicle for:

a Business 36,016 b Commuting (see instructions) c Other

45 Was your vehicle available for personal use during off-duty hours? . . . . . . . . . . . . . . . Yes X No

46 Do you (or your spouse) have another vehicle available for personal use? . . . . . . . . . . . . . Yes X No

47a Do you have evidence to support your deduction? . . . . . . . . . . . . . . . . . . . . X Yes No

b If "Yes," is the evidence written? . . . . . . . . . . . . . . . . . . . . . . . . . X Yes No


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

See STM 01

48 Total other expenses. Enter here and on line 27a . . . . . . . . . . . . . . . 48 54,325


SPA 1037 CPTS 9US092 Schedule C (Form 1040 or 1040-SR) 2019
Page 11
SCHEDULE SE OMB No. 1545-0074
(Form 1040 or 1040-SR)
Self-Employment Tax
Department of the Treasury
j Go to www.irs.gov/ScheduleSE for instructions and the latest information. 2019
Attachment
Internal Revenue Service (99) j Attach to Form 1040, 1040-SR, or 1040-NR. Sequence No. 17
Name of person with self-employment income (as shown on Form 1040, 1040-SR or 1040-NR) Social security number of person
BASSOMASSI SANOGO with self-employment income j 125-84-2731
Before you begin: To determine if you must file Schedule SE, see the instructions.

May I Use Short Schedule SE or Must I Use Long Schedule SE?


Note. Use this flowchart only if you must file Schedule SE. If unsure, see Who Must File Schedule SE in the instructions.

Did you receive wages or tips in 2019?

No Yes

Are you a minister, member of a religious order, or Christian


Science practitioner who received IRS approval not to be taxed Yes Was the total of your wages and tips subject to social security Yes
on earnings from these sources, but you owe self-employment j or railroad retirement (tier 1) tax plus your net earnings from
self-employment more than $132,900?
j
tax on other earnings?

No No

Did you receive tips subject to social security or Medicare tax Yes
Are you using one of the optional methods to figure your net
earnings (see instructions)?
Yes
j that you didn’t report to your employer? j
No
No

Did you report any wages on Form 8919, Uncollected Social


,
Yes
j
No
Did you receive church employee income (see instructions) Yes
reported on Form W-2 of $108.28 or more? j Security and Medicare Tax on Wages?

No

You may use Short Schedule SE below j You must use Long Schedule SE on page 2

Section A - Short Schedule SE. Caution. Read above to see if you can use Short Schedule SE.

1a Net farm profit or (loss) from Schedule F, line 34, and farm partnerships, Schedule K-1 (Form
1065), box 14, code A . . . . . . . . . . . . . . . . . . . . . . . . 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 . . . . . . . . . . . . . . . . 1b ( )
2 Net profit or (loss) from Schedule C, line 31; and Schedule K-1 (Form 1065), box 14, code
A (other than farming). Ministers and members of religious orders, see instructions for
types of income to report on this line. See instructions for other income to report . . . . . 2 13,649
3 Combine lines 1a, 1b, and 2 . . . . . . . . . . . . . . . . . . . . . 3 13,649
4 Multiply line 3 by 92.35% (0.9235). If less than $400, you don't owe self-employment tax;
don’t file this schedule unless you have an amount on line 1b . . . . . . . . . .j 4 12,605
Note. If line 4 is less than $400 due to Conservation Reserve Program payments on line 1b,
see instructions.
5 Self-employment tax. If the amount on line 4 is:
| $132,900 or less, multiply line 4 by 15.3% (0.153). Enter the result here and on Schedule 2
(Form 1040 or 1040-SR), line 4, or Form 1040-NR, line 55.
| More than $132,900, multiply line 4 by 2.9% (0.029). Then, add $16,479.60 to the result.
Enter the total here and on Schedule 2 (Form 1040 or 1040-SR), line 4, or Form 1040-NR,
line 55 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 1,929
6 Deduction for one-half of self-employment tax.
Multiply line 5 by 50% (0.50) . Enter the result here and on
Schedule 1 (Form 1040 or 1040-SR), line 14, or Form
1040-NR, line 27 . . . . . . . . . . . . . . . 6 965
SPA For Paperwork Reduction Act Notice, see your tax return instructions. 1037 CPTS 9US171 Schedule SE (Form 1040 or 1040-SR) 2019

Page 12
OMB No. 1545-0074
SCHEDULE EIC Earned Income Credit 1040 *
(Form 1040 or 1040-SR) Qualifying Child Information
1040-SR
j Complete and attach to Form 1040 or 1040-SR only if you have a 2019
Department of the Treasury qualifying child. EIC Attachment
Internal Revenue Service (99) j Go to www.irs.gov/ScheduleEIC for the latest information. Sequence No. 43
Name(s) shown on return Your social security number
BASSOMASSI SANOGO 125-84-2731
| See the instructions for Form 1040 or 1040-SR, line18a, to make sure that (a) you can take the EIC,
Before you begin: and (b) you have a qualifying child.
| Be sure the child's name on line 1 and social security number (SSN) on line 2 agree with the child’s
social security card. Otherwise, at the time we process your return, we may reduce or disallow your
EIC. If the name or SSN on the child's social security card is not correct, call the Social Security
Administration at 1-800-772-1213.
| You can't claim the EIC for a child who didn't live with you for more than half of the year.
| If you take the EIC even though you are not eligible, you may not be allowed to take the credit for up to 10 years. See instructions for details.
| It will take us longer to process your return and issue your refund if you do not fill in all lines that apply for each qualifying child.

Qualifying Child Information Child 1 Child 2 Child 3


1 Child’s name First name Last name First name Last name First name Last name

If you have more than three qualifying


children, you only have to list three to get
the maximum credit. FANTISHA SANOGO
2 Child’s SSN
The child must have an SSN as defined in
the instructions for Form 1040 or 1040-SR,
line 18a, unless the child was born and
died in 2019. If your child was born and
died in 2019 and did not have an SSN,
enter "Died" on this line and attach a copy
of the child's birth certificate, death 093889527
certificate, or hospital medical records
showing a live birth.

3 Child’s year of birth


Year 1 9 9 9 Year Year
If born after 2000 and the child If born after 2000 and the child If born after 2000 and the child
is younger than you (or your is younger than you (or your is younger than you (or your
spouse, if filing jointly), skip spouse, if filing jointly), skip spouse, if filing jointly), skip
lines 4a and 4b; go to line 5. lines 4a and 4b; go to line 5. lines 4a and 4b; go to line 5.

4a Was the child under age 24 at the end


of 2019, a student, and younger than X Yes. No. Yes. No. Yes. No.
you (or your spouse, if filing jointly)? Go to Go to
Go to line 4b. Go to line 4b. Go to Go to line 4b.
line 5. line 5. line 5.

b Was the child permanently and totally


disabled during any part of 2019? Yes. No. Yes. No. Yes. No.
Go to The child is not a Go to The child is not a Go to The child is not a
line 5. qualifying child. line 5. qualifying child. line 5. qualifying child.

5 Child’s relationship to you


(for example, son, daughter, grandchild, DAUGHTER
niece, nephew, foster child, etc.)
6 Number of months child lived
with you in the United States
during 2019
| If the child lived with you for more
than half of 2019 but less than 7
months, enter "7."
| If the child was born or died in 2019 12 months months months
and your home was the child's home
for more than half the time he or she Do not enter more than Do not enter more than Do not enter more than
was alive during 2019, enter "12." 12 months. 12 months. 12 months.
SPA For Paperwork Reduction Act Notice, see your tax return instructions. 1037 CPTS 9US431 Schedule EIC (Form 1040 or 1040-SR) 2019

Page 13
Education Credits OMB No. 1545-0074
Form 8863 (American Opportunity and Lifetime Learning Credits)
2019
Department of the Treasury
j Attach to Form 1040 or 1040-SR. Attachment
Internal Revenue Service (99) j Go to www.irs.gov/Form8863 for instructions and the latest information. Sequence No. 50
Name(s) shown on return Your social security number
BASSOMASSI SANOGO 125-84-2731
Complete a separate Part III on page 2 for each student for whom you're claiming either credit
before you complete Parts I and II.

Part I Refundable American Opportunity Credit


1 After completing Part III for each student, enter the total of all amounts from all Parts III, line 30 . 1 2,500
2 Enter: $180,000 if married filing jointly; $90,000 if single, head of
household, or qualifying widow(er) . . . . . . . . . . . . . 2 90,000
3 Enter the amount from Form 1040 or 1040-SR, line 8b. If you're filing Form
2555 or 4563, or you're excluding income from Puerto Rico, see Pub. 970 for
the amount to enter . . . . . . . . . . . . . . . . . . 3 12,684
4 Subtract line 3 from line 2. If zero or less, stop; you can't take any
education credit . . . . . . . . . . . . . . . . . . . 4 77,316
5 Enter: $20,000 if married filing jointly; $10,000 if single, head of household,
or qualifying widow(er) . . . . . . . . . . . . . . . . . 5 10,000
6 If line 4 is:
8 Equal to or more than line 5, enter 1.000 on line 6 . . . . . . . . . . . .
8 Less than line 5, divide line 4 by line 5. Enter the result as a decimal (rounded to . . . . 6 1.000
at least three places) . . . . . . . . . . . . . . . . . . . . .
7 Multiply line 1 by line 6. Caution: If you were under age 24 at the end of the year and meet
the conditions described in the instructions, you can’t take the refundable American opportunity
credit; skip line 8, enter the amount from line 7 on line 9, and check this box . . . . j 7 2,500
8 Refundable American opportunity credit. Multiply line 7 by 40% (0.40). Enter the amount here and
on Form 1040 or 1040-SR, line 18c. Then go to line 9 below . . . . . . . . . . . . . 8 1,000
Part II Nonrefundable Education Credits
9 Subtract line 8 from line 7. Enter here and on line 2 of the Credit Limit Worksheet (see instructions) 9 1,500
10 After completing Part III for each student, enter the total of all amounts from all Parts III, line 31. If
zero, skip lines 11 through 17, enter -0- on line 18, and go to line 19 . . . . . . . . . . 10
11 Enter the smaller of line 10 or $10,000 . . . . . . . . . . . . . . . . . . . . 11
12 Multiply line 11 by 20% (0.20) . . . . . . . . . . . . . . . . . . . . . . . 12
13 Enter: $136,000 if married filing jointly; $68,000 if single, head of
household, or qualifying widow(er) . . . . . . . . . . . . . 13 68,000
14 Enter the amount from Form 1040 or 1040-SR, line 8b. If you are filing
Form 2555 or 4563, or you're excluding income from Puerto Rico, see Pub.
970 for the amount to enter . . . . . . . . . . . . . . . . 14 12,684
15 Subtract line 14 from line 13. If zero or less, skip lines 16 and 17, enter -0-
on line 18, and go to line 19 . . . . . . . . . . . . . . . 15 55,316
16 Enter: $20,000 if married filing jointly; $10,000 if single, head of household,
or qualifying widow(er) . . . . . . . . . . . . . . . . . 16 10,000
17 If line 15 is:
8 Equal to or more than line 16, enter 1.000 on line 17 and go to line 18
8 Less than line 16, divide line 15 by line 16. Enter the result as a decimal (rounded to at least three
places) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 1.000
18 Multiply line 12 by line 17. Enter here and on line 1 of the Credit Limit Worksheet (see instructions) j 18
19 Nonrefundable education credits. Enter the amount from line 7 of the Credit Limit Worksheet (see
instructions) here and on Schedule 3 (Form 1040 or 1040-SR), line 3 . . . . . . . . . . 19
SPA For Paperwork Reduction Act Notice, see your tax return instructions. 1037 CPTS 9US511 Form 8863 (2019)

Page 14
Form 8863 (2019) Page 2
Name(s) shown on return Your social security number
BASSOMASSI SANOGO 125-84-2731
Complete Part III for each student for whom you’re claiming either the American
opportunity credit or lifetime learning credit. Use additional copies of Page 2 as needed for
each student.
Part III Student and Educational Institution Information. See instructions.
20 Student name (as shown on page 1 of your tax return) 21 Student social security number (as shown on page 1 of your tax return)

FANTISHA SANOGO 093-88-9527


22 Educational institution information (see instructions)
a. Name of first educational institution b. Name of second educational institution (if any)

MONROE COLLEGE
(1) Address. Number and street (or P.O. box). City, town or (1) Address. Number and street (or P.O. box). City, town or
post office, state, and ZIP code. If a foreign address, see post office, state, and ZIP code. If a foreign address, see
instructions. instructions.
2501 JEROME AVENUE
BRONX NY 10468
(2) Did the student receive Form 1098-T (2) Did the student receive Form 1098-T
X Yes No Yes No
from this institution for 2019? from this institution for 2019?
(3) Did the student receive Form 1098-T (3) Did the student receive Form 1098-T
from this institution for 2018 with box X Yes No from this institution for 2018 with box 2 Yes No
2 filled in and Box 7 checked? filled in and Box 7 checked?
(4) Enter the institution's employer identification number (EIN) (4) Enter the institution's employer identification number
if you're claiming the American opportunity credit or if you (EIN) if you're claiming the American opportunity credit or
checked "Yes" in (2) or (3). You can get the EIN from if you checked "Yes" in (2) or (3). You can get the EIN
Form 1098-T or from the institution. from Form 1098-T or from the institution.

13-2501225

23 Has the Hope Scholarship Credit or American opportunity Yes — Stop!


credit been claimed for this student for any 4 tax years Go to line 31 for this student. X No — Go to line 24.
before 2019?
24 Was the student enrolled at least half-time for at least one
academic period that began or is treated as having begun in
2019 at an eligible educational institution in a program
X Yes — Go to line 25. No — Stop! Go to line 31
leading towards a postsecondary degree, certificate, or for this student.
other recognized postsecondary educational credential?
See instructions.
25 Did the student complete the first 4 years of postsecondary Yes — Stop!
education before 2019? See instructions. Go to line 31 for this X No — Go to line 26.
student.
26 Was the student convicted, before the end of 2019, of a Yes — Stop! No — Complete lines 27
felony for possession or distribution of a controlled Go to line 31 for this X through 30 for this student.
substance? student.

You can’t take the American opportunity credit and the lifetime learning credit for the same student in the same year. If
you complete lines 27 through 30 for this student, don't complete line 31.

American Opportunity Credit


27 Adjusted qualified education expenses (see instructions). Don’t enter more than $4,000 . . . . 27 4,000
28 Subtract $2,000 from line 27. If zero or less, enter -0- . . . . . . . . . . . . . . . . 28 2,000
29 Multiply line 28 by 25% (0.25) . . . . . . . . . . . . . . . . . . . . . . . . . 29 500
30 If line 28 is zero, enter the amount from line 27. Otherwise, add $2,000 to the amount on line 29 and
enter the result. Skip line 31. Include the total of all amounts from all Parts III, line 30 on Part I, line 1 . 30 2,500
Lifetime Learning Credit
31 Adjusted qualified education expenses (see instructions). Include the total of all amounts from all Parts
III, line 31, on Part II, line 10 . . . . . . . . . . . . . . . . . . . . . . . . . 31
SPA 1037 CPTS 9US512 Form 8863 (2019)

Page 15
Qualified Business Income Deduction OMB No. 1545-0123
Form 8995 Simplified Computation 2019
Department of the Treasury Attach to your tax return. Attachment
Internal Revenue Service Go to www.irs.gov/Form8995 for instructions and the latest information. Sequence No. 55

Name(s) shown on return Your taxpayer identification number


BASSOMASSI SANOGO 125-84-2731
1 (a) Trade, business, or aggregation name (b) Taxpayer (c) Qualified business
identification number income or (loss)

i UBER 45-2647441 12,684

ii

iii

iv

2 Total qualified business income or (loss). Combine lines 1i through 1v,


column (c) . . . . . . . . . . . . . . . . . . . . . . 2 12,684
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 12,684
5 Qualified business income component. Multiply line 4 by 20% (0.20) . . . . . . . . . . . 5 2,537
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
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 2,537
11 Taxable income before qualified business income deduction . . . . . . 11 (5,666)
12 Net capital gain (see instructions) . . . . . . . . . . . . . . . 12
13 Subtract line 12 from line 11. If zero or less, enter -0- . . . . . . . . 13
14 Income limitation. Multiply line 13 by 20% (0.20) . . . . . . . . . . . . . . . . . . 14
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
16 Total qualified business (loss) carryforward. Combine lines 2 and 3. If greater than zero, enter -0- . . 16 ( )
17 Total qualified REIT dividends and PTP (loss) carryforward. Combine lines 6 and 7. If greater than
zero, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 ( )
SPA For Privacy Act and Paperwork Reduction Act Notice, see instructions. 1037 CPTS 9USQA1 Form 8995 (2019)

Page 16
OMB No. 1545-1629
EIC Checklist
Department of the Treasury
j To be completed by preparer and filed with Form 1040, 1040A, or 1040EZ. 2019
Attachment
Internal Revenue Service j Information about Form 8867 and its separate instructions is at www.irs.gov/form8867. Sequence No. 70
Taxpayer name(s) shown on return Taxpayer’s social security number
BASSOMASSI SANOGO 125-84-2731
For the definitions of Qualifying Child and Earned Income, see Pub. 596.

Part I All Taxpayers

1 Enter preparer's name and PTIN j MAWA KOROMA P01618756


2 Is the taxpayer’s filing status married filing separately? . . . . . . . . . . . . . . Yes X No

j If you checked "Yes" on line 2, stop; the taxpayer cannot take the EIC. Otherwise, continue.

3 Does the taxpayer (and the taxpayer’s spouse if filing jointly) have a social security number (SSN)
that allows him or her to work and is valid for EIC purposes? See the instructions before
answering . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Yes No

j If you checked "No" on line 3, stop; the taxpayer cannot take the EIC. Otherwise, continue.

4 Is the taxpayer (or the taxpayer's spouse if filing jointly) filing Form 2555 or 2555-EZ (relating to the
exclusion of foreign earned income)? . . . . . . . . . . . . . . . . . . . . Yes X No

j If you checked "Yes" on line 4, stop; the taxpayer cannot take the EIC. Otherwise, continue.

5a Was the taxpayer (or the taxpayer's spouse) a nonresident alien for any part of 2019? . . . . Yes X No

j If you checked "Yes" on line 5a, go to line 5b. Otherwise, skip line 5b and go to line 6.

b Is the taxpayer’s filing status married filing jointly? . . . . . . . . . . . . . . . . Yes No

j If you checked "Yes" on line 5a and "No" on line 5b, stop; the taxpayer cannot take the EIC.
Otherwise, continue.

6 Is the taxpayer’s investment income more than $3,500? See the instructions before answering. Yes X No

j If you checked "Yes" on line 6, stop; the taxpayer cannot take the EIC. Otherwise, continue.

7 Could the taxpayer be a qualifying child of another person for 2019? If the taxpayer's
filing status is married filing jointly, check "No." Otherwise, see instructions before
answering . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes X No

j If you checked "Yes" on line 7, stop; the taxpayer cannot take the EIC. Otherwise, go to Part II
or Part III, whichever applies.
For Paperwork Reduction Act Notice, see separate instructions. 9USEI1 Form 8867 (2019)

Page 17
BASSOMASSI SANOGO 125-84-2731
Page 2

Part II Taxpayers With a Child


Caution. If there is more than one child, complete lines 8 through 14 for Child 1 Child 2 Child 3
one child before going to the next column.
8 Child’s name . . . . . . . . . . . . . . . . . . . . . FANTISHA
9 Is the child the taxpayer’s son, daughter, stepchild, foster child, brother, sister,
stepbrother, stepsister, half brother, half sister, or a descendant of any of them? X Yes No Yes No Yes No
10 Was the child unmarried at the end of 2019?
If the child was married at the end of 2019, see the instructions before
answering . . . . . . . . . . . . . . . . . . . . . X Yes No Yes No Yes No
11 Did the child live with the taxpayer in the United States for over half of 2019?
See the instructions before answering . . . . . . . . . . . . X Yes No Yes No Yes No
12 Was the child (at the end of 2019)-
8 Under age 19 and younger than the taxpayer (or the taxpayer’s spouse,
if the taxpayer files jointly),
8 Under age 24, a student (defined in the instructions), and younger than
the taxpayer (or the taxpayer’s spouse, if the taxpayer files jointly), or
8 Any age and permanently and totally disabled? . . . . . . . . X Yes No Yes No Yes No
If you checked "Yes" on lines 9, 10, 11, and 12, the child is the
taxpayer’s qualifying child; go to line 13a. If you checked "No" on line 9,
10, 11, or 12, the child is not the taxpayer’s qualifying child; see the
instructions for line 12.
13a Do you or the taxpayer know of another person who could check "Yes"
on lines 9, 10, 11, and 12 for the child? (If the only other person is the
taxpayer's spouse, see the instructions before answering.) . . . . Yes X No Yes No Yes No
If you checked "No" on line 13a, go to line 14. Otherwise, go to
line 13b.
b Enter the child’s relationship to the other person(s) . . . . . . . .
c Under the tiebreaker rules, is the child treated as the taxpayer’s qualifying Yes No Yes No Yes No
child? See the instructions before answering . . . . . . . . . . Don’t know Don’t know Don’t know

If you checked "Yes" on line 13c, go to line 14. If you checked "No," the
taxpayer cannot take the EIC based on this child and cannot take the EIC for
taxpayers who do not have a qualifying child. If there is more than one child,
see the Note at the bottom of this page. If you checked "Don’t know,"
explain to the taxpayer that, under the tiebreaker rules, the taxpayer’s EIC
and other tax benefits may be disallowed. Then, if the taxpayer wants to take
the EIC based on this child, complete lines 14 and 15. If not, and there are
no other qualifying children, the taxpayer cannot take the EIC, including the
EIC for taxpayers without a qualifying child; do not complete Part III. If there
is more than one child, see the Note at the bottom of this page.
14 Does the qualifying child have an SSN that allows him or her to work and is
valid for EIC purposes? See the instructions before answering . . . . X Yes No Yes No Yes No
If you checked "No" on line 14, the taxpayer cannot take the EIC based
on this child and cannot take the EIC available to taxpayers without a
qualifying child. If there is more than one child, see the Note at the bottom
of this page. If you checked "Yes" on line 14, continue.
15 Are the taxpayer’s earned income and adjusted gross income each less
than the limit that applies to the taxpayer for 2019? See instructions . . X Yes No

If you checked "No" on line 15, stop; the taxpayer cannot take the
EIC. If you checked "Yes" on line 15, the taxpayer can take the EIC.
Complete Schedule EIC and attach it to the taxpayer’s return. If there are
two or three qualifying children with valid SSNs, list them on Schedule
EIC in the same order as they are listed here. If the taxpayer’s EIC was
reduced or disallowed for a year after 1996, see Pub. 596 to see if Form
8862 must be filed. Go to line 20.

Note. If there is more than one child, complete lines 8 through 14 for the
other child(ren) (but for no more than three qualifying children).

9USEI2

Page 18
BASSOMASSI SANOGO 125-84-2731
Page 3

Part III Taxpayers Without a Qualifying Child


16 Was the taxpayer’s main home, and the main home of the taxpayer’s spouse if filing jointly, in the
United States for more than half the year? (Military personnel on extended active duty outside the
United States are considered to be living in the United States during that duty period.) See the
instructions before answering. Yes No
If you checked "No" on line 16, stop; the taxpayer cannot take the EIC. Otherwise, continue.

17 Was the taxpayer, or the taxpayer’s spouse if filing jointly, at least age 25 but under age 65 at the
end of 2019? See the instructions before answering . . . . . . . . . . . . . . . . Yes No
If you checked "No" on line 17, stop; the taxpayer cannot take the EIC. Otherwise, continue.

18 Is the taxpayer eligible to be claimed as a dependent on anyone else’s federal income tax return for
2019? If the taxpayer's filing status is married filing jointly, check "No" . . . . . . . . . . Yes No
If you checked "Yes" on line 18, stop; the taxpayer cannot take the EIC. Otherwise, continue.

19 Are the taxpayer’s earned income and adjusted gross income each less than the limit that
applies to the taxpayer for 2019? See instructions . . . . . . . . . . . . . . . . Yes No
If you checked "No" on line 19, stop; the taxpayer cannot take the EIC. If you checked "Yes"
on line 19, the taxpayer can take the EIC. If the taxpayer’s EIC was reduced or disallowed for a
year after 1996, see Pub. 596 to find out if Form 8862 must be filed. Go to line 20.

9USEI3

Page 19
Paid Preparer’s Due Diligence Checklist OMB No. 1545-0074
Form 8867 Earned Income Credit (EIC), American Opportunity Tax Credit (AOTC), Child Tax Credit (CTC) (including the Additional
Child Tax Credit (ACTC) and Credit for Other Dependents (ODC)), and Head of Household (HOH) Filing Status 2019
Department of the Treasury To be completed by preparer and filed with Form 1040, 1040-SR, 1040-NR, 1040-PR, or 1040-SS. Attachment
Internal Revenue Service Go to www.irs.gov/Form8867 for instructions and the latest information. Sequence No. 70
Taxpayer name(s) shown on return Taxpayer identification number

BASSOMASSI SANOGO 125-84-2731


Enter preparer’s name and PTIN

MAWA KOROMA P01618756


Part I Due Diligence Requirements
Please check the appropriate box for the credit(s) and/or HOH filing status claimed on the return and complete the related Parts IV for
the benefit(s) claimed (check all that apply). X EIC CTC/ACTC/ODC X AOTC X HOH
1 Did you complete the return based on information for tax year 2019 provided by the taxpayer or Yes No N/A
reasonably obtained by you? . . . . . . . . . . . . . . . . . . . . . . . . X
2 If credits are claimed on the return, did you complete the applicable EIC and/or CTC/ACTC/ODC
worksheets found in the Form 1040, 1040-SR, 1040-NR, 1040-PR, or 1040-SS instructions, and/or the
AOTC worksheet found in the Form 8863 instructions, or your own worksheet(s) that provides the same
information, and all related forms and schedules for each credit claimed? . . . . . . . . . . X
3 Did you satisfy the knowledge requirement? To meet the knowledge requirement, you must do both of
the following.
8 Interview the taxpayer, ask questions, and contemporaneously document the taxpayer’s responses to

determine that the taxpayer is eligible to claim the credit(s) and/or HOH filing status.
8 Review information to determine that the taxpayer is eligible to claim the credit(s) and/or HOH filing

status and to compute the amount(s) of any credit(s) . . . . . . . . . . . . . . . . X


4 Did any information provided by the taxpayer or a third party for use in preparing the return, or
information reasonably known to you, appear to be incorrect, incomplete, or inconsistent? (If “Yes,”
answer questions 4a and 4b. If “No,” go to question 5.) . . . . . . . . . . . . . . . . X
a Did you make reasonable inquiries to determine the correct, complete, and consistent information? .
b Did you contemporaneously document your inquiries? (Documentation should include the questions you
asked, whom you asked, when you asked, the information that was provided, and the impact the
information had on your preparation of the return.) . . . . . . . . . . . . . . . . .
5 Did you satisfy the record retention requirement? To meet the record retention requirement, you must
keep a copy of your documentation referenced in 4b, a copy of this Form 8867, a copy of any applicable
worksheet(s), a record of how, when, and from whom the information used to prepare Form 8867 and
any applicable worksheet(s) was obtained, and a copy of any document(s) provided by the taxpayer that
you relied on to determine eligibility for the credit(s) and/or HOH filing status or to compute the amount(s)
of the credit(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X
List those documents, if any, that you relied on.
See STM 02

6 Did you ask the taxpayer whether he/she could provide documentation to substantiate eligibility for the
credit(s) and/or HOH filing status and the amount(s) of any credit(s) claimed on the return if his/her
return is selected for audit? . . . . . . . . . . . . . . . . . . . . . . . . . X
7 Did you ask the taxpayer if any of these credits were disallowed or reduced in a previous year? . . X
(If credits were disallowed or reduced, go to question 7a; if not, go to question 8.)
a Did you complete the required recertification Form 8862? . . . . . . . . . . . . . . . X
8 If the taxpayer is reporting self-employment income, did you ask questions to prepare a complete and
correct Schedule C (Form 1040 or 1040-SR)? . . . . . . . . . . . . . . . . . . . X
SPA For Paperwork Reduction Act Notice, see separate instructions. 1037 CPTS 9USEJ1 Form 8867 (2019)

Page 20
Form 8867 (2019)
BASSOMASSI SANOGO 125-84-2731
Page 2
Part II Due Diligence Questions for Returns Claiming EIC (If the return does not claim EIC, go to Part III.)
9a Have you determined that the taxpayer is, in fact, eligible to claim the EIC for the number of qualifying Yes No N/A
children claimed, or is eligible to claim the EIC without a qualifying child? (Skip 9b and 9c if the taxpayer
is claiming the EIC and does not have a qualifying child.) . . . . . . . . . . . . . . . X
b Did you ask the taxpayer if the child lived with the taxpayer for over half of the year, even if the taxpayer
has supported the child the entire year? . . . . . . . . . . . . . . . . . . . . . X
c Did you explain to the taxpayer the rules about claiming the EIC when a child is the qualifying child of
more than one person (tiebreaker rules)? . . . . . . . . . . . . . . . . . . . . X
Part III Due Diligence Questions for Returns Claiming CTC/ACTC/ODC (If the return does not claim CTC, ACTC, or ODC, go
to Part IV.)
10 Have you determined that each qualifying person for the CTC/ACTC/ODC is the taxpayer’s dependent Yes No N/A
who is a citizen, national, or resident of the United States? . . . . . . . . . . . . . . .
11 Did you explain to the taxpayer that he/she may not claim the CTC/ACTC if the taxpayer has not lived
with the child for over half of the year, even if the taxpayer has supported the child, unless the child’s
custodial parent has released a claim to exemption for the child? . . . . . . . . . . . .
12 Did you explain to the taxpayer the rules about claiming the CTC/ACTC/ODC for a child of divorced or
separated parents (or parents who live apart), including any requirement to attach a Form 8332 or similar
statement to the return? . . . . . . . . . . . . . . . . . . . . . . . . . .
Part IV Due Diligence Questions for Returns Claiming AOTC (If the return does not claim AOTC, go to Part V.)
13 Did the taxpayer provide substantiation for the credit, such as a Form 1098-T and/or receipts for the qualified Yes No
tuition and related expenses for the claimed AOTC? . . . . . . . . . . . . . . . . . . . . X
Part V Due Diligence Questions for Claiming HOH (If the return does not claim HOH filing status, go to Part VI.)
14 Have you determined that the taxpayer was unmarried or considered unmarried on the last day of the tax year Yes No
and provided more than half of the cost of keeping up a home for the year for a qualifying person? . . . . X
Part VI Eligibility Certification
You will have complied with all due diligence requirements for claiming the applicable credit(s) and/or HOH filing
status on the return of the taxpayer identified above if you:
A. Interview the taxpayer, ask adequate questions, contemporaneously document the taxpayer’s responses on the return or in
your notes, review adequate information to determine if the taxpayer is eligible to claim the credit(s) and/or HOH filing
status and to compute the amount(s) of the credit(s);
B. Complete this Form 8867 truthfully and accurately and complete the actions described in this checklist for any applicable
credit(s) claimed and HOH filing status, if claimed;
C. Submit Form 8867 in the manner required; and
D. Keep all five of the following records for 3 years from the latest of the dates specified in the Form 8867 instructions under
Document Retention.
1. A copy of this Form 8867.
2. The applicable worksheet(s) or your own worksheet(s) for any credit(s) claimed.
3. Copies of any documents provided by the taxpayer on which you relied to determine the taxpayer’s eligibility for the
credit(s) and/or HOH filing status and to compute the amount(s) of the credit(s).
4. A record of how, when, and from whom the information used to prepare this form and the applicable worksheet(s) was
obtained.
5. A record of any additional information you relied upon, including questions you asked and the taxpayer’s responses, to
determine the taxpayer’s eligibility for the credit(s) and/or HOH filing status and to compute the amount(s) of the credit(s).
If you have not complied with all due diligence requirements, you may have to pay a $530 penalty for each failure to
comply related to a claim of an applicable credit or HOH filing status.
15 Do you certify that all of the answers on this Form 8867 are, to the best of your knowledge, true, correct, and Yes No
complete? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X
SPA 1037 CPTS 9USEJ2 Form 8867 (2019)

Page 21
BASSOMASSI SANOGO 125-84-2731
Line 5 - List of Documents for EIC and CTC/ACTC
A. Which documents below, if any, did you rely on to determine EIC/CTC/ACTC eligibility for the qualifying child(ren)
on the return? Check all that apply. KEEP A COPY OF ANY DOCUMENTS YOU RELIED ON. If there is no
qualifying child, check box a. If there is no disabled child, check box o.
Residency of Qualifying (Child(ren)

a No qualifying child j Indian tribal official statement


X b School records or statement k Employer statement
c Landlord or property management statement l Other
d Health care provider statement
e Medical records
f Child care provider records
g Placement agency statement
h Social service records or statement m Did not rely on documents, but made notes in file
i Place of worship statement n Did not rely on any documents
Disability of Qualifying Child(ren)
X o No disabled child s Other
p Doctor statement
q Other health care provider statement
r Social services agency or program statement
t Did not rely on documents, but made notes in file
u Did not rely on any documents

B. If a Schedule C is included with this return, which documents or other information, if any, did you rely on to confirm the
existence of the business and to figure the amount of Schedule C income and expenses reported on the return? Check
all that apply. KEEP A COPY OF ANY DOCUMENTS YOU RELIED ON. If there is no Schedule C, check box a.
Documents or Other Information
a No Schedule C i Reconstruction of income and expenses
b Business license j Other
X c Forms 1099
d Records of gross receipts provided by taxpayer
e Taxpayer summary of income
X f Records of expenses provided by taxpayer k Did not rely on documents, but made notes in file
g Taxpayer summary of expenses l Did not reply on any documents
h Bank statements
Line 5 - List of Documents for AOTC
A. Which documents below, if any, did you rely on to determine AOTC eligibility for the qualifying education expenses?
Check all that apply. KEEP A COPY OF ANY DOCUMENTS YOU RELIED ON. If there is no AOTC, check box a.
Documents or Other Information
a No American Opportunity Credit f Other
X b Form 1098-T from college or university
c Form 1099-Q for distributions
d College or university bursar statement
e Taxpayer summary of expenses g Did not rely on documents, but made notes in file
h Did not rely on any documents
Line 5 - List of Documents for Head of Household
A. Which documents below, if any, did you rely on to determine Head of Household eligibility? Check all that apply.
KEEP A COPY OF ANY DOCUMENTS YOU RELIED ON. If not filing Head of Household, check box a.
Documents or Other Information
a Not Head of Household h Other
b Divorce decree
c Separation agreement
X d Bank statements
e Property tax bills
i Did not rely on documents, but made notes in file
f Rent statements
j Did not rely on any documents
g Utility bills
8USEJ3
Page 22
Table of Additional Statements
BASSOMASSI SANOGO ***-**-2731

STM 01 - US SCH C PART V - Other Expenses

Description Amount

UBER SERVICE FEE 10,720


LYFT SERVICE FEE 22,385
GAS 9,850
TLC INSPECTION AND REGIST 1,675
CAR WASH 1,245
TAX PREP 650
GAS 7,800
___________________________________________________________________________________
Total 54,325

Page 23
Table of Additional Statements
BASSOMASSI SANOGO ***-**-2731

STM 02 - US FRM 8867 Line 5 - Documents

Documents

SCHOOL RECORDS OR STATEMENT


NO DISABLED CHILDREN
FORMS 1099
RECORDS OF EXPENSES PROVIDED BY TAXPAYER
FORM 1098-T FROM COLLEGE OR UNIVERSITY
BANK STATEMENTS

Page 24
Department of Taxation and Finance

Resident| Income| Tax Return IT-201


|
New York State New York City Yonkers MCTMT
For the full year January 1, 2019, through December31, 2019, or fiscal year beginning ... 19
and ending ...
For help completing your return, see the instructions, Form IT-201-I.
Your first name MI Your last name (for a joint return, enter spouse's name on line below) Your date of birth (mmddyyy) Your Social Security number

BASSOMASSI SANOGO 05281975 125842731


Spouse’s first name MI Spouse's last name Spouse's date of birth (mmddyyy) Spouse's Social Security number

Mailing address (see instructions, page 14) (number and street or PO box) Apartment number New York State county of residence
88 WEST 188TH STREET APT 2B BRONX
City, village, or post office State ZIP code Country (if not United States) School district name

BRONX NY 10468 BRONX


Taxpayer’s permanent home address (see instructions, page 14) (number and street or rural route) Apartment number
School district
code number ............... 068
City, village, or post office State ZIP code Taxpayer's date of death (mmddyyy) Spouse's date of death (mmddyyy)
Decedent
NY information

# D1 Did you have a financial account


A Filing 1 Single No X
located in a foreign country? (see page 15) .....Yes
status
(mark an Married filing joint return D2 Yonkers residents and Yonkers part-year residents only:
#
2
X in one (enter spouse's Social Security number above) (1) Did you receive a property tax relief credit?
box): Married filing separate return (see page 15) ...............................................Yes No
#
3
(enter spouse's Social Security number above)
(2) Enter the amount .. .00
#
4 X Head of household (with qualifying person)
D3 Were you required to report, any nonqualified
deferred compensation, as required by IRC 4457A
#
5 Qualifying widow(er) on your 2019 federal return? (see page 15) .........Yes No

B Did you itemize your deductions on E (1) Did you or your spouse maintain living
your 2019 federal income tax return? ............. Yes No X quarters in NYC during 2019? (see page 15) ..Yes No X
C Can you be claimed as a dependent (2) Enter the number of days spent in NYC in 2019
on another taxpayer's federal return? ............. Yes No (any part of a day spent in NYC is considered a day)...........

F NYC residents and NYC part-year


residents only (see page 15):
(1) Number of months you lived in NYC in 2019...................
(2) Number of months your spouse lived in NYC in 2019 ...

G Enter your 2-character special condition


code(s) if applicable (see page 15) .........................
H Dependent exemption information (see page 16)
First name MI Last name Relationship Social Security number Date of birth (mmddyyy)

FANTISHA SANOGO DAUGHTER 093889527 03181999

If more than 7 dependents, mark an X in the box.

201001191037 For office use only

Page 25
Page 2 of 4 IT-201 (2019) Your Social Security number

125842731

Federal income and adjustments (see page 15)


Whole dollars only

1 Wages, salaries, tips, etc. ....................................................................................................................... 1 .00


2 Taxable interest income ................................................................................................................................ 2 .00
3 Ordinary dividends .................................................................................................................................. 3 .00
4 Taxable refunds, credits, or offsets of state and local income taxes (also enter on line 25) ........... 4 .00
5 Alimony received ..................................................................................................................................... 5 .00
6 Business income or loss (submit a copy of federal Schedule C, Form 1040) ........................................ 6 13649 .00
7 Capital gain or loss (if required, submit a copy of federal Schedule D, Form 1040) .............................. 7 .00
8 Other gains or losses (submit a copy of federal Form 4797) ................................................................ 8 .00
9 Taxable amount of IRA distributions. If received as a beneficiary, mark an X in the box .. 9 .00
10 Taxable amount of pensions and annuities. If received as a beneficiary, mark an X in the box 10 .00
11 Rental real estate, royalties, partnerships, S corporations, trusts, etc. (submit copy of federal Schedule E, Form 1040) 11 .00

12 Rental real estate included in line 11 .................................. 12 .00


13 Farm income or loss (submit a copy of federal Schedule F, Form 1040) ............................................. 13 .00
14 Unemployment compensation ............................................................................................................ 14 .00
15 Taxable amount of Social Security benefits (also enter on line 27).................................................. 15 .00
16 Other income (see page 16) Identify: 16 .00
17 Add lines 1 through 11 and 13 through 16 .................................................................................... 17 13649 .00
18 Total federal adjustments to income (see page 16) Identify: 1/2 SE TAX 18 965 .00
19 Federal adjusted gross income (subtract line 18 from line 17 ) ...................................................... 19 12684 .00

New York additions (see page 17)


20 Interest income on state and local bonds and obligations (but not those of NYS or its local governments) 20 .00
21 Public employee 414(h) retirement contributions from your wage and tax statements(see page 17) 21 .00
22 New York’s 529 college savings program distributions (see page 17)......................................... 22 .00
23 Other (Form IT-225, line 9) ..................................................................................................................... 23 .00
24 Add lines 19 through 23 .................................................................................................................... 24 12684 .00

New York subtractions (see page 18)

25 Taxable refunds, credits, or offsetsof state and local incometaxes (from line 4) 25 .00
26 Pensions of NYS and local governments and the federal government (see page18) 26 .00
27 Taxable amount of Social Security benefits (from line 15)........ 27 .00
28 Interest income on U.S. government bonds ...................... 28 .00
29 Pension and annuity income exclusion (see page 19) ........ 29 .00
30 New York’s 529 college savings program deduction/earnings 30 .00
31 Other (Form IT-225, line 18) ...................................................... 31 .00
32 Add lines 25 through 31 .............................................................................................................. 32 .00

33 New York adjusted gross income (subtract line 32 from line 24) .................................................. 33 12684 .00

Standard deduction or itemized deduction (see page 21)

34 Enter your standard deduction (table on page 21) or your itemized deduction (from Form IT-196)
Mark an X in the appropriate box: X Standard - or - Itemized 34 11200 .00
35 Subtract line 34 from line 33 (if line 34 is more than line 33, leave blank) .......................................... 35 1484 .00
36 Dependent exemptions (enter the number of dependents listed in item H; see page 21) ...................... 36 1 000.00
37 Taxable income (subtract line 36 from line 35) ............................................................................... 37 484 .00

201002191037

Page 26
Name(s) as shown on page 1 Your Social Security number IT-201 (2019) Page 3 of 4
BASSOMASSI SANOGO 125842731

Tax computation, credits, and other taxes


38 Taxable income (from line 37 on page 2) ....................................................................................... 38 484 .00
39 NYS tax on line 38 amount (see page 22) ..................................................................................... 39 19 .00
40 NYS household credit (page 22, table 1, 2, or 3) ................... 40 75 .00
41 Resident credit (see page 23) ............................................... 41 .00
42 Other NYS nonrefundable credits(Form IT-201-ATT, line 7) ... 42 .00
43 Add lines 40, 41, and 42 .............................................................................................................. 43 75 .00
44 Subtract line 43 from line 39 (if line 43 is more than line 39, leave blank) .......................................... 44 .00
45 Net other NYS taxes (Form IT-201-ATT, line 30) ............................................................................. 45 .00
46 Total New York State taxes (add lines 44 and 45) ........................................................................ 46 .00
New York City and Yonkers taxes, credits, and surcharges, and MCTMT
47 NYC taxable income (see instructions) ................................ 47 484 .00
47a NYC resident tax on line 47 amount (see page 23)............. 47a 15 .00 See instructions on
pages 23 through 26 to
48 NYC household credit (page 23) ........................................ 48 60 .00 compute New York City and
49 Subtract line 48 from line 47a (if line 48 is more than Yonkers taxes, credits, and
line 47a, leave blank) ........................................................ 49 .00 surcharges, and MCTMT.
50 Part-year NYC resident tax (Form IT-360.1) ....................... 50 .00
51 Other NYC taxes (Form IT-201-ATT, line 34) ........................ 51 .00
52 Add lines 49, 50, and 51 .................................................. 52 .00
53 NYC nonrefundable credits (Form IT-201-ATT, line 10) ........ 53 .00
54 Subtract line 53 from line 52 (if line 53 is more than
line 52, leave blank) ......................................................... 54 .00
54a MCTMT net
earnings base .... 54a .00
54b MCTMT ............................................................................ 54b .00
55 Yonkers resident income tax surcharge (see page 26) ..... 55 .00
56 Yonkers nonresident earnings tax (Form Y-203) ............... 56 .00
57 Part-year Yonkers resident income tax surcharge (Form IT-360.1) 57 .00
(add lines 54 and 54b through 57).. 58
58 Total New York City and Yonkers taxes / surcharges and MCTMT .00

59 Sales or use tax (see page 27; do not leave line 59 blank) .......................................................... 59 0 .00

60 Voluntary contributions (Form IT-227, Part 2, line 1) ................................................................... 60 .00


61 Total New York State, New York City, Yonkers, and sales or use taxes, MCTMT,
and voluntary contributions (add lines 46, 58, 59, and 60) ....................................................... 61 .00

201003191037

Page 27
Page 4 of 4 IT-201 (2019) Your Social Security number

125842731
62 Enter amount from line 61 ................................................................................................................... 62 .00
Payments and refundable credits (see pages 28 through 31)
63 Empire State child credit ......................................................... 63 .00
64 NYS/NYC child and dependent care credit ......................... 64 .00
65 NYS earned income credit (EIC) ..................................... 65 1039 .00
66 NYS noncustodial parent EIC .............................................. 66 .00
67 Real property tax credit ........................................................ 67 .00
68 College tuition credit ............................................................. 68 400 .00
69 NYC school tax credit (fixed amount) (also complete F on page 1) 69 63 .00
69a NYC school tax credit (rate reduction amount) .................. 69a 1 .00
70 NYC earned income credit ........................................... 70 176 .00
70a NYC enhanced real property tax credit .............................. 70a .00
71 Other refundable credits (Form IT-201-ATT, line 18) .............. 71 .00 If applicable, complete Form(s) IT-2
Total New York State tax withheld ...................................... and/or IT-1099-R and submit them
72 72 .00
with your return (see page 13).
73 Total New York City tax withheld ........................................ 73 .00
74 Total Yonkers tax withheld ................................................... 74 .00 Do not send federal Form W-2
with your return.
75 Total estimated tax payments and amount paid with Form IT-370 75 .00

76 Total payments (add lines 63 through 75) ...................................................................................... 76 1679 .00


Your refund, amount you owe, and account information (see pages 32 through 34)
77 Amount overpaid (if line 76 is more than line 62, subtract line 62 from line 76; see page 32) ............ 77 1679 .00
78 Amount of line 77 available for refund (subtract line 79 from line 77) .......................................... 78 1679 .00
78a Amount of line 78 that you want to deposit into a NYS 529 account (Form IT-195, line 4)(also submit Form IT-195) 78a .00
78b Total refund after NYS 529 account deposit (subtract line 78a from line 78) .................................. 78b 1679 .00
direct deposit to checking or paper
Mark one refund choice: X savings account (fill in line 83) - or - check Refund? Direct deposit is the
79 Amount of line 77 that you want applied to your 2020 easiest, fastest way to get your
refund.
estimated tax (see instructions) ...................................... 79 .00
80 Amount you owe (if line 76 is less than line 62, subtract line 76 from line 62). To pay by electronic See page 33 for payment options.
funds withdrawal, mark an X in the box and fill in lines 83 and 84. If you pay by check
or money order you must complete Form IT-201-V and mail it with your return. .................. 80 .00
81 Estimated tax penalty (include this amount in line 80 or
reduce the overpayment on line 77; see page 33) ................ 81 .00 See page 36 for the proper
assembly of your return.
82 Other penalties and interest (see page 33) ........................ 82 .00
83 Account information for direct deposit or electronic funds withdrawal (see page 34).
If the funds for your payment (or refund) would come from (or go to) an account outside the U.S., mark an
X in this box (see pg. 34)
83a Account type: X Personal checking - or - Personal savings - or - Business checking - or - Business savings

83b Routing number 021001088 83c Account number 076752852

84 Electronic funds withdrawal (see page 34) ................ Date Amount .00

Third-party Print designee’s name Designee’s phone number Personal identification


number (PIN)
designee? (see instr.)

Yes No Email:

' Paid preparer must complete ' Preparer’s NYTPRIN NYTPRIN ' '
excl. code 1 0 Taxpayer(s) must sign here
(see instructions)
Preparer’s signature Preparer’s printed name Your signature
MAWA KOROMA
Firm’s name (or yours, if self-employed) Preparer’s PTIN or SSN Your occupation
LD BUSINESS SOLUTIONS P01618756 TAXI DRIVER
Address Employer identification number Spouse’s signature and occupation (if joint return)
274563832
2797 FREDERICK DOUGLAS BLVD
Date Date Daytime phone number
NEW YORK NY 10039 6463093694
Email: Email: BASSSANOGO@YAHOO.COM
201004191037

See instructions for where to mail your return.

Page 28
Department of Taxation and Finance

New York Resident, Nonresident, and IT-196


Part-Year Resident Itemized Deductions
Submit this form with Form IT-201 or IT-203. See instructions for completing Form IT-196.
Name(s) as shown on your Form IT-201 or IT-203 Your Social Security number
BASSOMASSI SANOGO 125842731
Medical and dental expenses (see instructions)

Caution: Do not include expenses reimbursed or paid by others.


1 Medical and dental expenses (see instructions) ................. 1 .00
2 Enter amount from Form IT-201 or IT-203, line 19 ........... 2 .00
3 Multiply line 2 by 10% (0.10) ............................................ 3 .00
4 Subtract line 3 from line 1 (if line 3 is more than line 1, leave blank) ................................................ 4 .00
Taxes you paid (see instructions)

5 State and local (Mark an X in only one box)


a Income taxes - or - b X General sales tax .. 5 .00
6 State and local real estate taxes ...................................... 6 .00
7 State and local personal property taxes ........................... 7 .00
8 Other taxes. List type and amount
8 .00
9 Add lines 5 through 8 ................................................................................................................. 9 .00
Interest you paid (see instructions)

10 Home mortgage interest and points reported to you on


federal Form 1098 ........................................................ 10 .00
11 Home mortgage interest not reported to you on federal
Form 1098. If paid to the person from whom you
bought the home, show that person’s name, identifying
number, and address

11 .00
12 Points not reported to you on federal Form 1098 ............. 12 .00
13 Mortgage insurance premiums......................................... 13 .00
14 Investment interest ........................................................... 14 .00
15 Add lines 10 through 14 ............................................................................................................. 15 .00
Gifts to charity (see instructions)

16 Gifts by cash or check ...................................................... 16 .00


16a Qualified contributions
included in line 16 .... 16a .00
17 Other than by cash or check ............................................ 17 .00
18 Carryover from prior year ................................................. 18 .00
19 Add lines 16, 17, and 18 ............................................................................................................ 19 .00

196001191037

Page 29
Page 2 of 3 IT-196 (2019) Your Social Security number
125842731
Casualty and theft losses

20 Casualty or theft loss(es) other than federal qualified disaster losses (see instructions) .............. 20 .00

Job expenses and certain miscellaneous deductions (see instructions)

21 Unreimbursed employee expenses job travel,


union dues, etc. ............................................................ 21 .00
22 Job related education expenses ...................................... 22 .00
23 Tax preparation fees ......................................................... 23 .00
24 Other expenses investment, safe deposit box, etc.
List type and amount
24 .00
25 Add lines 21 through 24 ................................................... 25 .00
26 Enter amount from Form IT-201 or IT-203, line 19 ........... 26 .00
27 Multiply line 26 by 2% (0.02) ............................................ 27 .00
28 Subtract line 27 from line 25 (if line 27 is more than line 25, leave blank) ......................................... 28 .00

Other miscellaneous deductions

29 Gambling losses (see instructions) ..................................... 29 .00


30 Casualty and theft losses of income-producing property
(see instructions) ............................................................. 30 .00
31 Federal estate tax on income in respect of a decedent
(see instructions) ............................................................. 31 .00
32 Deduction for amortizable bond premiums (see instructions) 32 .00
33 An ordinary loss attributable to a contingent payment
debt instrument or an inflation-indexed debt instrument 33 .00
34 Deduction for repayment of amounts under a claim of
right if over $3000 (see instructions) ............................... 34 .00
35 Certain unrecovered investments in a pension(see instructions) 35 .00
36 Impairment-related work expenses of a disabled person
(see instructions) ............................................................. 36 .00
37 Federal qualified disaster loss (see instructions) ................ 37 .00

38 Reserved .................................................................................. 38 .00


39 Add lines 29 through 37 ............................................................................................................. 39 .00

Total itemized deductions (see instructions)

Is Form IT-201 or IT-203, line 19, over $163,850? (Mark an X in the appropriate box)
If No, your deduction is not limited. Add the amounts in the far right column for
lines 4 through 39 and enter the amount on line 40.
If Yes, your deduction may be limited. See the Line 40, Total itemized deductions worksheet,in the instructions to compute the
amount to enter on line 40.
40 ................................................................................................................................................... 40 .00

196002191037

Page 30
Your Social Security number IT-196 (2019) Page 3 of 3
125842731
Adjustments

41 State, local, and foreign income taxes (or general sales tax, if applicable), and other
subtraction adjustments (see instructions) ................................................................................ 41 .00
42 Subtract line 41 from line 40 (see instructions) ............................................................................. 42 .00
43 College tuition itemized deduction (Form IT-203 filers only, IT-201 filers leave blank and skip to line 44)
(Form IT-203-B, line 2; see instructions) ........................................................................................ 43 .00
44 Addition adjustments (see instructions) ........................................................................................ 44 .00
45 Add lines 42, 43, and 44 ............................................................................................................ 45 .00
46 Itemized deduction adjustment (see instructions) ......................................................................... 46 .00
47 Subtract line 46 from line 45 (see instructions) ............................................................................. 47 .00
48 College tuition itemized deduction (Form IT-201 filers only, IT-203 filers leave blank and skip to
line 49) (See Form IT-272, Claim for College Tuition Credit or Itemized Deduction) (see instructions) ... 48 .00
49 New York State itemized deduction (add lines 47 and 48; enter on Form IT-201, line 34 or
Form IT-203, line 33) (see instructions) ......................................................................................... 49 .00

196003191037

Page 31
Department of Taxation and Finance

Claim for Earned Income Credit IT-215


New York State < New York City

Submit this form with Form IT-201 or IT-203.


Name(s) as shown on return Your Social Security number
BASSOMASSI SANOGO 125842731
1 Did you claim the federal earned income credit? If No, stop; you do not qualify for these credits. ....................... 1 Yes X No
2 Is your investment income (see instructions) greater than $3,600? If Yes, stop; you do not qualify for these credits. ....... 2 Yes No X
3 Have you already filed your New York State income tax return? If Yes, you must file an amended NYS return......... 3 Yes No X
4 Did you claim qualifying children on your federal Schedule EIC? If No, continue with line 5.
If Yes, in the spaces below, list up to three of the same children you claimed on federal Schedule EIC. ................ 4 Yes X No
If you claimed more than three, see instructions.
First name MI Last name Suffix Relationship
1st FANTISHA SANOGO DAUGHTER
Child Social Security number Date of birth (mmddyyyy)
No. of months
12 Full-time X Person with
lived with you student* disability* 093889527 03181999
First name MI Last name Suffix Relationship

2nd
Child Social Security number Date of birth (mmddyyyy)
No. of months Full-time Person with
lived with you student* disability*
First name MI Last name Suffix Relationship

3rd
Social Security number Date of birth (mmddyyyy)
Child No. of months Full-time Person with
lived with you student* disability*

* Mark an X in these boxes only if you checked Yes in the same box on your federal Schedule EIC (box 4a or 4b).
5 Is the IRS figuring your federal earned income credit (EIC) for you? If Yes, complete lines 6 through 9 (also lines 21,
23, and 24 if you are a part-year New York State resident, and line 28 if you are a part-year New York City resident).
The Tax Department will compute your New York State and, if applicable, your New York City earned income
credit for you. If No, complete lines 6 through 17 (and lines 18 through 26 if you are a part-year New York State
resident). New York City residents must complete the New York City earned income credit Worksheet C on
page 3 of Form IT-215-I. Part-year New York City residents must also complete line 28 on the back of this claim form...... 5 Yes No X
Whole dollars only

6 Wages, salaries, tips, etc., from Worksheet A line 3, on page 2 of the instructions, Form IT-215-I. ............................ 6 .00
7 Earned income adjustments (see instructions) ................................................................................................................. 7 .00
8 Business income or loss (from your federal Form 1040 line instructions, Earned Income Credit Worksheet B,lines 1e, 2c, and 3)... 8 12684 .00
Employer identification number (see instructions)... 452647441
9 Enter your federal adjusted gross income
(from Form IT-201, line 19, or Form IT-203, line 19, Federal amount column) ......................................................................... 9 12684 .00
10 Amount of federal EIC claimed (from federal Form 1040EZ, line 8a; Form 1040A, line 42a; or Form 1040, line 66a) .............. 10 3526 .00
11 New York State earned income credit (NYS EIC) rate 30% (.30) ................................................................................. 11 .30
12 Tentative NYS EIC (multiply line 10 by line 11; see instructions) ........................................................................................... 12 1058 .00
Complete Worksheet B on Page 2 before continuing. .
13 Enter the amount from Worksheet B, line 5, on Page 2 of this form ................... 13 19.00
14 New York State household credit (from Form IT-201, line 40, or Form IT-203, line 39).. 14 75.00
15 Enter the smaller of line 13 or line 14 ........................................................................................................................... 15 19 .00
16 Allowable New York State earned income credit (subtract line 15 from line 12; see instructions) .................................... 16 1039 .00
17 If your New York State filing status is # 3 , Married filing separate return , complete line 17 . The NYS EIC on

line 16 above can be divided between spouses in any manner you wish. Enter on line 17 the amount
of NYS EIC from line 16 you are claiming, and also enter your joint federal adjusted gross income below. ................ 17 .00
Federal adjusted gross income (from federal Form 1040, line 7) ............................. .00

215001191037

Page 32
IT-215 (2019) (Page 2 of 2)

Part-year New York State resident earned income credit

Lines 18 through 26 apply only to part-year New York State


residents claiming the New York State earned income credit.
18 Enter your New York State earned income credit (from line 16 or line 17) ........................................................................ 18 .00
19 Enter the amount from Form IT-203, line 42 ................................................................................................................. 19 .00
-- If line 19 is equal to or more than line 18, stop. You do not have excess New York State earned income credit.
-- If line 19 is less than line 18, continue on line 20 below.
20 Excess New York State earned income credit (subtract line 19 from line 18) ................................................................ 20 .00
21 Enter the amount from Form IT-203-ATT, line 31(If you do not have to file Form IT-203-ATT, leave blank and continue on line 22 below.)
21 .00
-- If Form IT-215, line 21, is equal to or more than Form IT-215, line 20, stop. Do not continue
with this computation. Enter the amount from line 20 above on Form IT-203-ATT, line 32.
-- If Form IT-215, line 21, is less than Form IT-215, line 20, enter the amount from line 20 above on
Form IT-203-ATT, line 32, and continue on line 22 below.
22 Subtract line 21 from line 20. This is your remaining excess New York State earned income credit. ................... 22 .00
23 Enter the amount from line 19, Column D, of the Part-year resident
income allocation worksheet in your Form IT-203 instruction booklet ...................... 23 .00
24 Enter the amount from line 19, Column A, of the Part-year resident
income allocation worksheet in your Form IT-203 instruction booklet ...................... 24 .00

25 Divide line 23 by line 24 (round the result to the fourth decimal place). This amount cannot exceed 100% (1.0000). ......... 25
26 Multiply line 22 by line 25. Enter the result here and on Form IT-203-ATT, line 10.
This is the refundable portion of your part-year New York State resident earned income credit. .................. 26 .00

New York City earned income credit (full-year and part-year New York City residents)

27 From Worksheet C, New York City earned income credit, on page 3 of Form IT-215-I, Instructions for
Form IT-215. Enter here and on Form IT-201, line 70, or Form IT-203-ATT, line 11... ............................................ 27 176 .00
Part-year New York City residents must also complete line 28 below.
28 Part-year New York City adjusted gross income
Enter the amounts from Worksheet C, lines 6 and 7 ........................................ 28A .00 28B .00

Worksheet B

1 New York State tax (from Form IT-201, line 39, or Form IT-203, line 38) ................................................................................ 1 19 .00
2 Resident credit (see instructions) .................................................................................... 2 .00
3 Accumulation distribution credit (see instructions) .......................................................... 3 .00
4 Add lines 2 and 3 .......................................................................................................................................................... 4 .00
5 Subtract line 4 from line 1. (If line 4 is more than line 1, enter 0.) Enter here and on line 13 on Page 1 of this form. ......... 5 19 .00

215002191037

Page 33
Department of Taxation and Finance

Claim for College Tuition IT-272


Credit or Itemized Deduction
Full-year New York State residents only
Submit your completed Form IT-272 with Form IT-201. See Form IT-272-I, Instructions for Form IT-272.
Your name as shown on return (first name first) Your social security number
BASSOMASSI SANOGO 125842731
Spouse’s name (first name first) Spouse's social security number

Note: If you are married and filing separate New York State returns, you must also enter your
spouse's name and social security number.
1 Are you claimed as a dependent on another taxpayer's New York State tax return for this tax year? ............ 1 Yes No X
| If Yes, stop; you do not qualify for the college tuition credit or the college tuition itemized deduction.
| If No, continue with question 2.
2 Were you (and your spouse if filing a joint return) a New York State resident for all ofthis tax year? ....... 2 Yes X No
| If Yes, continue with Part 1 below.
| If No, stop; you do not qualify for the college tuition credit. However, you may qualify for the
college tuition itemized deduction. For more information, see the instructions for Form IT-203.
Part 1 - In the spaces provided below, complete lines A through I for up to three eligible students for whom you paid
qualified college tuition expenses. (If you are claiming expenses for more than three eligible students, see instructions.)

Eligible A First Name MI Last Name Suffix B Social security number C Date of Birth (mmddyyyy)
student
1 FANTISHA SANOGO 093889527 03181999
D Is the student claimed as a dependent on your NYS return? (see instructions) ...................................... Yes X No
E EIN of college or university (see instructions) F Name of college or university (see instructions)

132501225 MONROE COLLEGE


G Were expenses for undergraduate tuition? (see instructions) ......................................................................Yes
X No

H Amount of qualified college tuition I Enter the lesser


expenses (see instructions) ..................... 24104 .00 of line H or 10,000 ....... 10000 .00
Eligible A First Name MI Last Name Suffix B Social security number
student
1

D Is the student claimed as a dependent on your NYS return? (see instructions) ...................................... Yes No
E EIN of college or university (see instructions) F Name of college or university (see instructions)

G Were expenses for undergraduate tuition? (see instructions) ......................................................................Yes No

H Amount of qualified college tuition I Enter the lesser


expenses (see instructions) ..................... .00 of line H or 10,000 ....... .00
Eligible A First Name MI Last Name Suffix B Social security number
student
1

D Is the student claimed as a dependent on your NYS return? (see instructions) ...................................... Yes No
E EIN of college or university (see instructions) F Name of college or university (see instructions)

additional sheets. Complete Part 2 or Part 3 on Page 2.) .........................................................................................


G Were expenses for undergraduate tuition? (see instructions) ......................................................................Yes No

H Amount of qualified college tuition I Enter the lesser


expenses (see instructions) ..................... .00 of line H or 10,000 ....... .00
3 Total qualified college tuition expenses (total the line I amounts for all eligible students, including amounts from
additional sheets, then complete Part 2 or Part 3) ......................................................................................................... 3 10000 .00
272001191037

Page 34
IT-272 (2019) (Page 2 of 2)

Part 2 - Complete Part 2 if your total qualified college tuition expenses on line 3 are less than $5,000.

4 Credit limitation ($200)................................................................................................................................................... 4 200 .00

5 Enter the lesser of line 3 or line 4. This is your college tuition credit ............................................................. 5 .00
| If you did not itemize your deductions on your New York return, enter the line 5 amount
on Form IT-201, line 68.
| If you itemized your deductions on your New York return, continue with Part 4.

Part 3 - Complete Part 3 if your total qualified college tuition expenses on line 3 are $5,000 or more.

6 Enter the amount from line 3 ....................................................................................................................................... 6 10000 .00

7 Multiply line 6 by 4% (.04). This is your college tuition credit ........................................................................... 7 400 .00
| If you did not itemize your deductions on your New York return, enter the line 7 amount
on Form IT-201, line 68.
| If you itemized your deductions on your New York return, continue with Part 4.

Part 4 - College tuition itemized deduction election


If you itemized your deductions on your New York return, you may elect to claim the college tuition
itemized deduction instead of the college tuition credit. To compute your college tuition itemized deduction,
complete Worksheet 1in the instructions for this form. To determine if you will receive a greater tax benefit from
the itemized deduction or credit, complete Worksheet 2 in the instructions for this form.

8 Mark an X in this box only if you elect to claim the college tuition itemized deduction ................................................................ 8
|If you marked an X in the box at line 8, enter the amount from Worksheet 1, line 5 (in the instructions for this
form), on Form IT-196, New York Resident, Nonresident, and Part-Year Itemized Deductions.Do not enter the
college tuition credit from line 5 or 7 above on Form IT-201. You are entitled to claim either the deduction or
the credit, but not both/
| If you did not mark an X in the box at line 8 and you elect to claim the college tuition credit instead of the
college tuition itemized deduction, enter the line 5 or line 7 amount on Form IT-201, line 68.

Important: If you are claiming the college tuition credit or the college tuition itemized deduction, you must submit Form IT-272 with
your return.

272002191037

Page 35
OMB No. 1545-0074
SCHEDULE C Profit or Loss From Business
(Form 1040 or 1040-SR) (Sole Proprietorship)
Department of the Treasury j Go to www.irs.gov/ScheduleC for instructions and the latest information. 2019
Attachment
Internal Revenue Service (99) j Attach to Form 1040, 1040-SR, 1040-NR, or 1041; partnerships generally must file Form 1065. Sequence No. 09
Name of proprietor Social security number (SSN)
BASSOMASSI SANOGO 125-84-2731
A Principal business or profession, including product or service (see instructions) B Enter code from instructions
TAXI DRIVER j 999999
C Business name. If no separate business name, leave blank. D Employer ID number (EIN), (see instr.)
UBER 45-2647441
E Business address (including suite or room no.) j 1455 MARKET ST SUITE 400
City, town or post office, state, and ZIP code SAN FRANCISCO CA 94103
F Accounting method: (1) X Cash (2) Accrual (3) Other (specify) j
G Did you "materially participate" in the operation of this business during 2019? If "No," see instructions for limit on losses X Yes No
H If you started or acquired this business during 2019, check here . . . . . . . . . . . . . . . . . j
I Did you make any payments in 2019 that would require you to file Form(s) 1099? (see instructions) . . . . . . . . Yes No
J If "Yes," did you or will you file required Forms 1099? . . . . . . . . . . . . . . . . . . . . . Yes No
Part I Income
1 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 . . . . . . . . j 1 116,164
2 Returns and allowances . . . . . .
. . . . . . . . . . . . . . . . . . . 2
3 Subtract line 2 from line 1 . . . . .
. . . . . . . . . . . . . . . . . . . 3 116,164
4 Cost of goods sold (from line 42) . . .
. . . . . . . . . . . . . . . . . . . 4
5 Gross profit. Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . . . . 5 116,164
6 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) . . . . 6
7 Gross income. Add lines 5 and 6 . . . . . . . . . . . . . . . . . . . . . j 7 116,164
Part II Expenses. Enter expenses for business use of your home only on line 30.
8 Advertising . . . . 8 18 Office expense (see instructions) 18
9 Car and truck expenses (see 19 Pension and profit-sharing plans . 19
instructions) . . . . 9 20,889 20 Rent or lease (see instructions):
10 Commissions and fees . 10 a Vehicles, machinery, and equipment 20a
11 Contract labor (see instructions) 11 b Other business property . . . 20b 23,000
12 Depletion . . . . . 12 21 Repairs and maintenance . . . 21
13 Depreciation and section 179 22 Supplies (not included in Part III) . 22 524
expense deduction (not
23 Taxes and licenses . . . . .
included in Part III) (see 23
instructions) . . . . . 13 24 Travel and meals:
14 Employee benefit programs a Travel . . . . . . . . . 24a
(other than on line 19) . . 14 b Deductible meals (see
15 Insurance (other than health) 15 3,777 instructions) . . . . . . . 24b
16 Interest: (see instructions): 25 Utilities . . . . . . . . 25
a Mortgage (paid to banks, etc.) 16a 26 Wages (less employment credits) . 26
b Other . . . . . . 16b 27a Other expenses (from line 48) . . 27a 54,325
17 Legal and professional services 17 b Reserved for future use . . . 27b
28 Total expenses before expenses for business use of home. Add lines 8 through 27a . . . . . j 28 102,515
29 Tentative profit or (loss). Subtract line 28 from line 7 . . . . . . . . . . . . . . . . . 29 13,649
30 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:
and (b) the part of your home used for business: . Use the Simplified
Method Worksheet in the instructions to figure the amount to enter on line 30 . . . . . . . . . 30
31 Net profit or (loss). Subtract line 30 from line 29.
8 If a profit, enter on both Schedule 1 (Form 1040 or 10404-SR), line 3 (or Form 1040-NR, line 13) and on
Schedule SE, line 2. (If you checked the box on line 1, see instructions). Estates and trusts, enter on Form 31 13,649
1041, line 3.
8 If a loss, you must go to line 32.
32 If you have a loss, check the box that describes your investment in this activity (see instructions).
8 If you checked 32a, enter the loss on both Schedule 1 (Form 1040 or 1040-SR), line 3 (or
Form 1040-NR, line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see the 32a X All investment is at risk.
line 31 instructions). Estates and trusts, enter on Form 1041, line 3. 32b Some investment is not
at risk.
8 If you checked 32b, you must attach Form 6198. Your loss may be limited.
SPA For Paperwork Reduction Act Notice, see the separate instructions. 1037 CPTS 9US091 Schedule C (Form 1040 or 1040-SR) 2019

Page 36
BASSOMASSI SANOGO 125-84-2731
Schedule C (Form 1040 or 1040-SR) 2019 Page 2
Part III Cost of Goods Sold (see instructions)

33 Method(s) used to
value closing inventory: a Cost b Lower of cost or market c Other (attach explanation)
34 Was there any change in determining quantities, costs, or valuations between opening and closing inventory?
If "Yes," attach explanation . . . . . . . . . . . . . . . . . . . . . . . . . Yes No

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 . . . . . . . . . . . . . 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
Part IV 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) j 01/01/2019
44 Of the total number of miles you drove your vehicle during 2019, enter the number of miles you used your vehicle for:

a Business 36,016 b Commuting (see instructions) c Other

45 Was your vehicle available for personal use during off-duty hours? . . . . . . . . . . . . . . . Yes X No

46 Do you (or your spouse) have another vehicle available for personal use? . . . . . . . . . . . . . Yes X No

47a Do you have evidence to support your deduction? . . . . . . . . . . . . . . . . . . . . X Yes No

b If "Yes," is the evidence written? . . . . . . . . . . . . . . . . . . . . . . . . . X Yes No


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

See STM 01

48 Total other expenses. Enter here and on line 27a . . . . . . . . . . . . . . . 48 54,325


SPA 1037 CPTS 9US092 Schedule C (Form 1040 or 1040-SR) 2019
Page 37
Table of Additional Statements
BASSOMASSI SANOGO ***-**-2731

STM 01 - US SCH C PART V - Other Expenses

Description Amount

UBER SERVICE FEE 10,720


LYFT SERVICE FEE 22,385
GAS 9,850
TLC INSPECTION AND REGIST 1,675
CAR WASH 1,245
TAX PREP 650
GAS 7,800
___________________________________________________________________________________
Total 54,325

Page 38
Income and Information Details Checklist

Client Name(s): Preparer: MAWA KOROMA


Taxpayer :BASSOMASSI SANOGO Date Return Started: 03/07/2020
SSN: 125-84-2731
DOB: 05/28/1975 Refund/Balance Due Amt
Fed: 2,597
Spouse : St. Abbr NY: 1,679
SSN: St. Abbr :
DOB:

Filing Status: 4
E-File? YES
Refund Type: IRS DD

________________________________________________________________________

DEPENDENTS
First Name _________
__________ Last Name SSN
___ DOB
___ Relationship ___
____________ Age
FANTISHA SANOGO 093889527 03/18/1999 DAUGHTER 20
________________________________________________________________________

1099 Misc / Sch C or Sch F Income


T/S Description / Rents Oth Inc NonEmComp CropInPro Activ Act
___ ____________________
Payer Name (Box 1) _______
_______ (Box 3) _________
(Box 7) (Box 10) ______
_________ Sch C ______
Sch F
T UBER TECHNOLOGY 1159 TAXI DRIVER
T LYFT, INC 865 TAXI DRIVER
________________________________________________________________________

Taxpayer Signature:

________________________________________________________________________

Preparer Signature:

________________________________________________________________________

By signing this form I acknowledge that the information shown above is


true, complete and correct. The income forms listed above disclose all
income received during the applicable tax year by the taxpayers listed.
I understand and accept any and all responsibility for the accuracy and
completeness of information above.

9USBDR1 Page 39

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