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Internal Revenue Setvice Tax Return Transcript: United States Departtnent of The Treasury

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144 views7 pages

Internal Revenue Setvice Tax Return Transcript: United States Departtnent of The Treasury

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Võ Quốc Công
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m Internal Revenue Setvice

United States Departtnent of the Treasury

This Product Contains Sensitive Taxpayer Data

Tax Return Transcript


Request Date: 04-05-2023
Response Date: 04-05-2023
Tracking Number: 100717165776
Customer File Number: 1313406
SSN Provided: XXX-XX-6356
Tax Period Ending: Dec. 31, 2021

The following items reflect the amount as shown on the return (PR), and the amount as adjusted
(PC), if applicable. They do not show subsequent activity on the account.

SSN: XXX-XX-6356
SPOUSE SSN:
NAME(S) SHOWN ON RETURN: TENO WALLACE

ADDRESS: 116 FERNDALE AVE SE, RENTON, WA 98056

FILING STATUS: Single


FORM NUMBER: 1040
CYCLE POSTED: 20220905
RECEIVED DATE: Apr.15, 2022
REMITTANCE: $0.00
EXEMPTION NUMBER: 1
DEPENDENT 1 NAME CTRL:
DEPENDENT 1 SSN:
DEPENDENT 2 NAME CTRL:
DEPENDENT 2 SSN:
DEPENDENT 3 NAME CTRL:
DEPENDENT 3 SSN:
DEPENDENT 4 NAME CTRL:
DEPENDENT 4 SSN:
PTIN: XXX-XX-1381
PREPARER EIN: XX-XXX1496

Income
WAGES, SALARIES, TIPS, ETC: $91,686.00
TAXABLE INTEREST INCOME: SCH B: $0.00
TAX-EXEMPT INTEREST: $0.00
ORDINARY DIVIDEND INCOME: SCH B: $0.00
QUALIFIED DIVIDENDS: $0.00
REFUNDS OF STATE/LOCAL TAXES: $2,635.00
ALIMONY RECEIVED: $0.00

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